ArticleImplementation science : IS2019
Investigating midwives' barriers and facilitators to multiple health promotion practice behaviours: a qualitative study using the theoretical domains framework.
Article in Implementation science : IS, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed.
- Perspectives of women and healthcare providers on facilitators and barriers to cervical cancer screening in the rural Kilimanjaro region Tanzania: a qualitative study.Global health action · 2026Article
- Experiences of healthcare professionals providing physical activity advice to pregnant and postpartum women: a systematic review of qualitative evidence.BMJ open sport & exercise medicine · 2026Article
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- Barriers and facilitators to conducting randomised controlled trials within routine care of neurorehabilitation centres: a qualitative study.BMC medical research methodology · 2024Article
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- "We have to change our mindsets": a qualitative study of barriers and facilitators in research collaboration across integrated care system organisations.BMC health services research · 2024Article
- It's time to increase physical activity promotion among pregnant women in France.Journal of education and health promotion · 2023Article
- The Experiences of Midwives in Caring for Vulnerable Pregnant Women in The Netherlands: A Qualitative Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2022Article
- Identifying barriers to the educational role of midwives in Cyprus and defining determinants in behaviour terms using the Behaviour Change Wheel: a mixed-method formative study.BMC health services research · 2022Article
- Barriers and facilitators to using aspirin for preventive therapy: a qualitative study exploring the views and experiences of people with Lynch syndrome and healthcare providers.Hereditary cancer in clinical practice · 2022Article
- Challenges in the cross-sectoral collaboration on vulnerable pregnant women: a qualitative study among Danish general practitioners.BMC primary care · 2022Article
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- Baby Steps: Using Intervention Mapping to Develop a Sustainable Perinatal Physical Activity Healthcare Intervention.International journal of environmental research and public health · 2021Article
- Exploring the usability of the COM-B model and Theoretical Domains Framework (TDF) to define the helpers of and hindrances to evidence-based practice in midwifery.Implementation science communications · 2021Article
- Association Between Maternal Body Mass and Physical Activity Counseling During Pregnancy.Frontiers in psychology · 2021Article
- Opening the door: midwives' perceptions of two models of psychosocial assessment in pregnancy- a mixed methods study.BMC pregnancy and childbirth · 2020Article
- "They Just Need to Come Down a Little Bit to your Level": A Qualitative Study of Parents' Views and Experiences of Early Life Interventions to Promote Healthy Growth and Associated Behaviours.International journal of environmental research and public health · 2020Article
- The role of midwives and obstetrical nurses in the promotion of healthy lifestyle during pregnancy.Therapeutic advances in reproductive healthReview
- Applying the theoretical domains framework to identify determinants of alcohol consumption during pregnancy: A cross-sectional study among women of childbearing age in Southwest Germany.Women's health (London, England)Observational
- "The Terminology Might Be Ahead of Practice": Embedding Shared Decision Making in Practice-Barriers and Facilitators to Implementation of SDM in the Context of Maternity Care.MDM policy & practiceArticle
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Authors and funding
4 authors.
Funding
Abstract
backgroundIn addition to their more traditional clinical role, midwives are expected to perform various health promotion practice behaviours (HePPBes) such as informing pregnant women about the benefits of physical activity during pregnancy and asking women about their alcohol consumption. There is evidence to suggest several barriers exist to performing HePPBes. The aim of the study was to investigate the barriers and facilitators midwives perceive to undertaking HePPBes.
methodsThe research compromised of two studies. Study 1: midwives based in a community setting (N = 11) took part in semi-structured interviews underpinned by the theoretical domains framework (TDF). Interviews were analysed using a direct content analysis approach to identify important barriers or facilitators to undertaking HePPBes. Study 2: midwives (N = 505) completed an online questionnaire assessing views on their HePPBes including free text responses (n = 61) which were coded into TDF domains. Study 2 confirmed and supplemented the barriers and facilitators identified in study 1.
resultsMidwives' perceived a multitude of barriers and facilitators to carrying out HePPBes. Key barriers were requirements to perform an increasing amount of HePPBes on top of existing clinical work load, midwives' cognitive resources, the quality of relationships with pregnant women, a lack of continuity of care and difficulty accessing appropriate training. Key facilitators included midwives' motivation to support pregnant women to address their health. Study 1 highlighted strategies that midwives use to overcome the barriers they face in carrying out their HePPBes.
conclusionsDespite high levels of motivation to carry out their health promotion practice, midwives perceive numerous barriers to carrying out these tasks in a timely and effective manner. Interventions that support midwives by addressing key barriers and facilitators to help pregnant women address their health behaviours are urgently needed.
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