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Rural Nebraska Women's Explanatory Models Of Postpartum Depressive Symptomatology, Elizabeth Mollard 2016 University of Nebraska Medical Center

Rural Nebraska Women's Explanatory Models Of Postpartum Depressive Symptomatology, Elizabeth Mollard

Theses & Dissertations

The purpose of this study was to construct the explanatory models of postpartum depressive symptomatology (PPDS) from the perspective of rural Nebraska women and to compare these models with the medical model of PPDS. A sample of 20 rural Nebraska women were interviewed in a one-on-one qualitative descriptive telephone interview using questions based on Kleinman’s (1980) explanatory model of illness. This study used feminist pragmatism as a guiding philosophical paradigm. Qualitative data were analyzed using content analysis, and results were compared and contrasted with the medical model of PPDS, which included the onset, symptoms, and duration listed in the ...


Doulas Could Improve Foreign-Born Women’S Perinatal And Postpartum Satisfaction And Increase Health Providers’ Cultural Competency In A Multicultural Urban Area Of The United States., Crystal Kazik 2016 Clark University

Doulas Could Improve Foreign-Born Women’S Perinatal And Postpartum Satisfaction And Increase Health Providers’ Cultural Competency In A Multicultural Urban Area Of The United States., Crystal Kazik

International Development, Community and Environment (IDCE)

Doulas act as a cultural bridge between clients and providers through the support, advocacy, and education they provide. Unfortunately, migrant women may be at a disadvantage for accessing and benefiting from their services due to a variety of socioeconomic and cultural factors including predisposed ideas of care and structure based on experiences in native countries, language barriers, lower health literacy, and a lack of awareness and understanding from hospital/clinic staff.

A strategic multifaceted approach utilizing doulas, such as Boston Medical Center’s collaborative and culturally competent model, may greatly improve foreign-born women’s experience and satisfaction with healthcare when ...


Antibiotics And Antiseptics For Pressure Ulcers., Gill Norman, Jo C Dumville, Zena EH Moore, Judith Tanner, Janice Christie, Saori Goto 2016 University of Manchester

Antibiotics And Antiseptics For Pressure Ulcers., Gill Norman, Jo C Dumville, Zena Eh Moore, Judith Tanner, Janice Christie, Saori Goto

School of Nursing and Midwifery Articles

BACKGROUND: Pressure ulcers, also known as bedsores, decubitus ulcers and pressure injuries, are localised areas of injury to the skin or the underlying tissue, or both. A range of treatments with antimicrobial properties, including impregnated dressings, are widely used in the treatment of pressure ulcers. A clear and current overview is required to facilitate decision making regarding use of antiseptic or antibiotic therapies in the treatment of pressure ulcers. This review is one of a suite of Cochrane reviews investigating the use of antiseptics and antibiotics in different types of wounds. It also forms part of a suite of reviews ...


Home V. Hospital: Power And Birth, An Examination Of Control Within Birth Models In The United States, Sarah W. Rosene 2016 College of Charleston

Home V. Hospital: Power And Birth, An Examination Of Control Within Birth Models In The United States, Sarah W. Rosene

SEWSA 2016 Intersectionality in the New Millennium: An Assessment of Culture, Power, and Society

In this paper I examine why some women in the United States choose midwife attended homebirth over the medical model of birth. Why do women make this decision and what are the outcomes? I examined both qualitative and quantitative data on homebirths and have identified key reasons why women chose to give birth outside of the hospital. I focused on how the mother's feelings of control impacted her satisfaction with the birth experience, and how women’s control is affected in home versus hospitalized birth. My findings reveal that home births allow the woman more agency and an environment ...


Validity Of Home-Based Sonographic Diagnosis Of Obstetric Risk Factors By Auxiliary Nurse Midwives In Rural Nepal, Naoko Kozuki, Luke C. Mullany, Subarna K. Khatry, Ram Ghimire, Sharma Paudel, James M. Tielsch, +5 additional authors 2016 George Washington University

Validity Of Home-Based Sonographic Diagnosis Of Obstetric Risk Factors By Auxiliary Nurse Midwives In Rural Nepal, Naoko Kozuki, Luke C. Mullany, Subarna K. Khatry, Ram Ghimire, Sharma Paudel, James M. Tielsch, +5 Additional Authors

Global Health Faculty Publications

Background

Approximately 2·3 million fetal, neonatal, or maternal deaths occur annually during the intrapartum period or on the day of birth. Several risk factors for intrapartum-related complications require ultrasonography for accurate diagnosis, but sonographic services are scarce in low-resource settings. In this study, we aimed to assess the feasibility of community-based ultrasonography conducted by auxiliary nurse midwives to identify basic obstetric risk factors, in rural Sarlahi District, Nepal. We aimed to assess the validity at which these health workers can detect noncephalic position, multiple gestation, and placenta previa and to explore whether sonographic diagnosis could improve outcomes for women ...


Training Traditional Birth Attendants In Sub-Saharan Africa, Lindsey J. Smith 2016 Liberty University

Training Traditional Birth Attendants In Sub-Saharan Africa, Lindsey J. Smith

Senior Honors Theses

Even after many adjustments, recommended practice regarding traditional birth attendants (TBAs) and their contribution to lowering the maternal mortality rate (MMR) continues to be disputed among various stakeholders. Sub-Saharan Africa continues to see high maternal mortality rates, despite various attempts by the World Health Organization (WHO) and others at utilizing the formal health care system (Prata, et al., 2011). Considering all factors and variables behind the reason for this problem in Sub-Saharan African, it is reasonable to conclude that training traditional birth attendants (TBAs) in evidence-based practice, in conjunction with developing longer-term strategies, is an appropriate approach for the short ...


The Changing Roles And Reputations Of Dais In Rural Uttarakhand: An Investigation Into The Maternal Health Services Of Villages In Okhalkanda Block In Nainital, Jenna Davis 2016 SIT Graduate Institute - Study Abroad

The Changing Roles And Reputations Of Dais In Rural Uttarakhand: An Investigation Into The Maternal Health Services Of Villages In Okhalkanda Block In Nainital, Jenna Davis

Independent Study Project (ISP) Collection

The dai, once a prominent figure in Indian maternal health, now faces marginalization as the government of India adopts the goal of universal institutional delivery. Under pressure from international discourse that Skilled Birth Attendants (SBAs) were more effective at lowering Maternal Mortality Rate (MMR) than Traditional Birth Attendants (TBAs) like dais (World Health Organization), dai training was discontinued and left in the hands of NGOs, while concurrently women and ASHAs were monetarily incentivized for every institutional birth (Park, 419). Yet in rural, isolated, or hilly areas like Okhalakanda block in Uttarakhand, institutional delivery is a long way from universal—only ...


Organisation Of Health Services For Preventing And Treating Pressure Ulcers (Protocol), Pauline Joyce, Zena EH Moore, Janice Christie, Jo C. Dumville 2016 Royal College of Surgeons in Ireland

Organisation Of Health Services For Preventing And Treating Pressure Ulcers (Protocol), Pauline Joyce, Zena Eh Moore, Janice Christie, Jo C. Dumville

School of Nursing and Midwifery Articles

This is the protocol for a review and there is no abstract. The objectives are as follows: To assess the effects of different pr ovider-orientated interventions targeted at the organisation of he alth services, on the prevention and treatment of pressure ulcers.


A Pilot Study Of A 6-Week Parenting Program For Mothers Of Pre-School Children Attending Family Health Centers In Karachi, Pakistan., Yasmeen Khowaja, Rozina Karmaliani Professor, Shela A. Hirani, Asif Raza Khowaja, Ghazala Rafique, Judith McFarlane 2016 Aga Khan University

A Pilot Study Of A 6-Week Parenting Program For Mothers Of Pre-School Children Attending Family Health Centers In Karachi, Pakistan., Yasmeen Khowaja, Rozina Karmaliani Professor, Shela A. Hirani, Asif Raza Khowaja, Ghazala Rafique, Judith Mcfarlane

School of Nursing & Midwifery

BACKGROUND:

Recently, parenting programs to address behavioural and emotional problems associated with child maltreatment in developing countries have received much attention. There is a paucity of literature on effective parent education interventions in the local context of Pakistan. This study aimed to assess the feasibility of offering a 6-week parenting program for mothers of pre-schoolchildren attending family health centres (FHCs) in Karachi, the largest metropolitan city of Pakistan.

METHODS:

A pilot quasi-experimental trial was conducted. Two FHCs were selected, one as the intervention and the second as the control. A total of 57 mothers of pre-school children (n = 30 intervention ...


Effective Interventions To Reduce The Increase In Elective Cesarean Sections In Low Risk Women, Kimberly Kelsey, Crystal Hunter, Brianna Tan, Sara Shea, Heather Holland, Sasha Riley, Mary Uy, Tenzin Tsomo, Fasha Ruys-solorzano, Dolma Tso 2016 Dominican University of California

Effective Interventions To Reduce The Increase In Elective Cesarean Sections In Low Risk Women, Kimberly Kelsey, Crystal Hunter, Brianna Tan, Sara Shea, Heather Holland, Sasha Riley, Mary Uy, Tenzin Tsomo, Fasha Ruys-Solorzano, Dolma Tso

Student Research Posters

According to the Annals of Family Medicine, the amount of babies born via cesarean section has increased from 4.5% in 1965 to 26.1% in 2002 and nearly 40% of all cesarean sections are repeats. After an extensive literature review, results showed that patients need to be educated about the risks and benefits of vaginal delivery and cesarean delivery. It was also found that there needs to be policy changes to decrease the amount of cesarean sections done and increase the labor and delivery support without using interventions. Further study should be focused on morbidity and mortality very low ...


An Ethnographic Investigation Of The Maternity Healthcare Experience Of Immigrants In Rural And Urban Alberta, Canada., Gina M. Higginbottom, Jalal Safipour, Sophie Yohani, Beverly O’Brien, Zubia Mumtaz, Patricia Paton, Yvonne Chiu, Rubina Barolia 2016 University of Nottingham, South Block Link Queen's Medical Centre, Nottingham, UK.

An Ethnographic Investigation Of The Maternity Healthcare Experience Of Immigrants In Rural And Urban Alberta, Canada., Gina M. Higginbottom, Jalal Safipour, Sophie Yohani, Beverly O’Brien, Zubia Mumtaz, Patricia Paton, Yvonne Chiu, Rubina Barolia

School of Nursing & Midwifery

BACKGROUND:

Canada is among the top immigrant-receiving nations in the world. Immigrant populations may face structural and individual barriers in the access to and navigation of healthcare services in a new country. The aims of the study were to (1) generate new understanding of the processes that perpetuate immigrant disadvantages in maternity healthcare, and (2) devise potential interventions that might improve maternity experiences and outcomes for immigrant women in Canada.

METHODS:

The study utilized a qualitative research approach that focused on ethnographic research design and data analysis contextualized within theories of organizational behaviour and critical realism. Data were collected over ...


Experiences Of Adopting Blended Pedagogies In Health Assessment Course In Post Rn Baccalaureate Program Of Nursing In Karachi, Pakistan., Shanaz Hussein Cassum SC, Saleema Allana, Jacqueline Maria Dias 2016 Aga Khan University

Experiences Of Adopting Blended Pedagogies In Health Assessment Course In Post Rn Baccalaureate Program Of Nursing In Karachi, Pakistan., Shanaz Hussein Cassum Sc, Saleema Allana, Jacqueline Maria Dias

School of Nursing & Midwifery

Purpose:

There is little known about whether faculty and students in a resource constricted context experience a change in learning due to the adoption of blended learning (BL) pedagogies in a lab based course. The study aimed to understand the experiences of faculty and students’ related to the adoption of BL pedagogies in health assessment course.

Design:

An action research design was used in this study to integrate planning, action and research in the setting where the change is required. The study sample consisted of year 1 Post RN BScN students enrolled at the Aga Khan University School of Nursing ...


The Effect Of Alternative Labor Positions Versus The Lithotomy Position On Birthing Outcomes: An Integrative Literature Review, Kelsey Gaffka 2016 University of Central Florida

The Effect Of Alternative Labor Positions Versus The Lithotomy Position On Birthing Outcomes: An Integrative Literature Review, Kelsey Gaffka

Honors in the Major Theses

Traditionally, the lithotomy position is the most commonly used birthing position in western cultures. The purpose of this literature review was to examine the differences in maternal and neonatal outcomes when alternative labor positions are used. Implications for future use of alternative labor positions were explored. Peer reviewed, English-language research articles published from 2009 to 2015 were included for synthesis. Study results revealed that the lithotomy position is linked to multiple negative maternal outcomes. Birthing in a water pool or in a lateral position has been linked to more optimal maternal and neonatal outcomes compared to other positions. Health care ...


Pelvic Floor Muscle Training In Management Of Postpartum Pelvic Floor Dysfunctions: A Literature Review, Rebecca S. Tanner 2016 University of Central Florida

Pelvic Floor Muscle Training In Management Of Postpartum Pelvic Floor Dysfunctions: A Literature Review, Rebecca S. Tanner

Honors in the Major Theses

Women can face a wide range of pelvic floor dysfunctions following pregnancy, ranging from urinary incontinence to pelvic pain. Unfortunately, these problems are not routinely checked for in postpartum check-ups and women do not always bring it to the physician’s attention. Strengthening of the pelvic floor muscles may be able to help women prevent these disorders and improve these women’s lifestyles.

The purpose of this thesis was to review and analyze different trials to determine if different pelvic floor dysfunctions (urinary incontinence, sexual dysfunction, and pelvic girdle pain) can be treated using pelvic floor muscle training in the ...


What Do Antenatal Care Providers Understand And Do About Oral Health Care During Pregnancy: A Cross-Sectional Survey In New South Wales, Australia, Ajesh George, Hannah G. Dahlen, Jennifer Reath, Shilpi Ajwani, Sameer Bhole, Andrew Korda, Harrison Ng Chok, Charmaine Miranda, Amy Villarosa, Maree Johnson 2016 Australian Catholic University

What Do Antenatal Care Providers Understand And Do About Oral Health Care During Pregnancy: A Cross-Sectional Survey In New South Wales, Australia, Ajesh George, Hannah G. Dahlen, Jennifer Reath, Shilpi Ajwani, Sameer Bhole, Andrew Korda, Harrison Ng Chok, Charmaine Miranda, Amy Villarosa, Maree Johnson

Faculty of Health Sciences Publications

Background There is mounting evidence to support the lack of awareness among pregnant women about health consequences and long term risks associated with poor oral hygiene during pregnancy. A recognised and important point of influence is their interaction with health professionals, particularly when receiving Antenatal Care. However, there is limited evidence about the perceptions of ANC providers in Australia toward the provision of perinatal oral healthcare. This study was undertaken to explore the knowledge, attitudes and practices of Antenatal Care ( ANC ) providers in New South Wales ( NSW ), Australia providing perinatal oral healthcare and to identify barriers to and predictors of ...


Does A Change In The Way Early Labour Care Is Provided Reduce Epidural Rates? A Pre-Post Intervention Study, Lauren Williams 2016 Australian Catholic University

Does A Change In The Way Early Labour Care Is Provided Reduce Epidural Rates? A Pre-Post Intervention Study, Lauren Williams

Theses

Background: Normal birth, by common definition, is achieved with minimal or no intervention and is widely regarded as the safest method of birth for healthy mothers and babies. There is evidence to support delaying women’s admission to birthing suite until labour has established to avoid unnecessary interventions, such as epidurals and augmentation of labour. Reflecting this evidence base a large metropolitan hospital (study site) introduced an early labour care model in September 2012, to improve the flow of work and provide better accommodation and an alternative care option for women and their support people during early labour. This involved ...


Low Self-Esteem Leads To Depression Among Elderly: Case Study Of Nursing Home, Savera Aziz Ali, Nadir Suhail, Sumera Aziz Ali 2016 Aga Khan University

Low Self-Esteem Leads To Depression Among Elderly: Case Study Of Nursing Home, Savera Aziz Ali, Nadir Suhail, Sumera Aziz Ali

School of Nursing & Midwifery

Background: Self-esteem is defined as “how we value our self”; it affects our trust and relationships in every part of life. Person with low self-esteem may feel powerless and incompetent about himself/herself. Moreover, low self-esteem operates as a risk factor for depression, which is most common disorder among elderly people both in developed and developing countries, causing multiple behavioral changes as well as may increase the chances of depression and suicide among the elderly people. Objective: The objective of this case study was to understand the problems faced by elderly people in the nursing home and to relate the ...


Integration Of Health Promotion Into Nursing Practice: A Case Study In Pakistan., Muneerah Vastani, Rozina Karmaliani Professor, Pammla M. Petrucka 2016 Aga Khan University

Integration Of Health Promotion Into Nursing Practice: A Case Study In Pakistan., Muneerah Vastani, Rozina Karmaliani Professor, Pammla M. Petrucka

School of Nursing & Midwifery

The purpose of this study was to understand the concept of health promotion and perceptions related to the integration of health promotion in nursing practice in Pakistan. The study utilized the qualitative single case study approach to explore and describe the concept of health promotion, its significance and ways to integrate health promotion strategies in nursing practice. The data were collected from three different sources; focus group discussion among final year Post-RN BScN students, key informant interviews of practicing nurses, faculty, and MScN students, as well as a document review of the Post-RN BScN curriculum. Data analysis included a content ...


Measuring Oral Health During Pregnancy: Sensitivity And Specificity Of A Maternal Oral Screening (Mos) Tool, Ajesh George, Hannah G. Dahlen, Anthony Blinkhorn, Shilpi Ajwani, Sameer Bhole, Sharon Ellis, Anthony Yeo, Emma Elcombe, Ayesha Sadozai, Maree Johnson 2016 Australian Catholic University

Measuring Oral Health During Pregnancy: Sensitivity And Specificity Of A Maternal Oral Screening (Mos) Tool, Ajesh George, Hannah G. Dahlen, Anthony Blinkhorn, Shilpi Ajwani, Sameer Bhole, Sharon Ellis, Anthony Yeo, Emma Elcombe, Ayesha Sadozai, Maree Johnson

Faculty of Health Sciences Publications

Background: Being the parent of a severely injured child involves many stressors throughout the trauma journey. Internationally, little is known about the experiences or levels of emotional distress, parenting stress, quality of life, and resilience for parents of injured children. The aim of this study is to investigate the experiences, unmet needs and outcomes of parents of physically injured children 0–12 years over the 2 year period following injury. Methods/design: This is a prospective longitudinal study using an embedded mixed methods design. This design has a primary qualitative strand which incorporates supplementary quantitative data on child quality of ...


Antenatal Psychosocial Risk Status And Australian Women's Use Of Primary Care And Specialist Mental Health Services In The Year After Birth: A Prospective Study, Virginia Schmied, Rachel Langdon, Stephen Matthey, L. Kemp, Marie-Paule Austin, Maree Johnson 2016 Australian Catholic University

Antenatal Psychosocial Risk Status And Australian Women's Use Of Primary Care And Specialist Mental Health Services In The Year After Birth: A Prospective Study, Virginia Schmied, Rachel Langdon, Stephen Matthey, L. Kemp, Marie-Paule Austin, Maree Johnson

Faculty of Health Sciences Publications

Background: Poor mental health in the perinatal period can impact negatively on women, their infants and families. Australian State and Territory governments are investing in routine psychosocial assessment and depression screening with referral to services and support, however, little is known about how well these services are used. The aim of this paper is to report on the health services used by women for their physical and mental health needs from pregnancy to 12 months after birth and to compare service use for women who have been identified in pregnancy as having moderate-high psychosocial risk with those with low psychosocial ...


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