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Articles 1 - 12 of 12
Full-Text Articles in Medicine and Health Sciences
Provision Of Maternal Breastmilk In The Neonatal Intensive Care Unit: A Grounded Theory Analysis, Emma West, Samrawit Kelkay
Provision Of Maternal Breastmilk In The Neonatal Intensive Care Unit: A Grounded Theory Analysis, Emma West, Samrawit Kelkay
21st Annual Celebration of Undergraduate Research and Creative Activity (2022)
Despite the importance of providing hospitalized extremely preterm (EP, < 32 weeks gestation) very low birth weight (VLBW, < 1500 grams) infants with mother’s own milk (MOM), a low percentage of neonates are discharged receiving MOM. The purpose of this study was to explore the experience of mothers of EP VLBW infants and related breastmilk provision in the neonatal intensive care unit (NICU) to develop a general theory of maternal breastmilk provision. This grounded theory study implemented classical qualitative methods. Transcribed maternal interviews were analyzed using the web-based data management and analysis platform of Dedoose. A total of 30 mothers, recruited within a large Midwestern hospital’s NICU, were included in this study. Ten participants provided longitudinal data, while 20 provided data at one-time point. Participants were primarily 22-25 years old (30%, n=10), Black (61%, n=20), multiparous (55%, n=18), living with the father of the baby (36%, n=12), and gave birth via Cesarean section (70%, n=23). Interview analyses yielded three core constructs: maternal psychosocial experiences, maternal cognitive experiences, and infant health. We hypothesized that these core constructs impact maternal breastmilk provision through the mediating factor of maternal health. The psychosocial construct encompasses relationships, responsibilities, resources, bonding, and control. The construct of cognition was categorized into knowledge level and initial breastfeeding intentions. Individual theme co-occurrence, chronological distribution of thematic influence, and general conclusions are pending, as they will be derived from code co-occurrence findings and a chronological understanding of the themes. Limitations include the use of a single hospital site for data collection and the hospital’s high level of support for lactating mothers. Future research should explore prominent themes that emerge from this study and their chronological impact on MOM provision. Nurses should implement evidence-based interventions related to these themes to support breastfeeding mothers of EP VLBW infants.
Maternal Provision Of Mother's Milk And Birth Trauma In The Neonatal Intensive Care Unit: A Grounded Theory Analysis, Emma West, Samrawit Kelkay
Maternal Provision Of Mother's Milk And Birth Trauma In The Neonatal Intensive Care Unit: A Grounded Theory Analysis, Emma West, Samrawit Kelkay
20th Annual Celebration of Undergraduate Research and Creative Activity (2021)
Less than half of very low birth weight (VLBW, < 1500 grams) infants are discharged from the neonatal intensive care unit (NICU) receiving mother’s own milk (MOM), despite its demonstrated importance. Nevertheless, few studies have explored the impact of maternal perceived trauma (MPT) on infant feeding outcomes. The purpose of this study is to describe MPT among mothers of hospitalized VLBW infants and examine infant feeding outcomes with MPT. This analysis is derived from a grounded theory study exploring the maternal provision of milk among a convenience sample of mothers with VLBW infants at a Midwest NICU. This study utilized semi-structured interviews and content analysis to identify common themes (n=30). Data were analyzed using Dedoose, web-based data management and analytical software. A preliminary analysis identified trauma as a prominent theme. Trauma was defined as a mother’s perceived inability to process an experience at the time of the event, a lack of understanding during the time of an event, and the rapid decline of either maternal or infant health. The occurrence of MPT (n=865) was reported most frequently in women described as Black (46%), multipara (57%), married (75%), and ages > 30 (57%). The MPT frequency was greater with cesarean (54%) and hypertensive (71%) births. The MPT frequency with MOM was 63%, but only 23% with exclusive MOM at discharge. This study’s limitations include using a single hospital location and only English-speaking mothers, making the results less generalizable. Additionally, the interviewer’s Latina racial identity may have led to a sense of kinship with some mothers. A better understanding of MPT and those at risk for MPT will allow providers the opportunity to identify interventions to increase MOM feedings at discharge proactively.
Analysis Of Surgical Personnel Traffic In The Operating Room, Sophia Jarzembowski
Analysis Of Surgical Personnel Traffic In The Operating Room, Sophia Jarzembowski
18th Annual Celebration of Undergraduate Research and Creative Activity (2019)
Operating rooms (ORs) are one of the most aseptic environments in the hospital, but factors such as traffic caused by surgical personnel are associated with surgical site infections. This study proposes to evaluate the mean number of door swings per case among those trafficking the OR and reasons for entry and exit. This study will apply Florence Nightingale’s Environmental Theory, as this theory focuses on factors within the environment that can affect the patient’s outcome which is the main objective of this study. This observational study comes from log data (n= 71) of monitored scheduled surgical cases including the time, …
Theory Of Planned Behavior: Examining Breastfeeding Intentions And Behaviors, Rebecca Chema
Theory Of Planned Behavior: Examining Breastfeeding Intentions And Behaviors, Rebecca Chema
18th Annual Celebration of Undergraduate Research and Creative Activity (2019)
Breastfeeding is the gold standard for infant nutrition, providing benefits to both infants and mothers. According to the Theory of Planned Behavior (TPB), a mother’s breastfeeding intention is directly related to the following antecedents: attitudes, subjective norms, and perceived behavioral control. The purpose of this descriptive, prospective study was to examine the relationship between antecedents and breastfeeding intentions and behavior at 60 days postpartum utilizing three online questionnaires administered prior to birth and at 10 and 60 days postpartum. The baseline questionnaire measured participants’ attitudes, subjective norms, and perceived behavioral control toward breastfeeding intentions, while day 10 and day 60 …
Impact Of Donor Milk On Short- And Long-Term Growth Of Very Low Birth Weight Infants, Rebecca Hoban, Michael E. Schoeny, Anita Esquerra-Zwiers, Tanyaporn K. Kaenkumchorn, Gina Casini, Grace Tobin, Alan H. Siegel, Kousiki Patra, Matthew Hamilton, Jennifer Wicks, Paula Meier, Aloka L. Patel
Impact Of Donor Milk On Short- And Long-Term Growth Of Very Low Birth Weight Infants, Rebecca Hoban, Michael E. Schoeny, Anita Esquerra-Zwiers, Tanyaporn K. Kaenkumchorn, Gina Casini, Grace Tobin, Alan H. Siegel, Kousiki Patra, Matthew Hamilton, Jennifer Wicks, Paula Meier, Aloka L. Patel
Faculty Publications
Mother’s own milk (MOM) reduces the risk of morbidities in very low birth weight (VLBW) infants. When MOM is unavailable, donor breastmilk (DM) is used, with unclear impact on short- and long-term growth. This retrospective analysis compared anthropometric data at six time points from birth to 20–24 months corrected age in VLBW infants who received MOM supplements of preterm formula (n = 160) versus fortified DM (n = 161) during neonatal intensive care unit (NICU) hospitalization. The cohort was 46% female; mean birth weight and gestational age (GA) were 998 g and 27.3 weeks. Multilevel linear growth models assessed changes …
Apathy, Genetics, And Functional Status In Persons With Alzheimer Disease, Emilie Dykstra Goris
Apathy, Genetics, And Functional Status In Persons With Alzheimer Disease, Emilie Dykstra Goris
Faculty Publications
Background/Significance: Alzheimer Disease (AD) is an irreversible dementia that progressively destroys cognitive and daily functioning. About 5.4 million Americans currently suffer from AD, with estimated prevalence to reach 16 million by 2050 (Alzheimer's Association, 2012). AD is often regarded with fear, as most affected individuals eventually fail to recognize loved ones, lose the ability to care for themselves, and may display negative neuropsychiatric behaviors, such as apathy. Apathy is a disorder of motivation with deficits in behavioral, emotional, and/or cognitive domains and is conceptualized as a need-driven behavior, based on the Need-Driven Dementia-Compromised Behavior Model (Algase et al., 1996). Problem: …
New Instruments To Evaluate Geriatric Nurse Practitioners Incorporation Of Spiritual Care Into Practice, Barbara Vincensi
New Instruments To Evaluate Geriatric Nurse Practitioners Incorporation Of Spiritual Care Into Practice, Barbara Vincensi
Faculty Presentations
No abstract provided.
The Relationship Of Education On Geriatric Nurse Practitioners Frequency Of Providing Spiritual Care In Practice, Barbara Vincensi
The Relationship Of Education On Geriatric Nurse Practitioners Frequency Of Providing Spiritual Care In Practice, Barbara Vincensi
Faculty Presentations
No abstract provided.
Health And Healing In Compariative Perspective: U.S. And Mexico, Mary Scheerhorn, Jonathan D. Hagood
Health And Healing In Compariative Perspective: U.S. And Mexico, Mary Scheerhorn, Jonathan D. Hagood
Faculty Presentations
A global experience comparing the development of the healing professions, the economics of the modern health sector, and practices of health and healing in the U. S. and México. An intense three week cultural experience in Querétaro, México in health clinics and hospitals under the supervision of faculty from the Universidad Autónoma de Queretaro and the Hope College Nursing Department. Cultural enrichment for nursing, pre-physical therapy, pre-med and other pre-health major students.
Caring For The Spirit To Decrease Healthcare Costs: Are Nurse Practitioners Able To Recognize The Cues And Behaviors Of Spiritual Care Concerns And Provide Spiritual Care To Patients?, Barbara Vincensi
Faculty Presentations
No abstract provided.
Integrating Spiritual Care Into Nurse Practitioners’ Practice: Improving Patient Health Indicators While Limiting Cost, Barbara Vincensi
Integrating Spiritual Care Into Nurse Practitioners’ Practice: Improving Patient Health Indicators While Limiting Cost, Barbara Vincensi
Faculty Presentations
No abstract provided.
The Implications Of Genomics On The Nursing Care Of Adults With Neuropsychiatric Conditions, Debra L. Schutte Phd, Rn, Marilyn A. Davies Phd, Rn, Emilie D. Goris Bsn, Rn
The Implications Of Genomics On The Nursing Care Of Adults With Neuropsychiatric Conditions, Debra L. Schutte Phd, Rn, Marilyn A. Davies Phd, Rn, Emilie D. Goris Bsn, Rn
Faculty Publications
Purpose: Neuropsychiatric disorders contribute substantially to disease burden and quality of life across the lifespan and the globe. The purpose of this article is to review the state of the science regarding genomic contributions to selected common neuropsychiatric conditions and to examine the consequent immediate and future implications for nursing practice and research. Organizing Construct: Our work is guided by an ecological model that recognizes that common diseases are complex or multifactorial, meaning that multiple genomic and environmental factors contribute to their etiology. Methods: A review of the literature was conducted to determine the state of the science in relationship …