SCOPING REVIEW PROTOCOL

HOSPITAL INTERVENTIONS TO PROMOTE MATERNAL SELF-EFFICACY IN THE IMMEDIATE POSTPARTUM PERIOD: A SCOPING REVIEW PROTOCOL

INTERVENÇÕES HOSPITALARES PARA A PROMOÇÃO DA AUTOEFICÁCIA MATERNA NO PUERPÉRIO IMEDIATO: PROTOCOLO DE REVISÃO DE ESCOPO

INTERVENCIONES HOSPITALARIAS PARA PROMOVER LA AUTOEFICACIA MATERNA EN EL PERÍODO POSPARTO INMEDIATO: UN PROTOCOLO DE REVISIÓN DE ALCANCE

https://doi.org/10.31011/reaid-2026-v.100-n.3-art.2737

¹Marina Mezomo Soccal

²Cristina Saling Kruel

¹Graduanda do Curso de Psicologia da Universidade Franciscana (UFN), Santa Maria, Rio Grande do Sul, Brazil. ORCID: https://orcid.org/0009-0001-2675-3233

²docente do Curso de Psicologia da Universidade Franciscana (UFN), Santa Maria, Rio Grande do Sul, Brazil. ORCID: https://orcid.org/0000-0003-1996-7708

Corresponding Author

Marina Mezomo Soccal

Rua Pinheiro Machado, 3069, Santa Maria – RS, Brazil. CEP 97050-601, phone: +55 (55) 99966-2232, E-mail: m.soccal@ufn.edu.br.

Submission: 19-02-2026

Approval: 12-07-2026

ABSTRACT

Introduction: In hospital maternity wards, postpartum women simultaneously experience processes of physical recovery, bonding with the newborn, and building confidence in their ability to provide maternal care, in a context frequently influenced by technical guidelines, institutional routines, and multiple healthcare professionals. In this setting, the construct of maternal self-efficacy has been widely used to understand a woman's perception of her ability to successfully perform tasks related to infant care. Objective: To map, within the scientific literature, the types, characteristics, professionals involved, and implementation contexts of hospital interventions aimed at promoting maternal self-efficacy in the immediate postpartum period, as well as to identify knowledge gaps on the subject. Methods: This is a scoping review protocol whose methodological structure is based on the guidelines established by JBI. After formulating the research question using the mnemonic Population, Concept, and Context, a search was conducted through the platforms Regional Portal of the Virtual Health Library, PubMed, Scientific Electronic Library Online, and Google Scholar, using adapted search strategies. The review will include original empirical studies, published between 2021 and 2026, in Portuguese or English, available in full text, that describe interventions performed in a hospital setting with women in the immediate postpartum period. Subsequently, the selection of articles will be made by reading their titles and abstracts, and data extraction will be performed by two independent reviewers using an instrument developed specifically for the review.

Keywords: Self Efficacy; Postpartum Period; Maternal and Child Health.

RESUMO

Introdução: Na maternidade hospitalar, as puérperas vivenciam simultaneamente processos de recuperação física, estabelecimento do vínculo com o recém-nascido e construção de confiança em sua capacidade de exercer o cuidado materno, em um contexto frequentemente atravessado por orientações técnicas, rotinas institucionais e múltiplos profissionais de saúde. Nesse cenário, o construto da autoeficácia materna tem sido amplamente utilizado para compreender a percepção da mulher acerca de sua capacidade de desempenhar com sucesso as tarefas relacionadas ao cuidado do bebê. Objetivo: Mapear, na literatura científica, os tipos, características, profissionais envolvidos e contextos de implementação das intervenções hospitalares destinadas à promoção da autoeficácia materna no puerpério imediato, bem como identificar lacunas de conhecimento sobre o tema. Métodos: Trata-se de um protocolo de revisão de escopo cuja estrutura metodológica se baseia nas diretrizes estabelecidas pelo JBI. Após a elaboração da pergunta de pesquisa mediante o mnemônico População, Conceito e Contexto, realizou-se uma busca nas plataformas Portal Regional da Biblioteca Virtual em Saúde, Pubmed, Scientific Electronic Library On-line e Google Acadêmico a partir de estratégias de busca adaptadas. A revisão incluirá estudos empíricos originais, publicados entre 2021 e 2026, em português ou inglês, disponíveis na íntegra, que descrevam intervenções realizadas em contexto hospitalar com puérperas no puerpério imediato. Posteriormente, a seleção dos artigos se dará por meio da leitura de seus títulos e resumos e, em seguida, a extração dos dados será realizada por dois revisores independentes com o uso de um instrumento elaborado para os fins da revisão.

Palavras-chave: Autoeficácia; Período Pós-parto; Saúde Materno-Infantil.

RESUMEN

Introducción: En unidades de maternidad, las puérperas experimentan simultáneamente procesos de recuperación física, vinculación con el bebé y desarrollo de confianza en su capacidad para brindar cuidados maternos, en un contexto frecuentemente influenciado por directrices técnicas, rutinas institucionales y múltiples profesionales de la salud. En este contexto, el concepto de autoeficacia materna se ha utilizado ampliamente para comprender la percepción de la mujer sobre su capacidad para realizar con éxito las tareas relacionadas con el cuidado del bebé. Objetivo: Mapear, en la literatura científica, los tipos, características, profesionales involucrados y contextos de implementación de las intervenciones hospitalarias dirigidas a la promoción de la autoeficacia materna en el posparto inmediato, así como identificar lagunas de conocimiento sobre el tema. Métodos: Este es un protocolo de revisión de alcance cuya estructura metodológica se basa en las directrices establecidas por JBI. Tras formular la pregunta de investigación mediante la regla mnemotécnica Población, Concepto y Contexto, se realizó una búsqueda en el Portal Regional de la Biblioteca Virtual en Salud, PubMed, Scientific Electronic Library On-line y Google Académico, empleando estrategias de búsqueda adaptadas. La revisión incluirá estudios empíricos originales, publicados entre 2021 y 2026, en portugués o inglés, disponibles en texto completo, que describan intervenciones hospitalares con mujeres en el puerperio inmediato. Posteriormente, la selección de los artículos se realizará mediante la lectura de sus títulos y resúmenes, y la extracción de datos será realizada por dos revisores independientes mediante un instrumento desarrollado específicamente para la revisión.

Palabras clave: Autoeficacia; Periodo Posparto; Salud Materno-Infantil.

INTRODUCTION

The immediate postpartum period is a time of intense physical, emotional, and relational changes in a woman's life, marked by the transition to motherhood and the need to adapt to new caregiving demands⁽¹⁾. During the postpartum hospital stay, women simultaneously undergo physical recovery, bond with their newborns, and build confidence in their ability to provide maternal care all within a context often shaped by technical guidelines, institutional routines, and interactions with multiple healthcare professionals^(2,3). In this scenario, the construct of maternal self-efficacy, grounded in Bandura’s Social Cognitive Theory⁽⁴⁾, has been widely used to understand a woman's perception of her ability to successfully perform tasks related to infant care⁽⁵⁾.

Evidence indicates that higher levels of maternal self-efficacy are associated with better emotional outcomes, greater adherence to health guidelines, increased confidence in newborn care⁽⁶⁾, better adaptation to the maternal role⁽⁷⁾, and the maintenance of exclusive breastfeeding until the infant is six months old⁽⁸⁾; conversely, lower levels may be linked to insecurity, anxiety, and postpartum psychological distress⁽⁹⁾.

Although the literature offers a substantial body of research on maternal self-efficacy, much of the investigation focuses on specific outcomes, such as breastfeeding self-efficacy^(8,10), or on interventions conducted in home settings⁽¹¹⁾. However, there is less systematized evidence regarding interventions implemented in hospital settings during the immediate postpartum period, a time considered strategic for supporting women and fostering positive early caregiving experiences. The hospital setting, in turn, constitutes a prime environment for implementing educational, psychological, nursing, and multiprofessional interventions, as well as relational technologies based on welcoming, active listening, and bonding, all of which can foster a sense of maternal competence⁽¹²⁾. However, these interventions are scattered throughout the literature; they are described in various formats, conducted by different professionals, and grounded in diverse conceptual frameworks, making it difficult to systematically understand their characteristics, scope, and gaps.

Given this landscape, it is pertinent to conduct a scoping review to comprehensively map hospital-based interventions aimed at promoting maternal self-efficacy during the immediate postpartum period, identifying their types, formats, the professionals involved, and the contexts of implementation. Scoping reviews are particularly suitable when the goal is to explore the extent, variety, and characteristics of available evidence, as well as to clarify concepts and identify knowledge gaps. Furthermore, the research topic aligns closely with SDG 3 (Good Health and Well-being) of the United Nations (UN) 2030 Agenda⁽¹³⁾, as it contributes to the improvement of maternal and child care.

A preliminary search on the Open Science Framework (OSF) and PROSPERO platforms identified no scoping review or systematic review protocols specifically focusing on hospital-based interventions aimed at promoting maternal self-efficacy during the immediate postpartum period. Existing reviews focus predominantly on breastfeeding-related self-efficacy or on broader postpartum timeframes, underscoring the need for a specific synthesis regarding this particular scope. Thus, this scoping review aims to map, within the scientific literature, the types, characteristics, professionals involved, and implementation contexts of hospital-based interventions designed to promote maternal self-efficacy during the immediate postpartum period, as well as to identify knowledge gaps on the subject.

METHODS

Study design

This is a scoping review, a methodology that allows for mapping and synthesizing research evidence on a specific topic. This methodology will enable the mapping of interventions administered in a hospital setting aimed at promoting maternal self-efficacy during the immediate postpartum period within the current scientific literature.

Methodological framework

The methodological guidelines established by JBI⁽¹⁴⁾ for scoping reviews will be followed, comprising: identification of the research question; identification of relevant studies in the scientific literature; determination of eligibility and exclusion criteria; selection and assessment of studies; and data analysis. The review will be reported in accordance with the parameters of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses – Extension for Scoping Reviews (PRISMA-ScR)⁽¹⁵⁾. This protocol has been registered on the Open Science Framework (OSF) platform and can be accessed via the view-only link: https://osf.io/mwpnr/overview?view_only=bc15463df8fe4267b965baab2ab35e2f, created for the purpose of blinded review.

Research question

The PCC (Population, Concept, Context) mnemonic⁽¹⁴⁾ guided the formulation of the research question. Based on this strategy, the following elements were identified: Population – women in the immediate postpartum period; Concept – interventions to promote maternal self-efficacy; and Context – hospital maternity setting. The following research question was then formulated using the PCC mnemonic: what hospital-based interventions for promoting maternal self-efficacy during the immediate postpartum period have been addressed in the current scientific literature?

Eligibility criteria

Original empirical studies, employing qualitative, quantitative, or mixed-methods approaches, published between 2021 and 2026 in Portuguese or English and available in full text will be included, provided they describe interventions conducted in a hospital setting with women in the immediate postpartum period. The five-year timeframe aims to capture recent evidence aligned with updated care practices in the post-COVID-19 pandemic context. Restricting the languages to Portuguese and English is justified because these are the predominant languages in international and national scientific literature regarding maternal and child health, and they align with the reviewers' language proficiency.

The immediate postpartum period is defined here as the time between delivery and the 10th day postpartum, in accordance with the classification adopted by the Brazilian Ministry of Health⁽¹⁶⁾; this encompasses both the woman's hospital stay for postpartum recovery and instances where her hospital stay is extended, for example, while accompanying the newborn after her own obstetric discharge. Where available in the primary studies, the newborn's condition (healthy, in an intermediate/kangaroo care unit, or in the neonatal ICU) and the woman's clinical status in this context will be considered, given that maternal self-efficacy demands and the type of intervention tend to vary across these scenarios.

For the purposes of this review, hospital interventions are defined as any actions, practices, programs, or strategies developed within hospital maternity settings and conducted by healthcare professionals, either individually or as part of a team, with the explicit or implicit goal of strengthening the woman's perception of her capability to care for the newborn; this includes educational, psychological support, nursing, multiprofessional, or institutional initiatives. When the relationship between the intervention and maternal self-efficacy is not explicitly named in the primary study, inclusion will be determined by identifying at least one of the related constructs from Chart 1 (maternal confidence, maternal competence, or breastfeeding self-efficacy) as an assessed outcome, subject to agreement between the two independent reviewers, with a third reviewer consulted in the event of disagreement.

Review articles, theoretical essays, study protocols, editorials, and letters will be excluded; as will studies involving no intervention; studies where interventions took place exclusively in home, outpatient, or community settings; studies where interventions were conducted after hospital discharge; and studies addressing only physical or clinical outcomes unrelated to maternal perceptions of capability, confidence, or self-efficacy.

Information sources and search strategies

The search was conducted on February 5, 2026, using Virtual Health Library (VHL) Regional Portal, PubMed, and Scientific Electronic Library Online (SciELO) platforms. Additionally, a search on Google Scholar on the same date considered the first 100 results, sorted by relevance. Limiting the search to the first 100 results sorted by relevance follows the recommendation of Haddaway et al.⁽¹⁷⁾, who demonstrated a significant drop in relevance among Google Scholar records after the initial results pages, making this cutoff a standard practice in scoping and systematic reviews. The Health Sciences Descriptors (Descritores em Ciências da Saúde – DeCS) used, along with their synonyms and English-language equivalents (Medical Subject Headings – MeSH), are listed in Chart 1, aligned with the PCC mnemonic. In addition to controlled descriptors, free-text keywords will be used to increase search sensitivity, accounting for conceptual variations of the maternal self-efficacy construct. The descriptors were combined using the Boolean operators OR and AND into search strategies tailored to each platform, as shown in Chart 2.

Chart 1 – Correspondence of descriptors and keywords to the PCC mnemonic. Santa Maria, Rio Grande do Sul, Brazil, 2026.

PCC MNEMONIC	MACRO DESCRIPTORS	SYNONYMOUS DESCRIPTORS	KEYWORDS
POPULATION: women in the immediate postpartum period	DeCS postpartum period	DeCS "Postpartum women" OR "Postpartum period"	-
	MeSH Postpartum Period	MeSH "Period, Postpartum" OR "Postpartum" OR "Postpartum Women" OR "Women, Postpartum" OR "Puerperium"
CONCEPT: interventions to promote maternal self-efficacy	DeCS Self Efficacy	DeCS -	"confiança materna" OR "competência materna" OR "maternal confidence" OR "maternal competence" OR "parenting confidence" OR "perceived competence"
	MeSH Self Efficacy	MeSH -
CONTEXT: hospital maternity ward	DeCS Hospitals OR Delivery Rooms OR Hospitalization	DeCS "Hospital" OR "Hospital Center" OR "Hospital Centers" OR "Hospital" OR "Hospitals" OR "Obstetric Center" OR "Hospital Obstetric Center" OR "Delivery Room" OR "Hospitalization"	-
	MeSH Hospitals OR Delivery Rooms OR Birthing Center OR Hospitalization	MeSH "Hospital" OR "Birth Center, Hospital" OR "Birth Centers, Hospital" OR "Birthing Center, Hospital" OR "Birthing Centers, Hospital" OR "Center, Hospital Birth" OR "Center, Hospital Birthing" OR "Centers, Hospital Birth" OR "Centers, Hospital Birthing" OR "Delivery Room" OR "Hospital Birth Center" OR "Hospital Birth Centers" OR "Hospital Birthing Center" OR "Hospital Birthing Centers" OR "Room, Delivery" OR "Rooms, Delivery" OR "Hospitalizations"

Source: Research data. Santa Maria, RS, Brazil, 2026.

Chart 2 – Search platforms, respective search strategies, and numerical results obtained on February 5, 2026. Santa Maria, Rio Grande do Sul, Brazil, 2026.

PLATAFORM	SERCH STRATEGY	RESULTS
Regional Portal of the Virtual Health Library (VHL)	Title, abstract, subject = (("Autoeficacia" OR "Self Efficacy" OR "confiança materna" OR "competência materna" OR "maternal confidence" OR "maternal competence" OR "parenting confidence" OR "perceived competence") AND ("Periodo Pos-Parto" OR "Puerperas" OR "Puerperio" OR "Postpartum Period" OR "Period, Postpartum" OR "Postpartum" OR "Postpartum Women" OR "Women, Postpartum" OR "Puerperium") AND ("Hospitais" OR "Salas de Parto" OR "Hospitals" OR "Delivery Rooms" OR "Hospital" OR "Centro Hospitalar" OR "Centros Hospitalares" OR "Nosocômio" OR "Nosocômios" OR "Centro Obstétrico" OR "Centro Obstétrico Hospitalar" OR "Sala de Parto" OR "Birth Center, Hospital" OR "Birth Centers, Hospital" OR "Birthing Center, Hospital" OR "Birthing Centers, Hospital" OR "Center, Hospital Birth" OR "Center, Hospital Birthing" OR "Centers, Hospital Birth" OR "Centers, Hospital Birthing" OR "Delivery Room" OR "Hospital Birth Center" OR "Hospital Birth Centers" OR "Hospital Birthing Center" OR "Hospital Birthing Centers" OR "Room, Delivery" OR "Rooms, Delivery" OR "Hospitalização" OR "Internação Hospitalar" OR "Hospitalization" OR "Hospitalizations")) AND fulltext:("1") AND la:("en" OR "pt") AND (year_cluster:[2021 TO 2026]) AND instance:"regional"	188 (Complete VHL collection)
PubMed	(("Self Efficacy"[All Fields] OR "maternal confidence"[All Fields] OR "maternal competence"[All Fields] OR "parenting confidence"[All Fields] OR "perceived competence"[All Fields]) AND ("Postpartum Period"[All Fields] OR "Period, Postpartum"[All Fields] OR "Postpartum"[All Fields] OR "Postpartum Women"[All Fields] OR "Women, Postpartum"[All Fields] OR "Puerperium"[All Fields]) AND ("Hospitals"[All Fields] OR "Delivery Rooms"[All Fields] OR "Hospital"[All Fields] OR "Birth Center, Hospital"[All Fields] OR "Birth Centers, Hospital"[tiab:~0] OR "Birthing Center, Hospital"[tiab:~0] OR "Birthing Centers, Hospital"[tiab:~0] OR "Center, Hospital Birth"[tiab:~0] OR "Center, Hospital Birthing"[tiab:~0] OR "Centers, Hospital Birth"[tiab:~0] OR "Centers, Hospital Birthing"[tiab:~0] OR "Delivery Room"[All Fields] OR "Hospital Birth Center"[All Fields] OR "Hospital Birth Centers"[All Fields] OR "Hospital Birthing Center"[All Fields] OR "Hospital Birthing Centers"[All Fields] OR "Room, Delivery"[All Fields] OR "Rooms, Delivery"[All Fields] OR "Hospitalization"[All Fields] OR "Hospitalizations"[All Fields])) AND ((y_5[Filter]) AND (ffrft[Filter]) AND (english[Filter] OR portuguese[Filter]))	203
Scientific Electronic Library On-line (SciELO)	All indices = ((Autoeficacia) OR (Self Efficacy) OR (confiança materna) OR (competência materna) OR (maternal confidence) OR (maternal competence) OR (parenting confidence) OR (perceived competence)) AND ((Periodo Pos-Parto) OR (Puerperas) OR (Puerperio) OR (Postpartum Period) OR (Period, Postpartum) OR (Postpartum) OR (Postpartum Women) OR (Women, Postpartum) OR (Puerperium)) AND ((Hospitais) OR (Salas de Parto) OR (Hospitals) OR (Delivery Rooms) OR (Hospital) OR (Centro Hospitalar) OR (Centros Hospitalares) OR (Nosocômio) OR (Nosocômios) OR (Centro Obstétrico) OR (Centro Obstétrico Hospitalar) OR (Sala de Parto) OR (Birth Center, Hospital) OR (Birth Centers, Hospital) OR (Birthing Center, Hospital) OR (Birthing Centers, Hospital) OR (Center, Hospital Birth) OR (Center, Hospital Birthing) OR (Centers, Hospital Birth) OR (Centers, Hospital Birthing) OR (Delivery Room) OR (Hospital Birth Center) OR (Hospital Birth Centers) OR (Hospital Birthing Center) OR (Hospital Birthing Centers) OR (Room, Delivery) OR (Rooms, Delivery) OR (Hospitalização) OR (Internação Hospitalar) OR (Hospitalization) OR (Hospitalizations)) Filters: (Publication Year: 2022) (Publication Year: 2023) (Publication Year: 2024) (Publication Year: 2025) (Publication Year: 2021) (Language: Portuguese) (Language: English)	28
Google Scholar	(("Self-efficacy" OR "maternal confidence" OR "maternal competence") AND ("Postpartum period" OR "Postpartum women" OR "Puerperium") AND ("Hospitals" OR "Delivery rooms" OR "Hospital" OR "Hospital center" OR "Hospital centers" OR "Obstetric center" OR "Hospital obstetric center" OR "Delivery room" OR "Hospitalization" OR "Hospital admission")) Specific period: 2021–2026 Excluding citations	First 100 (out of an approximate total of 1,100 results)

Source: Research data. Santa Maria, RS, Brazil, 2026.

Study selection process

All records identified in the databases will be exported in RIS or NBIB format and imported into Rayyan platform⁽¹⁸⁾. This tool will be used to identify and remove duplicates. Study screening will take place in two stages. In the first stage, two independent reviewers will screen titles and abstracts, applying the pre-established eligibility criteria. In the second stage, the full texts of potentially eligible studies will be independently evaluated by the same reviewers. Reasons for exclusion at this stage will be recorded and presented in a specific table. In the event of disagreement at any stage, a third reviewer will be consulted for a final decision. The selection process will be presented via a flow diagram based on the PRISMA-ScR recommendation⁽¹⁵⁾ (Figure 1).

Figure 1 - Study selection flow diagram based on the PRISMA-ScR recommendation⁽¹⁵⁾. Santa Maria, Rio Grande do Sul, Brazil, 2026.

Source: Research data. Santa Maria, RS, Brazil, 2026.

Data extraction process for selected studies

Data extraction will be performed by two independent reviewers using an extraction tool (Table 3) previously created in a spreadsheet (Microsoft Excel®) and developed specifically for this review. Prior to the final extraction, a pilot test will be conducted with a subset of the included studies to verify the suitability of the fields and align the reviewers' understanding. Adjustments to the tool may be made if necessary, with all modifications documented.

The following data will be extracted: study identification (author, year, country, and journal); methodological characteristics (objective, study design, approach, sample, and hospital setting); intervention characteristics (type, format, technology classification⁽¹⁹⁾, professionals involved, timing of application, and duration); relationship to the maternal self-efficacy construct (concept used, assessment tools, dimensions addressed, and promotion strategies); and main findings, practical implications, and key conclusions. The “technology classification” variable is based on the typology proposed by Merhy⁽¹⁹⁾, which categorizes health technologies according to the following operational application criteria: light technologies, corresponding to relational practices such as welcoming, attentive listening, and bond-building; light-hard technologies, referring to structured knowledge, including protocols, scales, and other systematized tools; and hard technologies, related to equipment and electronic devices. Disagreements between reviewers will be resolved by consensus or by consulting a third reviewer.

Chart 3 - Study data extraction tool. Santa Maria, Rio Grande do Sul, Brazil, 2026.

DATA	VARIABLE	DESCRIPTION
Study identification	Author	Authorship of the study
	Year	Year of study publication
	Country	Country where the study was conducted
	Periodic	Journal in which the study was published
Methodological characteristicsproach	Objective	Study objective
	Study design	Classification based on nature (basic or applied), objectives (exploratory, descriptive, or explanatory), and procedures (observational research, ethnographic research, action research, etc.)
	Aproach	Qualitative and/or quantitative
	Sample	Study sample
	Hospital Context	Obstetric Center; Nursery; Maternity Ward; Neonatal ICU; Other
Characteristics of the intervention	Type	Psychological intervention; nursing intervention; multiprofessional intervention; educational program; institutional protocol; guided visit; group intervention; other
	Format	Manual; guide; booklet; leaflet; app; telephone/text message intervention; light technology (welcoming, listening, bonding); other
	Technology classification	Light (welcoming, listening, rapport-building); light-hard (protocol, scale, or other systematized instrument); hard (equipment, electronic device)
	Professionals involved	Number of professionals involved in the intervention
	Time of application	Timing during the immediate postpartum period when the intervention was applied (e.g., 1 hour after delivery; 24 hours after delivery)
	Duration	Duration of the intervention
Relationship with the construct of maternal self-efficacy	Concept used	“Maternal self-efficacy”; “maternal confidence”; “maternal competence”; other
	Assessment instruments	Instruments used to assess maternal self-efficacy or related constructs, including standardized scales (e.g., Maternal Self-Efficacy Scale, Parenting Sense of Competence Scale, Breastfeeding Self-Efficacy Scale), adapted or non-validated instruments, structured questionnaires developed by the authors, interviews, focus groups, clinical observation, narrative records, or the absence of a formal instrument, where applicable.
	Dimensions addressed	Dimensions of maternal self-efficacy addressed by the intervention, such as: confidence in newborn care (hygiene, handling, sleep); breastfeeding self-efficacy; perceived competence in the maternal role; maternal responsiveness and mother-infant bonding; emotional regulation and coping with the demands of the postpartum period; decision-making regarding care; or other dimensions specified or inferred from the study data.
	Promotion strategies	Strategies used to promote maternal self-efficacy, including, among others: health education; practical guidance and care demonstrations; positive reinforcement; emotional validation; attentive listening; psychological support; encouragement of autonomy; building a bond with professionals; behavioral modeling; information sharing; ongoing support; or relational strategies implicit in care practices.
Key findings and practical implications	-	Findings related to the promotion of maternal self-efficacy and practical implications, including perceived or measured effects of the intervention (e.g., increased maternal confidence, greater caregiving security, reduced insecurity or anxiety, strengthened mother-infant bond), as well as authors' recommendations for clinical, organizational, or multidisciplinary practice in the hospital setting.
Main conclusion	-	Main conclusion of the study

Source: Prepared by the authors. Santa Maria, RS, Brazil, 2026.

Data analysis and synthesis

Data analysis will be based on Content Analysis⁽¹⁷⁾. The corpus will consist of the descriptions of interventions found in the included studies. Units of analysis will correspond to intervention characteristics (type, professionals involved, format, duration, strategies used, and self-efficacy dimensions addressed), while units of context will correspond to the primary studies.

The analysis will comprise the stages of pre-analysis (corpus organization and preliminary reading), material exploration (systematic coding and categorization), and treatment of results (category organization and descriptive synthesis of findings). Results will be presented via tables, charts, and a narrative synthesis, aiming to map patterns, variations, and gaps in the literature.

Ethical aspects

All works used in the research will be duly cited and referenced, and their copyrights will be respected.

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Funding and Acknowledgments

The research received no funding.

Conflict of Interest Statement

None to declare.

Data Availability Statement

No datasets were generated in this study. The information presented is described in the body of the article.

Authorship Criteria (Author Contributions)

 Marina Mezomo Soccal: 1. contributed substantially to the conception and planning of the study; 2. to the acquisition, analysis, and interpretation of data; 3. to the drafting of the published version.

Cristina Saling Kruel: 1. contributed substantially to the conception of the study; 2. to the analysis and interpretation of data; 3. to the drafting, critical revision, and final approval of the published version.

Scientific Editor: Ítalo Arão Pereira Ribeiro. ORCID: https://orcid.org/0000-0003-0778-1447

Rev Enferm Atual In Derme 2026;100(3): e026074