Evidence map›Paper›PMID 40269798›Full record

ArticleBMC pregnancy and childbirth2025

Examining digital care relationships of medicaid participants in the pre/postnatal care period: a qualitative study.

Matthew D Dalstrom, Jessica Cioni, Colleen J Klein, Melinda Cooling

Abstract read
In one paragraph

Article in BMC pregnancy and childbirth, 2025. 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
  2. Article
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

4 authors.

Matthew D DalstromSaint Anthony College of Nursing, 3301 N Mulford Rd Health Sciences Center, Rockford, 61114 , IL, USA. matthew.d.dalstrom@osfhealthcare.org.ORCID http://orcid.org/0000-0002-4228-8466
Jessica CioniSaint Anthony College of Nursing, 3301 N Mulford Rd Health Sciences Center, Rockford, 61114 , IL, USA.ORCID http://orcid.org/0009-0008-4575-5913
Colleen J KleinSaint Anthony College of Nursing, 3301 N Mulford Rd Health Sciences Center, Rockford, 61114 , IL, USA.ORCID http://orcid.org/0000-0002-9666-5837
Melinda CoolingOSF HealthCare, Peoria, IL, USA.ORCID http://orcid.org/0000-0003-0714-1159

Funding

OSF HealthCare Foundation N/A
6 · The paper itself

Abstract

backgroundUnderserved populations in the United States are at higher risk for poor maternal health outcomes. New models of care, such as telehealth, can offer additional support, including access to care 24/7/365 days a year; however, little is known about their impact on nurse-patient relationships. This study aimed to explore the perspectives of patients and nurses (registered and advanced practice registered nurses) on the relationships established through a telehealth program for pregnant and postpartum women.

methodsA qualitative, descriptive, longitudinal study was conducted between December 2022 and December 2023. Semi-structured interviews were completed with 28 individuals in the first year after the program's launch. Among the participants, 23 were pregnant or postpartum women enrolled in a pregnancy and postpartum support program, and five were nurses involved in delivering the program. The semi-structured interviews were conducted remotely using a phone or an online platform. The interviews were analyzed using thematic analysis.

resultsTwo major themes, Therapeutic Nurse-Patient Relationships and Programmatic Aspects that Support Virtual Relationships, along with twelve subthemes, were identified. Participants felt that the programmatic aspects allowed them to create meaningful relationships with their care providers. In addition, the digital services offered a nonjudgmental and supportive method for women to receive care and education when and where they need it. From the nurses' standpoint, they felt that they could personalize the care for women without the time limitations typical in an in-person clinical encounter.

conclusionsSupporting women through digital models of care can influence their engagement and relationships with their nurses. Findings show that both the women and the nurses reported being able to establish positive relationships, although they described them differently. As a result, women reported feeling comfortable accessing care and asking pregnancy-related questions, suggesting that telehealth programs can foster the development of therapeutic nurse-patient relationships.

Indexed as

MedicaidNurse-Patient RelationsPostnatal CarePrenatal CareTelemedicineAdultFemaleHumansLongitudinal StudiesPregnancyQualitative ResearchUnited StatesNurse-Patient relationsPostpartumPregnancyTelehealthText messaging

Identifiers

PMID40269798
PMCPMC12020069

What OpenQuestion holds

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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.