Maternal, Child Health and Neonatal Nursing Commons^™

The Process Of Art Creation Among Mothers From Ontario Who Have Experienced Gender-Based Violence, Madison L. Broadbent

Electronic Thesis and Dissertation Repository

Mothers who have experienced gender-based violence (GBV) face physical, mental, and social health implications. Participating in artmaking has the potential to reduce these consequences. An arts-based study including in-depth interviews was conducted with 13 mothers with histories of GBV. The creative processes involved in artmaking amongst mothers with histories of GBV were explored. Mothers demonstrated using symbols, thoughtful colour selection, and choice of artistic medium when creating their artforms. Moreover, mothers’ experiences of storytelling experiences of GBV through art were examined. Mothers described using art as a means of communication, emotional processing and healing through art, and the process of …

About Dying And Death: Thanatology's Place In Medical Curriculum, Jill Dombroski

Electronic Thesis and Dissertation Repository

This study explored how healthcare providers engage in advance care planning and end-of-life care conversations. The research explored what shapes their understanding and the extent to which concepts from thanatology they intuitively bring in, explicitly bring in, and maybe fail to recognize. To achieve this, constructivist grounded theory (CGT) methodology guided the design, data collection, analysis, and interpretation of the findings, which allowed for iteration across interviews and analysis with existing theories and data in the literature. The CGT design encouraged further engagement with the literature in an ongoing iterative fashion as well as with the analysis of the data. …

Teaching Family Planning In Nursing And Midwifery Schools: A Constructivist Grounded Theory Study, Pauline Uwajeneza

Electronic Thesis and Dissertation Repository

High maternal mortality remains a global health issue. In 2017, approximately 295,000 women worldwide died from complications related to pregnancy or childbirth, and 94% of these maternal deaths occurred in low-income countries. Evidence shows that family planning (FP) improves maternal health outcomes and significantly contributes to the reduction of maternal mortality. Low FP uptake is partly attributed to inadequate education of health care providers to provide FP services. The purpose of this study was to describe nurse/midwife educators' understanding and enactment of teaching FP methods with nursing/midwifery students in educational programs. More precisely, the aim of this study was to …

Women’S Priorities And Actions Mothering In The Context Of Intimate Partner Violence, Sharon Broughton

Electronic Thesis and Dissertation Repository

Being a mother is an important part of many women’s identities with consequences for women and children and shaping women’s priorities and actions when living in the context of intimate partner violence (IPV). However, understanding the nature of women’s priorities, the actions women take to address these priorities, and the factors shaping those actions remains limited. Drawing on an intersectional feminist lens, this dissertation explored the nature of women’s priorities, what shapes them and how women mothering in the context of IPV go about living out what is important to them. To situate these issues broadly within the discipline of …

Women’S Experiences Of Accessing Breastfeeding And Perinatal Health Support In The Context Of Intimate Partner Violence: An Interpretive Description Study, Samantha Larose

Electronic Thesis and Dissertation Repository

Background: Women experiencing intimate partner violence are at a heightened risk of negative perinatal and breastfeeding outcomes. This study explored the experiences of accessing breastfeeding support for women who endorse a history of intimate partner violence. A study of five in-depth semi-structured interviews were completed at 12-weeks postpartum with breastfeeding mothers with a history of intimate partner violence. Findings: Women expressed difficulties in accessing a healthcare provider who had specialized skill in breastfeeding support. Trust in their healthcare provider, built through displays of compassion and competence, was important to mitigate obstacles experienced during care access for this population. Trauma-and-violence-informed care …

Nurses' And Midwives' Experiences As Mentors In A Clinical Mentorship Program In Rwanda, Marie Chantal Murekatete

Electronic Thesis and Dissertation Repository

In Rwanda, the provision of maternal and child health care is often hindered by gaps in health care providers’ (HCP) knowledge and skills, and the management of pregnancy-related complications in health facilities. These factors contribute to maternal and child mortality rates (MMR). To help respond to the gaps, the Training Support and Access Model (TSAM) project implemented a practice-based clinical mentorship program (CMP) in the Northern and Southern provinces of Rwanda that involved mentors supporting mentees’ professional development to strengthen nurses’ and midwives’ capacity to provide knowledgeable maternal and child health care.

This qualitative descriptive study aimed to explore nurses’ …

Assessing Changes In Knowledge About And Self-Efficacy For Neonatal Resuscitation Among Rwandan Nurses And Midwives After A Mentorship Process, Gerard Nyiringango

Electronic Thesis and Dissertation Repository

In the first minute of life after birth, it is critical to effectively manage an infant’s respiratory status. Given the critical nature of newborn airway management, it is vital that health professionals have the knowledge and confidence to engage in airway management procedures. Consequently, there has been a call for nurses and midwives to be prepared to skillfully enact neonatal resuscitation interventions when required, especially in low-resource environments, to help reduce neonatal death. The purpose of this study was to assess the impact of a mentorship program that involves an education component for neonatal resuscitation in the first minute after …

Assessing The Impact Of Mentorship On Rwandan Nurses’ And Midwives’ Knowledge And Self-Efficacy In Managing Postpartum Hemorrhage, Marie Grace Sandra Musabwasoni

Electronic Thesis and Dissertation Repository

Despite recent advances in medical technology and research, postpartum hemorrhage (PPH) remains the top universal cause of maternal morbidity and mortality. Factors underlying PPH include the inconsistency in recognition and timely treatment of women experiencing PPH, which suggests the importance of healthcare professionals’ mentorship about PPH. The aim of this study is to assess the impact of mentorship on nurses’ and midwives’ knowledge and self-efficacy in managing PPH. The pre and post study design recruited 141 nurses and midwives working in the labour and delivery department in selected health centers from the North Province of Rwanda. At post-mentorship, 123 nurses …

It's About Time! Gdm: A Transformative Postpartum Process. A Constructivist Grounded Theory Study, Natalie Giannotti

Electronic Thesis and Dissertation Repository

Abstract

Gestational Diabetes Mellitus (GDM) is defined as glucose intolerance with onset or first diagnosis during pregnancy, and affects 3.7%-18% of Canadian women (Canadian Diabetes Association, 2013). Social support can help women with a history of GDM be successful in achieving optimal health postpartum. The purpose of this constructivist grounded theory (GT) study (Charmaz, 2011) was twofold: (1) To explore the social support processes of women with a history of GDM as they navigate through the healthcare system postpartum, to restore and maintain their health, and (2) To critically examine facilitating factors and barriers to engaging in health behaviours within …

Translating Continuing Professional Development Education To Nursing Practice In Rwanda: Enhancing Maternal And Newborn Health, Yvonne Kasine

Electronic Thesis and Dissertation Repository

Neonatal asphyxia is the leading cause of neonatal deaths in Rwanda. The Helping Babies Breathe (HBB^©) course was initiated by the American Academy of Pediatrics (AAP) in 2010 to help in reducing neonatal mortality in resource limited areas. Little is known about nurses’ experiences of applying the knowledge and skills acquired from HBB^© courses in Rwanda. This study aimed to explore nurses’ experiences of translating continuing professional development education utilizing the HBB^© course to nursing practice in Rwanda. This study was conducted using a qualitative descriptive design. A convenience sample of 10 nurses participated in individual …

Continuous Professional Development In Rwanda: The Experience Of Midwives Who Participated In The Advanced Life Support In Obstetrics (Also) Educational Program, Pauline Uwajeneza

Electronic Thesis and Dissertation Repository

High maternal and newborn mortality rates remain a global health issue. Every day approximately 800 women die from complications related to pregnancy. Ninety-nine percent of maternal deaths occur in low and middle income countries. In 2013, 62% of maternal deaths took place in Sub-Saharan Africa. The Advanced Life Support in Obstetrics Educational Program (ALSO) is an internationally recognized continuous professional development course aimed at increasing the knowledge, skills, competence and confidence of health professionals to manage obstetric emergencies. The purpose of this qualitative descriptive study was to explore midwives’ experiences of translating the knowledge and skills acquired from participating in …

Mothers' Lived Experience Of Parenting An Infant/Young Child With Special Needs In A Rural Context, Lauren M. Elford

Electronic Thesis and Dissertation Repository

Parenting an infant with special needs requires performing extra care giving duties and mothers living in rural communities face additional challenges obtaining health and social support services. A hermeneutic phenomenological approach was used to explore the lived experience of parenting young children with special needs from rural mothers’ perspectives. Semi-structured interviews were conducted with a sample of 7 mothers. Findings revealed an overarching theme entitled Getting Through It and 6 subthemes: Experiencing the Unexpected; Overcoming the Challenges to Mothering; Unconditional Commitment to Child; The Lived Human Relation as Powerful; Being a Care Co-ordinator; and Being Transformed. Mothers of infants …

Food For Health: An Investigation Of Infant Feeding Practices, Breastfeeding Self-Efficacy, And Perceived Barriers And Facilitators, Jessica W. Smith

Electronic Thesis and Dissertation Repository

Exclusive breastfeeding is associated with numerous health benefits for both mother and child, and is recommended for the first 6 months of an infant’s life. The purpose of this prospective study was to examine, using a survey-based design, the breastfeeding practices, self-efficacy, and perceived barriers and facilitators of primiparous mothers in London, Ontario. A total of 71 women (M_age = 30.0, SD = 4.3) participated in the study. Women (breastfeeding and non-breastfeeding) were asked to complete online surveys at three time points: < 4 weeks postpartum, 3 months postpartum, and 6 months postpartum. Results indicated that rates of exclusive breastfeeding decreased over time, whereas partial and non-breastfeeding rates increased. Women in the exclusive breastfeeding category reported the greatest levels of breastfeeding self-efficacy at all time points. Lastly, participants identified a number of breastfeeding-related facilitators (e.g., partner support, community services) and barriers (e.g., insufficient milk supply, latching difficulties).

Transitioning To Motherhood After Trauma: Interacting With The Healthcare System, Karen E. Haines

Electronic Thesis and Dissertation Repository

Little is known about the interactions with the healthcare system among women with past interpersonal trauma accessing maternal health care. The purpose of this study was to critically examine the experiences of women with past interpersonal trauma as they interacted with the healthcare system during the transition to motherhood. A critical feminist perspective informed by Relational-Cultural Theory was used to guide this secondary analysis of 29 interview transcripts from: (a) Aboriginal women, (b) refugees, and (c) survivors of childhood sexual abuse. Four themes emerged: 1. Birthing a healthy baby: the common relational thread; 2. Receiving physical care over the emotional …

Motherhood And Childbirth Experiences Among Newcomer Women In Canada: A Critical Ethnographic Study, Fatmeh Ahmad Alzoubi

Electronic Thesis and Dissertation Repository

Statement of the Problem: Motherhood and childbirth are very sensitive experiences and have a strong impact on family functioning, social identity, and cohesiveness. Although motherhood and childbirth have been discussed extensively in the scholarly and popular literature, much of this work has been conducted from a North American perspective, with little attention to how motherhood and childbirth are experienced by newcomer women from diverse racial and cultural backgrounds.

Methodology and Theoretical Orientation: A critical ethnographic study using in-depth interviews with 16 newcomer women was utilized to explore newcomer women’s experiences and understandings of motherhood and childbirth in the aftermath of …