Midwives and service users’ perspectives on implementing a dialogue about alcohol use in antenatal care: a qualitative study

Dyson, Judith and Onukwugha, Franklin and Howlett, Helen and Combe, Katherine and Catterick, Maria and Smith, Lesley (2023) Midwives and service users’ perspectives on implementing a dialogue about alcohol use in antenatal care: a qualitative study. Journal Advanced Nursing. ISSN 0309-2402

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Aim: There are barriers to midwives engaging in conversations about alcohol with pregnant women. Our aim was to capture the views of midwives and service users to co-create strategies to address these barriers.
Design: Qualitative description.
Methods: Structured Zoom-based focus group interviews of midwives and service users where we presented known barriers and sought solutions to midwives discussing alcohol use in antenatal settings. Data collection took place between July and August 2021.
Results: Fourteen midwives and six service users attended five focus groups. Barriers considered were: i) lack of awareness of guidelines, ii) poor skills in difficult conversations, iii) lack of confidence, iv) lack of belief in existing evidence, beliefs v) women would not listen to their advice and vi) alcohol conversations were not part of their role. Five strategies to address barriers to midwives discussing alcohol with pregnant women were identified. These were: training that included mothers of children with Foetal Alcohol Spectrum Disorder, champion midwives, a service user questionnaire about alcohol for completion before the consultation, questions about alcohol added to the maternity data capture template and a structured appraisal to provide a means of audit and feedback on their alcohol dialogue with women.
Conclusions: Co-creation involving providers and users of maternity services yielded theoretically underpinned pragmatic strategies to support midwives to ask advise assist about alcohol during antenatal care. Future research will test if the strategies can be delivered in antenatal care settings, and if they are acceptable to service providers and service users.
Impact: If these strategies are effective in addressing barriers to midwives discussing alcohol with pregnant women, this could support women to abstain from alcohol during pregnancy, thus reducing alcohol-related maternal and infant harm.

Item Type: Article
Identification Number: https://doi.org/10.1111/jan.15622
17 February 2023Accepted
2 March 2023Published Online
Uncontrolled Keywords: Midwives, nurses, alcohol, implementation intervention, behaviour change, pregnancy, “Foetal Alcohol Spectrum Disorder” FASD, co-creation
Subjects: CAH02 - subjects allied to medicine > CAH02-04 - nursing and midwifery > CAH02-04-01 - nursing (non-specific)
Divisions: Faculty of Health, Education and Life Sciences > Centre for Social Care, Health and Related Research (C-SHARR)
Depositing User: Judith Dyson
Date Deposited: 22 Feb 2023 17:11
Last Modified: 02 Mar 2024 03:00
URI: https://www.open-access.bcu.ac.uk/id/eprint/14202

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