Maternal, Child Health and Neonatal Nursing Commons^™

The Relationships Between And Among Parental Perceptions Of Family-Centered Care, Parental Beliefs, And Parental Stress In The Pediatric Intensive Care Unit, Kelly Keefe-Marcoux

Seton Hall University Dissertations and Theses (ETDs)

Children hospitalized for critical care require increasingly complex and technical care, which can be very stressful for parents. Awareness of the importance of parents’ role while their child is receiving critical care is vital to deliver care within a family-centered philosophy that is mutually beneficial to parents and nurses. This descriptive correlational study examined the relationships between and among parental perception of Family-Centered Care (FCC) nursing practices, parental beliefs regarding their role and their hospitalized child, and parental stress during their child’s admission to the Pediatric Intensive Care Unit (PICU). This study utilized the Family-Centered Care theoretical framework to examine …

The Creation Of A Template For The Incorporation Of A Human Milk Analyzer Into A Human Milk Bank, Sarah Rieber

Seton Hall University Dissertations and Theses (ETDs)

Abstract

A milk bank is a nonprofit service that collects, screens, and processes by pasteurization human milk that is donated by mothers not biologically related to the infant in need. Milk is then dispensed to hospitals and private homes to babies with a prescription. A milk bank collects and analyzes human milk, as breast milk is the ideal nutrition source and the gold standard feeding method for infants. Breast milk significantly reduces premature babies' chance of developing necrotizing enterocolitis (NEC) and offers gastrointestinal protection, increases immunity, decreases the likelihood of asthma, allergies, ear infections, obesity, and respiratory ailments. Some mothers …

A Rollout Of A Blood Pressure Remote Patient Monitoring Program To Improve High-Risk Maternal Outcomes At A Pilot Clinic For Systemwide Expansion, Laura Geron

Seton Hall University Dissertations and Theses (ETDs)

An existing virtual care platform provides an innovative means of early recognition, identification, and intervention for women with elevated blood pressures during pregnancy, known as preeclampsia. A pilot program took place at a Northeastern prenatal care clinic where patients were identified as high-risk for preeclampsia, enrolled, educated by their providers, and equipped with Bluetooth-enabled blood pressure cuffs.

Through remote patient monitoring (RPM) technology, blood pressure readings could transmit from a patient’s residence to a portal accessible by their clinic provider at any time. This doctoral-level quality improvement project focuses on the identification of patients at high-risk for preeclampsia, their enrollment …

Accuracy Of Rn Visual Quantification Of Emesis Volumes In The Neonatal Intensive Care Unit, Stephen Stoever

Seton Hall University DNP Final Projects

An important component of nursing assessment of feeding tolerance in the neonatal intensive care unit (NICU) for both low-risk and high-risk babies, is the quantification of emesis volumes. While some nurses attempt to weigh the items saturated in emesis in order to quantify volume loss (QEV), there is no or limited consistency in this practice across nurses in this unit. Rather, volumes are “best-guessed” or estimated (EEV) and reported to the practitioner for decision-making. Often feed advances are paused or limited due to perceived feeding intolerance connected to emesis events in neonates.

For this project, 158 NICU nurses at a …

Promoting Newborn Skin-To-Skin Contact To Increase Breastfeeding Initiation And Exclusivity In Cesarean Deliveries, Eunide L. Joseph

Seton Hall University DNP Final Projects

Background: Literature has documented when a mother elects to breastfeed, she offers herself and her baby with many short and long-term wellness and health benefits. Therefore, maternal child healthcare providers should be prompted to scale up breastfeeding practices that promote lactation. Skin-to-skin contact (SSC) is underutilized, yet a cost-effective incentive to promote successful breastfeeding. Traditional postnatal assessments lead to the precipitous disconnect of the mother-baby dyad resulting in delayed SSC and breastfeeding initiation. In addition, practical barriers and delivery complications familiar to cesarean sections, postpones the start of breastfeeding in this birthing method which unfavorably impacts exclusivity. In such instances, …

Caring For The Bereaved Mother, Ivonne Rocio Guzman

Seton Hall University DNP Final Projects

Purpose: Caring for the bereaved mother can be a challenging undertaking for healthcare professionals who unless have suffered a similar loss, can find it difficult to relate with bereaved parents. The purpose of this DNP project is to research grief and bereavement to better understand the parental bereavement experience and to develop an education lesson for MBU nurses caring for bereaved patients. It is essential to provide nurses with insight into the bereavement experience of parents who have suffered the loss of a child, so they can provide support that validates the parents’ grief and helps facilitate spiritual, emotional, or …

Improving Neonatal Resuscitation Readiness, Benay Johnson

Seton Hall University DNP Final Projects

According to the AHA and the AAP, approximately 10% of newborns require some assistance to begin breathing at birth; less than 1% need extensive resuscitative measures to survive (2015). There is an abundance of evidence-based literature on the need for neonatal resuscitation readiness. However much of this literature is targeted toward teamwork efforts during the act of resuscitation. This DNP scholarly project is to take a step back to improve the actual set-up component required for neonatal resuscitation. There can be instances in which equipment is not properly set-up or the set-up is not appropriate for the gestational age of …

Improving Neonatal Outcomes Through The Implementation Of A Delayed Bathing Program, Kathy Livolsi

Seton Hall University DNP Final Projects

Abstract

Background and Objective: Until 2010 newborns at most community-based hospitals were subjected to their initial bath within two hours of birth. However, this practice has recently changed due to the evidence-based recommendations that demonstrate improved outcomes for neonates when the first bath is delayed for 12-24 hours after birth. Upon delivery, infants are placed skin-to-skin with their parents to promote thermoregulation, breast feeding and bonding. The purpose of this project was to implement a program that delayed infant bathing until the infant was approximately 24 hours old. Rates of neonatal hypoglycemia, neonatal hypothermia, exclusive in-hospital breastfeeding and formula supplementation …

Reflective Approach Of Lonergan’S Generalized Empirical Method (Gem) To Maternal Child Nursing., Josephine Devito

Praxis Presentations

No abstract provided.

Perinatal Health Education Intervention For Adolescent And Young Adult Pregnant Homeless Women Living In Transitional Housing, And Best Practice Teaching Intervention Program For Staff Responsible For Care Of The Mother-Baby Dyad, Colleen Carrington

Seton Hall University DNP Final Projects

Purpose: A population at great risk is pregnant homeless adolescents and young adult women. Research shows that about 20% of homeless young women become pregnant (Bender, & Thompson, 2007). These pregnant young women are at an increased risk for low birth weight infants and a high infant mortality due to inadequate health care, poor dietary habits, and a knowledge deficit related to maintaining good health during pregnancy and to care of the infant and growing child. A transitional shelter may offer many psychosocial services to assist the women in becoming independent; however, a significant gap exists regarding the medical …

Exploring The Relationships Of Power, Attitudes Regarding Intermittent Fetal Monitoring, And Perceived Barriers To Research Utilization With A Labor And Delivery Nurse's Attitude Toward Patient Advocacy, Lisa Heelan

Seton Hall University Dissertations and Theses (ETDs)

A problem identified in nursing practice was the routine use of continuous fetal monitoring (CEFM) with low risk laboring women. CEFM is associated with worsened outcomes for the low risk laboring woman with no benefit to the newborn. In addition, this routine practice does not allow most laboring women the right to make an informed choice regarding treatment options. Nursing includes the role of patient advocacy. There was a need to better understand what is associated with a labor and delivery nurse’s attitude toward patient advocacy.

This descriptive correlational research design examined the relationships of power as knowing participation in …

The Relationships Among Perceived Stress, Birth Satisfaction, And Breastfeeding Self-Efficacy In Early Postpartum Women, Katherine Hinic

Seton Hall University Dissertations and Theses (ETDs)

This descriptive correlational study examined the relationships among perceived stress, birth satisfaction, and breastfeeding self-efficacy in women in the early postpartum period. The study, guided by self-efficacy and stress and coping theories, aimed to identify factors related to breastfeeding self-efficacy, an important psychological variable in sustained breastfeeding. The sample (N =107) was comprised of primarily well-educated, higher income, non-Hispanic White (69.8%) women recruited from a single New Jersey hospital in the first four days postpartum. The sample was comprised of nearly equal numbers of primiparous and multiparous women, all of whom expressed an intention to breastfeed, with an overall …

Implementation Of A Mhealth Program Within A Homeless Population Of Young Mothers, Maureen Byrnes

Seton Hall University DNP Final Projects

Purpose: Despite major medical advancements and education, more than 500,000 babies are born prematurely and an estimated 28,000 infants die before their first birthday annually (www.marchofdimes.com/peristats). New Jersey’s infant mortality rate appears exemplary when compared to the United States overall infant mortality rate. Yet, New Jersey’s infant mortality rate, preterm birth rate and low birth rate by mother’s race reveal a far greater risk for infants born to a mother who is African American (www.nj.gov/health/epht/outcome.shtml). The need for innovative approaches to improving New Jersey’s maternal-infant health is paramount. Mobile phones may provide an appropriate means of …

An Evidence-Based Approach To Feeding The Late Preterm Infant, Diane Mcclure

Seton Hall University Dissertations and Theses (ETDs)

No abstract provided.

Neonatal Pain Management: The Evaluation Of Two Methods On Educating Neonatal Nurses, Jacqueline Jupin Manzi

Seton Hall University Dissertations and Theses (ETDs)

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