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Maternal, Child Health and Neonatal Nursing Commons

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Bed Rest And Its Continued Use In Women With High-Risk Pregnancy: A Review Of Literature, Irene De Los Reyes 2015 Dominican University of California

Bed Rest And Its Continued Use In Women With High-Risk Pregnancy: A Review Of Literature, Irene De Los Reyes

Senior Theses and Capstone Projects

Bed rest is defined as confinement to bed and restriction of activity. In the clinical setting bed rest includes strict bed rest, strict bed rest in Trendelenburg position, bed rest with bathroom privileges, and up ad lib (Irion, Irion, Lewis & Giglio, 2012). Bed rest has been the standard treatment for over the past 30 years in preventing preterm birth and complications arising from high-risk pregnancy despite the lack of evidence to support its safety and effectiveness for the mother and fetus (Maloni, 2010). The purpose of this literature review and critique is to provide information about the adverse physiologic and ...


Prospectus Summary Brief: Nicu Communication Improvement, Joy E. Lawley 2015 University of San Francisco

Prospectus Summary Brief: Nicu Communication Improvement, Joy E. Lawley

Master's Projects

Joy Lawley RNC, NICU Communication Improvement: A prospectus summary brief. Effective communication in the neonatal intensive care unit (NICU) not only reduces errors and adverse patient outcomes but also create an environment that promotes staff satisfaction. The purpose of this prospectus is that of improving the process of communication between the perinatal departments. The specific aim was to improve communication to the NICU through standardize communication tools (SBAR) from patient delivery to discharge starting April 1, 2015. With 100% participation of all staff members within a three month period and a 95% staff satisfaction related to improved communication from staff ...


Perinatal Patient Management, Natalie Whitten 2015 University of San Francisco

Perinatal Patient Management, Natalie Whitten

Master's Projects

The medical center has lacked the bed capacity and nursing staff to accommodate the needs of maternity patients. Patients are redirected to other network and non-network medical centers due to lack of bed availability, inadequate nurse staffing, and poorly managed patient movement. This project aims to improve patient management in the perinatal departments, including the discharge process. We will have 100% staff participation to facilitate bed management. The patient management project was conducted in a 200-bed hospital serving the residents of an urban area. The perinatal areas of labor & delivery (L&D), antepartum, and postpartum (OB) are highly productive units ...


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 2015 Seton Hall University

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 ...


The Relationships Among Perceived Stress, Birth Satisfaction, And Breastfeeding Self-Efficacy In Early Postpartum Women, Katherine Hinic 2015 Seton Hall University

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 ...


Perinatal Health Education Intervention Program 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 2015 Seton Hall University

Perinatal Health Education Intervention Program 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 care of this population. The purpose of this DNP Project was to develop an educational program in a transitional homeless shelter focused on the health care of the pregnant woman and the newborn infant in order to bring awareness of the special needs of this high risk population and to attempt to change unhealthy behaviors. This program was coupled with an In- Service Program for staff ...


Use Of The Peanut Ball To Decrease First And Second Stages Of Labor, Carol L. Payton 2015 Bellarmine University

Use Of The Peanut Ball To Decrease First And Second Stages Of Labor, Carol L. Payton

Graduate Theses, Dissertations, and Capstones

The purpose for this capstone project was to use a Peanut Ball, to mimic a sitting or squatting position, for decreasing length of first and second stages of labor. In addition, this project was designed to incorporate qualitative data on women’s perception of using the Peanut Ball during labor. The project question was “For laboring women, will use of a Peanut Ball for positioning, as compared to no use of a Peanut Ball, decrease length of first and/or second stages of labor?” The results included a significantly longer second stage of labor in the intervention group (75.63 ...


The Correlation Between Maternal Diabetes And Birth Defects, Erin Stanton 2015 Liberty University

The Correlation Between Maternal Diabetes And Birth Defects, Erin Stanton

Senior Honors Theses

Diabetes mellitus is one of the most common health problems in the United States, and it is shown to have negative outcomes in infants born to women who are diabetic. Although gestational diabetes mellitus is linked with a few birth defects, research has shown that women with pre-gestational diabetes mellitus have an increased risk of giving birth to infants with birth defects. Among all the defects studied, cardiac and neural tube defects occur most commonly. Appropriate measures should be taken to provide patient teaching, as well as appropriate and effective prenatal care, to women who are at the highest risk ...


Use Of Immunotherapy In The Treatment Of Peanut Allergies In The Pediatric Population, Bethany Rauscher 2015 Liberty University

Use Of Immunotherapy In The Treatment Of Peanut Allergies In The Pediatric Population, Bethany Rauscher

Senior Honors Theses

Peanut allergies are a serious issue that must be monitored and treated effectively to avoid severe adverse effects and death. In the last decade, their incidence has increased significantly, due to indeterminate factors. Because people typically do not outgrow peanut allergies and the effects of exposure can be life-threatening, it is important that a cure or management method is developed and refined. Recent research regarding treatment for peanut allergies has focused on the use of immunotherapy, a process aimed at desensitizing children's immune systems so that they do not reject foods that contain peanuts. Some studies utilizing immunotherapy have ...


Pediatric Nurse Practitioner Home Visitation Is Associated With A Decrease In Home Care Andhealthcare Utilization Errors In High Risk Infants, Rupalee Patel 2015 Northern California Consortium,Doctor of Nursing Practice Program,California State University, Fresno

Pediatric Nurse Practitioner Home Visitation Is Associated With A Decrease In Home Care Andhealthcare Utilization Errors In High Risk Infants, Rupalee Patel

Doctoral Projects

The Santa Clara Valley Health and Hospital System’s (SCVHHS) Babies Reaching Improved Development and Growth in their Environment (BRIDGE) program was developed in 2011 to optimize high risk infants' care transition from Neonatal Intensive Care Unit (NICU) to home. In addition to hospital discharge teaching and public health nursing efforts, NICU infants need further in home support given their medical vulnerability after discharge. The objectives of the SCVHHS BRIDGE program are to provide caregiver interventions to minimize home care errors after NICU discharge and to optimize health care access and utilization across the transition of care. SCVHHS NICU infants ...


Heath Care Providers’ Perceptions 0f The Reproductive Challenges And Experiences Among Asian Indian Women Living In Silicon Valley, Olga Alexandra Libova 2015 Northern California Consortium,Doctor of Nursing Practice Program,California State University, Fresno

Heath Care Providers’ Perceptions 0f The Reproductive Challenges And Experiences Among Asian Indian Women Living In Silicon Valley, Olga Alexandra Libova

Doctoral Projects

Objective: To identify common reproductive challenges among Asian Indian (AI) women living in Silicon Valley as perceived by healthcare providers (HCP). Design: A 71-item investigator-developed survey Setting: The survey was available on-line to all HCPs in California Santa Clara county, 75% of respondents were affiliated with El Camino Hospital Mountain View. Participants: Convenience sample of 78 respondents: 34% mother-baby nurses, 24% labor-delivery nurses, 21% OB/GYNs, 7% CNMs, 14% other HCP; 89% female; 55% Caucasian, 24% Asian. Methods: Likert-type scales comparing prevalence of certain reproductive challenges among AI women and women from other race-ethnic groups and openended questions regarding HCPs ...


Percieved Barriers To Skin To Skin Care From Maternal And Nurse Perspectives, Rachel Alexandra Napoli 2015 Northern California Consortium, Doctor of Nursing Practice Program, California State University, Fresno

Percieved Barriers To Skin To Skin Care From Maternal And Nurse Perspectives, Rachel Alexandra Napoli

Doctoral Projects

The purpose of this doctoral project is to provide foundational data for a skin-to-skin (STS) policy at a community hospital. Two surveys were used to determine the barriers to STS. One survey was given to the nurses electronically in the maternal/child department and the second survey was given to the mothers who delivered at the same hospital during Fall2014. Following data collection, focus groups were formed. The groups consisted of volunteer nurses who reviewed the results of the surveys and developed preliminary data for a STS policy. The three identified barriers to STS by both nurse and maternal surveys ...


Support For Breastfeeding Mothers: Are You Violating The Law?, Phillip Atherton, Christine Buttrick 2015 University of New England

Support For Breastfeeding Mothers: Are You Violating The Law?, Phillip Atherton, Christine Buttrick

Nursing Student Publications

On March 23, 2010, President Obama signed the “Break Time for Nursing Mothers” law in the Patient Protection and Affordable Care Act that requires employers to provide an opportunity for nursing mothers to breastfeed while at work. The law necessitates employers give a “reasonable” amount of time and a private space that is not a bathroom for the first year of a new infant’s life. In order to help mothers have access to breastfeeding, awareness of this law must be expanded, and the implementation of lactation programs in every workplace must be enforced so that mothers can continue to ...


Pain Management In The Neonatal Intensive Care Unit, Holly N. Hagy 2015 Liberty University

Pain Management In The Neonatal Intensive Care Unit, Holly N. Hagy

Senior Honors Theses

While pain management in the Neonatal Intensive Care Unit (NICU) was thought to be useless due to the infants’ inabilities to experience pain, research has confirmed that infants can and do experience pain at the same, if not greater, level of intensity as adults experience pain. Painful stimuli cause a system-wide sympathetic nervous system response that can cause damage when prolonged or unmanaged. There are multitudes of ways to treat an infant’s pain, but there seems to be a discrepancy between the knowledge that health care workers have regarding pain management in the NICU and the actual implementation of ...


Continuous Professional Development In Rwanda: The Experience Of Midwives Who Participated In The Advanced Life Support In Obstetrics (Also) Educational Program, Pauline Uwajeneza 2015 The University of Western Ontario

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

University of Western Ontario - 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 ...


The Effect Of An Antenatal Breastfeeding Intervention On Breastfeeding Self-Efficacy And Intention Among Inner City Adolescents, Jamie El Harit 2015 Valparaiso University

The Effect Of An Antenatal Breastfeeding Intervention On Breastfeeding Self-Efficacy And Intention Among Inner City Adolescents, Jamie El Harit

Evidence-Based Practice Project Reports

According to Healthy People 2020, infants who are breastfed have improved nutritional, immunological, developmental, and social outcomes (USDHHS, 2014). Despite the benefits of breastfeeding and the focused international efforts to increase levels of breastfeeding, adolescents remain largely unaware and continue to have among the lowest levels of breastfeeding initiation (CDC, 2013; Spear, 2006). The purpose of this EBP project was to reduce the disparities of breastfeeding initiation by increasing breastfeeding self-efficacy and intention in an inner city specialty high school. Synthesis of the evidence demonstrated that needs-based, repeated antenatal education delivered by a lactation expert including breastfeeding peer counselor supports ...


Effects Of Smoking Vs. Nicotine Replacement Therapy During Pregnancy On Childhood Health Outcomes: An Integrative Literature Review, Andrew J. McBride, Kristen P. Sabo, Emily D. Williams 2015 Cedarville University

Effects Of Smoking Vs. Nicotine Replacement Therapy During Pregnancy On Childhood Health Outcomes: An Integrative Literature Review, Andrew J. Mcbride, Kristen P. Sabo, Emily D. Williams

The Research and Scholarship Symposium

PICOT: In pregnant women does the use of nicotine replacement therapy compared to smoking during pregnancy reduce the risk of future childhood health concerns?

Methods: A search was conducted on healthcare literature databases (Alt HealthWatch, AMED, CINAHL, and Medline).The initial search yielded 940 results related to the topic. Initial review narrowed the search to 25 articles. Articles were excluded if published before 2008. After reviewing the full articles and evaluating effectiveness of the studies, 12 studies met the criteria. These 12 articles focused on the effects of smoking and childhood outcomes, NRT, and success of NRT.

Findings: The articles ...


Maine's Breastfeeding Gap: How Initiation And Duration Differ By Socioeconomic Status, Zoe Miller 2015 University of Southern Maine

Maine's Breastfeeding Gap: How Initiation And Duration Differ By Socioeconomic Status, Zoe Miller

Thinking Matters

The preventive health benefits of breastfeeding for both mothers and children are widely recognized. Leading health authorities recommend exclusive breastfeeding for the first six months of life.

Though breastfeeding rates in the United States have been increasing for the past decade, significant disparities continue across race and socioeconomic status.


Implementation Of Interprofessional Education And Physician Order Set Improves Compliance With Early Recognition And Treatment Of Maternal Sepsis, Lori Susan Olvera 2015 Northern California Consortium, Doctor of Nursing Practice Program, California State University, Fresno

Implementation Of Interprofessional Education And Physician Order Set Improves Compliance With Early Recognition And Treatment Of Maternal Sepsis, Lori Susan Olvera

Doctoral Projects

Septic shock is rare in pregnancy; however, sepsis remains an important contributor to maternal mortality. The perinatal patient can appear deceptively well before rapidly deteriorating to septic shock. There is a need for protocols regarding early recognition and management of maternal sepsis. The Surviving Sepsis Campaign developed guidelines to provide guidance for the clinician caring for patients with severe sepsis or septic shock. The purpose of this doctoral project was to evaluate compliance with early goal directed therapy before, during, and following the implementation of a standardized physician order set and interprofessional education for nurses and physicians in the perinatal ...


The Benefits Of Breastfeeding, Helen L. Byers 2015 Liberty University

The Benefits Of Breastfeeding, Helen L. Byers

Senior Honors Theses

It is important to educate women of childbearing age, their families, and society of the benefits that breastfeeding has over bottle-feeding and formula-feeding. The benefits of breastfeeding are in three main categories. First, the developmental, physical, emotional, and spiritual benefits of the baby will be discussed. Then the physical, emotional, and spiritual benefits for the mother will be talked about along with possible contraindications or difficulties. Finally, the financial benefits of breastfeeding over feeding an infant from the bottle will be discussed as it relates to the family and government. The goal is to persuade that breastfeeding is a superior ...


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