Effectiveness of Communication Interventions in Obstetrics—A Systematic Review

Sonia Lippke, Christina Derksen, Franziska Maria Keller, Lukas Kötting, Martina Schmiedhofer and Annalena Welp
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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
Annalena Welp: Department of Psychology and Methods, Jacobs University Bremen, 28759 Bremen, Germany

IJERPH, 2021, vol. 18, issue 5, 1-27

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.

Keywords: communication; patient safety; obstetrics; midwifery; intervention; training; interprofessional; learning (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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