The Effect of Nursing Care on Maternal Role Performance and Parental Self-Efficacy of Primiparous Women

NCT05866588 | Completed

• 1 other identifier: EOzcan
• Study Type: interventional
• Target: 106
• Locations: 1 country
• Sites: 1

Brief Summary

Being a mother is a major and developmental life event involving the transition from an existing and known reality to a new unknown reality, in which the woman gains a new role. In the literature, factors such as age, social support, physical and psychosocial well-being, unrealistic positive or negative expectations, and readiness for the role of mother have been stated that affect maternal identity development, maternal self-efficacy and motherhood role performance. In addition, it has been emphasized that some women are especially at risk in this process. Primiparous (first time giving birth) women are among the groups at risk. Being a first-time mother is an important developmental transition in life, and change is an inevitable element of this process. A prompt and sensitive assessment of my antenatal and postnatal needs and appropriate planning of care are key to effectively supporting women in the transition to motherhood. Therefore, it is thought that individualized nursing care based on Transition theory will be a useful conceptual framework for primary women to realize a healthy transition to motherhood. No research has been found in the literature that evaluates the maternal role performance and parental self-efficacy of primiparous women based on a theory. In this direction, it is thought that this study will shed light on the planning of nursing care to be offered during the transition to motherhood, contribute to the nursing literature, women can make a healthy transition to the role of motherhood, and the risks such as unhealthy transition, role inadequacy, adverse effects on mother and baby health will be minimized. The aim of this study is to determine the Effect of Nursing Care Based on Meleis' Transition Theory on the Maternal Role Performance and Parental Self-Efficacy of Primiparous Women.

Conditions

Primiparous Women

Keywords

Primiparity; Self Efficacy; Mothers; Parenting

Outcome Measures

Primary Outcomes (4)

• The Scale of Being the Structure of a New Baby

  With the Maternity Role Performance, women's evaluation of their motherhood experiences, their satisfaction with the motherhood role and their perception of life changes will be evaluated. The measurement is made to reveal the qualitative aspects of the mother related to being the mother of a new baby. The score distribution of the scale is between 17-153. It has 2 sub-dimensions. Each sub-dimension is evaluated within itself.

  It is applied to both groups on the 7th postpartum day.

• The Scale of Being the Structure of a New Baby

  With the Maternity Role Performance, women's evaluation of their motherhood experiences, their satisfaction with the motherhood role and their perception of life changes will be evaluated. The measurement is made to reveal the qualitative aspects of the mother related to being the mother of a new baby. The score distribution of the scale is between 17-153. It has 2 sub-dimensions. Each sub-dimension is evaluated within itself.

  It is applied to both groups on the 1th month.

• The Scale of Being the Structure of a New Baby

  With the Maternity Role Performance, women's evaluation of their motherhood experiences, their satisfaction with the motherhood role and their perception of life changes will be evaluated. The measurement is made to reveal the qualitative aspects of the mother related to being the mother of a new baby. The score distribution of the scale is between 17-153. It has 2 sub-dimensions. Each sub-dimension is evaluated within itself.

  It is applied to both groups on the 4th month.

• Parental Self-Efficacy Scale

  With Parental Self-Efficacy, it will be evaluated whether women feel competent in the role of mother. It was developed to determine the personal judgments of new parents with their first and only 3-6 month old babies regarding their competencies in the parent role. There are sub-dimensions of Meeting Needs, Parental Competence, Relief of Discomfort, Coping with Illness and Social Interaction. As the score obtained from the scale increases, self-efficacy increases.

  It is applied to both groups on the 4th month.

Secondary Outcomes (7)

• Edinburgh Postpartum Depression Scale

  Measurements are made at 28 weeks of gestation for both groups.

• Edinburgh Postpartum Depression Scale

  Measurements are made at 38 weeks of gestation for both groups.

• Edinburgh Postpartum Depression Scale

  Measurements are made at 7th postpartum day for both groups.

• Edinburgh Postpartum Depression Scale

  Measurements are made at 1th postpartum month for both groups.

• Edinburgh Postpartum Depression Scale

  Measurements are made at 4th postpartum month for both groups.

Study Arms (2)

experimental group

EXPERIMENTAL

Participants in the experimental group will receive training and counseling consisting of a total of 8 modules from the 28th week of pregnancy to the fourth month of the postpartum period.

Behavioral: Physical, psychological and spiritual nursing care (Nursing Therapeutics)

Control group

NO INTERVENTION

No educational counseling will be applied to the women in the control group. These participants will receive routine antenatal, natal and postnatal care

Interventions

Physical, psychological and spiritual nursing care (Nursing Therapeutics) BEHAVIORAL

1. Follow-up: To make a presentation about the physiological and psychological changes during pregnancy. do dream work 2. Follow-up: Providing education and counseling for childbirth. 3. Follow-up: Training and role rehearsal on mother-infant interaction, breastfeeding and infant care. 4. Follow-up: To provide counseling on the issues needed with the approaching of the birth. 5. Follow-up: Teaching about conscious parenting and mother-infant, father-infant interaction. 6. Tracking. To provide education, counseling and social support on the other roles of the mother in life such as wife role, working woman role, social role. 7. Follow-up: To evaluate the transition to motherhood. 8. Follow-up: To evaluate the outcomes of transition to motherhood and adjustment to motherhood according to expected completion time.

experimental group

Eligibility Criteria

• Age: 18 Years+
• Sex: female
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• To agree to participate in the research voluntarily.
• To be able to read and write Turkish.
• Not to have a diagnosed psychiatric disease or communication problem.
• Having a mobile phone capable of receiving and playing video messages.
• Being healthy and having a single pregnancy.
• To be between 28-32 weeks of pregnancy.
• Living with a spouse or partner.

You may not qualify if:

• Not accepting to participate in the research voluntarily.
• Not being literate in Turkish.
• Having a diagnosed psychiatric illness or communication problem.
• Lack of mobile phone capable of receiving and playing video messages.
• Having a high-risk or multiple pregnancy.
• Being under 28 weeks or over 32 weeks pregnant.
• Not living with a spouse or partner.

Sponsors & Collaborators

• Ondokuz Mayıs University: lead

Study Sites (1)

Kastamonu Provincial Health Directorate

Kastamonu, Turkey (Türkiye)

Location

Related Publications (8)

• Mercer RT. Becoming a mother versus maternal role attainment. J Nurs Scholarsh. 2004;36(3):226-32. doi: 10.1111/j.1547-5069.2004.04042.x.

  PMID: 15495491 RESULT

• Mercer RT, Walker LO. A review of nursing interventions to foster becoming a mother. J Obstet Gynecol Neonatal Nurs. 2006 Sep-Oct;35(5):568-82. doi: 10.1111/j.1552-6909.2006.00080.x.

  PMID: 16958712 RESULT

• Schumacher KL, Meleis AI. Transitions: a central concept in nursing. Image J Nurs Sch. 1994 Summer;26(2):119-27. doi: 10.1111/j.1547-5069.1994.tb00929.x.

  PMID: 8063317 RESULT

• SmithBattle L, Freed P. Teen Mothers' Mental Health. MCN Am J Matern Child Nurs. 2016 Jan-Feb;41(1):31-6; quiz E3-4. doi: 10.1097/NMC.0000000000000198.

  PMID: 26474475 RESULT

• Barimani M, Vikstrom A, Rosander M, Forslund Frykedal K, Berlin A. Facilitating and inhibiting factors in transition to parenthood - ways in which health professionals can support parents. Scand J Caring Sci. 2017 Sep;31(3):537-546. doi: 10.1111/scs.12367. Epub 2017 Jan 31.

  PMID: 28144992 RESULT

• Bassi M, Delle Fave A, Cetin I, Melchiorri E, Pozzo M, Vescovelli F, Ruini C. Psychological well-being and depression from pregnancy to postpartum among primiparous and multiparous women. J Reprod Infant Psychol. 2017 Apr;35(2):183-195. doi: 10.1080/02646838.2017.1290222. Epub 2017 Feb 19.

  PMID: 29517362 RESULT

• Tsai SS, Wang HH. Role changes in primiparous women during 'doing the month' period. Midwifery. 2019 Jul;74:6-13. doi: 10.1016/j.midw.2019.03.007. Epub 2019 Mar 18.

  PMID: 30908975 RESULT

• Ozcan E, Temiz S. The impact of nursing care based on transition theory on maternal role performance and parental self-efficacy in primiparous women: a randomized controlled study. BMC Nurs. 2025 Apr 5;24(1):377. doi: 10.1186/s12912-025-03054-4.

  PMID: 40188345 DERIVED

MeSH Terms

Interventions

Restraint, Physical

Intervention Hierarchy (Ancestors)

Behavior Control; Therapeutics; Immobilization; Investigative Techniques

Study Officials

• Ebru ÖZCAN

  Ondokuz Mayıs University

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: lecturer

Model Details: Randomized Controlled Experimental Design

Study Record Dates

• First Submitted: May 1, 2023
• First Posted: May 19, 2023
• Study Start: August 15, 2022
• Primary Completion: June 30, 2023
• Study Completion: March 15, 2024
• Last Updated: August 19, 2024

Record last verified: 2024-08

Data Sharing

• IPD Sharing: Will share
• Shared Documents: CSR
• Time Frame: Data available after research is published
• Access Criteria: The research can be accessed according to the journal in which it was published.

Locations

TU (1)