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Maternal, Child Health and Neonatal Nursing Commons

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How Do Black Nulliparous Women Cognitively Construct Birth?, Marianne F. Moore 2014 Texas Medical Center Library

How Do Black Nulliparous Women Cognitively Construct Birth?, Marianne F. Moore

UT SON Dissertations (Open Access)

A focused ethnography was conducted to determine the cognitive constructions about birth described by nulliparous Black women in an urban area of the Southwestern US; also, during postpartum, how do these women reconcile expectations with the actual birth? Semi-structured interviews were conducted before birth and after birth.

Women, 16 or older, 17 - 33 weeks carrying a singleton fetus and without anomalies or problems like pre-gestational diabetes, NYHA Cardiac Class III/IV, cancer, renal failure, or sickle cell anemia that eliminated vaginal birth were sequentially recruited and sampled in an affiliated ultrasound clinic. Women scheduled for an anatomy scan were approached ...


Long-Term Home Visiting With Vulnerable, Young Mothers: Impacts On Public Health Nurses, Anne L. Dmytryshyn 2014 McMaster University

Long-Term Home Visiting With Vulnerable, Young Mothers: Impacts On Public Health Nurses, Anne L. Dmytryshyn

Open Access Dissertations and Theses

The Nurse-Family Partnership (NFP) is a targeted, nurse home visitation program for young, low-income, first time mothers. While the effectiveness of the NFP has been established in the context of the US, and is currently being evaluated in the Canadian public health care system, little has been done to document how work of this nature influences or impacts public health nurses (PHNs), an essential component of this program delivery model, on both professional and personal levels. This qualitative interpretive descriptive study explored PHNs’ experiences of long-term home visiting a targeted population of young, vulnerable mothers in a Canadian NFP program ...


Implementation Of A Mhealth Program Within A Homeless Population Of Young Mothers, Maureen Byrnes 2014 Seton Hall University

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

Seton Hall University 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 ...


Lean Management Priniciples To The Creation Of Postpartum Hemorrhage Care Bundles, Bethan Faulkner 2013 University of San Francisco

Lean Management Priniciples To The Creation Of Postpartum Hemorrhage Care Bundles, Bethan Faulkner

Doctor of Nursing Practice (DNP) Projects

Postpartum hemorrhage (PPH) is the number one cause of pregnancy-related death in the US. The Maternity local improvement team (LIT), co-led by an Obstetrician and Board Certified Clinical Nurse Specialist found that each month the maternity unit averages 40 PPHs with 1-2 resulting in an emergency. Over a 6-month period, the LIT decreased response time for emergencies significantly. Supply retrieval time decreased by 99.9%, MD response time decreased by 81%, and Family Centered Care increased by 100%. They recently turned their attention to prevention. Given the lack of literature on preventing PPH in postpartum units, the team developed a ...


Develop A Sudden Infant Death Syndrome (Sids) Education Package In Jordan: Using Participatory Action Research Approach To Create Ripple Of Change, Shereen Hamadneh, Jehan Hamadneh 2013 Edith Cowan University

Develop A Sudden Infant Death Syndrome (Sids) Education Package In Jordan: Using Participatory Action Research Approach To Create Ripple Of Change, Shereen Hamadneh, Jehan Hamadneh

eCULTURE

IInfant mortality is high in Jordan, a developing country in the Middle East, at 19 per 1000 live births. Most mortality risk factors are preventable. The SIDS incidence rate has also been extrapolated as 11.22 per 1000 live births [1]. This is much higher than the United State of America (USA), a developed country (0.54 per 1000 live births) [2]. Most of modifiable SIDS risk factors can be reduced by increasing knowledge, change behaviors and practices regarding SIDS risks and prevention measures.

There has not been a major investment in educating Jordanians about SIDS. Heath care providers ...


Influence Of Motivation On The Efficacy Of Natural Family Planning, Richard J. Fehring, Mary Schneider, Mary Lee Barron, Jessica E. Pruszynski 2013 Marquette University

Influence Of Motivation On The Efficacy Of Natural Family Planning, Richard J. Fehring, Mary Schneider, Mary Lee Barron, Jessica E. Pruszynski

Randomized Comparison of Two Internet-Supported Methods of Natural Family Planning

Purpose: Mutual motivation is recognized as essential for effective behavioral methods of family planning. Few studies have studied this factor in family planning efficacy. The purpose of this study was to determine the influence of mutual motivation on unintended pregnancy rates of couples who used natural family planning (NFP) methods to avoid pregnancy.

Study Design and Methods: Using an online taught NFP method, 358women and ( their male partners) indicated “how much” and “how hard” they wished to avoid pregnancy on a scale of 0-10 before each menstrual cycle charted over 12 month of use. This motivation scale is used in ...


Taking Family Centered Care To A Whole New Level: Babycam, Cathy L. Bailey RN, MS, CRNP 2013 Lehigh Valley Health Network

Taking Family Centered Care To A Whole New Level: Babycam, Cathy L. Bailey Rn, Ms, Crnp

Patient Care Services / Nursing

No abstract provided.


Randomized Comparison Of Two Internet-Supported Fertility Awareness Based Methods Of Family Planning, Richard J. Fehring, Mary Schneider, Kathleen Raviele, Dana Rodriguez, Jessica E. Pruszynski 2013 Marquette University

Randomized Comparison Of Two Internet-Supported Fertility Awareness Based Methods Of Family Planning, Richard J. Fehring, Mary Schneider, Kathleen Raviele, Dana Rodriguez, Jessica E. Pruszynski

Randomized Comparison of Two Internet-Supported Methods of Natural Family Planning

Background: The aim was to compare the efficacy and acceptability of two Internet-supported fertility-awareness-based methods of family planning.

Study design: Six hundred and sixty-seven women and their male partners were randomized into either an electronic hormonal fertility monitor (EHFM) group or a cervical mucus monitoring (CMM) group. Both groups utilized a Web site with instructions, charts and support. Acceptability was assessed online at 1, 3 and 6 months. Pregnancy rates were determined by survival analysis.

Results: The EHFM participants (N=197) had a total pregnancy rate of 7 per 100 users over 12 months of use compared with 18.5 ...


Tamiah N. Mccoy - African American Women’S Birth Stories As Told To African American Women Interviewers, Tamiah N. McCoy 2013 Marquette University

Tamiah N. Mccoy - African American Women’S Birth Stories As Told To African American Women Interviewers, Tamiah N. Mccoy

Ronald E. McNair Scholars Program 2013

Background: A woman’s birth story allows each woman to tell her own perspectives about her experience of bringing a child into the world. As healthcare providers, it is always important to value listening to and learning from our clients. Researchers systematically analyzing birth stories can yield insights on ways to improve birthing experiences for women. This is especially important for African American women, who differentially encounter the most numerous health disparities of any racial group, with twice as much infant mortality than other groups.

Purpose: This study examined birth stories of African American women in order to gain insights ...


Integrating Evidence For Excellence In The Care Of Women And Newborns - The Evidence-Based Fellows² Program (Poster), Jennifer King RNC, BSN 2013 Lehigh Valley Health Network

Integrating Evidence For Excellence In The Care Of Women And Newborns - The Evidence-Based Fellows² Program (Poster), Jennifer King Rnc, Bsn

Patient Care Services / Nursing

No abstract provided.


Perception, Expression And Management Of The Pain Of Childbirth, Mary H. Christenson 2013 Liberty University

Perception, Expression And Management Of The Pain Of Childbirth, Mary H. Christenson

Senior Honors Papers

In order to be a competent nurse on an American labor and delivery unit it is important to have an understanding of the pain of childbirth. This includes a thorough understanding of pain as a sensation and its manifestation during the birthing experience. An understanding of pain is useless, however, unless standardized pain assessment practices are used. The most accurate pain assessment is associated with a general understanding of cultural trends in pain perception and expression. Along with culture, other factors also influence how a woman senses and copes with the pain of labor. Anxiety is one of these influential ...


The Effects Of Nursing Care On The Patient Experiencing A Stillborn Birth, Katherine Totten 2013 Liberty University

The Effects Of Nursing Care On The Patient Experiencing A Stillborn Birth, Katherine Totten

Senior Honors Papers

Childbirth has the potential of being one of the most joyous and fulfilling experiences a woman goes through in her entire life. Being a mom, driving the kids to soccer practice, and sitting around the Christmas tree with the family can easily be seen as an ideal life. Conversely, the negative experiences with childbirth are rarely discussed. There is an overlooked category: moms who conceive but lose the baby in the womb. Not only are these women overlooked, but also the hospital care they receive proves inconsistent with the latest research. Nurses and doctors should be aware of the latest ...


Nurses’ Perspectives On Neonatal Massage Therapy In The Neonatal Intensive Care Unit, Kayla R. Hanson 2013 Liberty University

Nurses’ Perspectives On Neonatal Massage Therapy In The Neonatal Intensive Care Unit, Kayla R. Hanson

Senior Honors Papers

Research in neonatal massage therapy has shown many possible benefits to the baby and family. Though there has been a growing trend towards family-centered care, along with a substantial and growing body of research, the practice of neonatal massage therapy is not routine in most NICUs. This study was conducted to evaluate neonatal intensive care nurses’ perspectives and attitudes towards neonatal massage therapy before and after evidence-based education. Willingness to discuss benefits of neonatal massage therapy significantly increased after education on neonatal massage therapy. The findings suggest that with proper training on the techniques and safety monitoring of massage therapy ...


Kangaroo Mother Care For Premature And Low Birth Weight Infants, Emma Rahn, Bethany Hotchkiss 2013 Cedarville University

Kangaroo Mother Care For Premature And Low Birth Weight Infants, Emma Rahn, Bethany Hotchkiss

The Research and Scholarship Symposium

No abstract provided.


An Evidence-Based Approach To Feeding The Late Preterm Infant, Diane McClure 2013 Seton Hall University

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

Seton Hall University Dissertations and Theses (ETDs)

No abstract provided.


Breast Milk Versus Formula: What's The Big Deal?, Chelsea B. Bazemore, James C. Cleveland, Racheal Hollifield, Taylor Hope 2013 University of North Georgia

Breast Milk Versus Formula: What's The Big Deal?, Chelsea B. Bazemore, James C. Cleveland, Racheal Hollifield, Taylor Hope

University of North Georgia Annual Research Conference

Breastfeeding versus formula feeding infants has long been a debate and question for parents. Many negative and positive points are brought up for each side of the debate, but an overwhelming majority of evidence has pushed for breastfeeding and its positive benefits for the newborn. However, there is a concern for the incidence of hyperbilirubinemia in infants and whether breastfeeding or formula feeding affects bilirubin levels. The aim of this project is to gather evidence to determine whether or not bilirubin levels in newborns are significantly influenced in the first one to three weeks of life by source of feeding ...


Do Women's Sociodemographic Characteristics Or Type Of Prenatal Care Provider Influence Quality Of Prenatal Care?, Mayura Kandasamy 2013 McMaster University

Do Women's Sociodemographic Characteristics Or Type Of Prenatal Care Provider Influence Quality Of Prenatal Care?, Mayura Kandasamy

Open Access Dissertations and Theses

Do women’s sociodemographic characteristics or type of prenatal care provider influence quality of prenatal care?

Objective: This study examined whether sociodemographic characteristics or type of prenatal care provider influenced the quality of prenatal care received by women in Canada. The main predictors of high quality prenatal care received by Canadian women were identified.

Methods: A secondary analysis of data collected for a primary study that developed and tested the Quality of Prenatal Care Questionnaire (QPCQ) was conducted. Women (n=422), recruited from five cities, completed a background questionnaire and the QPCQ. Data analysis involved examining nine sociodemographic variables and ...


Barriers To Effective Pain Management In Preterm And Critically Ill Neonates, Sharon W. Lake 2013 University of Kentucky

Barriers To Effective Pain Management In Preterm And Critically Ill Neonates, Sharon W. Lake

Theses and Dissertations--Nursing

The purpose of this dissertation is to explore potential barriers nurses experience in providing effective pain management for preterm and critically ill infants in neonatal intensive care units (NICUs). The specific aims of the study conducted are to examine (a) NICU caregivers’ knowledge about pain, (b) scales used to evaluate pain in infants, (c) NICU nurses’ documented pain practices, and (d) bias in treating pain of certain types of infants.

This dissertation is comprised of three manuscripts. The first manuscript is an integrated review of the literature describing caregiver knowledge, barriers, and bias in the management of pain in neonates ...


The Factors That Influence Duration Of Exclusive Breastfeeding: A Mixed Methods Design, Roxanne K. Bowman 2013 University of Kentucky

The Factors That Influence Duration Of Exclusive Breastfeeding: A Mixed Methods Design, Roxanne K. Bowman

Theses and Dissertations--Nursing

Breastfeeding is the gold standard of infant feeding and its benefits extend beyond the mother and child. Multiple organizations recommend exclusive breastfeeding for the first six months of an infant’s life. Exclusive breastfeeding rates nationally and in the state of Kentucky fall below the Healthy People 2020 goals. A mother’s intention to breastfeed has been shown to impact actual breastfeeding behavior. The current state of the measurement of intention was explored through a literature review. A majority of the measures were single item scales. The reliability and validity of the scales should be further tested in diverse populations ...


Final Report: Randomized Comparison Of Two Internet-Supported Methods Of Natural Family Planning, Richard J. Fehring, Mary Schneider 2013 Marquette University

Final Report: Randomized Comparison Of Two Internet-Supported Methods Of Natural Family Planning, Richard J. Fehring, Mary Schneider

Randomized Comparison of Two Internet-Supported Methods of Natural Family Planning

Studies consistently show that women want safe, effective, easy to use, and convenient methods of family planning (Arévalo,1997; Severy 2001). Although Natural Family Planning (NFP) methods are free of side effects, they are often ineffective and complex to learn and use (Grimes et al. 2005). Efforts have occurred over the past 10 years to simplify the teaching and use of NFP methods and increase their efficacy. These efforts include the development of low tech calendar-based methods (Arévalo et al. 2004), simplifying instructions (Frank-Herrmann et al. 2005), and developing accurate biological markers of fertility (Guida et al. 1999).

A new ...


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