Nursing Midwifery Commons^™

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 ...

The Impact Of Stress On The Menstrual Cycle, Katherine Iris Gilbrech

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Background/Purpose

Reproductive health is an important indicator of a woman’s overall health; however, menstruation is often viewed negatively in modern society. Across the nation, women are suffering with issues related to hormones and menstruation. Evidence continues to surface linking high levels of stress to negative health outcomes. The purpose of this literature review is to assess the effects of stress and stress reduction of the menstrual cycle in naturally-cycling women of reproductive age.

Methods

Peer-reviewed research within the past five years was selected for this review using the U.S. National Library of Medicine National Institutes of Health ...

Determining Racial And Ethnic Disparities In Breastfeeding In The United States, Summer Coker

The Eleanor Mann School of Nursing Undergraduate Honors Theses

The benefits of breastfeeding have been thoroughly studied and researched, with the majority of healthcare providers, health organizations and policies, and professionals in health all recommending the practice. Breastfeeding has protective factors for the newborn against infection and mortality. Other benefits for breastfed children include reduced risk of obesity, asthma, and ear infections; enhanced chance of having a higher income; and a stronger immune system that can follow them throughout adulthood (World Health Organization [WHO] 2020). For mothers who breastfeed, there is a reduced risk of developing ovarian and breast cancer, high blood pressure, and type 2 diabetes (Centers for ...

High-Risk Pregnant Patients In The Third Trimester: Comparing Mental And Physical Health, Megan Maxwell

MSN Capstone Projects

The purpose of the paper is to compare physical and mental health in high-risk pregnant patients in their third trimester who are managed in an inpatient setting compared to an outpatient setting. This paper looks at specific high-risk pregnancy diagnoses.

Assessment Of Intrapartum Nurses' Beliefs Related To Birth Practices, Janice Scaggs

Doctoral Projects

Intrapartum nurses’ beliefs influence nursing behavior and nursing interventions during labor and birth. Assessing these beliefs in a regional hospital in the Southeastern United States was the focus of the doctoral project. Before the project, there was no objective data that assessed individual nurse’s beliefs and birth practices in the labor and delivery unit, or among the nursing staff as a whole. A knowledge gap existed in understanding if the nursing culture valued, promoted, and supported intended vaginal birth. Nursing leadership recognized that the overall cesarean birth rate and primary cesarean birth rate in the hospital were similar to ...

Breastfeeding Self-Efficacy Of Early Postpartum Mothers In An Urban Municipality In The Philippines, Artemio Morado Gonzales Jr.

Asian / Pacific Island Nursing Journal

Studies on women have identified breastfeeding confidence as an important variable in influencing breastfeeding outcomes. The mother’s breastfeeding self-efficacy in the early postpartum period was a strong predictor of the duration of breastfeeding. This study aims to assess the breastfeeding self-efficacy of the postpartum mothers in urban barangays of San Jose Occidental Mindoro.

The respondents of the study were 200 early postpartum mothers distributed equally chosen from four purposively selected urban barangays. The data collection technique was through a survey interview using 14-item Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF) and a demographic questionnaire. Descriptive and inferential statistics were used to ...

Exploring The Experiences Of The Older Adults Who Are Brought To Live In Shelter Homes In Karachi, Pakistan: A Qualitative Study, Laila Akber Cassum, Keith Cash, Waris Qidwai Dr, Samina Vertejee

School of Nursing & Midwifery

Background: The traditional joint family system in a culturally diverse Pakistani society shows great respect and care for older population by the families and their generations. However, in the recent years the phenomenon of population ageing in Pakistan is rapidly increasing due to demographic shift influencing life expectancy, along with changes in socio-cultural values. This transition has resulted in institutionalization of the elderly as an emerging shelter alternative. The aim of this study was to explore the experiences of the elderly people and to identify the reason which compelled them to reside in these shelter homes.
Method: A ...

Assessing Maternal Satisfaction Of Perinatal Care Provided In A Rural Ob/Gyn And Midwifery Clinic, Nadia S. Fletcher

College of Nursing and Health Sciences Doctor of Nursing Practice (DNP) Project Publications

Purpose: Women’s childbirth experience can have long-term consequences on overall health and well-being of the parents and infant. Evaluating individual’s perspectives of maternal care received allows for appropriate assessment and improvements in the quality of care provided to ensure positive, evidence-based and respectful care. This project’s aim is to develop a formalized method of evaluating patient’s satisfaction with perinatal care delivered at a rural Ob/Gyn and Midwifery clinic with the intent of improving care.

Methods: A childbirth experience questionnaire was developed using a validated tool, the Norwegian Pregnancy and Maternity Care Patients’ Experiences Questionnaire (PreMaPEQ ...

Lowering Antibiotic Resistance Utilizing Breastmilk, Moriah J. Harris

University Honors Program Theses

Antibiotic resistance is considered an emerging crisis in the healthcare world. This crisis has the potential to cause many bacterial diseases that cannot be cured using antibiotic drugs, which can lead to serious infections and death. There have been numerous studies that have found that sugars, proteins and protein-lipid complexes in breastmilk have antimicrobial properties. It has been proposed that these properties in breastmilk can help solve the antibacterial resistance crisis. This research project involved studying antibiotic resistance and how breastmilk can help solve this increasingly prevalent problem.

The implementation step of this research project involved a PowerPoint presentation detailing ...

Can Cmws Sustain Quality Services And High Coverage As Private Providers In Chitral? A Three-Year Prospective Qualitative Study, Rafat Jan, Arusa Lakhani, Salma Rattani, Laila Lalji, Kiran Mubeen, Mehtab Q. Jaffer

Journal of Asian Midwives (JAM)

Background: The maternal and neonatal mortality ratesof Chitral district of Pakistan are among the highest in the country. One of the factors that found to havepositive impact on maternal and newborn health indicators is the availability ofquality skill birth attendance because the majority of the poor women cannot access facility-based maternity care. Therefore, in 2006, the Government of Pakistan (GOP) has initiated a program to train and deploy Community Midwives (CMWs) to support safe pregnancies and births. The Aga Khan Health Service’ Pakistan, initiated the Chitral Child Survival Program (CCSP) in partnership with the National Maternal Neonatal and Child Health ...

Introducing Icm’S President – Author Of Editorial December, 2019, Rafat Jan, Franka Cadee

Journal of Asian Midwives (JAM)

No abstract provided.

Caesarean Section Rates In South Asian Cities: Can Midwifery Help Stem The Rise?, Sulochana Dhakal Rai, Amudha Poobalan, Rafat Jan, Malin Bogren, Juliet Wood, Ganesh Dangal, Pramod Regmi, Edwin Van Teijlingen, Keshar Bahadur Dhakal, Sahib Jan Badar, Farhana Shahid

Journal of Asian Midwives (JAM)

Introduction: Caesarean section (CS) is a life-saving surgical intervention for delivering a baby when complications arisein childbirth. World Health Organization recommends a rate of CS from 10% to 15%. However, CS rates increased steadily in recent decades and have almost doubled from 12.1% in 2000 to 21.1% in 2015. Therefore, this has become a global public health problem. The main purpose of the scoping review article is to give an overview and analysis of the rising CS use in four South Asian countries: Bangladesh, India, Nepal and Pakistan.

Methods: A scoping review was carried-out using several bibliographic electronic ...

Does Pre-Pregnancy Bmi Predict Transfer To A Hospital From A Birth Center For Pain Management?, Audrey Fleenor

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Background:Birth centers are staffed predominantly by midwives and nurses who care for a patient population consisting of low-risk pregnancies. The American Association of Birth Centers requires that the birth center has an agreement with a local hospital to transfer patients if need-be before, during or after delivery in case any complications arise that may result in needing alternative care (Rathbun, 2017). The rate of obesity in the United States has been rising for years. Obesity affects overall health as well as a woman’s pregnancy and pregnancy outcomes. Overall, an obese individual does not prioritize physical exercise and lacks ...

Willow Creek Women's Hospital Internship, Destinee Ross

The Eleanor Mann School of Nursing Undergraduate Honors Theses

While the use of midwifery is proven to improve outcomes for low-risk mothers and infants, many healthcare providers, nurses, and patients in Northwest Arkansas continue to be skeptical about utilizing midwifery care. During my internship, I worked directly with labor and delivery nurses, physicians, and a midwife at Willow Creek Women’s Hospital and provided high-quality care to women during their birthing process. This hospital focuses entirely on women and infant care and provides gynecological, obstetric, and newborn services. Willow Creek Women’s Hospital is also one of the few hospitals in Arkansas to implement a certified nurse-midwife (CNM) and ...

Addressing Barriers To Maternal Healthcare For Marshallese Islanders In Northwest Arkansas: An Internship Experience, Victoria Richardson

The Eleanor Mann School of Nursing Undergraduate Honors Theses

The Marshallese community is a rapidly growing population in Northwest Arkansas. Approximately 12,000 people migrated from the Marshall Islands and settled in the state of Arkansas due to the signing of the Compact of Free Association (COFA) in 1986. Although the population in Northwest Arkansas is experiencing rapid growth, there are significant health disparities that coincide with it. Due to vast cultural differences, language barriers, low economic status, and political barriers, the Marshallese community suffers from prenatal health inequalities and poor maternal and fetal outcomes, including low birth-weight infants, premature births, and increased infant mortality. During my internship, I ...

Exploration Of Naturopathic Medicine For Pregnant And Laboring Women, Megan Latreille

Honors Projects

Exploration of natural medicine has become increasingly common among individuals. With proper use, natural medicine can help treat many common ailments experienced during pregnancy, delivery, and postpartum. This paper serves to shed light on naturopathic medicinal techniques for expectant mothers and families, so that they may implement such in their own lives throughout pregnancy, during labor, and after birth. Yoga can be adapted and utilized during antenatal and postpartum periods to help with stress levels, depression, and physical health. Hypnosis, meditation, and hypnobirthing provide similar effects such as decreased stress and increased contentment; promoting a smoother and more effective labor ...

Exploration Of The Experiences And Viewpoints Of Faculty Members On Continuing Education Webinars: A Qualitative Study, Fatemeh Jafarzadeh-Kenarsari, Kobra Abouzari-Gazafroodi, Fatemeh Zaersabet

The Qualitative Report

Continuing education is necessary to improve the professional knowledge and skills of graduates of medical sciences, which may be implemented via e-learning. This qualitative study aimed to explore the experiences and viewpoints of faculty members participating in continuing education webinars. The participants consisted of 15 faculty members selected purposefully and with maximal variation regarding their sex, age, the field of specialization, academic rank, and work experience. Data were collected through semi-structured individual face-to-face interviews. Data analysis of these transcripts using a qualitative content analysis approach revealed 3 themes and 9 sub-themes. The main themes included “Moving across the boundaries of ...

The Effectiveness Of Psychotherapy In The Treatment Of Postpartum Depression, Elisa De Feo

Grace Peterson Nursing Research Colloquium

ABSTRACT

Background: Suicide is the second leading cause of death in postpartum women making it a major health priority. Lack of diagnosis, recognition of symptoms, and proactive treatment of postpartum depression (PPD) can lead to devastating effects on the mother and child such as harm or death. The intervention of psychotherapy is recommended as a first line treatment for PPD and is a means by which PPD can be reduced or avoided altogether. This integrative literature review seeks to discover if there is an opportune time in which to initiate psychotherapy interventions in order to reduce or prevent PPD development ...

The Role Of Nurses' Knowledge Of Postpartum Complications And Its Effects On Maternal Mortality Rates In The United States: An Integrative Literature Review, Elizabeth Reid

Grace Peterson Nursing Research Colloquium

Background:The maternal mortality rate for the United States of America still remains the highest of all developed countries with 20.7 deaths per 100,000 live births with the CDC estimating that 60% of all of the deaths were preventable.

Objectives: The purpose of this integrative literature review was to identify the common causes of maternal mortality and nurses’ knowledge of these issues and how they apply this knowledge to care for and provide discharge education to patients.

Methods: This integrative literature review was conducted with the key words “maternal mortality, maternal morbidity, postpartum, nurse’s education, complications, quality ...

Influence Of Supportive Care On Chemotherapy Patients' Self-Care Behaviour And Satisfaction: A Pilot Study Conducted In Karachi, Pakistan, Salima Shams, Adnan Jabbar, Kashmira Nanji, Rafat Jan, Ambreen Tharani

Ambreen Tharani

Background and aim: Cancer is a daunting illness affecting a vast number of people globally. During the illness trajectory, cancer patients suffer from physical and/or psychosocial issues. These physical and psychosocial issues demand conscious actions by patients to maintain their well-being. Hence, the objective of the pilot study was to evaluate the level of self-care behaviors and satisfaction in women suffering from cancer after exposure to supportive care (education and mind diversion activities) delivered via a patient help group program.
Methods: The study was conducted at the chemotherapy day care unit of one of the tertiary care ...