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Maternal, Child Health and Neonatal Nursing Commons

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Time To Push: Use Of Gestational Age In The Electronic Health Record To Support Delivery Of Relevant Prenatal Education Content, Adriana Arcia 2017 Columbia University

Time To Push: Use Of Gestational Age In The Electronic Health Record To Support Delivery Of Relevant Prenatal Education Content, Adriana Arcia

eGEMs (Generating Evidence & Methods to improve patient outcomes)

Introduction: Clinicians must provide anticipatory guidance pregnant clients would find useful but might not seek out independently. Client-facing health information resources should a) satisfy clients’ health self-management queries, and b) provide anticipatory guidance at developmentally appropriate times. Care Guide (by our technology partner, Maternity Neighborhood™) is an online maternity education platform positioned to meet pregnant clients’ information needs through high-quality, curated content paired with secure provider/client messaging. The research version of Care Guide is called Maternity Information Access Point (MIAP). Little is known about how clients perceive or engage with maternity education delivered via patient portal or personal health ...


Enhancing Nursing Students’ Understanding Of Oral Health: An Educational Intervention With An Interprofessional Component, Shelley Spurr Dr., Jill Bally Dr., Alyssa Hayes Dr., Marcella Ogenchuk Dr., Krista Trinder 2017 University of Saskatchewan, College of Nursing

Enhancing Nursing Students’ Understanding Of Oral Health: An Educational Intervention With An Interprofessional Component, Shelley Spurr Dr., Jill Bally Dr., Alyssa Hayes Dr., Marcella Ogenchuk Dr., Krista Trinder

Quality Advancement in Nursing Education - Avancées en formation infirmière

Oral health is integral to general health and essential for well-being, and therefore, should be prioritized in pediatric nursing education. The purpose of this pilot study was to examine if an oral health education intervention with an Interprofessional Education (IPE) component delivered to third-year baccalaureate nursing students would improve their knowledge of pediatric oral health care. Nursing students (n=99) from a Bachelor of Nursing program in a mid-Western Canadian university completed a survey before and after receiving the educational intervention which included a two-hour lecture from a Dentistry faculty member and a one-hour clinical lab in which nursing students ...


Challenges And Facilitators Of Recruitment: Lessons Learned From Conducting A Focused Ethnography In A Vulnerable Rural Population, Debra Kramlich, Rebecca Kronk, Karen Jakub 2017 Duquesne University

Challenges And Facilitators Of Recruitment: Lessons Learned From Conducting A Focused Ethnography In A Vulnerable Rural Population, Debra Kramlich, Rebecca Kronk, Karen Jakub

The Qualitative Report

The purpose of this article is to describe the challenges and facilitators of recruitment encountered in an ethnographic dissertation study of rural women with substance use disorders during the perinatal period. While the study is being conducted in the hospital setting post-delivery, potential participants who meet inclusion criteria are identified by practitioners through a number of perinatal practices within a wide geographic area as well as by inpatient social workers. Recruitment in this vulnerable and often socially disadvantaged population has been found to be challenging with regard to ethical approval, participant eligibility and availability, practice changes, and discrepancies in the ...


Developing Morally Sensitive Policy In The Nicu: Donation After Circulatory Determination Of Death, Michael van Manen, Nicole Kain 2017 University of Alberta Faculty of Medicine and Dentistry

Developing Morally Sensitive Policy In The Nicu: Donation After Circulatory Determination Of Death, Michael Van Manen, Nicole Kain

The Qualitative Report

Policy development is an important activity for the practice of healthcare. Policies, after all, may cultivate common practices and ensure that best available evidence is employed in clinical decision making. Qualitative research and individuals with expertise in qualitative research methods have much to offer policy makers. We were confronted with the situation of developing policy for donation after circulatory death (DCD) for our newborn intensive care program. Due the moral-ethical complexities surrounding DCD, and the limited experience with DCD in this context, we approached policy development from an iterative design perspective employing qualitative methods. We describe our experience in employing ...


Effectiveness Of School-Based Interventions Versus Family-Based Interventions In The Prevention And Treatment Of Childhood Obesity, Ashley Capestrain, Emily Montague, Meghan Frantz 2017 The University of Akron

Effectiveness Of School-Based Interventions Versus Family-Based Interventions In The Prevention And Treatment Of Childhood Obesity, Ashley Capestrain, Emily Montague, Meghan Frantz

Honors Research Projects

Childhood obesity affects 155 million children worldwide. As prevalence increases, it is important to identify effective interventions in the treatment and prevention of childhood obesity. Obesity may result in short and long term effects linked to some of the leading causes of morbidity and early mortality. The purpose of this systematic review is to identify, review, and critically appraise evidence from studies examining the effect of family and school based interventions. This review answers the following PICO question: In children, how do family based interventions compare to school based interventions, in the prevention and treatment of obesity? Methods included literature ...


Effects Of Kangaroo Care On Procedural Pain In Preterm Infants: A Systematic Review, Alyssa M. Pagni, Sophia Kellar, Mary Rood 2017 The University of Akron

Effects Of Kangaroo Care On Procedural Pain In Preterm Infants: A Systematic Review, Alyssa M. Pagni, Sophia Kellar, Mary Rood

Honors Research Projects

Approximately 64,000 preterm infants are born annually in the United States. With preterm infants enduring between 10-16 painful procedures daily, it is important for nurses to use interventions that effectively decrease pain. Procedural pain in premature infants may result in short-term and long-term negative physical, cognitive, and emotional effects. Kangaroo care is the act of holding an infant making skin on skin contact. The purpose of this systematic review is to identify, review, and critically appraise the evidence from studies examining the effect of Kangaroo Care on procedural pain in premature infants. Literature was searched in university databases and ...


Effect Of Interventions On Infant Mortality Rates: A Systematic Review, Sophia H. Simone, Emily K. Swaim 2017 The University of Akron

Effect Of Interventions On Infant Mortality Rates: A Systematic Review, Sophia H. Simone, Emily K. Swaim

Honors Research Projects

Infant mortality rate (IMR) is defined as the number of infant deaths per 1,000 live births. Infant mortality is the time period beginning with the infant’s first breath and continuing until the first year of life. In 2006, 6.71 infants died in The United States of America (USA) for every 1,000 live births, compared with 6.86 in 2005 and 6.89 in 2000. Although the USA IMR has fallen steadily in recent decades, the nation still ranks 27th among industrialized countries. Further, IMR disproportionately affects racial and ethnic groups in the USA. Despite research about ...


Goals Of Exclusive Breastfeeding And The Effectiveness Of Programs And Initiatives In Attaining Them, Natalie Scott 2017 Liberty University

Goals Of Exclusive Breastfeeding And The Effectiveness Of Programs And Initiatives In Attaining Them, Natalie Scott

Senior Honors Theses

Over recent years, breastfeeding has gained renewed significance in research and practice. Both in the United States and around the world, especially in poor countries that do not have easy access to quality healthcare, breastfeeding has been shown to dramatically and positively affect the health and lifespan of infants. However, there is still a low prevalence of effective breastfeeding practices universally. Even with the presence of global programs and goals that are geared toward exclusive breastfeeding habits, global rates are lower than what is desired. There are various determinants of breastfeeding that factor into a woman’s decision and practice ...


Birthing Center Versus Hospitalized Birth, Nicolette Larsen 2016 Illinois Wesleyan University

Birthing Center Versus Hospitalized Birth, Nicolette Larsen

CrissCross

There are many risks and benefits of giving birth at a birthing center versus a hospital. Determining the location of birth is an important decision, as women in the world today have many options of where to have their child. Hospitals and birthing centers are two places where medical professionals provide prenatal, labor and delivery, and postpartum care for the mother and fetus during this memorable time. While hospital nurses and physicians provide advanced medical care, birthing centers focus on holistic care of the family unit emphasizing mental, spiritual, and physical health. Doctors often perform cesarean sections (C-sections) for non-medical ...


Reducing Annual Emergency Department Visits Through Improved Asthma Discharge Teaching, Alvin R. Walters 2016 University of San Francisco

Reducing Annual Emergency Department Visits Through Improved Asthma Discharge Teaching, Alvin R. Walters

Master's Projects and Capstones

Asthma is the most common pediatric condition in the United States, and a child's home environment plays an impactful role in the triggering of asthma exacerbations (Harper et al., 2015). Current emergency department (ED) ideology focuses on symptoms management, with little time spent on education, and virtually no attention paid to the home environment. Evidence shows that programs which incorporate home environmental assessments into asthma patient education produce a reduction in annual ED visits, fewer missed school days, decreased use of rescue medications, and improvements in quality of life (Gruber K.J., et al, 2016, Hollenbach J.P. & Cloutier ...


An Examination Into The Relationship Between Iron Deficiency And Postpartum Depression, Sara A. Burroughs 2016 Liberty University

An Examination Into The Relationship Between Iron Deficiency And Postpartum Depression, Sara A. Burroughs

Senior Honors Theses

Postpartum depression is recognized as the most common complication of childbearing; however, its etiology remains fairly undetermined. Many different influences have been hypothesized as to what may cause postpartum depression, including changes in levels of various hormones (such as estrogen and progesterone), a decrease in serotonin, low levels of vitamin D, social factors, and iron deficiency. The lack of strong evidence for one specific cause makes it fairly clear that there are many factors that play a role in the development of postpartum depression. Iron deficiency is one issue that is thought to contribute to the development of postpartum depression ...


Parturient Safety: Proper Positioning Education Prior To Neuraxial Anesthesia, Christina Joy Young 2016 The University of Southern Mississippi

Parturient Safety: Proper Positioning Education Prior To Neuraxial Anesthesia, Christina Joy Young

Doctoral Nursing Capstone Projects

In the United States, 61% of parturient patients elect neuraxial anesthesia for labor pain (Koyyalamudi et al., 2016). The incidence of postdural puncture headache is estimated up to 81% following accidental dural puncture-especially in pregnant women receiving elective epidurals (Ragab & Facharzt, 2014). Although the combined rates of complications for spinal and epidural anesthesia are low (2.78%) (American Society Anesthesiologists, 2014), patient safety is extremely important and should be addressed by the overall healthcare system. The purpose of this project assessed a willingness to change which focused on the CRNAs incorporation of proper positioning education prior to neuraxial anesthesia into ...


Efficacy Of Intravenous Ondansetron In Relieving Nausea/Vomiting And Pruritus Post Epidural Administered Opioids In The Obstetric Patient, Benjamin Stephen Butler 2016 University of Southern Mississippi

Efficacy Of Intravenous Ondansetron In Relieving Nausea/Vomiting And Pruritus Post Epidural Administered Opioids In The Obstetric Patient, Benjamin Stephen Butler

Doctoral Nursing Capstone Projects

One prominent side effect in the use of a neuraxial anesthesia is pruritus, with an incidence in the obstetric patient of 60-100% (Kumar & Singh, 2013). Another side effect of an epidural placement is nausea and vomiting. Nausea and vomiting occurs frequently during the progress of labor and is difficult to determine an incidence that is related to epidural opioid administration (Chestnut, Wong, Tsen, Ngan Kee, Beilin, & Mhyre, 2014). A review of literature was performed and established evidence that ondansetron is effective in reducing incidence of pruritus in intrathecal administered opioids for cesarean sections in the obstetric patient. No literature was ...


Reducing Hypotension In Elective Cesarean Section Patients With Administration Of Ondansetron Prior To Spinal Anesthesia: A Retrospective Chart Analysis, Linsey Erin Phipps 2016 The University of Southern Mississippi

Reducing Hypotension In Elective Cesarean Section Patients With Administration Of Ondansetron Prior To Spinal Anesthesia: A Retrospective Chart Analysis, Linsey Erin Phipps

Doctoral Nursing Capstone Projects

The birth of a child is one of the most memorable moments in a woman’s life, and many women undergo an elective cesarean section, requiring spinal anesthesia. At this time, the patient and the unborn child’s well-being become the anesthetist’s main focus. The ultimate goal of anesthesia providers is to provide the safest care to the patient. Spinal anesthesia has many benefits, but has a common side effect of hypotension, which can also result in nausea. Hypotension, dangerous to mother and child, is often treated with vasopressors, but can also cause nausea, which is treated by the ...


Intergenerational Hispanic Perceptions Of Childhood Obesity, Janelle Weiss 2016 University of Arkansas, Fayetteville

Intergenerational Hispanic Perceptions Of Childhood Obesity, Janelle Weiss

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Background: Childhood obesity is on the rise in the United States especially among minority families. This study investigates how Hispanic parents perceive their child's weight based on years of acculturation, education level, age, child’s gender and 1st or 2nd generation status.

Objective: To assess if there are differences in perception between more acculturated Hispanic immigrants and their less acculturated counterparts.

Methods: Data were collected using the Child's Body Image Scale. Participants were asked to arrange the images based on a series of questions inquiring about their perception of their child and health in general. BMI ...


Home Visiting Programs For Families Of Children Who Are Deaf Or Hard Of Hearing: A Systematic Review, Nannette Nicholson, Patti Martin, Abby Smith, Sheila Thomas, Ahmad A. Alanazi M.Aud. 2016 University of Arkansas for Medical Sciences, University of Arkansas at Little Rock, Arkansas Children's Hospital

Home Visiting Programs For Families Of Children Who Are Deaf Or Hard Of Hearing: A Systematic Review, Nannette Nicholson, Patti Martin, Abby Smith, Sheila Thomas, Ahmad A. Alanazi M.Aud.

Journal of Early Hearing Detection and Intervention

Prelingual hearing loss greatly restricts a child’s language development, hindering his or her behavioral, cognitive and social functioning. Although technology such as hearing aids and cochlear implants are an option for providing access to sound, they fail to teach the child how to listen or attend, how to process language (whether visual or spoken), or how to produce language and communicate. Home visiting is widely recognized as a cost-effective intervention service delivery model. Home visiting programs for promoting language development in children who are diagnosed as deaf or hard of hearing have been in existence for over 50 years ...


A Preliminary Study Of Intergenerational Differences In Masxha Regarding Practice And Attitudes Towards Zulu Traditions During Pregnancy And Birth, Momoko Oyama 2016 SIT Study Abroad

A Preliminary Study Of Intergenerational Differences In Masxha Regarding Practice And Attitudes Towards Zulu Traditions During Pregnancy And Birth, Momoko Oyama

Independent Study Project (ISP) Collection

In the Zulu culture, several traditions and rituals are practiced during a woman’s pregnancy and perinatal period. However, as urbanization spreads and western influences strengthen, these rituals risk being lost. This project aims to capture existing knowledge of these traditions and to assess the intergenerational changes in practice and attitudes towards practicing the rituals.

Information on Zulu traditions practiced during a woman’s pregnancy and perinatal period was collected through two interviews and a focus group consisting of three elderly women in Masxha, a Black township in KwaZulu-Natal. Following the interviews and focus group, 32 Masxha residents were recruited ...


Training New Mothers In Infant Cardiopulmonary Resuscitation (Cpr), Gavin C. Barr Jr. MD, Marna R. Greenberg DO, MPH, FACEP, Valerie Rupp RN, BSN, Charles C. Worrilow MD, Katie Fredericks, Anne Marie Crown, John Reed RRT 2016 Lehigh Valley Health Network

Training New Mothers In Infant Cardiopulmonary Resuscitation (Cpr), Gavin C. Barr Jr. Md, Marna R. Greenberg Do, Mph, Facep, Valerie Rupp Rn, Bsn, Charles C. Worrilow Md, Katie Fredericks, Anne Marie Crown, John Reed Rrt

Charles Worrilow, MD.

No abstract provided.


Development Of A Breastfeeding Class Specifically For Working Moms, Maryleah S. Needels 2016 University of San Francisco

Development Of A Breastfeeding Class Specifically For Working Moms, Maryleah S. Needels

Master's Projects and Capstones

Successfully breastfeeding mothers who are planning to return to work and remain exclusively breastfeeding their infants have a knowledge deficit as to the federal law protecting their rights along with the basic skills for pumping, storing, and bottle-feeding of breast milk. There is a significant drop in breastfeeding rates at both the 3 and 6-month marker, which coincides with maternal return to employment. After attending the Working Moms Breastfeeding Class, 100% of mothers reported an increase in knowledge surrounding the law and the CDC’s basic skills for handling pumped breast milk based on a pre/post questionnaire. Bandura’s ...


Human Papilloma Virus-Related Cervical Dysplasia, Shaylyn D. Webster 2016 Otterbein University

Human Papilloma Virus-Related Cervical Dysplasia, Shaylyn D. Webster

Master of Science in Nursing (MSN) Student Scholarship

Among sexually active men and women, the human papilloma virus (HPV) is one of the most common sexually transmitted infections. With more than 200 different genotypes of HPV known, there are more than 500,000 cases each year in the United States alone (Lowy, 2016). The virus is associated with nearly all cervical cancers, anal cancers, vaginal cancers, penile cancers, and head and neck cancers (Jorge & Wright, 2016). In women, the virus is capable of causing slow cellular changes on the cervix, and this dysplasia is graded based on severity (Jorge & Wright, 2016).

The statistics related to the prevalence and ...


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