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Maternal, Child Health and Neonatal Nursing Commons

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Identifying Intimate Partner Violence During Pregnancy In Prenatal Care Settings, Tifani R. Fletcher, Andrea D. Clements, Beth Bailey 2016 East Tennessee State University

Identifying Intimate Partner Violence During Pregnancy In Prenatal Care Settings, Tifani R. Fletcher, Andrea D. Clements, Beth Bailey

International Journal of Health Sciences Education

More than 324,000 women each year are estimated as having experienced intimate partner violence (IPV) during pregnancy. Correctly identifying women experiencing all forms and severity of IPV is necessary to inform the implementation of interventions to prevent and treat IPV. This can optimally be accomplished with data from accurate screening instruments. The United States Preventative Services Task force has recently recommended that all women who are pregnant should be screened for IPV over the course of their pregnancy and postnatal visits. Currently, clinical practice and research are hindered by the lack of validated IPV screening measurements for a pregnant ...


Improved Satisfaction On Postpartum Unit By Implementing A Discharge Nurse Role, Nicole Ware RN, MSN 2015 University of San Francisco

Improved Satisfaction On Postpartum Unit By Implementing A Discharge Nurse Role, Nicole Ware Rn, Msn

Master's Projects

A three-month time period was used to develop a postpartum education program change by designing a discharge nurse role on the postpartum unit at University of North Carolina Women’s Hospital. The goal of the education change is to increase patient satisfaction scores of discharged post-natal mothers on the postpartum unit by having HCAPS and Press Ganey to improve up to10% over the next 6 months.

An observational assessment revealed a fragmented and antiquated discharge process. This process was paper based and difficult to complete in light of the short stay and high volume patient population. Informal nurse feedback as ...


Implementing Emergency Bedside Backpacks In The Nicu To Improve Patient Outcomes, Melissa M. Garcia 2015 University of San Francisco

Implementing Emergency Bedside Backpacks In The Nicu To Improve Patient Outcomes, Melissa M. Garcia

Master's Projects

Abstract

Planning for a disaster, by implementing a unit specific disaster plan, has become an essential recommendation for Neonatal Intensive Care Units. Emergent situations have resulted from past natural disasters proving the need for additional planning when it comes to units with fragile populations. Research has shown instituting a specialized disaster plan, increases patient safety resulting in improved patient outcomes. This prospectus aims to implement emergency bedside backpacks as the first step in the development of a NICU specific disaster plan. These backpacks are meant to be an addition to the current hospital emergency plan, with the goal being to ...


Risk Assessment Strategy For Late Preterm Infants, Nisha Nair, Constance Hill 2015 Californnia State University, Fresno

Risk Assessment Strategy For Late Preterm Infants, Nisha Nair, Constance Hill

DNP Forum

Late preterm infants (LPIs), born between 34 and 36 6/7 weeks gestation, face many challenges. These infants comprise 71% of preterm births and 8.7% of all births in the United States (Hamilton, Martin, & Ventura, 2010). They have a higher incidence of medical complications than their full-term counterparts leading to longer hospital stays or readmissions (Consortium on Safe Labor, 2010; Khashu, Narayanan, Bhargava, & Osiovich, 2009; Pulver et al., 2010). The nurse’s role in educating parents of LPIs is pertinent as these babies are at heightened risk for a number of significant complications. The purpose of this project is to determine if adopting an evidence-based parent teaching model of care will improve clinical outcomes, build parents’ skills and self-confidence in caring for their LPIs at home, and ...


Reducing Perineal Tears: The Effect Of Pushing Methods And Length Of 2nd Stage Of Labor, Kristen A. Mohre, Jessica A. Wall, Chien-Yueh Lee 2015 Cedarville University School of Nursing

Reducing Perineal Tears: The Effect Of Pushing Methods And Length Of 2nd Stage Of Labor, Kristen A. Mohre, Jessica A. Wall, Chien-Yueh Lee

Pharmacy and Nursing Student Research and Evidence-Based Medicine Poster Session

Objective: To evaluate the current literature evidence for the effects of either instructed or spontaneous pushing on perineal laceration incidence during delivery and the duration of second stage of labor.

Background: Lacerations (tears) of the perineum are common among women during delivery, increasing pain, infection risk, and other problems for women. Furthermore, prolonged second stage of labor has been shown a risk factor for lacerations. Pushing methods could have an effect on the incidence of lacerations and duration of second stage of labor.

Methods: Thorough search of online databases for the highest levels of evidence relating to the topic within ...


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 ...


Educated Birth: Beliefs Vs. Outcomes, Lauren Presley 2015 University of Arkansas, Fayetteville

Educated Birth: Beliefs Vs. Outcomes, Lauren Presley

Human Nutrition and Hospitality Innovation Undergraduate Honors Theses

“Our infant mortality rate is a national embarrassment.”1 The words seem shocking and harsh across the headline of a 2014 Washington Post article. The thought of America not only not being the best at something, but falling upsettingly behind, is a foreign concept to many who view America as a nation inferior to none. However, the statistics on infant mortality rate tell the stark truth that of 26 “wealthy” countries, the U.S. ranks last, with a sobering 6.1 deaths per 1,000 live infant births.2

Part of the Healthy People 2020 Objectives is to reduce the ...


The Impact Of Breastfeeding Education: A Retrospective Look At Breastfeeding Education And Breastfeeding Rates, Hannah Newell 2015 University of Arkansas, Fayetteville

The Impact Of Breastfeeding Education: A Retrospective Look At Breastfeeding Education And Breastfeeding Rates, Hannah Newell

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Breastfeeding is associated with improved health outcomes for both mother and child. Not only does it provide optimal nutrition for the infant, it also encourages an intimate maternal-infant bonding experience that establishes the basis for parenting and interaction. Major medical organizations including the Surgeon General’s Healthy People 2020 have an aim of increasing the number of women who initiate breastfeeding, and a recommendation of exclusive breastfeeding for the first six months and continued breastfeeding for at least one year. While most women are aware that breastfeeding is the best source of nutrition for infants, they often lack knowledge regarding ...


Common Factors In Unplanned Cesarean Section, Lauren C. Compton 2015 Eleanor Mann School of Nursing - University of Arkansas

Common Factors In Unplanned Cesarean Section, Lauren C. Compton

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Obstetrical delivery by cesarean section is a prevalent form of delivery. Whether clinically indicated or by maternal request, cesarean delivery rates in the United States have risen to account for over a third of all deliveries. Cesarean section procedures are often clinically indicated and occur because of fetal factors, but they can also be elected by maternal request. The aims of this study are to analyze the frequency of the factors in the study questions that are associated with unplanned cesarean section procedures and to compare the frequency of these factors per cesarean section with the time of day the ...


The Rates Of Mothers Who Continually Breastfeed After Implemented Breastfeeding Teaching, Katherine L. Moore 2015 University of Arkansas, Fayetteville

The Rates Of Mothers Who Continually Breastfeed After Implemented Breastfeeding Teaching, Katherine L. Moore

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Many mothers are unaware of the benefits of breastfeeding. This lack of knowledge leads to an inability to weigh the advantages and disadvantages of the potential source of nutrition their infant will receive during his or her first months of life. Many mothers never even attempt to breastfeed their infant. Even among the mothers who do initially choose to breastfeed, the majority deviate to other forms of feeding early in the postpartum period. Despite the fact that most major medical organizations encourage exclusive breastfeeding through the first six months of an infant’s life, the CDC report for 2013 claims ...


Listening To The Voices Of Emerging Adults: The Experience Of Living With Perinatlly Acquired Hiv (Phiv), Constance D. Hill 2015 San Jose State University

Listening To The Voices Of Emerging Adults: The Experience Of Living With Perinatlly Acquired Hiv (Phiv), Constance D. Hill

Constance D. Hill

No abstract available.


Disenfranchised Grief In Postpartum Women: A Heuristic Inquiry Into Women's Lived Experience Of Loss Of The Dreamed-Of Birth, Rumyana P. Kudeva 2015 University of Pennsylvania

Disenfranchised Grief In Postpartum Women: A Heuristic Inquiry Into Women's Lived Experience Of Loss Of The Dreamed-Of Birth, Rumyana P. Kudeva

Doctorate in Social Work (DSW) Dissertations

Abstract

DISENFRANCHISED GRIEF IN POSTPARTUM WOMEN: A HEURISTIC INQUIRY INTO WOMEN’S LIVED EXPERIENCE OF LOSS OF THE DREAMED-OF BIRTH

Rumyana P. Kudeva, MSW, LCSW

Jeffrey Applegate, PhD

The childbearing year is of upmost significance in a woman’s life, carrying inherent possibilities of empowerment and self-actualization. Most women create a vision of their “dreamed-of birth” that represents their beliefs about birth and their role in the process.

However women’s expectations about birth are often subverted by the authoritative knowledge and practices of the Western maternity care system or by the unpredictable nature of the birth itself. The pregnant ...


Caregivers Of Underserved Minority Populations: Views And Opinions Of The Role Of Schools In Bmi Screening, Education And Communication, Lori Keough PhD, M.Ed, FNP-BC 2015 University of Massachusetts Lowell

Caregivers Of Underserved Minority Populations: Views And Opinions Of The Role Of Schools In Bmi Screening, Education And Communication, Lori Keough Phd, M.Ed, Fnp-Bc

Journal of Health Disparities Research and Practice

A pilot study exploring caregiver views of the role of schools in students’ health.

Abstract

To date, 20 states in theUnited Statesrequire school-based body mass index (BMI) screening for school-aged populations and for some the requirements include caregiver notification of the findings. Few studies have provided empirical data indicating whether or not caregivers accept or act on BMI communication from schools. Therefore, an exploratory pilot study was conducted in a culturally diverse urban school district to determine how a required (BMI) screening and notification were viewed by caregivers. Most caregivers reported that they felt schools did not have a role ...


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

Montview Liberty University Journal of Undergraduate Research

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 ...


We Can Do Better: An Argument For Improved Care Of The Opioid Addicted Mother-Infant Dyad, Michele K. Savin, MSN, NNP-BC 2015 School of Nursing, Thomas Jefferson University

We Can Do Better: An Argument For Improved Care Of The Opioid Addicted Mother-Infant Dyad, Michele K. Savin, Msn, Nnp-Bc

School of Nursing Faculty Papers & Presentations

As the number of addicted maternal-infant dyads increases, so does the need for nursing to expand its understanding of the addiction process and the evidencebased interventions that best serve mothers and infants. Nursing attitudes toward the opioid-addicted mother and infant dyad are influenced by knowledge deficits and communication difficulties. Care required encompasses medical, legal, social, and economic perspectives. Professionals and society at large have disagreements regarding whether to approach the phenomenon from a punitive or supportive strategy. Facilities to care for the mother-infant dyad with addiction are limited. Increasing knowledge has great potential for active understanding and ability to impact ...


Quantify Blood Loss To Prevent Escalation Of Blood Loss, Manprit Virk 2015 University of San Francisco

Quantify Blood Loss To Prevent Escalation Of Blood Loss, Manprit Virk

Master's Projects

Abstract

The CNL project’s aim is to implement quantifying blood loss (QBL) after each delivery to prevent the escalation of postpartum hemorrhage (PPH), and decrease maternal mortality and morbidity related to PPH in Maternal Child Health (MCH). This project is initiated in a Northern California acute-care facility’s MCH department, which consists of: childbearing women pregnant at gestation age of more than thirty-four weeks, and women post delivery. According to CMQCC (2014), 1-3% of pregnancies are affected by postpartum hemorrhage, and the acute-care facility has a current postpartum hemorrhage rate of 2.7%. There is lack of standardized method ...


Implementation Of A Debrief “Takeaway” Board, Carly A. Skeath 2015 University of San Francisco

Implementation Of A Debrief “Takeaway” Board, Carly A. Skeath

Master's Projects

Abstract

My original focus of my project was to implement Team STEPPS, to help improve the communication and teamwork within our entire perinatal service department. However, as I started I ran into barriers with time and with other projects put out by our management that needed to take president. It is then that I decided to narrow my focus on one aspect of Team STEPPS which we are already implementing, and that is debriefs. As a member of the Perinatal Patient Safety Program (PPSP), I was able to learn about all the takeaway’s we received from debriefs that had ...


Breastfeeding With The Bronson Mothers’ Milk Bank, MaryKate Bodnar 2015 Western Michigan University

Breastfeeding With The Bronson Mothers’ Milk Bank, Marykate Bodnar

Master's Theses

Bronson Methodist Hospital in Kalamazoo is home to one of only 15 certified breast milk banks in the United States. Women have shared breast milk for centuries through wet nurses, but this institutionalized and regulated version of sharing is distinct from previous forms. Breastfeeding has become a symbol of successful motherhood; donor milk adds a new dimension to this aspect of idealized motherhood. This study explores how the milk bank works: its organizational structure within a hospital, how donors are selected, and how recipients qualify for donor milk. It is grounded in Feminist and Medical Anthropology literature. Using semi-structured interviews ...


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 ...


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