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Health And Functioning In Grandparents After A Young Grandchild?S Death, Joanne M. Youngblut, Dorothy Brooten, Kathleen Blais, Colleen Kilgore, Changwon Yoo

JoAnne Youngblut

No abstract provided.

Lessons Learned From Testing The Quality Cost Model Of Advanced Practice Nursing (Apn) Transitional Care, Dorothy Brooten, Mary D. Naylor, Ruth York, Linda P. Brown, Barbara Hazard Munro, Andrea O. Hollingsworth, Susan M. Cohen, Steven Finkler, Janet Deatrick, Joanne M. Youngblut

JoAnne Youngblut

Purpose

To describe the development, testing, modification, and results of the Quality Cost Model of Advanced Practice Nurses (APNs) Transitional Care on patient outcomes and health care costs in the United States over 22 years, and to delineate what has been learned for nursing education, practice, and further research.

Organizing Construct

The Quality Cost Model of APN Transitional Care.

Methods

Review of published results of seven randomized clinical trials with very low birth-weight (VLBW) infants; women with unplanned cesarean births, high risk pregnancies, and hysterectomy surgery; elders with cardiac medical and surgical diagnoses and common diagnostic related groups (DRGs); and …

Infant And Child Deaths: Parent Concerns About Subsequent Pregnancies, Dorothy Brooten, Joanne M. Youngblut, Jean Hannan, Carmen Caicedo, Rosa M. Roche, Fatima Malkawi

JoAnne Youngblut

Purpose—examine parents' concerns about subsequent pregnancies after experiencing an infant or child death (newborn to 18 years). Data Sources—39 semi-structured parent (White, Black, Hispanic) interviews 7 and 13 months post infant/child death conducted in English and/or Spanish, audio-recorded, transcribed and content analyzed. Mothers' mean age was 31.8 years, fathers' was 39 years; 11 parents were White, 16 Black, 12 Hispanic. Conclusions—Themes common at 7 and 13 months: wanting more children; fear, anxiety, scared; praying to God/God's will; thinking about/keeping the infant's/child's memory and at 7 months importance of becoming pregnant for family members; and at 13 months happy about a …

High-Risk Pregnancy: Postpartum Rehospitalization, Margaret S. Hamilton, Dorothy Brooten, Joanne M. Youngblut

JoAnne Youngblut

OBJECTIVE

Examine frequency, timing, and reasons for maternal postpartum rehospitalizations and acute care visits 1 year postpartum after a high - risk pregnancy.

STUDY DESIGN

Secondary analysis of data collected during a randomized clinical trial of advanced practice nurses giving transitional care for women with high - risk pregnancies. The 171 women were primarily African American, never married, Medicaid eligible, diagnosed with pregestational diabetes (20), gestational diabetes (23), either diagnosed (48) or at risk (44) for preterm labor, and chronic hypertension (36).

RESULTS

Of the total rehospitalizations (17%) and acute care visits (32%), over one third occurred in the first …

Editorial: Parent, Grandparent, And Sibling Responses To The Death Of An Infant Or Child In Intensive Care, Joanne M. Youngblut, Juanjuan Li

JoAnne Youngblut

The death of a child is a devastating event for most parents and other family members1. However, responses to a child’s death vary by culture, generation, and often the age of the deceased child. For the Chinese, child death is a “bad death” and brings shame to the family2. Filipino parents of a deceased child feel severe guilt after their loss3. In some Caribbean cultures young mothers are prevented from attending the child’s funeral or going to the cemetery by women in the previous generation in the belief that if you “take one to …

Health And Functioning In Grandparents After A Young Grandchild’S Death, Joanne M. Youngblut, Dorothy Brooten, Kathleen Blais, Colleen Kilgore, Changwon Yoo

JoAnne Youngblut

This cross-sectional study examined the physical and mental health, grief and role functioning of 136 grandparents in the first year after death of their young grandchild (newborn through 6 years). Grandparents were 36–77 years old; 73 % female; 24 % Hispanic, 38 % Black/African American, and 38 % White. Mean age of the 115 deceased grandchildren was 12.8 months (SD = 20.71) with 37 %\1 month old; 65 % were male, 77 % died in the hospital. Grandparents were recruited through state death records and interviewed by telephone. Grandparents experienced: clinical depression (31 %), PTSD (35 %); illnesses (28 %), …

Hospital Charges At Birth And Frequency Of Rehospitalizations And Acute Care Visits Over The First Year Of Life, Katherine D. Cuevas, Debra R. Silver, Dorothy Brooten, Joanne M. Youngblut, Charles M. Bobo

JoAnne Youngblut

The proportion of preterm and low-birth-weight infants has been growing steadily for two decades. Most of the more than $10 billion spent on neonatal care in the United States in 2003 was spent on the 12.3% of infants who were born preterm. Research has shown higher initial hospital costs and a higher rate of acute care visits and rehospitalization for preterm and low-birth-weight infants, but only a limited number of studies of the cost of prematurity that follow infants through the first year of life have been conducted.

This study is a secondary analysis of data on a subset of …

Grandparent Health & Functioning After A Grandchild’S Death, Joanne M. Youngblut, Dorothy Brooten, Kathleen Blais, Jean Hanna, Theophile Niyonsenga

JoAnne Youngblut

Approximately 160,000 grandparents experience the death of a grandchild each year; this represents a permanent, irrevocable loss for the grandparent resulting in physical and emotional responses. Grandparents who lose a grandchild experience increased alcohol and drug use, thoughts of suicide, and pain for their adult child who is also grieving. Supportive resources available to grieving grandparents, the effects of the grandchild’s death on the grandparent-parent relationship and the influence of race/ethnicity on grandparent grieving are discussed. Despite about 40,000 child and infant deaths each year, knowledge about grandparent health and functioning following the death of a grandchild is limited.

Effects Of Maternal Employment And Prematurity On Child Outcomes In Single Parent Families, Joanne M. Youngblut, Dorothy Brooten, Lynn T. Singer, Theresa Standing, Haejung Lee, Willard L. Rodgers

JoAnne Youngblut

Background

Effects of maternal employment for preschool children vary based on specific characteristics of the mother’s employment, the family’s economic status, and the mother’s attitudes about employment. However, there is limited research on a growing group of children at developmental risk—those born prematurely and living in a single-parent family.

Objective

To examine the effects of maternal employment and prematurity on child cognition and behavior in single-parent families.

Methods

Sixty preterm and 61 full-term preschool children were recruited through NICU admission records and birth records. Data were collected with the Kaufmann Assessment Battery for Children, Peabody Picture Vocabulary Test, Child Behavior …

Health Problems And Apn Interventions In Pregnant Women With Diabetes, Dorothy Brooten, Joanne M. Youngblut, Jean Hannan, Frank Guido-Sanz, Donna Felber, Wannee Deoisres

JoAnne Youngblut

The purpose of this study was to compare health problems and advanced practice nursing (APN) interventions in two types of APN care provided to 41 childbearing women with diabetes. The study’s design involved content analysis of interaction logs containing the process of APN care during two clinical trials: 1) APN care was added to physician care (n = 22); and, 2) half of physician care was substituted with APN care (n = 19). Women’s’ health problems and APN interventions were classified using the Omaha System’s Problem Scheme and Intervention Scheme. The women, in the study, had a mean age of …

Death Rituals Reported By White, Black, And Hispanic Parents Following The Icu Death Of An Infant Or Child, Dorothy Brooten, Joanne M. Youngblut, Donna Charles, Rosa M. Roche, Ivette Hidalgo, Fatima Malkawi

JoAnne Youngblut

Purpose

To examine rituals (disposing remains, wakes, funerals/burials, celebrations) of White, Black, Hispanic parents post ICU infant/child death.

Design and methods

Qualitative design, 63 parents completed English or Spanish semi-structured interviews at 7 & 13 months after infant’s/child’s death. Interviews were audio-recorded, transcribed verbatim, and entered into Atlas.ti for analysis. An inductive approach to thematization was used to develop codes.

Results

Parents: mean age 35.1 years (SD = 9.03); 33% Black, 27% White, 40% Hispanic; from 17 countries. Three themes emerged: immediately after death - shock and stress, needing help with arrangements, decisions on burial or cremation (conflicts due to …

Apn-Physician Collaboration In Caring For Women With High-Risk Pregnancies, Dorothy Brooten, Joanne M. Youngblut, Kathleen Blais, Deborah Donahue, Ivette Cruz, Michelle Lightbourne

JoAnne Youngblut

Purpose

To examine: (a) frequency and focus of APN-physician collaborations in a clinical trial in which half of physician prenatal care for women with high-risk pregnancies was substituted with APN prenatal care delivered in women’s homes; and (b) characteristics of women requiring greater numbers of collaborations.

Design and Methods

Descriptive study with secondary analysis of data from 83 of the original trial’s 85 intervention participants followed by APNs prenatally through 8 weeks postpartum. APN practices, recorded in logs, included APN interactions with the women and the physician, and type of APN contact (e.g., home visit, telephone call). Each APN-physician collaboration …

Child Care Use By Low-Income Single Mothers Of Preschoolers Born Preterm Versus Those Of Preschoolers Born Full Term, Joanne M. Youngblut, Dorothy Brooten, Sandra L. Lobar, Laura Hernandez, Mary Mckenry

JoAnne Youngblut

This study describes prewelfare reform child care use by 64 primarily low-income single mothers (65.6% African American) with preschoolers (half born preterm). Forty percent used child care for more than 75% of their children's lives, 20% did when not employed. Preschool children born preterm were more likely to receive child care from nonrelatives throughout their lives than children born full term. Children with health problems used a greater number of child care arrangements. Findings suggest addressing child care issues with both employed and nonemployed mothers and adequacy of child care for children with special needs.

A Comparison Of Maternal Attachment Between American Adolescent And Adult Mothers Of Preschoolers, Ratchaneewan Ross, Joanne M. Youngblut

JoAnne Youngblut

American adolescent mothers have been viewed as less effective parents than adult mothers. The socioeconomic disadvantages of adolescent mothers should be taken into account. The objectives of this study were to compare maternal attachment between adolescent and adult mothers of preschoolers and to examine changes of adolescents’ maternal attachment over time. A secondary analysis of data from a larger study of maternal employment and low birth weight infant outcomes were used. Data were collected through home visits using structured questionnaires at two different time points. Forty-three pairs of adolescent and adult mothers who could be matched on family structure, maternal …

Adolescents’ Experiences 7 And 13 Months Following The Death Of A Brother Or Sister, Dorothy Brooten, Joanne M. Youngblut, Rosa M. Roche

JoAnne Youngblut

This qualitative study used semi-structured interviews to describe adolescents’ responses at 7 and 13 months to siblings’ NICU/PICU/ED death. At 7 months, adolescents were asked about events around the sibling’s death; at 7 and 13 months, about concerns/fears, feelings, and life changes. Seventeen adolescents participated (13-18 years; M=15); 65% Black, 24% Hispanic, 11% White. Themes included death circumstances, burial events, thinking about the deceased sibling, fears, and life changes. Adolescents reported shock and disbelief that the sibling died; 80% knew the reason for the death; many had difficulty getting through burials; all thought about the sibling. From 7 - 13 …

Comparison Of Mothers And Grandmothers Physical And Mental Health And Functioning Within 6 Months After Child Nicu/Picu Death, Joanne M. Youngblut, Dorothy Brooten

JoAnne Youngblut

Background

Losing a child is devastating for parents and grandparents. Family and friends generally focus on comforting and supporting the bereaved parents, unintentionally ignoring the bereaved grandparents. Grandmothers and grandfathers often struggle with wanting to help their adult children (deceased child’s parents) without usurping the parents’ responsibilities and decisions regarding the deceased child. Research on mothers’ and grandmothers’ health at about the same time after the same child’s death in the neonatal or pediatric intensive care unit is lacking. The aim of this study was to compare mothers and grandmothers on physical health, mental health, and functioning in the first …

Comparing Mothers' Postpartum Concerns In 2 Clinical Trials 18 Years Apart, Jean Hannan, Dorothy Brooten, Joanne M. Youngblut, Ali Marie Galindo

JoAnne Youngblut

Background/purpose

To determine if US women's postpartum concerns have changed overtime.

Methods

Mothers' postpartum concerns were compared in 2 clinical trials: 1997 (High Risk Pregnancy); 2015 (First Time Mothers). Advanced Practice Nurses (APNs) provided care through 8 weeks postpartum and recorded interactions in clinical logs. Content analysis of logs was used to identify concerns.

Results

95% of 58 1997 mothers were African American; 64% of 62 2015 mothers were Hispanic. Number of infant concerns (129 vs 144) was similar as were 4 of top 5; infant feeding was the top concern for both. 1997 mothers were concerned with body changes, …

Police Integrity Lost: Preliminary Findings Of A National Study Of Law Enforcement Officers Arrested, Philip M. Stinson

Philip M Stinson

This presentation presents preliminary research findings of a study on the nature and extent of police crime in the United States. It provides information on the factors that influence how a law enforcement agency responds to arrests of its officers. The data indicate that civil rights litigation is a correlate of police misconduct.

Indiana Department Of Education Pk-12 Social-Emotional Learning Competencies: Built Upon A Neurodevelopmental Culturally Responsive Framework, Brandie M. Oliver

Brandie M. Oliver

This document outlines the Indiana social-emotional learning competencies which expand on the Collaborative for Academic, Social, and Emotional Learning (CASEL) five core social emotional learning standards.

Indiana Department Of Education Social-Emotional Learning Toolkit: Built Upon A Neurodevelopmental Culturally Responsive Framework, Brandie M. Oliver

Brandie M. Oliver

This toolkit is designed to be a starting point for school staff to begin integrating SEL into their teaching practices. Administrators and any educator in the school community can use this toolkit to find initial strategies and resources to improve student social, emotional, behavioral, and academic skills.

Comprehensive Positive School Discipline Resource Guide, Brandie M. Oliver

Brandie M. Oliver

This document provides a guide to assist schools and districts by providing information, resources, and tools to further the development of Positive School Discipline practices.

Patterns Of Home Computer Usage Among College Students: An Exploratory Study, Raquel Benbunan-Fich, Rachel F. Adler, Tamilla Mavlanova

Rachel Adler

In this paper, we present the results of a study of home computer usage among college students. Using Activity Theory as the theoretical framework and a sample of self-reported usage logs, we analyze purposes and tasks of the subjects’ computer sessions. We find that most participants mix hedonic with utilitarian computer uses during the same session and that they perform a number of unrelated computer-based tasks. We also identify a particular category of users, which we call social users because of their engagement with social networking sites and instant communications with their friends, who tend to perform more tasks than …

Developing New Metrics For Computer-Based Multitasking Behavior, Raquel Benbunan-Fich, Rachel F. Adler, Tamilla Mavlanova

Rachel Adler

In response to calls in the Information Systems literature to contextualize usage, we propose that measuring computer-based multitasking is essential to accurately describe and properly assess the manner in which people use Information Technology. To this end, we develop several multitasking metrics ranging from a very lean dichotomous variable to a very rich measure that combines user, task and technology considerations. Our metrics lay the foundation to conduct larger scale studies focused on computer-based multitasking behavior and to use multitasking as a contextual or intervening variable in other research endeavors on IT usage.

A Typology Of Positive And Negative Self-Interruptions In Voluntary Multitasking, Rachel F. Adler, Raquel Benbunan-Fich

Rachel Adler

Human multitasking is often the result of voluntary interruptions in the performance of an ongoing task. These selfinterruptionsoccur in the absence of external triggers such as alerts or notifications. Compared to externally inducedinterruptions, self-interruptions have not received enough research attention. To address this gap, this paper develops adetailed classification of self-interruptions arising from positive and negative feelings regarding task progress and prospectsof goal attainment. The validation of the proposed typology in an experimental multitasking environment with pre-definedtasks shows that negative feelings trigger more self-interruptions than positive feelings and that more self-interruptionsproduce more errors and lower accuracy in all tasks. Therefore, …

Seperti Ini Ciri Gonore Sudah Sembuh.Docx, Klinik Sentosa

Klinik Sentosa

No abstract provided.

Mengenal Manfaat Melakukan Sunat.Docx, Klinik Sentosa

Klinik Sentosa

What Have Long-Term Field Studies Taught Us About Population Dynamics?, Beth Reinke, David A.W. Miller, Fredric J. Janzen

Beth Reinke

Teaching Communication Skills In Transactional Simulations, Eric J. Gouvin, Katherine M. Koops, James E. Moliterno, Carol E. Morgan, Carol D. Newman

James E. Moliterno

No abstract provided.

Ethics 20/20 Successfully Achieved Its Mission: It "Protected, Preserved, And Maintained", James E. Moliterno

James E. Moliterno

The legal profession tends to look inward and backward when faced with crisis and uncertainty. The legal profession could make greater advances by looking outward and forward to find in society and culture the causes of and connections with the legal profession’s crises. Doing so would allow the profession to grow with society, solve problems with rather than against the flow of society, and be more attuned to the society the profession claims to serve.

And Now A Crisis In Legal Education, James E. Moliterno

James E. Moliterno

The current crisis in legal education coincides with a crisis in the practice of law. Law practice has changed as a result of technology, globalization, and economic pressures. The market for legal education's product, law graduates, have diminished. Law schools cannot remain the same in this environment. Except for a very small number of elite schools, those that do not adjust are at serious risk of failing.

An economic change has taken place against a system in which mostly corporate clients willingly paid for the training of beginners at major law firms. Law firms could absorb those costs if partners …