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Maternal, Child Health and Neonatal Nursing Commons

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The Relationship Of Age, Ethnicity, Parity, And Awareness Of The Midwife’S Role In Selection Of Pregnancy Care Provider In Childbearing Age Women, Marquida Morgan 2019 DePaul University

The Relationship Of Age, Ethnicity, Parity, And Awareness Of The Midwife’S Role In Selection Of Pregnancy Care Provider In Childbearing Age Women, Marquida Morgan

Grace Peterson Nursing Research Colloquium

Abstract

Background: Birthing centers inside hospitals may offer women the choice of a pregnancy care provider. Mothers can choose either a physician or a midwife. The rise of birthing centers is parallel to the rise in the demand for midwives. It is essential for the continuous growth of midwives to examine the maternal selection process of pregnancy care providers.

Objectives: The object of the descriptive survey study was examining age, ethnicity, parity, and the awareness of the midwife’s role influence on a woman’s selection of pregnancy care provider. This information would provide midwives with a framework to understand ...


Maternal Mortality In Non-Hispanic Black Women, Amelia Major 2018 DePaul University

Maternal Mortality In Non-Hispanic Black Women, Amelia Major

Grace Peterson Nursing Research Colloquium

Background: The United States has the highest maternal mortality among all developed countries, among these mothers, non-Hispanic black women are three times more likely than women of any other racial group to die from pregnancy-related causes.

Purpose: To investigate racial disparities among pregnant women who die from pregnancy related causes (maternal mortality) and determine possible interventions to improve outcomes.

Methods: An integrative literature review was conducted to analyze peer-reviewed articles published from 2007 to 2018; a computerized search of literature was performed using Cumulative Index to Nursing and Health Literature (CINAHL), Proquest Nursing and Allied Health Sources, PubMed and PsycINFO ...


Common Components Of Fetal Alcohol Spectrum Disorder Prevention Intervention Programs: A Review Of Literature, Ross Siemering 2018 DePaul University

Common Components Of Fetal Alcohol Spectrum Disorder Prevention Intervention Programs: A Review Of Literature, Ross Siemering

Grace Peterson Nursing Research Colloquium

Abstract

Background: Fetal alcohol spectrum disorders (FASD) are the most common yet completely preventable cause of mental disability in the western world.

Objective: The purpose of this integrative literature review is to examine and identify the common elements among varying interventions for FASD prevention that have demonstrated effectiveness for reducing the risk of FASD to better understand what defining features may contribute to the efficacy of the interventions.

Methods: An integrative literature review was conducted. The databases searched included: CINAHL, PubMed, Cochrane Library, and Science Direct. Articles were then reviewed to determine if they were appropriate for inclusion based upon ...


Developmental Interventions Used For Premature Infants In The Nicu, Macy Swanager 2018 DePaul University

Developmental Interventions Used For Premature Infants In The Nicu, Macy Swanager

Grace Peterson Nursing Research Colloquium

Developmental Interventions Used for Premature Infants in the NICU: An Integrative

Literature Review

Macy Swanager

Research Advisor: Kim Amer, PhD, RN

Abstract

Background: Various developmental interventions have been used to promote premature infants’ health in the NICU, but there has been limited research on which of these interventions leads to the best outcomes in reducing stress-based symptoms in the premature infant.

Objectives: The purpose of this integrative literature review was to assess the current trends in developmental intervention strategies that are being used in the NICU that result in positive outcomes in premature infants.

Method: An integrative literature review was ...


Determining Risk Factors To Decrease Maternal Mortality Related To Chronic Hypertension: An Integrative Literature Review, Chelsea Stellmach 2018 DePaul University

Determining Risk Factors To Decrease Maternal Mortality Related To Chronic Hypertension: An Integrative Literature Review, Chelsea Stellmach

Grace Peterson Nursing Research Colloquium

Background: Maternal mortality ratio (MMR) in the United States in 2015 was 26.4, higher than many other developed countries. Maternal deaths due to hypertensive disorders of pregnancy are on the rise, including chronic hypertension. Chronic hypertension is defined as blood pressure greater than or equal to 140/90 mmHg before pregnancy or during the first 20 weeks of gestation. This condition occurs in up to 5% of pregnancies which are more likely to result in adverse maternal outcomes. Nearly 40% of maternal deaths are preventable, especially those related to chronic diseases.

Objectives: The purpose of the integrative literature review ...


Improving The Timing Of Antibiotic Administration In High-Risk Neonates, Jed Comuelo 2018 The University of San Francisco

Improving The Timing Of Antibiotic Administration In High-Risk Neonates, Jed Comuelo

Master's Projects and Capstones

Improving the Timing of Antibiotic Administration in High-Risk Neonates

Abstract

Problem: The rapid nurse turnover and improper use of the golden hour flowsheet are some of the factors that affect the timing of antibiotic administration. A review of 38 patient charts was done and only shows 20% received antibiotics within 1 hour.

Context: This microsystem is a 22-bed neonatal intensive care unit with an average of 900 admissions per year. The team is composed of doctors, nurses, respiratory therapist, and pharmacists. The budget needed for this project consists of the overtime pay needed to compensate nurses for attending additional staff ...


Postpartum Hemorrhage: A Change Strategy, Alison Landis 2018 The University of San Francisco

Postpartum Hemorrhage: A Change Strategy, Alison Landis

Master's Projects and Capstones

Problem: Postpartum hemorrhage (PPH) is one of the leading causes of severe maternal morbidity and mortality. It is unpredictable and can occur with or without identified risk factors. A postpartum hemorrhage can happen rapidly, therefore it is important for the team to be trained and prepared to recognize and respond quickly to the situation, by quantifying blood loss at deliveries.

Context:The California Maternal Quality Care Collaborative (CMQCC) has created a toolkit to better prepare maternal child health teams for readiness, recognition, response, and reporting when a hemorrhage occurs. This program was rolled out on the unit in 2015 resulting ...


Journey Interrupted: A Phenomenological Exploration Of Miscarriage, Marit A. Watson, Vanessa D. Jewell, Sarah L. Smith 2018 Creighton University

Journey Interrupted: A Phenomenological Exploration Of Miscarriage, Marit A. Watson, Vanessa D. Jewell, Sarah L. Smith

The Open Journal of Occupational Therapy

Background: Miscarriage is a significant life event that impacts occupational performance, identity, and competence and that influences perceptions of motherhood. Because of the lack of social rituals often attributed to the death of a loved one, miscarriages may result in disenfranchised grief, which impedes coping.

Methods: This phenomenological study explored the impact of miscarriage on relationships, perceptions of motherhood, and the meaning of occupation in the context of grief. Data was collected through semi-structured interviews (N = 4) and completion of a brief demographic questionnaire. The interviews were digitally recorded, transcribed verbatim, and reviewed to ensure accuracy. Using inductive thematic analysis ...


Adaptation Of An Existing Measure To Assess Professionals’ Attitudes Regarding The Importance Of Involving Fathers In Interventions With Families, Christine Gervais, Sophie Meunier, Francine deMontigny, Diane Dubeau 2018 Université du Québec en Outaouais

Adaptation Of An Existing Measure To Assess Professionals’ Attitudes Regarding The Importance Of Involving Fathers In Interventions With Families, Christine Gervais, Sophie Meunier, Francine Demontigny, Diane Dubeau

Science of Nursing and Health Practices - Science infirmière et pratiques en santé

Introduction. Despite greater father participation in child care/rearing nowadays and the challenge of involving fathers in nursing interventions, no instrument exists to measure professional attitudes toward father involvement in family interventions. Objectives. The aim of this study was to adapt an existing measure that assesses nurse attitudes regarding the importance of including families in nursing care into a measure that assesses professionals’ attitudes towards the importance of involving fathers in interventions with families. Method. The Professionals’ Attitudes towards Father Involvement (PAFI) scale was adapted from the Families’ Importance in Nursing Care – Nurse Attitudes (FINC-NA) scale. A total of 297 ...


An Assessment Of Maternal Mortality In Papua New Guinea: An Explanatory Sequential Mixed Methods Approach, Jennifer Litau 2018 Pacific Adventist University

An Assessment Of Maternal Mortality In Papua New Guinea: An Explanatory Sequential Mixed Methods Approach, Jennifer Litau

Adventist Human-Subject Researchers Association

Research into the serious manifestation of maternal mortality in Papua New Guinea is essential for formative knowledge and intervention. Explanatory sequential mixed methods approach employed first involved SPSS analyses of Gulf Provincial Hospital’s obstetric data revealing high rates of home deliveries by mothers. Interviews in high incidence communities provided explanations and mortality experiences.


Preterm Labor Assessment Toolkit Implementation, Mandi Wilkins 2018 Northern Michigan University

Preterm Labor Assessment Toolkit Implementation, Mandi Wilkins

DNP Scholarly Projects

ABSTRACT

PRETERM LABOR ASSESSMENT TOOLKIT IMPLEMENTATION

Mandi Mae Wilkins

Every year 10% of babies in the United States are born premature. Prematurity is the leading cause of infant mortality. Standardized preterm labor (PTL) assessment protocols reduced preterm birth rates, decreased costs, and resulted in more timely diagnoses and prevented the overtreatment of pregnant women who were not experiencing true preterm labor. At a Midwestern, Level II trauma hospital with regional neonatal intensive care unit and 700 annual deliveries, a Preterm Labor Assessment Toolkit (PLAT) was implemented and pre- and post-data garnered. The toolkit contained a provider algorithm and an order ...


Empower: A Community-Based Approach To Improve Care For Women And Newborns Affected By Perinatal Substance Use Disorder, Linda Jablonski, Susan Marie Halpin 2018 Baystate Health

Empower: A Community-Based Approach To Improve Care For Women And Newborns Affected By Perinatal Substance Use Disorder, Linda Jablonski, Susan Marie Halpin

National Network of Libraries of Medicine New England Region (NNLM NER) Repository

New England has the second highest rate of prenatal opioid exposure in the country. This population of women and children is particularly vulnerable and requires a comprehensive, multidisciplinary approach in order to overcome barriers to care and support good outcomes. This webinar will describe how one rural community collaborated to create a screening, referral and support program called EMPOWER (Engaging Mothers for Positive Outcomes with Early Referrals). Learn how this innovative approach helps support women and improve outcomes by identifying and addressing barriers to care for patients, health care providers and their community.

Learning Objectives

Participants will:

  1. Recognize how prenatal ...


Retrospective Analysis Of Obstetric Sepsis Screening, Holly A. Champagne 2018 California State University, Northern California Consortium Doctor of Nursing Practice

Retrospective Analysis Of Obstetric Sepsis Screening, Holly A. Champagne

Doctoral Projects

This project was designed to evaluate outcomes following implementation of routine screening for sepsis in the obstetric population. A retrospective analysis of the electronic medical record of 204 women who met sepsis criteria using obstetric-adjusted systemic inflammatory response syndrome (SIRS) criteria and a source of infection was the method used. Outcomes were evaluated for neonates born to the women who developed sepsis during labor. The incidence of sepsis was 0.401 per1,000 and included those with antepartum, intrapartum, or postpartum admissions. The setting was a tertiary center with 5,075 deliveries over the study period. There were 92 (45 ...


Obstetric Nurses’ Perceived Barriers To Immediate Skin To Skin Contact After Cesarean Birth, Joelene Sarmiento Balatero 2018 California State University, Northern California Consortium Doctor of Nursing Practice

Obstetric Nurses’ Perceived Barriers To Immediate Skin To Skin Contact After Cesarean Birth, Joelene Sarmiento Balatero

Doctoral Projects

Despite the strong evidence supporting immediate skin to skin contact (SSC) after birth, research suggests that patients who undergo cesarean births do not have the same opportunities for SSC as patients who undergo vaginal births. There are limited studies regarding provider attitudes surrounding the practice of immediate SSC after cesarean birth. The aim of this research was to understand obstetric nurses’ perceived barriers to immediate SSC after cesarean section.

An exploratory qualitative design was used for the project. The semi-structured, open-ended interviews were conducted via video conferencing. Conventional content analysis methods were used to analyze the data, which yielded the ...


Perceptions Of Pediatric Nurses And Parents Of Hospitalized Children Engaged In Shared Decision Making., Lisa English Long 2018 University of Louisville

Perceptions Of Pediatric Nurses And Parents Of Hospitalized Children Engaged In Shared Decision Making., Lisa English Long

Electronic Theses and Dissertations

Achievement of optimal quality in today’s healthcare environment practices means that clinical practices must be based on evidence. Evidence-based practice (EBP) is the integration of research findings, clinician expertise, and patient-centeredness that includes a focus on preferences and values (Melnyk & Fineout-Overholt, 2015). An area within EBP needing increased attention is the aspect of patient preferences and values. The process of Shared Decision Making (SDM) incorporates assessment of preferences and values within a process in which where patients, families and healthcare professionals collaborate to make decisions regarding patient care. The purpose of this study was to describe perceptions of parents and nurses in a pediatric inpatient setting about SDM and to adapt an existing SDM tool for use in the pediatric clinical setting. Areas of focus include: (1) critical review of SDM literature focusing on care of acutely ill children; (2) adaptation of existing reliable and valid SDM physician and adult patient -focused tools to a pediatric nurse and parent-focused SDM tools, and (3) a mixed methods approach assessing parent and nurse perceptions of SDM in an acute care facility and interview sessions with nurses to share thoughts and suggestions on use of shared decision making in the pediatric ...


Maternal Obesity And Fetal Macrosomia: An Integrative Review Of The Literature Regarding Interventions, Charity Stalcup 2018 Liberty University

Maternal Obesity And Fetal Macrosomia: An Integrative Review Of The Literature Regarding Interventions, Charity Stalcup

Senior Honors Theses

Research suggests pre-pregnancy obesity is associated with an increased risk of macrosomia in the newborn. Since women are expected to gain weight during pregnancy, the standard recommendation of weight loss for obesity is not ideal for this population. In this systematic review of the literature regarding interventions for maternal obesity to reduce fetal macrosomia, 149 articles were screened using three different databases to identify recent randomized controlled trials related to this topic. A total of 11 full text articles were analyzed and included in the review. The articles addressed nutritional, lifestyle, and pharmacological interventions. The results indicated there is currently ...


Maternal Infant Bonding, Alexis Summers, Brooklyn Bange 2018 Fort Hays State University

Maternal Infant Bonding, Alexis Summers, Brooklyn Bange

John Heinrichs Scholarly and Creative Activities Day (SACAD)

Objective: To determine if the maternal voice can be used as an effective measure to increase neonates oxygen saturation (O2 sats) and heart rate. Design: Quantitative Quasi-Experimental Setting: Neonatal infants located in an intensive care unit in a tertiary hospital in Southcentral Kansas. Participants: A total of 30 neonates will be monitored with a condition linked to being born prematurely anytime between 27-37 weeks in stable condition. Methods: Neonate physiological effects will be evaluated by a 5-minute maternal voice recording. Results/Conclusions: Pending data collection and analysis


High Maternal Dietary Glycemic Index And Sugar Consumption And Their Association With Birth Defects And Pregnancy Complications, Nicole Thornton 2018 Carroll College

High Maternal Dietary Glycemic Index And Sugar Consumption And Their Association With Birth Defects And Pregnancy Complications, Nicole Thornton

Carroll College Student Undergraduate Research Festival

Objective: The purpose of this systematic review was to look at existing peer reviewed articles regarding high maternal dietary glycemic index (DGI) and/or sugar consumption (including glucose, fructose, and sucrose) and the risk for birth defects or pregnancy complications.

Methods: PubMed was the primary database used to search for relevant articles. Other related articles were found in the reference sections of the articles screened in the original search.

Results: Nine case-control and cohort studies were used in this review. Five of the six case-control studies found a significant risk between high maternal DGI and/or sugar intake and birth ...


Attachment In Breastfeeding Versus Formula Feeding, Karlee Kent, Grace Wilkins, Hailey Peterson 2018 Carroll College, Helena, MT

Attachment In Breastfeeding Versus Formula Feeding, Karlee Kent, Grace Wilkins, Hailey Peterson

Carroll College Student Undergraduate Research Festival

According to John Bowlby, infants are born with an innate need to maintain a close proximity to a primary caregiver “to protect an individual against physical and psychological threats and alleviate distress” (Bowlby, 2008, as cited in Amani, 2016, p. 510). Bowlby defines attachment as “the emotional bond between infant and caregiver, who is typically the mother” (Bowlby, 2008, as cited in Amani, 2016, p. 506). One way infants foster attachment to their caregiver is through their feeding process, such as breastfeeding or formula feeding. According to Hockenberry and Wilson (2015), “the most outstanding psychological benefit of breastfeeding is the ...


The Relationship Between Birthing Positions And Perineal Trauma, Natashia Dutton, Monica Suek 2018 Carroll College - Helena

The Relationship Between Birthing Positions And Perineal Trauma, Natashia Dutton, Monica Suek

Carroll College Student Undergraduate Research Festival

Perineal trauma is a prevalent problem during child birth with around 53% to 79% of vaginal deliveries resulting in perineal trauma (The American College of Obstetricians and Gynecologists, 2016). Perineal trauma is damage to the genitalia during childbirth. According to the Mayo Clinic, “perineal lacerations or tears occur when the baby's head is coming through the vaginal opening and is too large for the vagina to stretch around” (2015). Perineal trauma can make recovery from labor longer and may make it difficult for new mother to take care of their newborns. During the birthing process, woman can be in ...


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