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Effectiveness of Communication Interventions in Obstetrics—A Systematic Review

Author

Listed:
  • Sonia Lippke

    (Department of Psychology and Methods, Jacobs University Bremen, 28759 Bremen, Germany)

  • Christina Derksen

    (Department of Psychology and Methods, Jacobs University Bremen, 28759 Bremen, Germany)

  • Franziska Maria Keller

    (Department of Psychology and Methods, Jacobs University Bremen, 28759 Bremen, Germany)

  • Lukas Kötting

    (Department of Psychology and Methods, Jacobs University Bremen, 28759 Bremen, Germany)

  • Martina Schmiedhofer

    (Department of Psychology and Methods, Jacobs University Bremen, 28759 Bremen, Germany
    Aktionsbündnis Patientensicherheit e.V. (APS), 10179 Berlin, Germany)

  • Annalena Welp

    (Department of Psychology and Methods, Jacobs University Bremen, 28759 Bremen, Germany)

Abstract

(1) Background: Obstetric work requires good communication, which can be trained through interventions targeting healthcare providers and pregnant women/patients. This systematic review aims to aggregate the current state of research on communication interventions in obstetrics. (2) Methods: Using the PICOS scheme, we searched for studies published in peer-reviewed journals in English or German between 2000 and 2020. Out of 7018 results, 71 studies were included and evaluated in this synthesis using the Oxford Level of Evidence Scale. (3) Results: The 63 studies that included a communication component revealed a positive effect on different proximal outcomes (i.e., communication skills). Three studies revealed a beneficial effect of communication trainings on distal performance indicators (i.e., patient safety), but only to a limited extent. Most studies simultaneously examined different groups, however, those addressing healthcare providers were more common than those with students (61 vs. 12). Only nine studies targeted expectant mothers. Overall, the evidence level of studies was low (only 11 RCTs), with 24 studies with an evidence level I-II, 35 with level III, and 10 with level IV. (4) Conclusions: Communication trainings should be more frequently applied to improve communication of staff, students, and pregnant women and their partners, thereby improving patient safety.

Suggested Citation

  • Sonia Lippke & Christina Derksen & Franziska Maria Keller & Lukas Kötting & Martina Schmiedhofer & Annalena Welp, 2021. "Effectiveness of Communication Interventions in Obstetrics—A Systematic Review," IJERPH, MDPI, vol. 18(5), pages 1-27, March.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:5:p:2616-:d:511312
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    References listed on IDEAS

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    1. Aneta Słabuszewska-Jóźwiak & Jacek Krzysztof Szymański & Michał Ciebiera & Beata Sarecka-Hujar & Grzegorz Jakiel, 2020. "Pediatrics Consequences of Caesarean Section—A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 17(21), pages 1-17, October.
    2. Desmond McEwan & Geralyn R Ruissen & Mark A Eys & Bruno D Zumbo & Mark R Beauchamp, 2017. "The Effectiveness of Teamwork Training on Teamwork Behaviors and Team Performance: A Systematic Review and Meta-Analysis of Controlled Interventions," PLOS ONE, Public Library of Science, vol. 12(1), pages 1-23, January.
    3. Martina Schmiedhofer & Christina Derksen & Franziska Maria Keller & Johanna Elisa Dietl & Freya Häussler & Reinhard Strametz & Ilona Koester-Steinebach & Sonia Lippke, 2021. "Barriers and Facilitators of Safe Communication in Obstetrics: Results from Qualitative Interviews with Physicians, Midwives and Nurses," IJERPH, MDPI, vol. 18(3), pages 1-16, January.
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    1. Johanna Elisa Dietl & Christina Derksen & Franziska Maria Keller & Martina Schmiedhofer & Sonia Lippke, 2023. "Psychosocial Processes in Healthcare Workers: How Individuals’ Perceptions of Interpersonal Communication Is Related to Patient Safety Threats and Higher-Quality Care," IJERPH, MDPI, vol. 20(9), pages 1-19, May.

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