Nursing Midwifery Commons^™

Turnover Propensity Among Nurses In Pakistan: Overview And Management, Anaiz Ahmed Khowaja, Nasreen Rafiq, Fazal Rabi, Nazia Merchant, Neelam Rafiq, Sanam Zulfiqar

School of Nursing & Midwifery

Human resource management is an important stake of health care systems. Today, the increase in the burden of diseases has increased the demands of health care professionals in particular Nurses who are the key assets to these agencies. Unfortunately, there is a huge difference between the numbers of nurses between developed and developing countries. Various databases were used to identify this gap, rationales behind its existence and recommendations to improve it.

Factors Associated With Midwives' Job Satisfaction And Intention To Stay In The Profession: An Integrative Review, Dianne Bloxsome, Deborah Ireson, Gemma Doleman, Sara Bayes

Research outputs 2014 to 2021

AIMS AND OBJECTIVES: To conduct an integrative review of the factors associated with why midwives stay in midwifery.

BACKGROUND: Midwifery retention and attrition are globally acknowledged as an issue. However, little is known as to why midwives stay in midwifery as the focus has previously focussed on why they leave.

DESIGN: A structured six-step integrative review approach was used, and this involved the development of a search strategy, study selection and critical appraisal, data abstraction and synthesis, interpretation of findings and recommendations for future practice.

METHODS: The review was conducted using the databases MEDLINE, CINAHL and PsychInfo. Included studies were …

Epidural Analgesia Effect In Labor And Delivery, Deka A. Abdulle

All Electronic Theses and Dissertations

Epidural analgesia has an impact on duration of labor, type of delivery and the neonate. Good research data supports epidural analgesia shorts first stage of labor, lengthens second stage, increases instrumental delivery but no increased risk for cesarean delivery. Epidural analgesia has no effect on neonatal Apgar scores but decreases initiating and duration of breastfeeding.

The Effect Of Amniotomy On Labor Progression, Lauren Marie Casey, Eric Johann Judd Ii

All Electronic Theses and Dissertations

Background/Purpose: Amniotomy has been a tool used for over 50 years to progress labor. This literature review researches the effects that amniotomy has on active labor progression. Theoretical Framework: The theoretical framework selected for this literature review was The System’s Model by Betty Neuman. This theory focuses on the effects that internal and external forces have on health. This was selected because of the effects that amniotomy can have on labor progression. Methods: For this review, the 20 articles were selected following a search in The Cumulative Index to Nursing and Allied Health Literature (CINAHL), CINAHL Plus, Cochrane Database of …

How Nurse-Midwives Can Best Support Families Who Have Experienced Perinatal Loss, Tina Marie Egner, Jennifer J. Kluck

All Electronic Theses and Dissertations

Background/Purpose: Although perinatal loss remains a common occurrence and nurse-midwives are instrumental in this care, the American College of Nurse-Midwives has yet to issue a position statement or professional care guidelines for providers. The purpose of the paper is to explore the literature to answer the research question: how can nurse-midwives best support families who have experienced a perinatal loss? The specific focal areas will examine best practices for providers based on current evidence. Theoretical Framework: Kristen Swanson’s (1991) Theory of Caring will serve as the conceptual framework to address the research question. Swanson’s middle range nursing theory of caring …

The Impact Of Midwifery Care On Racial Disparities In African American Women And Infants, Madeline Grace Englund, Antionette Renee Estis

All Electronic Theses and Dissertations

Background/Purpose: The purpose of this paper is to critically examine scholarly writings to understand the history and current manifestations of racism in maternal and perinatal outcomes and reproductive health care and to provide insight on how midwives can be impactful to the health disparities that impact Black women and infants. Theoretical Framework: Dr. David Williams created a framework for understanding the relationship between race and health. Understanding the differential distribution of adverse health consequences within racial groups is essential to developing effective solutions to these problems. Race is constructed of biological factors, social, and economic structures by which groups live …

Labor Induction Methods And Their Impact On Duration Of Labor And Rate Of Cesarean Section, Ashley M. Golinghorst

All Electronic Theses and Dissertations

Background/Purpose: The purpose of this paper is to critically review current literature regarding current methods for labor induction and their impact on the duration of labor and rate of cesarean section. Theoretical Framework: Imogene King’s Theory of Goal Attainment is the framework used for this literature appraisal. King’s theory focuses on the dynamic interacting systems for goal attainment (Gonzalo, 2011). Methods: Twenty-one original research articles involving labor induction methods were critically reviewed. Additionally, six systematic reviews involving labor induction methods were also included. Results/Findings: Labor induction is associated with an overall increased risk of cesarean section. Intravenous oxytocin use alone …

The Fertile Window, Ashley Joy Jensen

All Electronic Theses and Dissertations

Purpose: The purpose of this paper is to examine various biological indicators and tracking methods to determine which are the most accurate in identifying the fertility window for reproductive-aged women. Results: Whether the woman has regular or irregular cycles is a major determinant of what method can be successfully utilized. Additionally, the woman’s desire to achieve a pregnancy and her preference regarding intensity of the necessary training are significant factors in choosing a method. Use of two biologic indicators is discussed as some research points to this being the most effective. Finally, recommended web and mobile applications are discussed with …

Risks And Benefits Of Trial Of Labor After Cesarean When Compared To Elective Repeat Cesarean Section In Rural Facilities, Cassie Marie Kurtz, Anna Ruth Picker

All Electronic Theses and Dissertations

Background/Purpose: Trial of Labor After Cesarean (TOLAC) is a safe delivery option formany women. Due to demographics, availability in rural communities, and lack of education and opportunity, many women are not attempting them. Women should have access to TOLAC regardless of their geographic location, socio-economic status, or insurance. The American College of Obstetricians and Gynecologists (ACOG) practice bulletin urges that facilities have an emergency plan in place if an emergent cesarean is required. It does not state that staff must be immediately available. Rather, it recommends that facilities provide cesarean delivery for situations that are threatening to the life of …

Effects Of Labor Support From Doulas On Birth Outcomes, Mattea Jo Otten

All Electronic Theses and Dissertations

Background/Purpose: Women using a doula for support during labor and childbirth is increasing, with 6% of women in 2012 utilizing doulas (Dekker, 2017). The American College of Obstetricians and Gynecologists [ACOG] recommends one-to-one labor support to improve labor outcomes. The purpose of this literature review was to determine the effects of labor support from doulas on birth outcomes. Theoretical Framework: Kolcaba's Theory of Comfort can be used during childbirth. This theory focuses on relief, ease, and transcendence, allowing women the opportunity to rise above the pain and experience comfort, even when their pain is not gone. Doula support is intended …

The Effectiveness Of Non-Pharmacological Touch Therapies In Labor, Heather Rice

All Electronic Theses and Dissertations

Background/Purpose: The purpose of this paper is to critically analyze literature in order to determine the effectiveness of non-pharmacological touch therapies during labor. The touch therapies included in this literature review are acupuncture, acupressure, massage, and sterile water injections. The specific outcomes studies are labor pain, duration of labor, labor progress, mode of delivery, maternal satisfaction, and neonatal outcomes. Theoretical Framework: The Modeling and Role Modeling Theory can be used as a foundation for the utilization of non-pharmacological touch therapies in labor. This theory is a self-care model based on the clinical perception of the world and adaptations to stressors …

The Effect Of Integrative Medicine Practices On The Use Of Obstetric Intervention In Labor And Delivery, Rachel Cochran

All Electronic Theses and Dissertations

Background/Purpose: The purpose of this paper is to review scholarly writings to discern if the use of integrative medicine practices affects the use of obstetric intervention in labor and delivery. Theoretical Framework: The Theory of Human Caring by Jean Watson will be used as the theoretical structure of this literature review. Watson’s theory places caring at the center of all activities, decisions, and practices within the discipline of nursing and emphasizes a journey of caring for the whole person. Methods: Nineteen research articles were critically reviewed with the purpose of determining whether the use of specific integrative medicine practices affects …

Growing Evidence For The Impact Of Air Pollution On Depression, Naureen Akber Ali, Adeel Khoja

School of Nursing & Midwifery

No abstract provided.

Strengthening Bauchi State College Of Nursing And Midwifery By Updating Its Training Curricula, Procedure Manuals And Student Handbooks, Ekechi Okereke, Ibrahim Suleiman, Aisha Jibril

Reproductive Health

Many of Nigeria’s Nursing and Midwifery schools and colleges encounter challenges that include outdated training curricula, which can lead, in some cases, to loss of accreditation. In Bauchi state, a state College of Nursing and Midwifery was formally established in 2013. The Population Council engaged a curriculum expert who had worked with the Nursing and Midwifery Council of Nigeria (which stipulates minimum standards of compliance for accreditation) to assess the school’s training documents, including its training curriculum, procedure manual, and student handbook. The school is expected to secure full accreditation in 2019. The Population Council also supported the strengthening of …

Strengthening Cross River State Schools Of Nursing And Midwifery By Updating Their Training Curricula, Procedure Manuals And Student Handbooks, Ekechi Okereke, Godwin Unumeri, Aisha Jibril

Reproductive Health

Many of Nigeria’s Nursing and Midwifery schools and colleges encounter challenges that include outdated training curricula, which can lead, in some cases, to loss of accreditation. In Cross River state, in 2014 only one health training institution was accredited—provisionally. Five other institutions had lost their accreditations from the Nursing and Midwifery Council of Nigeria (NMCN) which stipulates minimum standards of compliance for accreditation. An assessment team led by the Director of Nursing of Calabar’s Ministry of Health visited the Cross River schools to determine the best ways of addressing the gaps in the accreditation team’s report. Through the HRH project …

Kangaroo Mother Care And Traditional Care, Arianna Smola, Kirsten Lawson

Williams Honors College, Honors Research Projects

Prematurity and low birth weight are leading causes of infant death. Throughout recent years care methods for this population have evolved from incubator care to Kangaroo Mother Care (KMC). The purpose of this systematic review was to answer the following PICO question: in the case of preterm and low birth weight (LBW) infants, how does the technique of Kangaroo Mother Care (KMC) compare to traditional incubator use, regarding long and short-term outcomes of preterm and LBW infant recovery. Methods of this study included the selection of twenty peer-reviewed articles that studied the effect of incubators and KMC on premature and …

Home Childbirth Among Young Mothers Aged 15-24 Years In Nigeria: A National Population-Based Cross-Sectional Study, Emmanuel O. Adewuyi, Vishnu Khanal, Yun Zhao, Lungcit David, Olasunkanmi D. Bamidele, Asa Auta

Research outputs 2014 to 2021

Objective To estimate the prevalence and identify factors associated with home childbirth (delivery) among young mothers aged 15–24 years in Nigeria. Design A secondary analysis of cross-sectional data from the 2013 Nigeria Demographic and Health Survey (NDHS). Setting Nigeria. Participants A total of 7543 young mothers aged 15–24 years. Outcome measure Place of delivery. Results The prevalence of home delivery among young mothers aged 15–24 years was 69.5% (95% CI 67.1% to 71.8%) in Nigeria—78.9% (95%CI 76.3% to 81.2%) in rural and 43.9% (95%CI 38.5% to 49.5%, p < 0.001) in urban Nigeria. Using the Andersen’s behavioural model, increased odds of home delivery were associated with the two environmental factors: rural residence (adjusted OR, AOR: 1.39, 95% CI 1.06 to 1.85) and regions of residence (North-East: AOR: 1.97, 95% CI 1.14 to 3.34; North-West: AOR: 2.94, 95% CI 1.80 to 4.83; and South-South: AOR: 3.81, 95% CI 2.38 to 6.06). Three of the enabling factors (lack of health insurance: AOR: 2.34, 95% CI 1.16 to 4.71; difficulty with distance to healthcare facilities: AOR: 1.48, 95% CI 1.15 to 1.88; and < 4 times antenatal attendance: AOR: 3.80, 95% CI 3.00 to 4.85) similarly increased the odds of home delivery. Lastly, six predisposing factors—lack of maternal and husband’s education, poor wealth index, Islamic religion, high parity and low frequency of listening to radio—were associated with increased odds of home delivery. Conclusions Young mothers aged 15–24 years had a higher prevalence of home delivery than the national average for all women of reproductive age in Nigeria. Priority attention is required for young mothers in poor households, rural areas, North-East, North-West and South-South regions. Faith-based interventions, a youth-oriented antenatal care package, education of girls and access to health insurance coverage are recommended to speed up the reduction of home delivery among young mothers in Nigeria.

Cesarean Delivery In Nigeria: Prevalence And Associated Factors -A Population-Based Cross-Sectional Study, Emmanuel O. Adewuyi, Asa Auta, Vishnu Khanal, Samson J. Tapshak, Yun Zhao

Research outputs 2014 to 2021

Objective To investigate the prevalence and factors associated with caesarean delivery in Nigeria. Design This is a secondary analysis of the nationally representative 2013 Nigeria Demographic and Health Survey (NDHS) data. We carried out frequency tabulation, χ2 test, simple logistic regression and multivariable binary logistic regression analyses to achieve the study objective. Setting Nigeria. Participants A total of 31 171 most recent live deliveries for women aged 15–49 years (mother–child pair) in the 5 years preceding the 2013 NDHS was included in this study. Outcome measure Caesarean mode of delivery. Results The prevalence of caesarean section (CS) was 2.1% (95% …

Acquiring Knowledge About The Use Of A Newly Developed Electronic Fetal Heart Rate Monitor: A Qualitative Study Among Birth Attendants In Tanzania, Sara Rivenes Lafontan, Johanne Sundby, Hussein Kidanto, Columba Mbekenga, Hege L. Ersdal

School of Nursing & Midwifery, East Africa

In an effort to reduce newborn mortality, a newly developed strap-on electronic fetal heart rate monitor was introduced at several health facilities in Tanzania in 2015. Training sessions were organized to teach staff how to use the device in clinical settings. This study explores skilled birth attendants’ perceptions and experiences acquiring and transferring knowledge about the use of the monitor, also called Moyo. Knowledge about this learning process is crucial to further improve training programs and ensure correct, long-term use. Five Focus group discussions (FGDs) were carried out with doctors and nurse-midwives, who were using the monitor in the labor …

The Politics Of Abortion And Maternal Health: A Discussion Paper, Ihsan Ullah, Ayaz Ayub, Edwin Van Teijlingen

Journal of Asian Midwives (JAM)

Abortion should be legally allowed for women because it can save mothers from childbirth-related complications and death. Legal abortion is one of the safest methods to terminate a pregnancy when there is a risk to the mother’s health by childbirth or severe deformity of the fetus or it is unwanted. Unfortunately, approximately half of all abortions worldwide mostly in nations where abortion is severely restricted and are performed in dangerous settings. These risky abortions are a significant contributor to maternal morbidity and disability. Limiting a woman's access to an abortion does not stop abortion; rather, it just encourages more risky …

Routine Episiotomies Without Consent, Komal Abdul Rahim, Nasreen Rafiq

School of Nursing & Midwifery

No abstract provided.

Effect Of Psychological Distress On The Emerging Cause Of Infertility, Faiza Kausar

Journal of Asian Midwives (JAM)

Background: Infertility is a growing issue of the recent era, and it represents significant crises for most couples. Psychological distress has often been suggested as a cause of unexplained infertility. Male infertility accounts for 40% of all infertility problems, while female infertility accounts for 40% of all infertility problems; others are unexplained. Previous studies have indicated that stress and depression negatively impact various infertility parameters in both partners. To determine the relationship between infertility and psychological distress and the level of different types of stress among infertile couples, and to relate the significant stressors responsible for worsening infertility or …

Labor Companionship: A Concept Of Doula Care, Arisha Amin, Rabab Vadivala

Journal of Asian Midwives (JAM)

A labor companion is a person who offers consistent individualized support to laboring women. Doula care is defined as the care which an individual provides of physical, social, and emotional support during pregnancy, labor, birth, and the postnatal period (1). Doulas help women ease their anxiety, and pain and address their concerns with comfort, care, and respect. Doulas help in cherishing a mother and child bonding helps in initiate breastfeeding and provide an emotional bond throughout the birthing time. It helps in reducing cesarean sections, and high-risk pregnancies and minimizes infant and maternal mortalities. The purpose of the study is …

Women’S Barriers To Use Of Midwives During Birth: An Integrative Literature Review, Chelsea Petersen

Grace Peterson Nursing Research Colloquium

No abstract provided.

Trying To Cover The Sun With Your Thumb: A Critical Ethnography Of Maternity Care Provision In Rural Northern New Mexico, Abigail Reese

Nursing ETDs

Access to maternity care is disappearing for women across rural America. In the state of New Mexico, women often travel long distances to access hospitals and providers that offer childbirth services, as these resources are concentrated primarily in metropolitan areas. Although data on provider distribution is available, very few studies have explored the maternity care access crisis from the perspectives of the midwives and physicians who work in rural areas. The purpose of this critical ethnographic study was to explore barriers and facilitators to the provision of childbirth services from providers’ perspectives with the intent of informing policy debates around …

Trying To Cover The Sun With Your Thumb: A Critical Ethnography Of Maternity Care Provision In Rural Northern New Mexico, Abigail Reese

Shared Knowledge Conference

Access to maternity care is disappearing for women across rural America. In New Mexico, women often travel long distances in order to access hospitals and providers that offer childbirth services, as these resources are primarily concentrated in metropolitan areas. Although data on provider distribution is available, very few studies have explored the maternity care access crisis from the perspectives of the midwives and physicians who work in rural areas. The purpose of this study was to explore barriers and facilitators to the provision of childbirth services from providers’ perspectives with the intent of informing policy debates around the maintenance of …

Nursing And #Metoo, Nasreen Rafiq, Shyrose Sultan, Afsheen Hirani, Samreen Verasiya, Zainish Hajani, Neelam Rafiq

School of Nursing & Midwifery

The year 2018 revealed a number of sexual harassment stories into public conversation as part of the #MeToo movement. The campaign has relatively spread across all professions and work industries. Today, the society is already hypersensitive towards sexual talks, and the campaigns such as #MeeToo make it even more difficult to overlook these stories; it has challenged the demarcation of important and superfluous accusations which gives rise to various ethical dilemmas. Therefore, the #MeToo movement becomes significant to evaluate both sides of a coin, and assess a situation from various ethical paradigms in order to reach an ethically acceptable solution.

The Intersection Of School Corporal Punishment And Associated Factors: Baseline Results From A Randomized Controlled Trial In Pakistan, Hussain Maqbool Ahmed Khuwaja, Rozina Karmaliani Professor, Judith Mcfarlane, Rozina Somani, Saleema Gulzar, Tazeen S. Ali, Zahra Shaheen Premani, Esnat D. Chirwa, Rachel Jewkes

School of Nursing & Midwifery

Violence against youth is a global issue; one form of youth victimization is school corporal punishment. We use baseline assessments from a cluster randomized controlled trial to examine the prevalence of school corporal punishment, by gender, and the relationship to levels of peer violence at school, parent corporal punishment, youth food security and youth academic performance and school attendance in Pakistan. Forty homogenous public schools in the urban city of Hyderabad, Pakistan were chosen for randomization into the trial evaluating a youth violence prevention intervention. 1752 6th graders, age 11-14 years, were selected as the target population. Since schools are …

Comparison Of Undergraduate Educational Environment In Medical And Nursing Program Using The Dreem Tool, Salima Farooq, Rehana Rehman, Mehwish Hussain, Jacqueline Maria Dias

School of Nursing & Midwifery

Introduction: Educational environment (EE) in a health educational institute can bring about an enduring impact on the students' motivation, knowledge, critical thinking along with their social life. Therefore, identifying strengths and the need for change in the education environment is vital for the enhancement of the students' learning.
Objective: This study aimed to compare the perceptions of nursing and medical students about their EE in a private university, Karachi Pakistan.
Methodology: Data from two cross-sectional studies of 884 students from both medical and nursing schools of Aga Khan University was acquired and analyzed. EE was measured by …

Maternal Mortality In Non-Hispanic Black Women, Amelia Major

Grace Peterson Nursing Research Colloquium

Background: The United States has the highest maternal mortality among all developed countries, among these mothers, non-Hispanic black women are three times more likely than women of any other racial group to die from pregnancy-related causes.

Purpose: To investigate racial disparities among pregnant women who die from pregnancy related causes (maternal mortality) and determine possible interventions to improve outcomes.

Methods: An integrative literature review was conducted to analyze peer-reviewed articles published from 2007 to 2018; a computerized search of literature was performed using Cumulative Index to Nursing and Health Literature (CINAHL), Proquest Nursing and Allied Health Sources, …