Nursing Commons^™

Handling Effects In Moderate To Late Preterm Infants In Neonatal Intensive Care, Nancy Brashear

Loma Linda University Electronic Theses, Dissertations & Projects

Providing a thriving environment to preterm infants receiving care in the neonatal intensive care unit is an ongoing area of interest to stakeholders interested in infant health. With advances in monitoring technology, there are new methods to assess the effects of care on preterm infants. Effects of neonatal handling have been analyzed in terms of physiological, behavioral, and pain responses. Further assessment of the effects of handling is needed to determine the impact, if any, on renal and cerebral regional oxygenation in moderate to late preterm infants (34-36 ^6/7 gestation). A conceptual model was developed based on pertinent theoretical frameworks …

An Examination Of The Moderating Effect Of Proactive Coping In Nicu Nurses, Britan M. Moore

Loma Linda University Electronic Theses, Dissertations & Projects

The NICU environment is unique in that the patient population consists of critically ill neonates. Research has revealed that there are increased levels of depression, secondary traumatic stress, and burnout in nurses. Problem solving and support seeking coping strategies have been shown to be associated with lower levels of burnout and increased patient and job satisfaction in general staff nurses. Multiple linear regression and a hierarchical stepwise technique was used to conduct moderator analyses assessing whether the use of problem solving or support seeking strategies moderated the relationship between secondary traumatic stress levels and burnout as well as between depressive …

Predictors Of Postpartum Depression Among Women In Karachi, Pakistan, Vimla Gill John

Loma Linda University Electronic Theses, Dissertations & Projects

Pakistan has the highest prevalence of postpartum depression (PPD) among Asian countries. The purpose of this quantitative, cross-sectional study was to determine the predictors of PPD among women in Karachi, Pakistan. The Transactional Model of Stress and Coping was used as a framework. A purposive convenience sample of 234 postpartum women was taken from out-patient departments of a tertiary care hospital in Karachi, Pakistan. A survey in English and Urdu containing the Edinburgh Postnatal Depression Scale (EPDS), DUREL Religion Index Subscale three, Cohen’s 10-item Perceived Stress Scale (PSS), Multidimensional Scale of Perceived Social Support (MSPSS), Abuse Assessment Screen, Traditional postpartum …

Effects Of Nurse Caring Behaviors On Mothers' Anxiety And Attachment In Pregnancy Following Perinatal Loss, Joyce G. Oliverio Volsch

Loma Linda University Electronic Theses, Dissertations & Projects

Childbirth is usually a joyful experience for most families. However, women who have experienced the death of a baby during pregnancy often view subsequent pregnancies with fear and apprehension. It is estimated that 59% – 86% of women with previous perinatal loss will become pregnant again (O’Leary, 2004). There is limited research on what bereaved parents perceive as caring behaviors by nurses following the human experience of perinatal loss. The purpose of this research study was to determine if nurse caring behaviors (NCB) during the perinatal loss event affect pregnancy-specific anxiety (PSA) and maternal-fetal attachment (MFA) in women who are …

The Efficacy Of An Audio Program And Discussion Guide In Promoting Exclusive Breastfeeding In Cameroon, Africa, Kathryn R. Reinsma

Loma Linda University Electronic Theses, Dissertations & Projects

Background: In the Northwest Region of Cameroon, approximately 90% of women initiate breastfeeding; however, only 34% continue exclusive breastfeeding for the recommended six months (Kakute, et al., 2005; WHO, 2008). Entertainment-education is a mass-media communication strategy of placing educational information into media such as television programs, movies, and radio programs (Siegel & Lotenberg, 2007). This form of behavioral change communication has proven effective in addressing health-related issues in developing countries.

Purpose: The aim was to design an audio program and discussion guide to test the hypothesis that an audio program and discussion guide improves exclusive breastfeeding knowledge, beliefs, benefits, self-efficacy, …

Pregnant Adolescents' Knowledge Of Infant Development, Lynn A. Standley

Loma Linda University Electronic Theses, Dissertations & Projects

[Abstract Not Included]

The Effects Of Nonnutritive Sucking On The Behavior Of Premature Infants, Jean Newbold

Loma Linda University Electronic Theses, Dissertations & Projects

This quasi experimental study explored the effects of nonnutritive sucking opportunities on the premature's behavioral habituation, orientation and state control using the Mann-Whitney U-Test. The problem was to determine if experimental infants receiving regular nonnutritive sucking opportunities would show a difference in behavior when compared to a control group.

The sample was a purposive convenience sample of 15 infants. All infants were between the conceptual age of 28-34 weeks and were considered "stable" infants. Neurological examinations, consisting of selected segments of the Brazelton Newborn Behavioral Assessment Scale (BNBAS), were performed on all infants on the day of entry into the …

Measuring The Effectiveness Of Patient Teaching In Postpartum Patients, Nancy Racine

Loma Linda University Electronic Theses, Dissertations & Projects

[Abstract Not Included]

Signs And Symptoms Of Infection In Newborn Infants With And Without Sibling Visits, Marilyn Thunquest

Loma Linda University Electronic Theses, Dissertations & Projects

[No Abstract Included]

A Comparison Of Three Approaches And The Effect On Observable Maternal Behaviors In Adolescent-Infant Bonding, Joreen Buttner

Loma Linda University Electronic Theses, Dissertations & Projects

[Abstract Not Included]

Support Systems Of Mexican-American Women And Their Attitudes Regarding Infant Feeding, Susan Marie Krantz

Loma Linda University Electronic Theses, Dissertations & Projects

This was a descriptive study of 37 recently migrated to the United States, Spanish-speaking, Mexican-American women. Attitudes and support systems associated with their choice to breast or bottle feed their infants were studied. The purpose of this research was to answer the following questions:

1. What are the differences in the attitudes of Mexican- American primiparas who choose to breast feed and those who choose to bottle feed?

2. What are the differences in the practice, recommendations, and proximity of location of significant members of the women's support systems?

Twenty-one breast feeders and 16 bottle feeders were interviewed in Spanish …

A Comparative Study On The Frequency Of Respiratory, Gastrointestinal, And Allergic Disorders Between Bottle-Fed And Breast-Fed Infants From Birth To Twelve Weeks Of Age, Sylvia C. Souza

Loma Linda University Electronic Theses, Dissertations & Projects

Questions concerning the advantages of breast-feeding have been debated since the introduction of commercially-prepared formula about 50 years ago. Some recognized benefits of breast milk include less respiratory as well as other Infections, less allergy in infancy and later life, and a lower morbidity rate in less-developed countries. From 1955 to 1971 in the United States there was a decline in the incidence of breast feeding related to several factors which included the introduction of formula, mothers returning to the work force, and strict maternity units' rules and routines. Since 1971 to the present there has been a resurgence in …

The Effect Of Post-Hospital Nursing Intervention On Success In Breastfeeding, Melinda Hoskins

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to compare the proportion of women in the experimental group who had a successful breastfeeding experience following post-discharge nursing intervention with the proportion of women in the control group who had a successful breastfeeding experience without nursing intervention. Criteria defining success in breastfeeding were established before the study. Chi-square analysis was used to test for significance with the preset level of significance being α = 0.05. The sample comprised 25 mother-infant dyads with 12 in the experimental group and 13 in the control group. Both groups were similar in type of delivery (spontaneous or …

The Effects Of A Teen Mother Program On The Growth And Development Of The Child, Barbara Mccarthy

Loma Linda University Electronic Theses, Dissertations & Projects

Teen-aged childbearing is a serious social, economic and health problem which has now reached epidemic proportions in the United States. Teen pregnancies have been shown to produce infants of low birth weight, of higher risk to disease and of slower growth and development.

Many programs have been developed by the state and federal government to help the young mother better cope with the problems of pregnancy. These Teen Mother programs combine the opportunity to complete a high school education with instruction in the special skills needed for parenting. This study was designed to investigate the growth and development of the …

The Effect Of A Values Clarification Strategy On The Smoking Behavior Of Pregnant Women, Jean Eiber

Loma Linda University Electronic Theses, Dissertations & Projects

The null hypothesis of this study stated that there would be no significant difference (α=.05) in the change in smoking behavior following a teaching intervention to discourage smoking in pregnant women between those who completed a values clarifying strategy prior to the intervention and those who did not. Forty subjects were randomly assigned 20 to an experimental group and 20 to a control group. Both groups completed a pretest questionnaire concerning demographic data and smoking behavior. Information regarding the adverse effects on the fetus and on the developing child of smoking was presented to each subject by the researcher. The …

Maternal Vascular Compliance Of Placentas In Rabbits, Gwen Matthews Brownfield

Loma Linda University Electronic Theses, Dissertations & Projects

The incidence of maternal and infant morbidity and mortality has led to a continued study into the physiology and pathophysiology of the placenta, the seat of life for the developing fetus. For several decades investigation has been made into the morphology and exchange functions of the placenta and blood flow in the uterus and placenta, but only recently has compliance begun to have been studied. Recognizing the important part it plays in affecting circulation, compliance has been studied in the fetal circulation of the placenta, the fetal placental vascular bed, and the umbilical vasculature, The purpose of the present study …

Parental Perception Of The Neonate, Liza Ann Webb

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to determine maternal and paternal perceptions of the neonate. The Broussard Neonatal Perception Inventory was used to measure perception.

Thirty couples who delivered normal, healthy, first-born infants at a Naval Hospital in San Diego volunteered for the study. Consent forms were signed during the hospital stay and the Broussard Neonatal Perception Inventory was administered to both parents in the homes when the infants were one month old.

Statistical analysis of data showed that mothers and fathers did rate their one-month-old infants as above the average infant using the Broussard Neonatal Perception Inventory. The range …

The Effect Of The Warm Water Bath On Axillary Temperature In Normal Newborns, Ann J. Morton

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to compare the effects of the warm water bath and the radiant heater on the axillary temperatures of normal newborns. The sample group consisted of thirty newborns--15 babies placed into the water bath in Group I, and 15 babies placed under the radiant heater in Group II. Birth weights were between 6.25 and 8.75 pounds, gestational ages between 37 and 41 weeks, and 5-minute Apgar scores were 8 or more. The maternal temperatures, taken within two hours before birth, ranged between 97 and 99 degrees. All infants were born by spontaneous or low-forceps vertex …

Maternal Perception Of The Neonate, Linda Bertucci

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to determine the maternal perception of the neonate in two groups of patients. The Broussard Neonatal Perception Inventory was used to measure maternal perception. The Inventory was modified by the researcher for use with both primiparae and multiparae. The control group consisted of fifteen mothers receiving traditional postpartum care in the hospital setting. The study group was composed of fifteen mothers who, prior to delivery, chose to participate in an early discharge program. In the early discharge program the patient and her newborn returned home twelve to twenty-four hours after delivery with home follow-up …

Community Health Nursing Assessment And Counseling Of The Breast-Feeding Primipara, Donita Rotherham

Loma Linda University Electronic Theses, Dissertations & Projects

An experimental study was conducted with twenty-one breast-feeding primiparas during the initial four-week post-partal period to test the effect of in-home community health nursing assessment and counseling on the breast-feeding success rate. It was hypothesized that mothers receiving assessment and counseling regarding physical, informational and psychosocial needs, would be more successful than those who were not counseled.

Criteria for success were: (1) breast-feeding at four weeks postpartum, (2) an adequate milk supply as evidenced by no need for formula supplementation to keep the baby satisfied, (3) an infant weight gain of one to two pounds during the four-week period, and …

Community Health Nursing Assessment And Counseling Of The Breast-Feeding Primipara, Donita Rotherham

Loma Linda University Electronic Theses, Dissertations & Projects

An experimental study was conducted with twenty-one breast-feeding primiparas during the initial four-week post-partal period to test the effect of in-home community health nursing assessment and counseling on the breast-feeding success rate. It was hypothesized that mothers receiving assessment and counseling regarding physical, informational and psychosocial needs, would be more successful than those who were not counseled.

Criteria for success were: (1) breast-feeding at four weeks postpartum, (2) an adequate milk supply as evidenced by no need for formula supplementation to keep the baby satisfied, (3) an infant weight gain of one to two pounds during the four-week period, and …

Concerns Of Postnatal Mothers About Sexuality, Sheela A. Gideon

Loma Linda University Electronic Theses, Dissertations & Projects

An exploratory study was designed to find out what questions mothers had about postnatal sexuality. A questionnaire was prepared by the nurse researcher to find out answers to the following questions.

1. What specific questions do mothers have about sexual relations following delivery?
2. Do mothers feel free to initiate discussion about resumption of intercourse following delivery?
3. Do mothers like their husbands to be included in the discussion?
4. When do mothers prefer to receive information regarding sexual relationships following delivery?

The questionnaire was mailed to fifty primipara mothers between three and four weeks after delivery. Mothers with pronounced anemia, heart and lung …

Prenatal Instruction Of Breast Feeding Mothers, Anita Berry

Loma Linda University Electronic Theses, Dissertations & Projects

This experimental study tested the effect of prenatal instruction on the success of a group of mothers who desired to breast feed their infants. It was hypothesized that mothers receiving information on how to nurse their infants, how to prevent complications and how to cope with common problems of breast feeding would have a higher success rate than those not so instructed.

Criteria for success was that the mothers would have an adequate supply of milk to meet the nutritional demands of their infant without supplementation, would have fewer and less severe complications, and would express a higher degree of …

Prenatal Instruction Of Breast Feeding Mothers, Anita Berry

Loma Linda University Electronic Theses, Dissertations & Projects

This experimental study tested the effect of prenatal instruction on the success of a group of mothers who desired to breast feed their infants. It was hypothesized that mothers receiving information on how to nurse their infants, how to prevent complications and how to cope with common problems of breast feeding would have a higher success rate than those not so instructed.

Criteria for success was that the mothers would have an adequate supply of milk to meet the nutritional demands of their infant without supplementation, would have fewer and less severe complications, and would express a higher degree of …

Assisting Mothers To Successfully Breast Feed Their Babies, Annabelle Moore

Loma Linda University Electronic Theses, Dissertations & Projects

This experimental study tested the effect of a teaching program on success of a group of mothers desiring to breast feed their babies. It was hypothesized that mothers receiving specific instructions on the physiology of lactation and the proper sucking technique would have greater success than mothers not so instructed.

To be categorized as successful the mothers had to have an adequate supply of milk and had to express satisfaction with breast feeding. Criteria for adequacy of milk supply consisted of weight gain of the infant within accepted norms without use of supplementary formula.

Twenty breast feeding mothers who delivered …

Influence Of Hospital Communication On Health Supervision Of High-Risk Infants, Alda L. Forte

Loma Linda University Electronic Theses, Dissertations & Projects

The study was conducted to explore the extent to which communication about high-risk infants identified prior to hospital discharge, influences the public health nursing supervision to these infants during the neonatal period. A high-risk infant was defined as one that stands a greater than average chance of developing neonatal, life threatening disease or sequellae (physical, intellectual, or social handicap) due usually to maternal health or social factors, infant factors such as length of gestation, birth trauma, or complications at birth. The hypothesis tested was that when high-risk infants are identified prior to hospital discharge and this information communicated on the …

The Effect Of Selected Nurse-Patient Contacts On The Attendance Of Non-Private Patients At Preparation For Childbirth Classes, Judith A. Hart

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to determine whether selected nurse-patient contacts effected the attendance of non-private patients at Preparation for Childbirth classes. During the data collection period only six of the eight patients who met the criteria for this study were available. Each of the six patients was reached by at least one of the three types of nurse-patient contacts-- a letter of invitation to the Preparation for Childbirth classes, weekly contacts with the patients at the classes and three home visits to each patient. Tools used to collect data for this study were a personal information questionnaire, home …

A Historical Study Of The Nursing Care Of The Newborn Infant In The Hospital Nursery, Synnove Wasli

Loma Linda University Electronic Theses, Dissertations & Projects

This was a historical study of past ideas, beliefs, and practices in the nursing care of the normal newborn infant in the hospital nursery. The study covered the years 1930 to 1965 and was divided into four cross sections, namely, 1930 to 1935, 1940 to 1945, 1950 to 1955, and 1960 to 1965.

The primary sources used in this study consisted of one hundred infant medical records which were made available by a 382-bed, private, general hospital located in a Los Angeles suburb. One procedure manual used in this hospital during the years 1944-1955 qualified as a primary source. Personal …

The Relationship Of Instructions During Labor And Relaxation, Frances Josephine Hume Lopez

Loma Linda University Electronic Theses, Dissertations & Projects

A causal-comparative study was done in a county hospital using twenty subjects to determine if the ''unprepared" primigravida patient in active labor will experience less pain if given instructions to aid relaxation. It was hypothesized that the "unprepared" primigravida patients receiving continuous nurse attendance plus instructions to aid relaxation by (1) breathing techniques, and (2) body positions would show less evidences of pain, tension and anxiety during the first and second stages of labor than the group of patients which received only the continuous nurse attendance.

Two devices, (1) a structured observation, (2) a questionnaire with fixed-alternative questions, were used …

Nurse Attendance Versus Use Of Analgesic Medication In The First Stage Of Labor, Jo Ann Soulé Henriksen

Loma Linda University Electronic Theses, Dissertations & Projects

To determine if the woman who receives the continuous attendance of a nurse during the first stage of labor requires less analgesic medication than the woman who is given interrupted or intermittent nursing care, a study was made employing the experimental method with the parallel-group technique. Thirteen patients meeting the criteria of the study who received continuous nursing attendance during the first stage of labor by the nurse researcher were closely matched to thirteen patients from a group of one hundred seventy-three, whose nursing care was given by the staff personnel. As an objective method of assessing support during labor …