Evidence map›Paper›PMID 39218862›Full record

ArticleBMC nursing2024

"… I carry their stories home …": experiences of nurses and midwives caring for perinatal adolescent mothers in primary health care settings in Rwanda.

Aimable Nkurunziza, Victoria L Smye, Kimberley T Jackson, C Nadine Wathen, David F Cechetto, Panagiota Tryphonopoulos, Darius Gishoma, Alice Muhayimana

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In one paragraph

Article in BMC nursing, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Aimable NkurunzizaCollege of Medicine and Health Sciences, School of Nursing and Midwifery, University of Rwanda, Kigali, Rwanda. ankurun@uwo.ca.
Victoria L SmyeFaculty of Health Sciences, Arthur Labatt Family School of Nursing, Western University, London, ON, Canada.
Kimberley T JacksonFaculty of Health Sciences, Arthur Labatt Family School of Nursing, Western University, London, ON, Canada.
C Nadine WathenFaculty of Health Sciences, Arthur Labatt Family School of Nursing, Western University, London, ON, Canada.
David F CechettoSchulich School of Medicine & Dentistry, Western University, London, ON, Canada.
Panagiota TryphonopoulosFaculty of Health Sciences, Arthur Labatt Family School of Nursing, Western University, London, ON, Canada.
Darius GishomaCollege of Medicine and Health Sciences, School of Nursing and Midwifery, University of Rwanda, Kigali, Rwanda.
Alice MuhayimanaCollege of Medicine and Health Sciences, School of Nursing and Midwifery, University of Rwanda, Kigali, Rwanda.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAdolescent mothers require trauma- and violence-informed care during the perinatal period due to trauma histories and ongoing violence as a result of pregnancy. Nurses and midwives play a critical role in caring for adolescent mothers in primary healthcare settings in Rwanda in the perinatal period. PURPOSE: To explore the experiences of nurses and midwives working with adolescent mothers in selected primary healthcare settings in Rwanda to inform the delivery of trauma- and violence- informed care.

methodsThis study utilized an interpretive description qualitative approach and was conducted in eight primary healthcare settings in Rwanda. Twelve nurses and midwives working in perinatal services and four heads of health centers participated in in-depth individual interviews. Data were analyzed thematically.

resultsThe analysis revealed four main themes and 11 (sub-themes): (a) relational practice (being creative and flexible, "lending them our ears"); (b) individual challenges of providing care to adolescent mothers (lack of knowledge to provide care related to gender-based violence, and gendered experience); (c) factors contributing to workarounds (inflexible guidelines, lack of protocol and procedures, lack of nurses' and midwives' in service training, and the physical structure of the perinatal environment); and (d) vicarious trauma (living the feelings, "I carry their stories home," and hypervigilance in parenting).

conclusionNurses and midwives find caring for adolescent mothers challenging due to their unique needs. These needs require them to be creative, adaptable, and attentive listeners to better understand their challenges. These practitioners face difficulties such as insufficient specific knowledge related to, for example, gender-based violence, inflexible guidelines, and a lack of protocols and training. Additionally, in the perinatal environment attention to the needs of practitioners in those settings is often lacking, and many nurses and midwives report experiencing vicarious trauma. Consequently, there is a pressing need for guidelines and protocols specifically tailored for the care of adolescent mothers. Ongoing trauma- and violence- informed care training and professional education should be provided to enhance the ability of nurses and midwives to care for adolescent mothers and prevent re-traumatization and mitigate vicarious trauma effectively.

Indexed as

Adolescent motherMidwivesNursesPerinatalPrimary care settingsStructural violenceTrauma- and violence- informed care

Identifiers

PMID39218862
PMCPMC11368027

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.