The Effect of Applying Problem-solving Skills on Stress Coping Styles and Emotional Self-efficacy in Mothers of Preterm Neonates: A Randomized Clinical Trial.
Mahbubeh Bagheri, Monir Ramezani, Saeed Vaghee and 1 others
PMID 39411569WHAT IT FOUND
Mothers of preterm babies who learned problem-solving skills reported more practical coping, less emotion-focused coping, and more confidence managing emotions than mothers receiving routine neonatal care.
Key findings
01Problem-solving training increased problem-focused coping compared with routine care immediately after training and one month later.
02Problem-solving training reduced emotion-focused coping compared with routine care immediately after training and one month later.
03Emotional self-efficacy increased more in the training group than in the routine-care group immediately after training and one month later.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Randomisation was by hospital rather than by individual mother, so mothers within the same hospital were not independently assigned. Mothers were selected by convenience and were not blinded to their group, so self-reported coping, emotional self-efficacy, and problem-solving scores may be influenced by expectations. The trial was small and conducted in one country, so it may not apply to other settings or populations. The routine-care control group is not described in detail, so it is unclear what else differed between the groups. The paper did not report infant outcomes, maternal mental-health diagnoses, or longer-term effects beyond about one month.
The easy way to misread this
Do not conclude that this training improves infant outcomes or replaces routine neonatal care. The trial measured mothers' self-reported coping, emotional self-efficacy, and problem-solving ability only.