Maternal, Child Health and Neonatal Nursing Commons^™

The Ways In Which Women’S Suffrage Affected Healthcare, Madison M. Weber

The Review: A Journal of Undergraduate Student Research

The 19th Amendment had and continues to have a major impact on women’s healthcare in the United States. Prior to suffrage, women had little to no ability to voice their thoughts on and change policies that regarded their own health. This essay addresses the way in which the vote both directly and indirectly impacted healthcare; including workplace conditions, maternal and reproductive rights, racial disparities, political advocacy and healthcare, the different waves of feminism, and how this has all affected modern healthcare for women. From progressive articles being published in women's magazines, to the establishment of marital rape, to the availability …

Mapping Inequalities In Exclusive Breastfeeding In Low- And Middle-Income Countries, 2000–2018, Natalia V. Bhattacharjee, Laauren E. Schaeffer, Simon I. Hay, Arianna Maever L. Amit, Veincent Christian F. Pepito, Local Burden Of Disease Exclusive Breastfeeding Collaborators, 477 Co-Authors

Ateneo School of Medicine and Public Health Publications

Exclusive breastfeeding (EBF)—giving infants only breast-milk for the first 6 months of life—is a component of optimal breastfeeding practices effective in preventing child morbidity and mortality. EBF practices are known to vary by population and comparable subnational estimates of prevalence and progress across low- and middle-income countries (LMICs) are required for planning policy and interventions. Here we present a geospatial analysis of EBF prevalence estimates from 2000 to 2018 across 94 LMICs mapped to policy-relevant administrative units (for example, districts), quantify subnational inequalities and their changes over time, and estimate probabilities of meeting the World Health Organization’s Global Nutrition Target …

Pediatric Surgery Nurses Lead And Coordinate Covid-19 Recovery Efforts, Shelly Johnson, Alice E. Dupler

2021 Providence Nurse Research Conference

Background: In early 2020, the appearance of the novel COVID-19 virus became a global concern, infecting hundreds of thousands of people. To reduce the spread of the virus, the United States government instituted social distancing and required hospitals to take steps to create extra beds for patient with COVID. One method to increase hospital capacity was the cancellation of scheduled, elective surgeries. In one large pediatric hospital in the Pacific Northwest, there was no formal process in place for cancelling elective procedures or for prioritizing when or how to reschedule the case. Because nurses were being called on to provide …

Employed Mothers’ Satisfaction With The Breastfeeding Provisions In The Patient Protection And Affordable Care Act In Two Northwestern U.S. Hospitals, Rebecca Penders

2021 Providence Nurse Research Conference

Background: Breastfeeding is the gold standard for infant nutrition. Many workplace barriers to lactation exist for mothers returning to work after the birth of an infant. In 2010 the Breastfeeding Provisions in the Patient Protection and Affordable Care Act (BP-PPACA) was enacted as the first federal breastfeeding law which outlined specifically break time and a place to pump for businesses with over 50 employees who employed hourly wage workers. There is little known about the satisfaction of hospital employees pumping/lactation experience after the BP-PPACA.

Purpose/Aims: The purpose of this study was to determine the extent to which employed mothers' …

Telehealth Breastfeeding: Best Practice Guideline, Laura Amabile

Doctor of Nursing Practice Final Manuscripts

Background: Only 24.9% of United Stated infants are exclusively breastfed through six months. Healthy People 2020 breastfeeding goals include increasing the proportion of infant breastfed through six months to 60.6%. The Surgeon General’s Call to Action identified increasing access to International Board-Certified Lactation Consultants as a priority to improve breastfeeding percentages.

Purpose: Implementation of an evidence-based telehealth breastfeeding guideline, will provide mothers with consistent education regarding breastfeeding practices and guidance to overcome common obstacles, which will then result in increased confidence levels regarding breastfeeding and increase breastfeeding durations.

Study and Design: The Iowa model was utilized to guide this project. …

Managing Pediatric Atopic Dermatitis In The Allergy Clinic: Use Of An Eczema Action Plan To Improve Caregiver Understanding And Self-Efficacy, A Pilot Study, Danielle Hubacek

Doctor of Nursing Practice Final Manuscripts

Eczema, or atopic dermatitis, is a complex and chronic condition that affects approximately 10% of children throughout the United States (Brown et al., 2018). The American Academy of Allergy Asthma & Immunology (AAAAI) (2017) estimates the average cost of eczema management for each patient is approximately $3,302 per year. The complex nature of atopic dermatitis indicates a need for individualized treatment plans. Research has shown that standardized patient teaching, written education materials, and Eczema Action Plans (EAP) reinforce patient teaching, parental understanding, and improve quality of life. This evidence-based practice (EBP) project introduces the use of a written Eczema Action …

A Systematic Review: The Impacts Of Non-Pharmacological Therapy Interventions, Such As Exercise, On Postpartum Depressive Symptoms In Postpartum Women?, Jennifer Rafala, Amanda Kozlowski, Kristin Simons, Madison Rhoad, Courtney Greene

Symposium of Student Scholars

Abstract

Title: A Systematic Review: The impacts of non-pharmacological therapy interventions, such as exercise, on postpartum depressive symptoms in postpartum women?

Background: Postpartum depression is a psychological condition most often seen within six weeks after birth. Often confused with short-term “baby blues”, postpartum depression can be debilitating including excessive crying, insomnia, fatigue, feelings of hopelessness and worthlessness, and other disruptive symptoms that can impede the new mother’s ability to care for herself and her baby. Postpartum depression often goes unrecognized by new mothers; however, when diagnosed, treatment regimens frequently include pharmacological interventions.

Objectives: This systematic review aimed to determine the …

Standardizing And Documenting Decision-To-Incision Intervals For Unscheduled Cesarean-Section Deliveries, Molly Bloom

Master's Projects and Capstones

The term decision-to-incision interval (DII) refers to the interval between when a laboring patient and their healthcare provider agree to an unscheduled surgical cesarean section (C/S) delivery and when the first incision is made in the operating room. The ideal length for this interval varies with the urgency of each case, and there is no international consensus regarding the timing. In an urban labor and delivery unit in a private hospital, examination of this interval revealed inconsistent documentation of the decision, as well as unclear guidelines on the DII for two of the three unscheduled C/S urgency levels. This quality …

Preeclampsia In African America Women, Breanna Shoultz, Qweita Eastman, Taylor Maynor, Konstanz Ewing

Symposium of Student Scholars

Background: Every year in the U.S., there are 700 pregnancy related deaths that occur, with ⅔ of those deaths being preventable. African American women are 3-4% more likely to die of pregnancy related complications, mainly preeclampsia, than any other population. Preeclampsia is related to cardiovascular diseases such as high blood pressure, which Black women are more at risk for. Objective: This systematic review will explore how preventative techniques such as the use of diuretics and physical activity during pregnancy will decrease the risk for preeclampsia in African American women compared to untreated preeclampsia complications that affect mortality rates upon delivery. …

Utilizing A Stress And Coping Model Into A Preventive Abusive Head Trauma Parent/Caregiver Educational Program, Camile Williams

Doctor of Nursing Practice (DNP) Projects

Abusive head trauma (AHT) is a serious form of child maltreatment that is the primary cause of fatal head injuries in children younger than 24 months and is the cause for over 50% of severe or fatal traumatic brain injury incidences. These injuries can be caused by impact, shaking, or the combination of shaking and impact. These multi-factorial injuries can cause intracranial and spinal damage, retinal hemorrhages, and fractures of ribs and other bones. The age and severity of injuries will be used to assess the diagnosis of AHT. When AHT occurs, it is often tied to the behavior from …

Increasing Vaccination Rates In Pregnancy Using A Multifaceted Approach Including Patient Education And Reminder/Recall Interventions, Jas Tiara Mcgee

Evidence-Based Practice Project Reports

Given the global tragedy that this most recent pandemic has caused, more attention has been given to the devastating outcomes that the spread of infectious disease outbreaks can have. Similar to those with comorbid conditions, pregnant women are also extremely vulnerable to infectious diseases, as disease manifestation does not only affect the mother, but the fetus as well. Thus, the prevention of both the influenza virus and pertussis are two major goals when providing care for this population. Preventing both of these disease processes during the intrapartum period helps to ensure optimal wellness for both mother and baby and overall …

Effect Of Infant Breastfeeding Versus Formula Feeding For A Minimum Of One Month On Cognitive Outcomes In Early Childhood, Mary K. Bosson, Sarah Michelle Hodges, Madison Victoria Cavalli, Kaitlyn Grace Carmichael

EURēCA: Exhibition of Undergraduate Research and Creative Achievement

Cognitive development is an important part of infant growth since intellectual predilections in infancy set enduring patterns. Evidence supports that exclusive or mixed breastfeeding for at least one month may improve general child cognition scores. Breast milk contains nutrients such as docosahexaenoic acid (DHA), arachidonic acid (AA), zinc, choline, and vitamin B12 that enhance myelination in the brain to improve cognition. Even if formula is able to be fortified with these vitamins and minerals, formula-fed infants tend to experience slower digestion with less nutrient absorption. Despite the potential nutritional gains of breastfeeding, there is a knowledge gap regarding how long …

Implementation Of A Nurse-Led Family Centered Engagement Intervention For Caregivers Of Extremely Premature Infants In The Neonatal Intensive Care Unit, Emily Keenan, Michaela L. Ranallo, Kathleen A. Walsh, Haley Chapko, Tiffany A. Moore

Doctor of Nursing Practice Projects: College of Nursing

Objective: The objective of this feasibility study was to examine the implementation and usefulness of an intervention for extremely premature infant (EPI) caregivers.

Results: One caregiver and five nurses provided feedback with a mean score of 4.4 out of 5 pertaining to helpfulness.

Conclusions: Implementation of the Caregiver’s Guide was feasible and was positively received by NICU nurses and caregivers. We recommend implementing a revised version of this tool based on nurse and caregiver feedback. The delivery of education should be divided between dayshift and nightshift nurses so that one nurse is not responsible for providing all the information. The …

Neonatal Abstinence Syndrome Nonpharmacological Intervention Education For Healthcare Professionals Caring For Newborns, Darby Harvey

Doctor of Nursing Practice Scholarly Project

Neonatal abstinence syndrome has increased significantly in the United States over the past few decades due to the increase of maternal substance abuse. The overall goal of caring for these infants is effective management of the withdrawal symptoms, including both pharmacological and nonpharmacological interventions. However, nonpharmacological interventions have been shown to improve infant outcomes and reduce length of hospitalization. This project sought to increase healthcare professionals’ knowledge and confidence regarding neonatal abstinence syndrome and the utilization of nonpharmacological interventions when caring for infants diagnosed with neonatal abstinence syndrome through the provision of an educational presentation. This study utilized a one-group …

Genetics In The Nicu: Nurses’ Perceived Knowledge And Desired Education, Kathleen Shields

Dissertations & Theses (Open Access)

A large proportion of infants admitted to neonatal intensive care units (NICUs) have genetic conditions. NICU nurses play an important role in providing comprehensive care to these patients and their families. Previous research has demonstrated gaps exist in the genetics knowledge of nurses and that they lack comfort applying genetics information to clinical practice, but no research has been done assessing the knowledge of or comfort with genetics of NICU nurses specifically. NICU nurses (n=122) completed an online survey assessing their perceived knowledge of genetics, comfort with clinical scenarios involving genetics, and desired genetics education. Participants reported the highest levels …

Exploring Relationships Among Race, Mothers' Perceptions Of Discrimination During Perinatal Healthcare Visits, And The Prevalence Of Adverse Maternal And Neonatal Health Outcomes, Fiona So

Nursing | Senior Theses

The institutionalized marginalization of the Black, Indigenous, and People of Color (BIPOC) population is not an uncommon theme throughout American history. Although a majority of American society actively refers to racial discrimination in the past tense, recent events such as the Black Lives Matter movement demonstrates that countless biases based solely on skin complexion are still ingrained into the minds of many. Due to the pervasiveness of implicit biases, American healthcare professionals are also subject to believing and acting upon these biases, either consciously or subconsciously, which could directly affect the quality of care that their BIPOC patients receive.

A …

Complementary And Alternative Medicine: The Effects Of Aromatherapy On New And Expectant Mothers, Heather Tran

Nursing | Senior Theses

Complementary and alternative medicine (CAM) is vastly expanding and is now being used in the clinical setting as an effective management of various symptoms. Pregnancy, labor, and the postpartum period can be beautiful yet overwhelming moments in a woman’s life. The symptoms that are usually accompanied along this journey include nausea, vomiting, anxiety, pain, fatigue, stress and more. Aromatherapy has been proven to be a safe and natural, non-pharmacological method in reducing these symptoms that may make it harder for the mother to enjoy her pregnancy. This holistic approach to treatment is inexpensive, noninvasive, does not require a prescription from …

Understanding How Mothers Perceive Doulas During Childbirth, Eva J. Huff

Chancellor’s Honors Program Projects

No abstract provided.

Breastfeeding In Public: Knowledge And Perceptions On A University Campus, Jessica Tracy Weiss

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Research has shown that exclusive breastfeeding is the best source of nutrition for most infants and offers numerous physical and psychosocial benefits for the newborn and mother. Returning to work or attending university courses and maintaining exclusive breastfeeding is a challenge due to barriers such as time, private space, and public perception of breastfeeding in public. The aim of our study is to provide data, identify barriers and assess education needs to support breastfeeding mothers on a university campus. This study utilizes an adapted version of the Breastfeeding Behavior Questionnaire (BBQ), the Iowa Infant Feeding Attitude Scale (IIFAS), and knowledge …

Prenatal Dietary Education, Using The Midwifery Model, In Ireland Vs The United States, Allison Erby

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Prenatal dietary education is a very important component of care in healthy pregnancies, but more than that, dietary education can be an indicator of the value a healthcare provider places on holistic care or preventive medicine. The United States and Ireland are compared in this study because they represent high intervention vs. low intervention approaches, respectively, to obstetric care. Healthcare professionals from the United States and Ireland perceive the most important nutrients and method of receiving those differently. Maybe the most telling contrast, healthcare professionals in Ireland perceive food as the way pregnant women should receive vital nutrients, but healthcare …