Maternal, Child Health and Neonatal Nursing Commons^™

Registered Nurses' Perception Of Hispanic Women's Use, Decline And Preference Of Pain Control During Childbirth, Sarah R. Conte

Nursing Theses and Capstone Projects

The purpose of this descriptive study was to identify registered nurses' perceptions of why Hispanic women use or decline pain control during the childbirth process and to identify preferences of pain control. A convenience sample of registered nurses (N = 30) from a large healthcare system in North Carolina was utilized. An 11-item questionnaire using a Likert scale was used. (Appendix A). The questionnaire instrument was developed specifically for this study, and was validated by Julie Stembridge, certified nurse mid- wife, an experienced mid-level provider in obstetrical care. (Appendix B) Demographic data was collected to provide a basis for variations …

Implications Of Perinatal Safety Nurse Fetal Monitoring Surveillance In The Labor And Delivery Setting, Kellie M. Griggs

Nursing Theses and Capstone Projects

Successful maternal and infant outcomes are the most important safety goals for all obstetrical units providing care for low and high-risk patients. The purpose of this research study was to describe how the implementation of the "Perinatal Safety Nurse" position in the Labor and Delivery setting effected fetal outcomes as well as provided an added level of safety. This study proposed that a direct correlation exists between fetal outcomes and fetal safety initiatives. The research design chosen for this proposal was a retrospective study that utilized a descriptive design. The data compared one hundred deliveries from January 2009 to December …

Parent’S Experiences During Their Infant’S Transition From Neonatal Intensive Care Unit To Home: A Qualitative Study, Sharon W. Hutchinson, Marydee A. Spillett, Mary Cronin

Center for Research Quality Publications

Limited literature exists which examines how parents of infants hospitalized in the Neonatal Intensive Care Unit (NICU) transition from their infant’s NICU hospital stay to home. This study examines the question, “What are the experiences of parents during their infant’s transition from the NICU to home? Grounded theory methods served as the paradigm to explore twelve NICU parents’ experiences during their infant’s transition. The basic social psychological process identified was “becoming a parent” which was based on the core problem “I’m not a parent.” Analysis of data contributed to a model described by the researchers as the resultant Model of …

A Quantitative Examination Of Extreme Facial Pain Expression In Neonates: The Primal Face Of Pain Across Time, Martin Schiavenato, Carl L. Von Baeyer

Nursing Faculty Scholarship

Many pain assessment tools for preschool and school-aged children are based on facial expressions of pain. Despite broad use, their metrics are not rooted in the anatomic display of the facial pain expression. We aim to describe quantitatively the patterns of initiation and maintenance of the infant pain expression across an expressive cycle. We evaluated the trajectory of the pain expression of three newborns with the most intense facial display among 63 infants receiving a painful stimulus. A modified “point-pair” system was used to measure movement in key areas across the face by analyzing still pictures from video recording the …

Giving Birth: The Voices Of Women In Tamil Nadu, India, Cheryl A. Corbett, Lynn Clark Callister

Faculty Publications

Purpose: The purpose of this qualitative descriptive study is to describe the perceptions of childbearing women living in Tamil Nadu, India. This study can increase cultural understanding and foster cultural competence in nurses caring for Indian women.

Study Design and Methods: Women were invited to share their childbearing experiences. Following institutional review board approval, interviews were held with 22 women who had given birth in the previous 18 months to a viable infant. The women were grateful for the opportunity to share their perspectives with an interested nurse investigator. Data collection proceeded concurrently with data analysis. Themes were generated collaboratively …

Providing Maternal And Newborn Health Services: Experiences Of Auxiliary Nurse Midwives In Rajasthan, K.G. Santhya, Shireen J. Jejeebhoy

Poverty, Gender, and Youth

To better understand the experiences of auxiliary nurse-midwives (ANMs) in providing maternal and newborn health services and to obtain their perspectives on Janani Suraksha Yojana (JSY), the Population Council undertook an exploratory study of ANMs in two districts of the north-western state of Rajasthan, India. Findings show that the vast majority of the ANMs were aware of best practices related to the immediate care of the newborn. Nevertheless, the findings also suggested a number of priority areas for action, including increased investment in training, encouraging provision of services on a more regular basis, making special efforts to enable ANMs to …

Comparison Of 12-Hour Urine And Protein: Creatinine Ratio To 24-Hour Urine For The Diagnosis Of Preeclampsia (Poster), Christina Tun Md, Joanne Quiñones Md, Msce, Anita Kurt Phd, Rn, John C. Smulian Md, Mph, Meredith Rochon Md

Department of Obstetrics & Gynecology

No abstract provided.

The Development Of An Interdisciplinary Research Agenda At Ngala: An Innovative Case Study, E Bennett, Y Hauck, S Bindahneem, Vicki Banham, M Owens, L E Priddis, G Wells, W Sinclair, L Shields

Research outputs 2012

Background Ngala is an early parenting, not-for-profit organisation in Western Australia (WA). Research academics from three universities in Perth had been involved in separate research activities over recent years at Ngala. During 2007, a strategic decision was made to forge formal links and articulate an interdisciplinary research framework to promote a research culture amongst Ngala practitioners. Aim To describe an organisational case study of the development of an interdisciplinary research agenda within Ngala. Methods Collaborative methods were used. An action learning project was undertaken over a two-year period with the involvement of researchers, managers and practitioners across the five disciplines …

Knowledge Of The Effects Of Alcohol On Fetal Development Among Women Of Childbearing Age., Mary Bales

Undergraduate Honors Theses

While Fetal Alcohol Syndrome Disorder is a recognized problem with alcohol ingestion during the formation of facial features, Fetal Alcohol Spectrum Disorders are not as widely recognized. These disorders result from exposure to alcohol throughout pregnancy when the brain and nervous system are developing. The resulting disorders include attention deficit disorders, social disorders, inappropriate behaviors, learning disorders, and intellectual disability. The incidence of children with alcohol-related disorders is increasing as evidenced by children needing special services in the educational systems. It is unknown how much alcohol ingestion is safe during pregnancy or how genetic factors are involved in the development …

Women's Cognitive Appraisals Of Their Birth Experience As Predictive And Maintaining Factors Of Postpartum Posttraumatic Stress Symptom Severity, Lauren Carr Spooner

Dissertations

Empirical support has accumulated for evidence of posttraumatic stress symptoms following approximately 30% of childbirth experiences (Olde, van der Hart, Kleber, & van Son, 2006). Researchers have suggested that there is a complex relationship among predisposing, precipitating, and maintaining factors that impact postpartum PTSD (Slade, 2006). Anxiety, perception of support, and negative cognitions are such factors that have been shown to significantly correlate with PTSD symptoms (Foa & Rothbaum, 1998; Olde et al., 2006; Soet, Brack, & Dilorio, 2003), but have not been studied together in relation to PTSD associated with traumatic birth. The current study controlled for trait anxiety …

When Mountain Bellies Grow Round: Localized Knowledge And Behaviors Facilitating Pregnancy And Childbirth In Phaphlu, Nepal, Cailin Marsden

Independent Study Project (ISP) Collection

In attempts to gain a level of understanding of a community’s localized experiences, beliefs, practices, and roles around pregnancy and childbirth, ethnographic fieldwork was conducted with the mothers and fathers of Phaphlu in the Solukhumbu district of Nepal. Aimed at the validation of diverse and localized ways of knowing revealed during the fieldwork period, this paper applies anthropologist Bridgette Jordan’s theoretical framework of authoritative knowledge to the emergent themes of subjectively understood childbirth (knowledge acquisition and flow, role of the husband, and protective behavior.)

Enhancing The Cultural Competence Of Women’S Health Nurses Via Online Continuing Education, Ella T. Heitzler

UNLV Theses, Dissertations, Professional Papers, and Capstones

By 2050, current minority groups will comprise almost half of the US population further challenging healthcare providers and nurses to deliver culturally competent care. Numerous organizations have published documents supporting cultural competence and its incorporation into nursing curricula has been encouraged since 1986. However, practicing nurses, specifically those providing care to childbearing women and families, continue to acknowledge their lack of cultural competence. This is concerning as large health disparities exist between culturally diverse women and cultural competence can lead to greater health equality and better client care. Studies have shown face-to-face education increases the cultural competence of healthcare providers; …

Postpartum Depression And Help‐Seeking Behaviors In Immigrant Hispanic Women, Lynn Clark Callister, Renea Beckstrand, Cheryl A. Corbett

Faculty Publications

Objectives: To describe perceptions of immigrant Hispanic women experiencing symptoms of postpartum depression (PPD) and to identify barriers to seeking mental health services.

Design: Qualitative descriptive.

Setting: Community health clinic.

Participants: Twenty immigrant Hispanic women scoring positive for symptoms of PPD receiving health care at a community health clinic who declined mental health services participated in audiotaped interviews held in their homes.

Methods: Following Institutional Review Board approval and informed consent, interviews were conducted with study participants. Transcribed data were analyzed as appropriate for qualitative inquiry.

Results: Some of the women did not recognize and/or denied their symptoms attributing their …

Predictors Of Elevated Depressive Symptoms In Pregnancy, Justine M. Kokoszka

Honors Scholar Theses

The purpose of this quantitative study was to examine factors that may place women at risk for developing depressive symptoms during pregnancy. It was part of a larger, randomized, double-blinded, placebo-controlled trial investigating the impact of docosahexaenoic acid

(DHA) in pregnancy as it relates to postpartum depression. Participants were women with a confirmed pregnancy(N= 45) who were administered the CES-D at two different times, 20-22 weeks gestation and 30-32 weeks gestation. Factors from a self-report of personal history were included in an analysis with the CES-D scores. A significant positive correlation was found between the first CES-D scores and body …

Holistic Comfort And Bereavement Of Families Receiving Prenatal Hospice Support During The Loss Of An Unborn Child With Lethal Anomalies, Sally S. Smith

Nursing Theses and Capstone Projects

The purpose of this descriptive study was to explore the grieving process and coping mechanism of families that was faced with the impeding loss of their unborn child. Grief is a very lonely process.

The aim of this research is to examine how parents cope with the lost of an unborn child with the aid of perinatal hospices. Giving families a broader range of options in regards to continuing their pregnancy. Each family has a right to choice what option is right for them. Choices should be in the hands of the family in regards to continuing with their pregnancy …

Effect Of Remote Fetal Monitoring In An Inpatient Obstetrical Unit: A Retrospective Review, Lauren Reavis

Nursing Theses and Capstone Projects

Electronic Fetal Monitoring (EFM) has been used as a tool for inpatient obstetrical care in the United States since the 1980's. The litigious nature of our society has caused much emphasis to be placed upon EFM use and interpretation; however, little evolution has occurred in monitoring techniques. The review of relevant literature found a significant gap in knowledge in regards to research of the current monitoring practice. Therefore, this study was aimed to look at the effect of remote monitoring, like the practice currently used in telemetry, on inpatient obstetrical care. The study used a retrospective review to look at …

A Supportive-Educative Program For Perinatal Depression Utilizing Orem's Theory Of Self-Care, Amy Michelle Larsen

Theses Digitization Project

The purpose of this study is to provide a support group, utilizing Dorothea Orem's self-care model, for perinatal depression in Riverside County. Perinatal depression in childbearing women is quite significant. Incidence rates of perinatal depression are estimated at 15% and higher in the United States and worldwide population.

Exploring The Association Between Pain Intensity And Facial Display In Term Newborns, Martin Schiavenato, Meggan Butler-O'Hara, Paul Scovanner

Nursing Faculty Scholarship

BACKGROUND
Facial expression is widely used to judge pain in neonates. However, little is known about the relationship between intensity of the painful stimulus and the nature of the expression in term neonates.

OBJECTIVES
To describe differences in the movement of key facial areas between two groups of term neonates experiencing painful stimuli of different intensities.

METHODS
Video recordings from two previous studies were used to select study subjects. Four term neonates undergoing circumcision without analge-sia were compared with four similar male term neonates undergoing a routine heel stick. Facial movements were measured with a computer using a previ-ously developed …

A Pilot Study Assessing The Value Of An “Educational Hospitalist” In An Obgyn Residency Program, Joseph E. Patruno Md, Craig Koller M.Ed, Kara Coassolo Md, Meredith L. Rochon Md, Thomas Hutchinson Md

Department of Obstetrics & Gynecology

No abstract provided.

An Evidence-Based Toolkit For Human Papillomavirus Vaccine Education Of Female Adolescents In The School Setting, Nancy R. Kloha

DNP Projects

A new vaccine to prevent human papillomavirus infection was approved in 2006 in the United States (U.S.). Uptake of the vaccine has been less than optimal (CDC, 2010c). New venues for promoting vaccine acceptance are needed (Middleman & Tung, 2010). The goal of this capstone clinical project is to create an evidence based toolkit for use by school nurses in educating female adolescents, parents, communities and other healthcare providers about the HPV vaccine.

Schools nurses have daily access to young people in the target group for HPV immunization. A vital component of vaccine acceptance is education of those who are …