Sample records for monitor nursing mothers

  1. Monitoring and managing mothers with gestational diabetes mellitus: a nursing perspective

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    Berry DC


    Full Text Available Diane C Berry,1 Quinetta B Johnson,2,3 Alison M Stuebe2,3 1The University of North Carolina School of Nursing, 2Women's Primary Health Care, The University of North Carolina School of Medicine, Division of Maternal Fetal Medicine, 3The University of North Carolina Gillings School of Global Public Health, Chapel Hill, NC, USA Abstract: Women diagnosed with gestational diabetes mellitus (GDM must work in partnership with their health care team to improve both maternal and fetal outcomes. This team may include physicians, midwives, nurse practitioners, physician assistants, registered nurses, certified diabetes educators, and registered dietitians. Management should include medical nutrition therapy, self-monitoring of blood glucose with tight control, and exercise to prevent postprandial hyperglycemia. Approximately 80% of women diagnosed with GDM are well controlled with medical nutrition therapy, self-monitoring of blood glucose, and exercise; however, approximately 20% require medication to bring their blood glucose levels under control during pregnancy. The risk of developing type 2 diabetes mellitus decreases dramatically for women who engage in interventions to lose weight postpartum, improve their nutrition and increase their physical activity. Therefore, postpartum women with GDM should be retested and reclassified at 6 weeks postpartum and strongly encouraged to lose weight through proper nutrition and exercise. Keywords: gestational diabetes mellitus, medical nutrition therapy, self-monitoring of blood glucose, exercise, medication, type 2 diabetes

  2. Evaluation Of Nursing Mothers\\' Ability To Interpret The Growth ...

    African Journals Online (AJOL)

    Evaluation Of Nursing Mothers\\' Ability To Interpret The Growth Monitoring Chart In Primary Health Care Facilities In Jos. ... correct interpretation of growth curve by mothers from family health clinic compared with the other two PHC facilities.

  3. Kangaroo Mother Method: Mothers' Experiences and Contributions to Nursing


    João Carlos Arivabene; Maria Antonieta Rubio Tyrrell


    This research aimed to describe mothers' experiences, analyzing them in the light of the principles of the Kangaroo Mother Method (KMM), and discuss the mothers' contributions based on the meanings of these experiences for nursing actions. In data collection, a questionnaire was used that characterized the mothers' socioeconomic profile and, through focus groups, stories were obtained about the benefits of these experiences, which supported the construction of the following categories: surviv...

  4. Food taboos among nursing mothers of Mexico. (United States)

    Santos-Torres, Maria Irene; Vásquez-Garibay, Edgar


    This cross-sectional study was carried out in Guadalajara, Mexico, during 1998-1999 to identify food taboos among nursing mothers who participated in a breast-feeding support programme. The study included 493 nursing mothers who were interviewed 10-45 days after delivery. A chi-square test was used for finding an association among food taboos, mother's characteristics, and demographic variables. 50.3% of the mothers avoided at least one food in their diet after childbirth due to beliefs that it was harmful during breast-feeding. Forty-seven percent avoided three or more foods. Fruits and vegetables (62%) and legumes (20%) were the most-avoided foods. These food taboos were associated with living more than 10 years in Guadalajara city (odds ratio [OR] 1.95 [1.25-3.09], p = 0.002), breast-feeding experience (OR 1.91 [1.18-3.12], p = 0.005), no-prenatal information about breast-feeding (OR 1.59 [1.08-2.34], (p = 0.01), and other people's suggestion to complement breast-feeding (OR 1.61 [1.09-2.38], p = 0.01). A supportive approach and efficient communication, taking into account mother's characteristics, might reduce the gap between scientific recommendations and nutritional practices of mothers willing to nurse their infants.

  5. The neonatal nurse: advocating for breastfeeding mothers. (United States)

    Darby, Colm; Nurse, Sharon


    Accurate information and support from healthcare professionals as well as respect for parental choice are all factors which contribute to effective breastfeeding in the neonatal unit; with this in mind, Colm Darby and Sharon Nurse discuss the potential problems in expressing breast milk and the interventions which might be effective in avoiding them. Advocacy is an inherent part of neonatal nurses' role whilst caring for sick, vulnerable babies. Colm Darby is a male neonatal nurse working in a predominantly female environment and passionately believes in supporting and advocating for mothers who want to provide breast milk for their babies. In this article, CoIm uses Borton's model of reflection to discuss how he acted as an effective advocate for such a mother.

  6. The view of the child health nurse among mothers. (United States)

    Fägerskiöld, Astrid; Timpka, Toomas; Ek, Anna-Christina


    The aim of this exploratory study was to investigate mothers' experiences of their encounters with the child health (CH) nurse. A cross-sectional design was used for the study, based on data from 140 mothers gathered by the critical incident technique. The analysis was accomplished by a thematic content analysis, using inductive reasoning in three steps. Symbolic interactionism was used as a frame of reference. The results suggest that the central factor in the encounter between mother and nurse is that they are able to share the realm of motherhood, meaning that the nurse is open and willing to share all types of emotions, experiences and attitudes related to being a mother. Given this basis, other important factors are the supply of sound advice and practical interventions, and that the nurse is reassuring and accessible. The majority of the participating mothers had experienced CH nurses who had provided them with valuable support during troublesome incidents. However, there were also several dissatisfied mothers who had expected support but thought they received insulting treatment instead. The mothers and the nurses have varying experiences and background and therefore different perspectives, which may lead to difficulties in understanding each other. Knowledge about the important factors, that affect the mother-nurse encounter, can be used to strengthen the nurses' positive behaviours and facilitate understanding of how disappointed mothers have experienced their health care encounters.

  7. Attitudes toward teen mothers among nursing students and psychometric evaluation of Positivity Toward Teen Mothers scale. (United States)

    Kim, Son Chae; Burke, Leanne; Sloan, Chris; Barnett, Shannon


    To prepare future nurses who can deliver high quality nursing care to teen mothers, a better understanding of the nursing students' perception of teen mothers is needed. A descriptive cross-sectional study was conducted among 228 nursing students to evaluate the psychometric properties of the Positivity Toward Teen Mothers (PTTM) scale, to explore nursing students' general empathy and attitudes toward teen mothers, and to investigate the predictors of nursing students' attitudes toward teen mothers. Principal component factor analysis with varimax rotation resulted in a 19-item PTTM-Revised scale with Non-judgmental and Supportive subscales. Cronbach's alphas for the subscales were 0.84 and 0.69, respectively, and 0.87 for the total scale. Simultaneous multiple regression models showed that general empathy and having a teen mother in the family or as an acquaintance were significant predictors of positive attitudes toward teen mothers, whereas age was a significant negative predictor. The PTTM-Revised scale is a promising instrument for assessing attitudes toward teen mothers. Copyright © 2012 Elsevier Ltd. All rights reserved.

  8. Knowledge and belief of nursing mothers on nutritional ...

    African Journals Online (AJOL)

    Knowledge and belief of nursing mothers on nutritional management of acute ... Relatives and health care providers were the sources of advice on food ... and this has been found to be deficient among caregivers in the family setting.


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    L.G. Mamonova


    Full Text Available Proper nutrition of women at pregnancy and delivery is known to provide basis for normal healthy growth and development of their children. Deficiency of animal proteins, vegetable fats, polyunsaturated fatty acids, vitamins (as b-carotine, А, Е, С, В2, В6, В12, folic acid, as well as calcium, magnesium, iron, cuprum, zinc, chrome, selenium, iodine and other microelements have been shown in the studies of actual diets of pregnant and nursing mothers in different regions of Russia, which was conducted by scientific research institute of nutrition, Russian academy of medical sciences. Methods of diet improvement to correct macro- and micronutrient deficiency in pregnant and nursing mothers, including use of specialized food products, are taken up in the article.Key words: diet, pregnant mothers, nursing mothers, nutritive support.

  10. Teething myths among nursing mothers in North-Western Nigeria

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    Ibrahim Aliyu


    Full Text Available Background: Teething has over the years been associated with complains of systemic symptoms from parents, and at times are over treated by health-care professionals. This study seeks to determine common teething complaints reported by nursing mothers. Materials and Methods: This study was multicenter involving 224 nursing mothers. It was cross-sectional and questionnaire-based relevant information collected were: The socio demographic characteristics, knowledge of teething and myths associated with teething, and the attitude of nursing mothers toward the use of teething remedies. Results: Two hundred and three (90.62% of them believed teething caused symptoms; common complaints that were attributed to teething by mothers were diarrhea, vomiting, increased salivation; however, fever was the predominant complaint, and their parents were the most common source of information on teething in 50% of them, while only a mother (0.4% was informed on the process of teething at the hospital. Furthermore, the number of children did not affect the desire to seek for medical care for teething symptoms. Common remedies used were as follows: 59 (26.3% nursing mothers used teething syrup, 43 (19.2% nursing mothers used teething powder, 16 (7.2% of them used traditional herbs while 8(3.6% of them used multiple preparations; however 91 (40.6% of them did not use any remedy. One hundred and seven (47.8% of the mothers believed that these remedies worked, 67 (29.9% of them disagreed while 50 (22.3% were not sure of their efficacy. Conclusion: Parents should be educated on normal expectations of the teething process; and not to undermine the seriousness of illnesses erroneously attributed to teething.

  11. Travel Recommendations for the Nursing Mother (United States)

    ... Survey Promotion & Support Call to Action Mothers & Their Families Communities Health Care Employment Research & Surveillance Public Health Infrastructure National Policies & Positions Healthy People 2020 Resources & Publications U.S. Breastfeeding Rates Are Up! More Work Is Needed CDC ...


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    Full Text Available Introduction: one of oral disorder in childhood period is Nursing Dental caries. Causes of this disorder are Multiple. Aim of this proposal evolution of effect affectional Interaction mother & child is on Nursing dental caries. Method: For this proposal 250 children 2-5 years were randomly simple sampling selected & divided two equal group (case & control Mother two child group filled design questionaire & data of this proposal was analysed. Result: There were not significant difference between affectional Interaction in two groups. Discussion and Conclusion: The result of this study shows the affectional Interaction has not effect on Nursing dental caries but for precise Judgment have necessary studding as longitudinal study. Pedodontic Depart dental school university medical sciences Isfahan, Iran.

  13. Nuclear medicine and the nursing mother

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    Coakley, A.J.; Mountford, P.J. (Kent and Canterbury Hospital (UK))


    Many radiopharmaceuticals may be detected in breast milk, but differ from other drugs in that for diagnostic purposes they are used in tracer quantities and do not produce demonstrable pharmacological changes in mother or infant. Patients may also be given non-radioactive drugs to induce changes in the distribution of the radiopharmaceuticals and some of these, too, appear in milk (e.g. frusemide, potassium perchlorate, iodides, and cholecystokinin). Iodides are selectively concentrated in breast milk, and some consider them contra-indicated during lactation. A period of interruption of breast feeding, expression of milk, and reduction of close contact with the infant is usually recommended for mothers who have a nuclear medicine investigation. The inconvenience and disadvantages of interrupting breast feeding have to be balanced against the potential risk to the infant: the prolonged interruption of feeding advocated for some agents is often impracticable. Interruption for 24 hours for sup(99m)Tc compounds is excessive for doses used in Britain. Twelve hours leaves a wide range of safety for pertechnetate. No interruption is needed for sup(99m)Tc-macroaggregated albumin and sup(99m)Tc-diethylenetriamine-penta-acetic acid in order to remain below one tenth of the annual limit of intake.

  14. Critical care nurses' experiences of nursing mothers in an ICU after complicated childbirth. (United States)

    Engström, Asa; Lindberg, Inger


    Providing nursing care for a critically ill obstetric patient or a patient who has just become a mother after a complicated birth can be a challenging experience for critical care nurses (CCNs). These patients have special needs because of the significant alterations in their physiology and anatomy together with the need to consider such specifics as breastfeeding and mother-child bonding. The aim with this study was to describe CCNs' experience of nursing the new mother and her family after a complicated childbirth. The design of the study was qualitative. Data collection was carried out through focus group discussions with 13 CCNs in three focus groups during spring 2012. The data were subjected to qualitative content analysis. The analysis resulted in the formulation of four categories: the mother and her vital functions are prioritized; not being responsible for the child and the father; an environment unsuited to the new family and collaboration with staff in neonatal and maternity delivery wards. When nursing a mother after a complicated birth the CCNs give her and her vital signs high priority. The fathers of the children or partners of the mothers are expected to take on the responsibility of caring for the newborn child and of being the link with the neonatal ward. It is suggested that education about the needs of new families for nursing care would improve the situation and have clinical implications. Whether the intensive care unit is always the best place in which to provide care for mothers and new families is debatable. © 2013 British Association of Critical Care Nurses.

  15. Radionuclide administration to nursing mothers: mathematically derived guidelines

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    Romney, B.M.; Nickoloff, E.L.; Esser, P.D.; Alderson, P.O.


    We determined a formula to establish objective guidelines for the administration of radionuclides to nursing mothers. The formula is based on the maximum permissible dose to the infant's critical organ, serial measurements of breast milk activity, milk volume, and dose to the critical organ per microcurie in milk. Using worst-case assumptions, we believe that cessation of nursing for 24 hours after administration of technetium labeled radiopharmaceuticals is sufficient for safety. Longer-lived agents require greater delays. Iodine-123 radiopharmaceuticals are preferable to iodine-131 agents and should always be used when studying the unblocked thyroid.

  16. Teething myths among nursing mothers in a Nigerian community

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    Opeodu Olanrewaju Ige


    Full Text Available Background: Many symptoms had been associated with teething in children with the possibility of overlooking potentially fatal condition. Symptoms that had been associated with teething include diarrhoea, fever, vomiting and cough. The possibility that any of these symptoms could have been due to other causes call for thorough investigation of the child before concluding that it is only "teething". Objectives: The study was carried out to assess the beliefs of nursing mothers concerning symptoms that are associated with teething among children and to identify those that would seek medical treatments in case of their children having such symptoms during teething. Materials and Methods: Two hundred and ninety nursing mothers whose children had erupted at least a tooth were interviewed in the immunisation clinics of the University College Hospital and Adeoyo Maternity Teaching Hospital, both in Ibadan, Nigeria, on their beliefs and practice concerning teething in children. Results: One hundred and eighty-eight (64.8% of the mothers associated symptoms such as fever, cough, catarrh and diarrhoea with eruption of teeth in their children. Over half of the women agreed that a child having either fever (51.0%, ear infection (57.6% or cough (50.3% should be promptly taken for medical consultation and not be tagged "teething", while for other symptoms such as gum pain (74.5%, sleepless night (56.6%, vomiting (51.4% and diarrhoea (51.7%, over half of the mothers believed that the symptoms will resolve following the eruption of the teeth. Conclusion: The study demonstrated that mothers in the study attributes several symptoms to teething, which could be detrimental to the survival of their children as the symptom could have been due to other causes. There is, therefore, need for public enlightenment to create awareness on the possible effect of presumptuous belief that childhood diseases are due to teething process.

  17. Aflatoxin M₁ in breast milk of nursing Sudanese mothers. (United States)

    Elzupir, Amin O; Abas, Abdel Rouf A; Fadul, M Hemmat; Modwi, Abueliz K; Ali, Nima M I; Jadian, Afaf F F; Ahmed, Nuha Abd A; Adam, Smah Y A; Ahmed, Nousiba A M; Khairy, Arwa A A; Khalil, Eltahir A G


    The presence of aflatoxin M1 (AFM1) in the breast milk of nursing Sudanese mothers was investigated using AOAC official method 980.21 as the extraction method and HPLC with fluorescence detector for separation and detection. Following informed consent, 94 breast milk samples of mothers were collected, and 51 samples were found to be positive for AFM1, with an average concentration of 0.401 ± 0.525 ng g(-1) and a maximum level of 2.561 ng g(-1). The volunteers completed a questionnaire concerning their dietary preferences. The data collected suggest that peanut butter, vegetable oils and rice are the main sources responsible for the AFM1 burden in breast milk. The toxin levels are alarmingly high, and indicate that Sudanese infants are exposed to high levels of AFM1. A wide range of harmful effects, and consequently health problems, can be expected due AFM1 toxicity.

  18. Neonatal nurses' knowledge of and attitudes toward caring for cocaine-exposed infants and their mothers. (United States)

    Ludwig, M A; Marecki, M; Wooldridge, P J; Sherman, L M


    The knowledge, attitudes, and backgrounds of 215 nurses employed in the nurseries of six hospitals were studied by means of a questionnaire survey. The nurses' attitudes toward the mothers of cocaine-addicted infants were found to be generally negative and/or judgmental and their knowledge to be low. More experience with nursing cocaine-addicted infants and greater acuity of the neonatal unit in which the nurse worked correlated with more positive attitudes toward the infants but not toward their mothers. Knowledge and attitude correlated positively with formal education, inservice education, and self-education, but the correlations were weak.

  19. Clinical teachers as caring mothers from the perspectives of Jordanian nursing students. (United States)

    Lopez, Violeta


    The purpose of this transcultural qualitative study was to discover, describe and explain the meaning of a caring student-teacher encounter within the context of clinical education. Clinical teachers are registered nurses who have completed a university undergraduate nursing degree program and at least 1 year of post-registration clinical experience. They are employed as full-time staff of the faculty of nursing. Among the 19 Jordanian undergraduate nursing students interviewed, "clinical nurse teachers as caring mothers," emerged as an important theme. This paper describes the clinical teachers in their mothering roles, such as supporting, negotiating, reinforcing, transforming and releasing nursing students throughout their clinical practice. Understanding students' cultural beliefs and values provides possible predictors that could facilitate positive student-teacher relationships that could be used to plan the clinical education for nursing students. There is also a need to develop workshops in clinical teaching that would incorporate cultural awareness, especially in a multicultural student-teacher groups.

  20. Usefulness of the comfort theory in the clinical nursing care of new mothers: critical analysis. (United States)

    Lima, Juliana Vieira Figueiredo; Guedes, Maria Vilani Cavalcante; Silva, Lúcia de Fátima da; Freitas, Maria Célia de; Fialho, Ana Virgínia de Melo


    The aim of this study was to evaluate the usefulness of the comfort theory for the clinical nursing care of new mothers. This is a reflexive-theoretical study conducted in November and December 2014, based on the usefulness criterion proposed in the critical analysis of the Barnum nursing theory. The comfort theory in nursing care for new mothers applied to study analysis revealed that this theory meets the criteria of usefulness because it provides applicable concepts that facilitated the clinical nursing care of women in the postpartum period and helped increase their comfort level. The verification of these concepts showed that the theory can be applied in different settings of clinical care for new mothers. The theory can be used to support and improve clinical nursing care for postpartum women, and help improve puerperal comfort.

  1. Effects of a worksite physical activity intervention for hospital nurses who are working mothers. (United States)

    Tucker, Sharon J; Lanningham-Foster, Lorraine M; Murphy, Justyne N; Thompson, Warren G; Weymiller, Audrey J; Lohse, Christine; Levine, James A


    Hospital nurses who are working mothers are challenged to maintain their personal health and model healthy behaviors for their children. This study aimed to develop and test an innovative 10-week worksite physical activity intervention integrated into the work flow of hospital-based nurses who were mothers. Three volunteer adult medical-surgical nursing units participated as intervention units. Fifty-eight nurses (30 intervention and 28 control) provided baseline and post-intervention repeated measurements of physical activity (steps) and body composition. Intervention participants provided post-intervention focus group feedback. For both groups, daily steps averaged more than 12,400 at baseline and post-intervention. No significant effects were found for physical activity; significant effects were found for fat mass, fat index, and percent fat (p working mothers. Future research is warranted with a larger sample, longer intervention, and additional measures.

  2. Managing family life while studying: single mothers' lived experience of being students in a nursing program. (United States)

    Ogunsiji, Olayide; Wilkes, Lesley

    Evidence suggests that single parent families are more likely to be affected by social problems associated with poor health and poverty. Single parent families are growing in number and are overwhelmingly headed by women. Despite their increasing number and their level of vulnerability, the lived experiences of single mothers have attracted little attention in the literature. Still little is known about many aspects of life as experienced by single mothers. Nursing is a profession that is dominated by women, and every year a number of single mothers enroll in undergraduate nurse education programs. Currently, there is little information about the experiences of women who are single mothers, undertaking a nursing degree in a university. This paper reports a study that explored the lived experiences of five single mother undergraduate nursing students. van Manen's phenomenological method informed the design and conduct of the study. Findings were grouped into the following themes: being exhausted all the time; being overwhelmed with worries; and being hopeful of the future. Findings of this study revealed that the single mothers' major health concerns were chronic tiredness and overwhelming worries. However, their being in the university was perceived as being health promoting and restoring to their self-esteem. Implications for educators, health providers and women's health services are drawn from the findings.

  3. Polychlorinated biphenyl contamination of nursing mothers' milk in Michigan

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    Wickizer, T.M.; Brilliant, L.B.; Copeland, R.; Tilden, R.


    As part of an effort to assess the extent and distribution of PCB contamination in the human population of Michigan, PCB levels in the breast milk of Michigan nursing mothers were investigated. All of the 1057 samples collected from 68 counties contained PCB residues ranging from trace amounts to 5.1 ppm. The mean PCB level was 1.496 ppm. The public health significance of PCB contamination in human populations and the implications of PCB contamination of human milk for current breast-feeding practices are discussed. Several precautionary measures for nursing mothers are recommended.

  4. Universal and targeted early home visiting: perspectives of public health nurses, managers and mothers

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    Megan Aston


    Full Text Available Early home visits provided by public health nurses (PHNs around the world have been proven to positively impact physical, social, emotional and mental health outcomes of mothers and babies. Most of the research has focused on home visiting programs delivered by public health nurses and lay home visitors to support at risk or targeted mothers. Little research has been conducted to examine universal home visiting programs for mothers who are perceived to be lower-risk. The purpose of this research was to explore how universal and targeted early home visiting programs for mothers and babies were organized, delivered and experienced through the everyday practices of PHNs, mothers, and managers in one city in Atlantic Canada. Feminist post-structuralism was used to collect and analyze data through semi-structured face-to-face interviews with 16 PHNs, 16 mothers and 4 managers. Personal, social and institutional discourses of program delivery were examined using discourse analysis. Four main themes of the study include: i understanding targeted and universal programming; ii health outcomes; iii building relationships; and iv exploring a new surveillance. This article will discuss the first theme; understanding targeted and universal programming.

  5. Seguimiento de enfermería a la madre y al recién nacido durante el puerperio: traspasando las barreras hospitalarias Nursing monitoring to mother and newborn during the postpartum period: going beyond hospital barriers Acompanhamento de enfermagem à mãe e ao recém nascido durante o puerpério: ultrapassando as barreiras hospitalares

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    Full Text Available Este artículo ofrece una visión global del estado del arte de cinco trabajos de grado en modalidad de pasantía, realizados por estudiantes de pregrado de la Universidad Nacional de Colombia, Facultad de Enfermería, entre 2004 y 2007, desarrollados en los servicios de puerperio de cuatro hospitales de Bogotá, dentro del proyecto “Seguimiento domiciliario a la madre y al recién nacido durante el puerperio”. Refiere la vinculación de madres en periodo de puerperio, sus neonatos, padres y familias como grupo de apoyo, a quienes les realizaron seguimiento mediante llamadas telefónicas y visitas domiciliarias, para identificar factores de riesgo y signos de alarma que les comprometieran la salud y la vida. Congruentes con los hallazgos en las valoraciones de enfermería y el seguimiento, los estudiantes y docentes ejecutaron acciones de promoción de la salud y prevención de la enfermedad, mediante sesiones educativas en espacios institucional y domiciliario, dirigidas a fortalecer e iniciar oportunamente cuidados de enfermería, promover la participación de la familia, motivar la consulta temprana y ofrecer apoyo en lactancia materna, estilos de vida saludable, fortalecimiento del vínculo afectivo madre- hijo-padre, respetando las prácticas culturales. Las intervenciones de cuidado ejecutadas por estudiantes y docentes fueron estrategias para participar en la disminución de las tasas de morbilidad y mortalidad materna y neonatal por causas evitables. Además los trabajos evidenciaron que el cuidado de enfermería sobrepasa los espacios hospitalarios y reviste importancia en escenarios de vida cotidiana como el hogar.This article offers a global vision of the state of the art of five graduation work pieces produced by pre-grade students from Universidad Nacional de Colombia, Nursing Faculty, between 2004 and 2007, developed in the postpartum services of four hospitals of Bogotá, within the project “Home monitoring of mother and

  6. Seguimiento de enfermería a la madre y al recién nacido durante el puerperio: traspasando las barreras hospitalarias Acompanhamento de enfermagem à mãe e ao recém nascido durante o puerpério: ultrapassando as barreiras hospitalares Nursing monitoring to mother and newborn during the postpartum period: going beyond hospital barriers

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    á,dentro do âmbito do projeto " Acompanhamento domiciliar àmãeeaorecém nascido durante o puerpério" . O trabalho trata a vinculação de mães em período de puerpério, seus neonatos, pais e famílias como grupo de apoio, quem receberam ligações telefônicas e visitas domiciliares de acompanhamento visando identificar fatores de risco e signos de alarma que comprometeram a saúde e a vida deles. De acordo com os achados nas valorações de enfermagem e acompanhamento, os estudantes e docentes executaram ações de promoção da saúde e prevenção da doença, mediante sessões educativas em espaços institucionais e domiciliares, voltadas a fortalecer e iniciar oportunamente cuidados de enfermagem, promover o envolvimento da família, encorajar a consulta e oferecer apoio durante o aleitamento materno, estilos de vida saudável, fortalecimento do vínculo afetivo mãe-filho-pai, res-peitando as práticas culturais. As intervenções de cuidado executadas por estudantes e docentes foram estratégias para participar na diminuição das taxas de morbilidade e mortalidade materna e neonatal por causas evitáveis. Adicionalmente, os trabalhos evidenciaram que o cuidado de enfermagem excede os espaços hospitalares e tem maior importância em cenários da vida cotidiana como o lar.This article offers a global vision of the state of the art of five graduation work pieces produced by pregrade students from Universidad Nacional de Colombia, Nursing Faculty, between 2004 and 2007, developed in the postpartum services of four hospitals of Bogotá, within the project " Home monitoring of mother and newborn during the postpartum period" . It refers to the involvement of mothers in the postpartum period, their newborns, fathers and families as support group, who were monitored via telephone calls and home visits to identify the risk factors and alarm signs that could compromise health and life. Consistent with the findings in the nursing appraisals and monitoring activities, the

  7. Coupled mother-child model for bioaccumulation of POPs in nursing infants

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    Trapp, Stefan [Technical University of Denmark, Department of Environmental Engineering, Bygningstorvet 115, DK-2800 Kongens Lyngby (Denmark)], E-mail:; Ma Bomholtz, Li [Technical University of Denmark, Department of Environmental Engineering, Bygningstorvet 115, DK-2800 Kongens Lyngby (Denmark); Legind, Charlotte N. [Technical University of Denmark, Department of Environmental Engineering, Bygningstorvet 115, DK-2800 Kongens Lyngby (Denmark); Department of Agricultural Sciences, Faculty of Life Sciences, University of Copenhagen, Hojbakkegard Alle 13, DK-2630 Taastrup (Denmark)


    Bioaccumulation of persistent organic pollutants (POPs) leads to high levels in human milk and high doses of POPs for nursing infants. This is currently not considered in chemical risk assessment. A coupled model for bioaccumulation of organic chemicals in breast-feeding mother and nursing infant was developed and tested for a series of organic compounds. The bioaccumulation factors (BAFs) in mother, breast milk and child were predicted to vary with log K{sub OW} and, for volatile compounds, with K{sub AW} and concentration in air. The concentrations of POPs in the infant body increase the first half year to about factor 3 above mother and decline thereafter to lower levels. The predicted results are close to empirical data and to an empirical regression. The new mother-child model is compact due to its easy structure and the analytical matrix solution. It could be added to existing exposure and risk assessment systems, such as EUSES. - This paper addresses a model for accumulation of organic compounds by mother and breast-fed infant, applicable for exposure assessment within larger frameworks.

  8. Implementing the Mother-Baby Model of Nursing Care Using Models and Quality Improvement Tools. (United States)

    Brockman, Vicki

    As family-centered care has become the expected standard, many facilities follow the mother-baby model, in which care is provided to both a woman and her newborn in the same room by the same nurse. My facility employed a traditional model of nursing care, which was not evidence-based or financially sustainable. After implementing the mother-baby model, we experienced an increase in exclusive breastfeeding rates at hospital discharge, increased patient satisfaction, improved staff productivity and decreased salary costs, all while the number of births increased. Our change was successful because it was guided by the use of quality improvement tools, change theory and evidence-based practice models. © 2015 AWHONN.

  9. Quality of antenatal care provided by nurse midwives in an Urban health centre with regard to low-risk antenatal mothers

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    Ruby Angeline Pricilla


    Full Text Available Background:India contributes to 19% of the global maternal deaths. Good quality antenatal care can prevent maternal deaths by early detection of complications and maintaining maternal health. There are few studies documenting quality of antenatal care in India. This study aimed to document the antenatal services provided by nurse midwives to low-risk pregnant mothers from an urban population. Aims: The primary objective was to describe the quality of the antenatal care provided by nurse midwives of an urban health centre with regard to low-risk mothers. The secondary objective was to document the maternal and early neonatal outcomes of the enrolled mothers during the period of study. Methods: This prospective cohort study was done on 200 pregnant women who had antenatal care by nurse midwives between April 2014 and November 2014. The quality of care was assessed by a checklist adapted from World Health Organization (WHO. Results: We report that the quality of antenatal care for all domains was above 90% except for the health education domain, which was poor with regard to breastfeeding and family planning in the enrolled 200 pregnant women. Conclusion: Our study concluded that trained nurse midwives when regularly monitored, audited and linked with reliable referral facilities can deliver good quality antenatal care.

  10. Prevalence of nursing diagnoses of breastfeeding in the mother-infant dyad in basic health unit


    Ocilia Maria Costa Carvalho; Karolina Rodrigues Silva; Lívia Zulmyra Cintra Andrade; Viviane Martins da Silva; Marcos Venícios de Oliveira Lopes


    A cross-sectional study conducted with 28 mother-infant dyads, users of a Family Health Center of Fortaleza-CE, Brazil, that aimed to identify the nursing diagnoses of breastfeeding, their frequency of occurrence, defining characteristics, and the value of maternal confidence based on the breastfeeding self-efficacy scale. Data collection happened during September and October 2010, using interviews, anamnesis, and physical examination of the dyad. The most prevalent diagnosis was Effective br...

  11. Public Health Nurses and Mothers Challenge and Shift the Meaning of Health Outcomes

    Directory of Open Access Journals (Sweden)

    Megan Aston


    Full Text Available Maternal, child, and newborn health is a priority area in Canada and around the world. The work of public health nurses (PHNs is often invisible and misunderstood. The purpose of this qualitative research project was to explore how universal and targeted home visiting programs for mothers and babies were organized, delivered, and experienced through the everyday practices of PHNs (n = 16 and mothers (n = 16 in Nova Scotia, Canada. Feminist poststructuralism and discourse analysis were used to analyze interviews. Concepts of relations of power enabled an understanding of how health outcomes had been socially and institutionally constructed through binary relations. PHNs and mothers spoke about the importance of “softer” health outcomes, including maternal self-confidence and empowerment that had been constructed as less important than health outcomes that were seen to be more tangible and physical. Findings from this research could be used to guide practice and planning of postpartum home visiting programs.

  12. Public Health Nurses and Mothers Challenge and Shift the Meaning of Health Outcomes. (United States)

    Aston, Megan; Etowa, Josephine; Price, Sheri; Vukic, Adele; Hart, Christine; MacLeod, Emily; Randel, Patricia


    Maternal, child, and newborn health is a priority area in Canada and around the world. The work of public health nurses (PHNs) is often invisible and misunderstood. The purpose of this qualitative research project was to explore how universal and targeted home visiting programs for mothers and babies were organized, delivered, and experienced through the everyday practices of PHNs (n = 16) and mothers (n = 16) in Nova Scotia, Canada. Feminist poststructuralism and discourse analysis were used to analyze interviews. Concepts of relations of power enabled an understanding of how health outcomes had been socially and institutionally constructed through binary relations. PHNs and mothers spoke about the importance of "softer" health outcomes, including maternal self-confidence and empowerment that had been constructed as less important than health outcomes that were seen to be more tangible and physical. Findings from this research could be used to guide practice and planning of postpartum home visiting programs.

  13. Public Health Nurses and Mothers Challenge and Shift the Meaning of Health Outcomes

    Directory of Open Access Journals (Sweden)

    Megan Aston


    Full Text Available Maternal, child, and newborn health is a priority area in Canada and around the world. The work of public health nurses (PHNs is often invisible and misunderstood. The purpose of this qualitative research project was to explore how universal and targeted home visiting programs for mothers and babies were organized, delivered, and experienced through the everyday practices of PHNs ( n = 16 and mothers ( n = 16 in Nova Scotia, Canada. Feminist poststructuralism and discourse analysis were used to analyze interviews. Concepts of relations of power enabled an understanding of how health outcomes had been socially and institutionally constructed through binary relations. PHNs and mothers spoke about the importance of “softer” health outcomes, including maternal self-confidence and empowerment that had been constructed as less important than health outcomes that were seen to be more tangible and physical. Findings from this research could be used to guide practice and planning of postpartum home visiting programs.

  14. Prevalence of nursing diagnoses of breastfeeding in the mother-infant dyad in basic health unit

    Directory of Open Access Journals (Sweden)

    Ocilia Maria Costa Carvalho


    Full Text Available A cross-sectional study conducted with 28 mother-infant dyads, users of a Family Health Center of Fortaleza-CE, Brazil, that aimed to identify the nursing diagnoses of breastfeeding, their frequency of occurrence, defining characteristics, and the value of maternal confidence based on the breastfeeding self-efficacy scale. Data collection happened during September and October 2010, using interviews, anamnesis, and physical examination of the dyad. The most prevalent diagnosis was Effective breastfeeding (50%. The breastfeeding self-efficacy scale revealed significance in the presence of the nursing diagnoses Effective breastfeeding and the absence of Interrupted breastfeeding. Although the diagnosis Effective breastfeeding presented a significant occurrence, we verified the need for effective actions of nurses in the breastfeeding process.

  15. The Roles of Mothers' Neighborhood Perceptions and Specific Monitoring Strategies in Youths' Problem Behavior (United States)

    Byrnes, Hilary F.; Miller, Brenda A.; Chen, Meng-Jinn; Grube, Joel W.


    The neighborhood context can interfere with parents' abilities to effectively monitor their children, but may be related to specific monitoring strategies in different ways. The present study examines the importance of mothers' perceptions of neighborhood disorganization for the specific monitoring strategies they use and how each of these…

  16. The influence of social-developmental context and nurse visitation intervention on self-agency change in unmarried adolescent mothers. (United States)

    DeSocio, Janiece E; Holland, Margaret L; Kitzman, Harriet J; Cole, Robert E


    Pregnancy among unmarried adolescents has been linked to negative personal control beliefs. In contrast, self-agency beliefs about control over future possibilities have been linked to delay in subsequent childbearing. In this secondary analysis, we examined factors associated with self-agency change in 429 unmarried adolescent mothers from intervention and control groups of a nurse home visitation study. Adolescent mothers who participated in a sustained relationship with a nurse made greater gains in self-agency than did control group mothers (p = .034). Adolescents with lower cognitive ability who were behind their age-appropriate grade level in school made the greatest self-agency gains.

  17. Dietary Iodine Sufficiency and Moderate Insufficiency in the Lactating Mother and Nursing Infant: A Computational Perspective (United States)

    Fisher, W.; Wang, Jian; George, Nysia I.; Gearhart, Jeffery M.; McLanahan, Eva D.


    The Institute of Medicine recommends that lactating women ingest 290 μg iodide/d and a nursing infant, less than two years of age, 110 μg/d. The World Health Organization, United Nations Children’s Fund, and International Council for the Control of Iodine Deficiency Disorders recommend population maternal and infant urinary iodide concentrations ≥ 100 μg/L to ensure iodide sufficiency. For breast milk, researchers have proposed an iodide concentration range of 150–180 μg/L indicates iodide sufficiency for the mother and infant, however no national or international guidelines exist for breast milk iodine concentration. For the first time, a lactating woman and nursing infant biologically based model, from delivery to 90 days postpartum, was constructed to predict maternal and infant urinary iodide concentration, breast milk iodide concentration, the amount of iodide transferred in breast milk to the nursing infant each day and maternal and infant serum thyroid hormone kinetics. The maternal and infant models each consisted of three sub-models, iodide, thyroxine (T4), and triiodothyronine (T3). Using our model to simulate a maternal intake of 290 μg iodide/d, the average daily amount of iodide ingested by the nursing infant, after 4 days of life, gradually increased from 50 to 101 μg/day over 90 days postpartum. The predicted average lactating mother and infant urinary iodide concentrations were both in excess of 100 μg/L and the predicted average breast milk iodide concentration, 157 μg/L. The predicted serum thyroid hormones (T4, free T4 (fT4), and T3) in both the nursing infant and lactating mother were indicative of euthyroidism. The model was calibrated using serum thyroid hormone concentrations for lactating women from the United States and was successful in predicting serum T4 and fT4 levels (within a factor of two) for lactating women in other countries. T3 levels were adequately predicted. Infant serum thyroid hormone levels were adequately

  18. Mother-adolescent monitoring dynamics and the legitimacy of parental authority. (United States)

    Keijsers, Loes; Laird, Robert D


    This multi-informant longitudinal study aimed to understand whether the family dynamics that underlie adolescent voluntary disclosure regarding their leisure time behavior differs when adolescents strongly or weakly endorse the legitimacy of parental authority. Longitudinal linkages between parental monitoring behaviors and adolescents' secrecy and disclosure were tested among youths with strong and weak legitimacy beliefs. The sample included 197 adolescents (51% female, M age 12 years) and their mothers. Mothers reported on several of their own monitoring efforts (i.e., solicitation, active involvement, observing and listening, and obtaining information from spouses, siblings, and others). Adolescents reported their disclosure, secrecy, and legitimacy beliefs. Only among youths reporting strong legitimacy beliefs, more mother engagement and supervision (indexed by mother-reported active involvement and observing and listening) predicted more adolescent disclosure and less secrecy over time, and more mother solicitation predicted less secrecy. Copyright © 2014 The Foundation for Professionals in Services for Adolescents. Published by Elsevier Ltd. All rights reserved.

  19. A death with dignity: a nurse's story of the end of life of her mother. (United States)

    Nelson, Noreen


    Recognizing and accepting when someone is within the palliative care trajectory is often a challenge, particularly for nursing students. In sharing this story of a nurse's experience of caring for her mother, it is hoped that the reader will gain insight into ways to enhance comfort and improve the quality of life of family members, friends, and patients. Through the lens of this lived experience, the challenges associated with honoring the wishes of a loved one during the palliative care trajectory through the end of life are shared. Exploring a person's perceptions about their quality of life is an important component of a nursing assessment. Nurses need to be prepared to maximize opportunities with patients and provide resources and information about options on their quality of life issues. Understanding and respecting another's choice develops with awareness and utilization of evidence-based knowledge in planning interventions. This article provides information on evidence-based resources and standards of practice in the context of a lived experience. Experiencing the death of loved ones is always difficult. Accepting their wish to not seek medical treatment and the provision of end-of-life care is a challenge. Nurses who become comfortable and knowledgeable about the palliative care trajectory and the end of life experience will be able to provide a higher level of support and thus improve the quality of life for those they encounter. © 2013 Wiley Periodicals, Inc.

  20. Nursing process applied to a mother gynecobstetric teenager: a case study

    Directory of Open Access Journals (Sweden)

    Nathalie Alfaro Vargas


    Full Text Available The present article summarizes the intervention done towards an adolescent mother who had a twinpregnancy. The methodology used is the process of nursing attention; the process is divided into four stages: first,the stage of valuating in which information is gathered through the revision of the health file of the adolescent andthe application of the nursing history; the second stage is nursing diagnosis used to identify the problemspresented by the patient; the third stage is planning which includes the designing of objectives and actions thatwould lead the interventions. The previous information is summarized in the “Plan de Cuidados de Enfermería”based on the theory of Dorotea Orem. Finally, it was apply the stage of performing in which there wereimplemented actions with the adolescent mother; she obtained necessary information based on her needs for theimprovement of life quality. Comprehensive and timely intervention allowed the reduction of risks for the motherand her children and the use of Orem's theory allowed the teenager taking skills to cope with their new role asmother.

  1. Two nursing mothers treated with zonisamide: Should breast-feeding be avoided? (United States)

    Ando, Hitoshi; Matsubara, Shigeki; Oi, Asako; Usui, Rie; Suzuki, Mitsuaki; Fujimura, Akio


    Zonisamide, an antiepileptic drug, is excreted into breast milk, but information regarding the safety of breast-feeding while using this drug is limited. We present the cases of two nursing mothers, taking 300 and 100 mg/day zonisamide. At 5 days after delivery, the milk concentrations and relative infant doses of the drug were 18.0 and 5.1 μg/mL, and 44 and 36%, respectively. In the first case, the mother fed colostrum and continued partial breast-feeding thus reducing the relative infant dose to 8%. The neonatal serum concentration of zonisamide declined to below the limit of detection at day 34 after birth. In the second case, the mother breast-fed partially until 2 weeks postpartum. No adverse effect was observed in the infants. These findings suggest that mothers taking zonisamide should not breast-feed exclusively, but may not have to avoid partial breast-feeding, with significant caution regarding adverse effects in infants.

  2. [The nursing process in helping a family with foreign mother and hearing impaired child]. (United States)

    Wu, Meei-Lian; Tang, Jing-Shia


    This case report aims to present a nursing experience involving a child with severe hearing impairment and delayed language development. The patient was discovered during a home visit. At the time she was two and a half years old, but still had not developed any language behavior. She only used eye contact, physical touch, and body language to communicate with her family. She also did not respond to sound stimulation. The results of a Denver Developmental Screening Test (DDST) showed delayed development, especially of language. The child's mother is from Vietnam. The culture, education, language, and environment of Vietnam are totally different from Taiwan. In addition, the mother did not know how to raise her child. So the author tried to follow up on the case. Data were collected by home visits, phone calls, interviews, and communication with members of a professional health care team during the nursing care period (about six months). Data were recorded and it was written a processing analyzed. They revealed five health problems, as follows: (1) hearing impairment causing delayed language development; (2) poor family recognition deviation understanding of delayed development; (3) insufficient community resources; (4) low self-protection, limited capacity for caused by hearing impairment; (5) foreign mother's sense of helplessness about raising the child. The author provided supportive care to the patient and her family, counseled them, and transferred the child quickly to a treatment center. She also coordinated resources and the professional care team in assisting the parents in facing and adapting to the child's developmental delay. As a result, the parents gained knowledge and the ability to make judgments about developmental delay. This fostered a positive attitude on their part and acceptance of the child's admission to the treatment center. The child and family could deal with their problems appropriately because the nurse intervened at the appropriate time

  3. The power of relationships: exploring how Public Health Nurses support mothers and families during postpartum home visits. (United States)

    Aston, Megan; Price, Sheri; Etowa, Josephine; Vukic, Adele; Young, Linda; Hart, Christine; MacLeod, Emily; Randel, Patricia


    Postpartum home visiting by Public Health Nurses (PHNs) has been used by many health departments across Canada as a way of supporting new mothers and their families. Although positive health outcomes are linked with support from PHNs, little is known about how this occurs during the home visit. The purpose of this research was to explore how home visiting programs for mothers and babies were organized, delivered, and experienced through the everyday practices of PHNs, mothers, and managers in Nova Scotia, Canada. Feminist poststructuralism was used to guide the research and semi-structured face-to-face interviews were conducted with 16 PHNs, 16 mothers, and 4 managers. Participants described how relationships were an essential part of supporting mothers and families. These findings also challenge dominant health discourses and stereotypes that are often associated with mothering and the practice of PHNs with families. © The Author(s) 2014.

  4. Mother

    Institute of Scientific and Technical Information of China (English)



    @@ 1.You You quarreled with her mother.She was very angry and ran out of home.优优跟妈妈吵了一架,赌气跑了出去. 2.She walked to a noodle shop.And she felt a little hungry.她来到一个拉面铺前,才感到自己有些饿了.

  5. A scale for home visiting nurses to identify risks of physical abuse and neglect among mothers with newborn infants

    NARCIS (Netherlands)

    Grietens, H; Geeraert, L; Hellinckx, W


    Objective: The aim was to construct and test the reliability (utility, internal consistency, interrater agreement) and the validity (internal validity, concurrent validity) of a scale for home visiting social nurses to identify risks of physical abuse and neglect in mothers with a newborn child. Met

  6. Workplace lactation support by New Jersey employers following US Reasonable Break Time for Nursing Mothers law. (United States)

    Bai, Yeon K; Gaits, Susan I; Wunderlich, Shahla M


    Returning to an unsupportive work environment has been identified as a major reason for avoidance or early abandonment of breastfeeding among working mothers. This study aimed to examine the nature and extent of accommodations offered to breastfeeding employees among New Jersey employers since the US federal Reasonable Break Time for Nursing Mothers law enactment. A cross-sectional survey was conducted to measure current lactation support in the workplace in New Jersey. Using convenience sampling, the survey was sent to managerial personnel in hospitals and nonhospitals. The level of support was assessed on company policy, lactation room, and room amenity. A composite lactation amenity score was calculated based on responses about lactation room amenities. Respondents (N = 51) completed a 22-item online questionnaire during fall 2011. The support level was compared by type of organization: hospital (n = 37) versus nonhospital (n = 14). The amenity score of hospitals was significantly higher than nonhospitals (1.44 vs 0.45, P = .002). The mean amenity score (score = 0.95) for all employers was far below comprehensive (score = 3.0). Compared to nonhospitals, hospitals were more likely to offer lactation rooms (81% vs 36%, P = .003), have their own breastfeeding policy (35.1% vs 7.1%, P = .01), and provide additional breastfeeding support (eg, education classes, resources; P workplace. © The Author(s) 2014.

  7. Remote monitoring of nursing home residents using a humanoid robot. (United States)

    Bäck, Iivari; Kallio, Jouko; Perälä, Sami; Mäkelä, Kari


    We studied the feasibility of using a humanoid robot as an assistant in the monitoring of nursing home residents. The robot can receive alarms via its wireless Internet connection and navigate independently to the room where the alarm originated. Once it has entered the room, the robot can transmit near real time images to the staff and also open a voice connection between the resident and the remote caregivers. This way the remote caregiver is able to check the situation in the room, and take appropriate actions. We tested the prototype robot in three private nursing homes in the Finnish county of South Ostrobothnia. During the testing, 2-4 alarms were produced by each participant and there were 29 alarms in total. The robot was able to navigate correctly to the room from which the alarm was sent and open the speech connection, as well as transmit images via the wireless Internet connection. The experiments provided evidence of the feasibility of using autonomous robots as assistants to nursing home staff in remote monitoring. The response from the nursing home residents was uniformly positive.

  8. Parenting competence, social support, and self-esteem in teen mothers case managed by public health nurses. (United States)

    Herrmann, M M; Van Cleve, L; Levisen, L


    The purpose of this descriptive study was to determine whether self-esteem, parenting competence, and social support for teenage mothers changed over the first 18 months of parenting when case managed by a public health nurse (PHN). A sample of 56 first-time teen mothers from a health department parenting project agreed to participate in the study. PHN case managers collected data close to the birth of the infants and at 6, 12, and 18 months. Demographic findings of teen mothers showed that the majority were below expected grade level, over half lived with parents, and over half were children of teen mothers. Outcome findings related to the infants revealed no delays in development as measured on the Denver Development Screening Test, adequate follow-up for identified health problems, and a high percentage of the children with up-to-date with immunizations. The research question findings showed a statistically significant drop in self esteem for the teens between birth and 6 months, and in social support between 6 and 18 months. No other findings were significant, but some trends appeared when the sample was divided by ethnicity, suggesting a need for closer follow-up for certain groups. Implications for public health nursing and nursing education are included.

  9. Evaluating nurses' implementation of an infant-feeding counseling protocol for HIV-infected mothers: The Ban Study in Lilongwe, Malawi. (United States)

    Ferguson, Yvonne Owens; Eng, Eugenia; Bentley, Margaret; Sandelowski, Margarete; Steckler, Allan; Randall-David, Elizabeth; Piwoz, Ellen G; Zulu, Cynthia; Chasela, Charles; Soko, Alice; Tembo, Martin; Martinson, Francis; Tohill, Beth Carlton; Ahmed, Yusuf; Kazembe, Peter; Jamieson, Denise J; van der Horst, Charles; Adair, Linda; Ahmed, Yusuf; Ait-Khaled, Mounir; Albrecht, Sandra; Bangdiwala, Shrikant; Bayer, Ronald; Bentley, Margaret; Bramson, Brian; Bobrow, Emily; Boyle, Nicola; Butera, Sal; Chasela, Charles; Chavula, Charity; Chimerang'ambe, Joseph; Chigwenembe, Maggie; Chikasema, Maria; Chikhungu, Norah; Chilongozi, David; Chiudzu, Grace; Chome, Lenesi; Cole, Anne; Corbett, Amanda; Corneli, Amy; Duerr, Ann; Eliya, Henry; Ellington, Sascha; Eron, Joseph; Farr, Sherry; Ferguson, Yvonne Owens; Fiscus, Susan; Galvin, Shannon; Guay, Laura; Heilig, Chad; Hoffman, Irving; Hooten, Elizabeth; Hosseinipour, Mina; Hudgens, Michael; Hurst, Stacy; Hyde, Lisa; Jamieson, Denise; Joaki, George; Jones, David; Kacheche, Zebrone; Kamanga, Esmie; Kamanga, Gift; Kampani, Coxcilly; Kamthunzi, Portia; Kamwendo, Deborah; Kanyama, Cecilia; Kashuba, Angela; Kathyola, Damson; Kayira, Dumbani; Kazembe, Peter; Knight, Rodney; Kourtis, Athena; Krysiak, Robert; Kumwenda, Jacob; Loeliger, Edde; Luhanga, Misheck; Madhlopa, Victor; Majawa, Maganizo; Maida, Alice; Marcus, Cheryl; Martinson, Francis; Thoofer, Navdeep; Matika, Chrissie; Mayers, Douglas; Mayuni, Isabel; McDonough, Marita; Meme, Joyce; Merry, Ceppie; Mita, Khama; Mkomawanthu, Chimwemwe; Mndala, Gertrude; Mndala, Ibrahim; Moses, Agnes; Msika, Albans; Msungama, Wezi; Mtimuni, Beatrice; Muita, Jane; Mumba, Noel; Musis, Bonface; Mwansambo, Charles; Mwapasa, Gerald; Nkhoma, Jacqueline; Pendame, Richard; Piwoz, Ellen; Raines, Byron; Ramdas, Zane; Rublein, John; Ryan, Mairin; Sanne, Ian; Sellers, Christopher; Shugars, Diane; Sichali, Dorothy; Snowden, Wendy; Soko, Alice; Spensley, Allison; Steens, Jean-Marc; Tegha, Gerald; Tembo, Martin; Thomas, Roshan; Tien, Hsiao-Chuan; Tohill, Beth; van der Horst, Charles; Waalberg, Esther; Wiener, Jeffrey; Wilfert, Cathy; Wiyo, Patricia; Zgambo, Onnocent; Zimba, Chifundo


    A process evaluation of nurses' implementation of an infant-feeding counseling protocol was conducted for the Breastfeeding, Antiretroviral and Nutrition (BAN) Study, a prevention of mother-to-child transmission of HIV clinical trial in Lilongwe, Malawi. Six trained nurses counseled HIV-infected mothers to exclusively breastfeed for 24 weeks postpartum and to stop breastfeeding within an additional four weeks. Implementation data were collected via direct observations of 123 infant feeding counseling sessions (30 antenatal and 93 postnatal) and interviews with each nurse. Analysis included calculating a percent adherence to checklists and conducting a content analysis for the observation and interview data. Nurses were implementing the protocol at an average adherence level of 90% or above. Although not detailed in the protocol, nurses appropriately counseled mothers on their actual or intended formula milk usage after weaning. Results indicate that nurses implemented the protocol as designed. Results will help to interpret the BAN Study's outcomes.

  10. Care around birth, infant and mother health and maternal health investments – Evidence from a nurse strike

    DEFF Research Database (Denmark)

    Kronborg, Hanne; Sievertsen, Hans Henrik; Wüst, Miriam


    investments indicate that strike-exposed mothers—especially those who lacked postnatal early home visits—are less likely to exclusively breastfeed their child at four months. Thus reduced care around birth may have persistent effects on treated children through its impact on parental investments.......Care around birth may impact child and mother health and parental health investments. We exploit the 2008 national strike among Danish nurses to identify the effects of care around birth on infant and mother health (proxied by health care usage) and maternal investments in the health...... not find strong effects of strike exposure on infant and mother GP contacts in the longer run, this result suggests that parents substitute one type of care for another. While we lack power to identify the effects of care around birth on hospital readmissions and diagnoses, our results for maternal health...

  11. [Application of cognitive techniques in the nursing care of mothers of premature newborns in the neonatal ICU]. (United States)

    Serret Serret, María


    In neonatal units, situations that cause pain and suffering to parents are common. One such situation occurs when a parent develops negative thoughts about the child. These thoughts, in turn, negatively affect the parent-child relationship. Normally, the expert nurse cares for these parents intuitively, based on her professional experience, but without a theoretical foundation such as cognitive theory. Cognitive theory postulates that an individual's emotional response to an event is determined not by the event itself, but by the conscious meaning that the individual gives it. Motivational interviewing and cognitive restructuring are two psychological techniques that allow us to identify, analyse and modify the interpretations and erroneous thoughts that people experience in certain situations. To show how application of these techniques can be useful in caring for these parents and helping them to create a strong, safe bond to their children. We selected the mother of a premature newborn. The nurse had observed that this woman had many negative thoughts that interfered notably in the bonding process with her son. After establishing an empathic relationship with the mother, the nurse performed a motivational interview followed by a cognitive restructuring. Both cognitive techniques are very useful in helping mothers of premature babies to change their feelings and attitudes towards their newborns, thus promoting a strong and happy bond.

  12. Joint action between child health care nurses and midwives leads to continuity of care for expectant and new mothers

    Directory of Open Access Journals (Sweden)

    Ingrid Hylander


    Full Text Available Reduction of the duration of postpartum hospital stay in western countries highlights the need for better support and continuity of care for expectant and new mothers. The aim of this study was to investigate strategies to improve continuity of care for expectant and new mothers. The study also aimed to elaborate on a preliminary substantive grounded theory model of “linkage in the chain of care” that had been developed earlier. Grounded theory methodology, which involved multiple data sources comprising structured interviews with midwives and child healthcare nurses (n=20, as well as mothers (n=21, participant observation, and written material, was used. Comparative analysis was used to analyse the data. To achieve continuity, three main strategies, transfer, establishing and maintaining a relation, and adjustment, were identified. These strategies for continuity formed the basis of the core category, joint action. In all the strategies for continuity, midwives and child healthcare nurses worked together. In addition, mothers benefited from the joint action and recognized continuity of care when strategies for continuity were implemented. The results are discussed in relation to the established concepts of continuity.

  13. Evaluation of a training program for nurse supervisors who monitor nurses in an alternative-to-discipline program. (United States)

    Cadiz, David; Truxillo, Donald; OʼNeill, Chris


    Nurse alternative-to-discipline programs aim to protect the public from the harm of impaired practice and to support nurses in early recovery from substance use disorders. Supervisor observation of work behavior is one key monitoring activity that protects the public. We evaluate a supervisory training called "Fit to Perform" for nurse managers to help them monitor and manage nurses enrolled in an alternative-to-discipline program. We observed significant mean changes in knowledge, training utility, self-efficacy, and substance abuse stigma. The results suggest that the training positively affects knowledge about substance use disorders, confidence to supervise nurses enrolled in an alternative-to-discipline program, and reduces stigma, which may create a supportive workplace for nurses in recovery.

  14. Nursing care to patients with PiCCO monitoring

    Directory of Open Access Journals (Sweden)

    Ramona Rodríguez Flores


    Full Text Available The monitoring of physiological parameters turns out to be indispensable to obtain a treatment directed therapeutic in critical patients.In the Units of Intensive care it is in the habit of being frequent to meet complex systems of monitoring homodynamic, since they are the Catheter of Pulmonary Artery (CAP or of Swan-Ganz and the system of monitoring PiCCO (In English, Pulse-Induced Contour Cardiac Output, to measure the Cardiac Output for analysis of the curve of the arterial pulse.These systems are of necessary in patients with great instability homodynamic, septic shock, injury or pulmonary hurt and organic hurt.The lens of this work, it is to announce the system of monitoring PiCCO since it is a relatively new system and allows measuring parameters that do not decide with the catheter Swan-Ganz, besides other advantages. Also we have elaborated a plan of taken care of standard Nursing to patients with monitoring PiCCO.For his production we have based on a wide bibliographical review and expert consults professionals, as well as a deep navigation for Internet.

  15. Awareness of United States' Law for Nursing Mothers among Employers in New Orleans, Louisiana. (United States)

    Alb, Caitrin H; Theall, Katherine; Jacobs, Marni B; Bales, Ana

    The U.S. Federal Reasonable Break Time for Nursing Mothers Law to support breastfeeding employees was passed in 2010, as part of the Affordable Care Act. However, few data are available assessing employers' awareness of the law or its implementation. The study aims were to 1) describe New Orleans employers' awareness of the law, 2) determine the extent of the law implementation within workplaces, and 3) determine the associations between workplace characteristics and employers' awareness and implementation. A cross-sectional survey was mailed to 652 workplaces with more than 50 employees in New Orleans, Louisiana, in the fall of 2013. A random sample of those who did not respond was called. The survey included questions about the industry category, number and type of employees, the employers' awareness of the law, if they had begun to implement the law, and their perceptions of barriers to implementation. The final sample included 182 workplaces (27.9% response rate). Eighty-seven participants (47.8%) reported having heard of the law. However, 52.7% of the participants (n = 96) responded that they had begun to implement the law. Large workplaces (≥100 employees) were more than four times as likely to be aware of the law compared with smaller workplaces (odds ratio, 4.23; 95% confidence interval, 1.69-10.59). The results were similar for beginning implementation. The proportion of large workplaces who are aware of the law remains lower than it should be, even 3 years after the institution of the Affordable Care Act. Outreach to all workplaces, including smaller ones, is needed to inform employers about the law and give them tools for implementation. Copyright © 2016 Jacobs Institute of Women's Health. Published by Elsevier Inc. All rights reserved.

  16. Intermittent auscultation versus continuous fetal monitoring: exploring factors that influence birthing unit nurses' fetal surveillance practice using theoretical domains framework. (United States)

    Patey, Andrea M; Curran, Janet A; Sprague, Ann E; Francis, Jill J; Driedger, S Michelle; Légaré, France; Lemyre, Louise; Pomey, Marie-Pascale A; Grimshaw, Jeremy M


    Intermittent Auscultation (IA) is the recommended method of fetal surveillance for healthy women in labour. However, the majority of women receive continuous electronic monitoring. We used the Theoretical Domains Framework (TDF) to explore the views of Birthing Unit nurses about using IA as their primary method of fetal surveillance for healthy women in labour. Using a semi-structured interview guide, we interviewed a convenience sample of birthing unit nurses throughout Ontario, Canada to elicit their views about fetal surveillance. Interviews were recorded and transcribed verbatim. Transcripts were content analysed using the TDF and themes were framed as belief statements. Domains potentially key to changing fetal surveillance behaviour and informing intervention design were identified by noting the frequencies of beliefs, content, and their reported influence on the use of IA. We interviewed 12 birthing unit nurses. Seven of the 12 TDF domains were perceived to be key to changing birthing unit nurses' behaviour The nurses reported that competing tasks, time constraints and the necessity to multitask often limit their ability to perform IA (domains Beliefs about capabilities; Environmental context and resources). Some nurses noted the decision to use IA was something that they consciously thought about with every patient while others stated it their default decision as long as there were no risk factors (Memory, attention and decision processes, Nature of behaviour). They identified positive consequences (e.g. avoid unnecessary interventions, mother-centered care) and negative consequences of using IA (e.g. legal concerns) and reported that the negative consequences can often outweigh positive consequences (Beliefs about consequences). Some reported that hospital policies and varying support from care teams inhibited their use of IA (Social influences), and that support from the entire team and hospital management would likely increase their use (Social

  17. Black non-Hispanic mothers' perceptions about the promotion of infant-feeding methods by nurses and physicians. (United States)

    Cricco-Lizza, Roberta


    To describe reports of low-income Black non-Hispanic women about the promotion of infant-feeding methods by nurses and physicians. Ethnographic research conducted over 18 months with interviewing and participant observation of informants. The study took place in a Special Supplemental Nutrition Program for Women, Infants, and Children clinic and neighborhood in the New York metropolitan area. 130 Black non-Hispanic mothers enrolled in the Special Supplemental Nutrition Program for Women, Infants, and Children were general informants. From this group, 11 primiparous key informants were selected for close follow-up during pregnancy and the 1st postpartum year. Audiotaped interviews and field notes were analyzed for mothers' descriptions of infant-feeding education and support from nurses and physicians. The informants reported limited breastfeeding education and support during pregnancy, childbirth stay in neonatal intensive care unit, postpartum, and recovery in the community. They also expressed trust/distrust concerns and varying degrees of anxiety about the ways they were treated by nurses and physicians. To decrease disparities in breastfeeding, this research suggests that health care professionals should focus their efforts on the development of trusting relationships and continuity of care along with clear, consistent breastfeeding education and support.

  18. [Human resources management in a mother and child department: a research study on new nursing and obstetric staff]. (United States)

    Sferrazza, Silvia; Papalia, Monica; Rossi, Sergio


    To put "human resources" in the first place in a working context is an ambitious target. The basic idea is the give more value to the human and professional contribution of each individual in order to create an alliance between an organization and the people who work in it. In this context, the nursing coordinator plays a key role in inserting new staff. In this delicate phase, the expectations of new staff may or may not be fulfilled. The aim of the present study is to examine the possible difficulties that may occur during this phase. The study included 175 new staff and 175 nurses, obstetricians and pediatric nurses already at work for a total of 350. Research instruments consisted of two anonymous ad hoc questionnaires, the first issued to new staff at the Mother and Child Department, the second to staff already working in the same department. Results showed a lack of sensitivity towards new staff and a lack of dedicated procedures to help them during this delicate phase which is fundamental for their future career. Key words: newly assumed staff, work insertion, nurses.


    Directory of Open Access Journals (Sweden)

    I. V. Tolmachyov


    Full Text Available Text abstract Mother’s and fetus’s health are very important in present time. With timely diagnosis perinatal pathology, birth injuries, antenatal stillbirths and newborn perinatal death can be prevented. At the moment in the world there are no complexes which enable monitoring of the fetus without any risk to his health. So the main aim of this work is development of hardware and software system to assess the functional status of the mother and fetus by the analysis of the signals recorded from the abdominal electrodes.Objectives:1 to formulate the requirements to noninvasive monitoring system and functional state assessment of mother and fetus.2 to develop algorithms and software for monitoring system and functional state assessment of mother and fetus.3 to determine fetus functional state at 32–33 week in women with uncomplicated pregnancies and in women with placental insufficiency in the compensation stage and subcompensation.The system concept is based on fetal heart rate recognition and analysis. Fetal heart rate has been extracted from the mixed signals received from abdominal electrodes. This technique is passive for a body so there is no research time limit. Device for simultaneous registration of fetal and maternal electrocardiogram is high sensitive bioamplifier with low level of intrinsic noises, high input resistance and suppression of inphase noises more than 80 DB. Digital processing of a signal is carried out by microcontroller of the registration module and personal computer. Preprocessing is carried out in microcontroller by receiving signals from the analog-to-digital converter on the increased sampling rate, digital filtering, decimation.With the help of the developed complex two-stage study was conducted. At first stage the fetal cardiointervalogram (i.e. fetus heartbeat period and the distribution pattern of these intervals in time was studied. Second stage was carried out to search additional criteria of fetal

  20. [Consensus statement on monitoring of HIV: pregnancy, birth, and prevention of mother-to-child transmission]. (United States)

    Polo Rodríguez, Rosa; Muñoz Galligo, Eloy; Iribarren, José Antonio; Domingo Pedrol, Pere; Leyes García, María; Maiques Montesinos, Vicente; Miralles Martín, Pilar; Noguera Julian, Antoni; Ocampo Hernández, Antonio; Péres Bares, María Lourdes; López Rojano, Marta; Suy Franch, Anna; Viñuela Beneitez, María Carmen; González Tomé, María Isabel


    The main objective in the management of HIV-infected pregnant women is prevention of mother-to-child transmission; therefore, it is essential to provide universal antiretroviral treatment, regardless of CD4 count. All pregnant women must receive adequate information and undergo HIV serology testing at the first visit. We assembled a panel of experts appointed by the Secretariat of the National AIDS Plan (SPNS) and the other participating Scientific Societies, which included internal medicine physicians with expertise in the field of HIV infection, gynecologists, pediatricians and psychologists. Four panel members acted as coordinators. Scientific information was reviewed in publications and conference reports up to November 2012. In keeping with the criteria of the Infectious Diseases Society of America, 2levels of evidence were applied to support the proposed recommendations: the strength of the recommendation according to expert opinion (A, B, C), and the level of empirical evidence (I, II, III). This approach has already been used in previous documents from SPNS. The aim of this paper was to review current scientific knowledge, and, accordingly, develop a set of recommendations regarding antiretroviral therapy (ART), regarding the health of the mother, and from the perspective of minimizing mother-to-child transmission (MTCT), also taking into account the rest of the health care of pregnant women with HIV infection. We also discuss and evaluate other strategies to reduce the MTCT (elective Cesarean, child's treatment…), and different aspects of the topic (ARV regimens, their toxicity, monitoring during pregnancy and postpartum, etc.). Copyright © 2013 Elsevier España, S.L. y Sociedad Española de Enfermedades Infecciosas y Microbiología Clínica. All rights reserved.

  1. Effectiveness of a nurse-led intensive home-visitation programme for first-time teenage mothers (Building Blocks): a pragmatic randomised controlled trial


    Robling, Michael Richard; Bekkers, Marie; Bell, Kerry; Butler, Christopher Collett; Cannings-John, Rebecca Louise; Channon, Susan Jane; Martin, Belen Corbacho; Gregory, John Welbourn; Hood, Kerenza; Kemp, Alison Mary; Kenkre, Joyce; Montgomery, Alan A; Moody, Gwenllian; Owen-Jones, Catrin Eleri; Pickett, Kate


    Summary Background Many countries now offer support to teenage mothers to help them to achieve long-term socioeconomic stability and to give a successful start to their children. The Family Nurse Partnership (FNP) is a licensed intensive home-visiting intervention developed in the USA and introduced into practice in England that involves up to 64 structured home visits from early pregnancy until the child's second birthday by specially recruited and trained family nurses. We aimed to assess t...

  2. [A clinical monitoring tool for diabetic patients for the benefit of freelance nurses]. (United States)

    Lhuillier, Odile; Adain, Emmanuiel


    The major role in prevention and therapeutic education played by freelance nurses is essential in the face of the prevalence of diabetes in Reunion.This role can only be developed using multi-disciplinary and shared clinical monitoring tools. A growing number of freelance nurses are using a newly created traceability sheet,specifically designed to reflect those requirements.

  3. Factors associated with breastfeeding cessation in nursing mothers in a peer support programme in Eastern Lancashire

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    Verma Arpana


    Full Text Available Abstract Background The UK has one of the lowest breastfeeding rates worldwide and in recent years the Government has made breastfeeding promotion one of its priorities. The UNICEF UK Baby Friendly Initiative is likely to increase breastfeeding initiation but not duration. Other strategies which involve provision of support for breastfeeding mothers in the early weeks after birth are therefore required to encourage UK mothers to breastfeed for the recommended duration. This paper examines the effects of maternal socio-demographic factors, maternal obstetric factors, and in-hospital infant feeding practices on breastfeeding cessation in a peer support setting. Methods Data on mothers from Blackburn with Darwen (BwD and Hyndburn in Eastern Lancashire who gave birth at the Royal Blackburn Hospital and initiated breastfeeding while in hospital were linked to the Index of Multiple Deprivation (IMD. The data were analysed to describe infant feeding methods up to 6 months and the association between breastfeeding cessation, and maternal factors and in-hospital infant feeding practices. Results The mean breastfeeding duration was 21.6 weeks (95% CI 20.86 to 22.37 weeks and the median duration was 27 weeks (95% CI 25.6 to 28.30 weeks. White mothers were 69% more likely to stop breastfeeding compared with non-White mothers (HR: 0.59; 95% CI, 0.52 to 0.67 [White mothers were the reference group]. Breastfeeding cessation was also independently associated with parity and infant feeding practices in hospital. There were no significant associations between breastfeeding cessation and marital status, mode of delivery, timing of breastfeeding initiation and socio-economic deprivation. Conclusion In this study ethnicity, parity and in-hospital infant feeding practices remained independent predictors of breastfeeding cessation in this peer support setting. However other recognised predictors such as marital status, mode of delivery, timing of breastfeeding

  4. Technology for Improving Medication Monitoring in Nursing Homes (United States)


    Education Foundation. The Geriatric Risk Assessment MedGuide™ (GRAM™) software19 specifically alerts prescribers and nursing facility staff to...developed and delivered inservice programs for nursing staff of the 13 facilities that received the intervention as part of the AHRQ-funded study. The in...Research and Education Foundation who have encouraged innovations in the delivery of quality pharmaceutical care to nursing home residents. Author

  5. My Mother

    Institute of Scientific and Technical Information of China (English)



    My mother is beautiful.She is about forty years old.She is a nurse.She loves her job and works hard.My family all like her.I love my mother,because she does most of the housework at home and she does everything for me.Every day she spends some time with me on my study.Sometimes she helps me with Maths and Chinese.She is

  6. Nurse Competence on Physiologic Monitors Use: Toward Eliminating Alarm Fatigue in Intensive Care Units. (United States)

    Sowan, Azizeh K; Vera, Ana G; Fonseca, Elma I; Reed, Charles C; Tarriela, Albert F; Berndt, Andrea E


    Studies on nurse competence on alarm management are a few and tend to be focused on limited skills. In response to Phase II of implementing the National Patient Safety Goal on clinical alarm systems safety, this study assessed nurses' perceived competence on physiologic monitors use in intensive care units (ICUs) and developed and validated a tool for this purpose. This descriptive study took place in a Magnet hospital in a Southwestern state of the U.S. A Nurse Competence on Philips Physiologic Monitors Use Survey was created and went through validation by 13 expert ICU nurses. The survey included 5 subscales with 59 rated items and two open-ended questions. Items on the first 4 subscales reflect most common tasks nurses perform using physiologic monitors. Items on the fifth subscale (advanced functions) reflect rarely used skills and were included to understand the scope of utilizing advanced physiologic monitors' features. Thirty nurses from 4 adult ICUs were invited to respond to the survey. Thirty nurses (100%) responded to the survey. The majority of nurses were from Neuro (47%) and Surgical Trauma (37%) ICUs. The data supported the high reliability and construct validity of the survey. At least one (3%) to 8 nurses (27%) reported lack of confidence on each item on the survey. On the first four subscales, 3% - 40% of the nurses reported they had never heard of or used 27 features/functions on the monitors. No relationships were found between subscales' scores and demographic characteristics (p > .05). Nurses asked for training on navigating the central-station monitor and troubleshooting alarms, and the use of unit-specific super users to tailor training to users' needs. This is the first study to create and test a list of competencies for physiologic monitors use. Rigorous, periodic and individualized training is essential for safe and appropriate use of physiologic monitors and to decrease alarm fatigue. Training should be comprehensive to include all

  7. New possibilities for the teaching of nursing in mental health: an experience in monitoring

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    Karina Faine da Silva Freitas


    Full Text Available This study aimed at reflecting on the possibilities of applying new methodological strategies in the teaching and learning in nursing. The study is a report of an experiment conducted from a monitoring project of a syllabus activity of nursing in mental and psychiatry health. The methodology was developed by introducing the student/monitor in the contents of theoretical practical learning that were performed by means of Active Methodologies in three academic semesters in 2010 and 2011, in the Nursing School of the Universade Federal do Pará, Brazil. The monitor performed activities to support professors as the ‘Ciclo de Estudos Aprender Fazendo’ (Cycle of Studies Learning Experiencing. It was revealed as a strengthening factor the new pedagogical proposal of the course and shown that the monitoring experience is presented as a new possibility of teaching in mental health from the introduction of different ways to approach the topic in class.

  8. Veno-occlusive disease nurse management: development of a dynamic monitoring tool by the GITMO nursing group. (United States)

    Botti, Stefano; Orlando, Laura; Gargiulo, Gianpaolo; Cecco, Valentina De; Banfi, Marina; Duranti, Lorenzo; Samarani, Emanuela; Netti, Maria Giovanna; Deiana, Marco; Galuppini, Vera; Pignatelli, Adriana Concetta; Ceresoli, Rosanna; Vedovetto, Alessio; Rostagno, Elena; Bambaci, Marilena; Dellaversana, Cristina; Luminari, Stefano; Bonifazi, Francesca


    Veno-occlusive disease (VOD) is a complication arising from the toxicity of conditioning regimens that have a significant impact on the survival of patients who undergo stem cell transplantation. There are several known risk factors for developing VOD and their assessment before the start of conditioning regimens could improve the quality of care. Equally important are early identification of signs and symptoms ascribable to VOD, rapid diagnosis, and timely adjustment of support therapy and treatment. Nurses have a fundamental role at the stages of assessment and monitoring for signs and symptoms; therefore, they should have documented skills and training. The literature defines nurses' areas of competence in managing VOD, but in the actual clinical practice, this is not so clear. Moreover, there is an intrinsic difficulty in managing VOD due to its rapid and often dramatic evolution, together with a lack of care tools to guide nurses. Through a complex evidence-based process, the Gruppo Italiano per il Trapianto di Midollo Osseo (GITMO), cellule staminali emopoietiche e terapia cellulare nursing board has developed an operational flowchart and a dynamic monitoring tool applicable to haematopoietic stem cell transplantation patients, whether they develop this complication or not.

  9. Impact of professionalism in nursing on in-hospital bedside monitoring practice. (United States)

    Bunkenborg, Gitte; Samuelson, Karin; Akeson, Jonas; Poulsen, Ingrid


    This article reports a study exploring nursing practice of monitoring in-hospital patients including intra- and interprofessional communication and collaboration. Sub-optimal care in general in-hospital wards may lead to admission for intensive care, cardiac arrest, or sudden death. Reasons may include infrequent measurements of vital parameters, insufficient knowledge of their predictive values, and/or sub-optimal use of Medical Emergency Teams. This study was designed to improve understanding of nursing practice and to identify changes required to support nursing staff in improving standards of clinical monitoring practice and patient safety in general in-hospital wards. The study was designed as a qualitative descriptive clinical study, based on method triangulation including structured individual observations and semi-structured individual interviews. In the spring of 2009, structured observations and semi-structured interviews of 13 nurses were carried out at a university hospital in Copenhagen, Denmark. The observational notes and interview transcriptions were analysed using content analysis. One theme (Professionalism influences nursing monitoring practice) and two sub-themes (Knowledge and skills and Involvement in clinical practice through reflections) were identified. Three categories (Decision-making, Sharing of knowledge, and Intra- and interprofessional interaction) were found to be associated with the theme, the sub-themes, and with each other. Clinical monitoring practice varies considerably between nurses with different individual levels of professionalism. Future initiatives to improve patient safety by further developing professionalism among nurses need to embrace individual and organizational attributes to strengthen their practice of in-hospital patient monitoring and management. © 2012 Blackwell Publishing Ltd.

  10. 'There's something in their eyes' - Child Health Services nurses' experiences of identifying signs of postpartum depression in non-Swedish-speaking immigrant mothers. (United States)

    Skoog, Malin; Hallström, Inger; Berggren, Vanja


    Due to the current world situation, Sweden has one of the highest asylum applications within the European Union. Immigrant mothers, specifically those who have immigrated during the last ten years and do not speak the language of the new country, are found to be at particular risk of being effected by postpartum depression. In this study, we elucidate Swedish Child Health Services nurses' experiences of identifying signs of postpartum depression in non-Swedish-speaking immigrant mothers. Latent content analysis was used when analysing data material from 13 research interviews. Being able to interpret a non-Swedish-speaking immigrant mother's mood required establishing and constant deepening of a transcultural caring relationship, the use of cultural knowledge to perceive signs of postpartum depression from observations and interactions and to rely on intuition. There are both challenges and key factors for success in interpreting the mood of non-Swedish-speaking immigrant mothers. This study provides information to healthcare professionals about challenges with adapting the screening with the Edinburgh Postnatal Depression Scale to immigrant mothers not speaking the language of residence. Tacit knowledge and cultural competence among healthcare personnel are invaluable assets when interpreting mental health in this vulnerable group of mothers. © 2017 The Authors. Scandinavian Journal of Caring Sciences published by John Wiley & Sons Ltd on behalf of Nordic College of Caring Science.

  11. Assessment of radiation dose to infants from breast milk following the administration of /sup 99m/Tc pertechnetate to nursing mothers

    Energy Technology Data Exchange (ETDEWEB)

    Ogunleye, O.T.


    Results of measurements of /sup 99m/Tc activity in the milk samples of nursing mothers who received /sup 99m/Tc pertechnetate for thyroid scans are presented. The maximum concentration is found around 2 hours after injection. The total body dose to a 3-month-old infant feeding on the assayed milk varied with time from about 685 mrad to 0.5 mrad.


    Directory of Open Access Journals (Sweden)

    A. A. Khlopova


    Full Text Available Raining influence with biofeedback on system mother fetus was investigated. The technique of biofeedback training for the pregnant women was developed, which had main objective to control of parameters of vegetative nervous system by means of breath. The technique was tested on a group of pregnant wo men on term of a gestation of 32–35 weeks. It is established: change of a functional condition of mother influences level of sympathetic regulation of a heart rhythm of a fetus.

  13. Monitoring of Zinc level in Milk of Breastfeeding Mothers at First Month of Delivery

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    Mohammad Hossien Salmani Nodoushan


    Materials and Methods: This was a descriptive study of 150 breastfeeding mothers in the 2014 who had given birth in Yazd and were sampled in a simple way. Sampling was done exclusively in the health and treatment centers in the city, in the spring of 2014. 10- 20 ml samples of breast milk were taken manually in the morning and before infants' feeding, in 3 times of 5, 15 and 30 days after delivery, to measure the micronutrient of zinc. The concentration of zinc was measured by atomic absorption spectroscopy.Data obtained by questionnaires and atomic absorption was analyzed by ANOVA test. Results: The average age of mothers was 27.40 ± 4.67 years. The average level of zinc in breast milk was 2.60 ± 0.35 mg/l. The zinc concentration of breast milk was at the bottom of the standard range of zinc in breast milk.There was no significant relationship between zinc averages in milk with education, age, BMI and mothers' job. But, there was a direct relationship between zinc levels of breast milk with mothers' BMI. Conclusion: According to the results of this study, it seems that addition of zinc to the diet of breastfeeding mothers helps to prevent zinc deficiency in mothers' blood serum as well as children's nutrition.

  14. Monitoring the newly qualified nurses in Sweden: the Longitudinal Analysis of Nursing Education (LANE study

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    Wallin Lars


    Full Text Available Abstract Background The Longitudinal Analysis of Nursing Education (LANE study was initiated in 2002, with the aim of longitudinally examining a wide variety of individual and work-related variables related to psychological and physical health, as well as rates of employee and occupational turnover, and professional development among nursing students in the process of becoming registered nurses and entering working life. The aim of this paper is to present the LANE study, to estimate representativeness and analyse response rates over time, and also to describe common career pathways and life transitions during the first years of working life. Methods Three Swedish national cohorts of nursing students on university degree programmes were recruited to constitute the cohorts. Of 6138 students who were eligible for participation, a total of 4316 consented to participate and responded at baseline (response rate 70%. The cohorts will be followed prospectively for at least three years of their working life. Results Sociodemographic data in the cohorts were found to be close to population data, as point estimates only differed by 0-3% from population values. Response rates were found to decline somewhat across time, and this decrease was present in all analysed subgroups. During the first year after graduation, nearly all participants had qualified as nurses and had later also held nursing positions. The most common reason for not working was due to maternity leave. About 10% of the cohorts who graduated in 2002 and 2004 intended to leave the profession one year after graduating, and among those who graduated in 2006 the figure was almost twice as high. Intention to leave the profession was more common among young nurses. In the cohort who graduated in 2002, nearly every fifth registered nurse continued to further higher educational training within the health professions. Moreover, in this cohort, about 2% of the participants had left the nursing

  15. Veno-occlusive disease nurse management: development of a dynamic monitoring tool by the GITMO nursing group (United States)

    Botti, Stefano; Orlando, Laura; Gargiulo, Gianpaolo; Cecco, Valentina De; Banfi, Marina; Duranti, Lorenzo; Samarani, Emanuela; Netti, Maria Giovanna; Deiana, Marco; Galuppini, Vera; Pignatelli, Adriana Concetta; Ceresoli, Rosanna; Vedovetto, Alessio; Rostagno, Elena; Bambaci, Marilena; Dellaversana, Cristina; Luminari, Stefano; Bonifazi, Francesca


    Veno-occlusive disease (VOD) is a complication arising from the toxicity of conditioning regimens that have a significant impact on the survival of patients who undergo stem cell transplantation. There are several known risk factors for developing VOD and their assessment before the start of conditioning regimens could improve the quality of care. Equally important are early identification of signs and symptoms ascribable to VOD, rapid diagnosis, and timely adjustment of support therapy and treatment. Nurses have a fundamental role at the stages of assessment and monitoring for signs and symptoms; therefore, they should have documented skills and training. The literature defines nurses’ areas of competence in managing VOD, but in the actual clinical practice, this is not so clear. Moreover, there is an intrinsic difficulty in managing VOD due to its rapid and often dramatic evolution, together with a lack of care tools to guide nurses. Through a complex evidence-based process, the Gruppo Italiano per il Trapianto di Midollo Osseo (GITMO), cellule staminali emopoietiche e terapia cellulare nursing board has developed an operational flowchart and a dynamic monitoring tool applicable to haematopoietic stem cell transplantation patients, whether they develop this complication or not. PMID:27594906

  16. Impact of professionalism in nursing on in-hospital bedside monitoring practice

    DEFF Research Database (Denmark)

    Bunkenborg, Gitte; Samuelson, Karin; Akeson, Jonas


    AIM: This article reports a study exploring nursing practice of monitoring in-hospital patients including intra- and interprofessional communication and collaboration. BACKGROUND: Sub-optimal care in general in-hospital wards may lead to admission for intensive care, cardiac arrest, or sudden dea...

  17. A description of nurses' decision-making in managing electrocardiographic monitor alarms. (United States)

    Gazarian, Priscilla K; Carrier, Natalie; Cohen, Rachel; Schram, Haley; Shiromani, Samara


    To describe the cues and factors that nurses use in their decision-making when responding to clinical alarms. Alarms are designed to be very sensitive, and as a result, they are not very specific. Lack of adherence to the practice standards for electrocardiographic monitoring in hospital settings has been observed, resulting in overuse of the electrocardiographic monitoring. Monitoring without consideration of clinical indicators uses scarce healthcare resources and may even produce untoward circumstances because of alarm fatigue. With so many false alarms, alarm fatigue represents a symptom of a larger problem. It cannot be fixed until all of the factors that contribute to its existence have been examined. This was a qualitative descriptive study. This study was conducted at an academic medical centre located in the Northeast United States. Eight participants were enrolled using purposive sampling. Nurses were observed for two three-hour periods. Following each observation, the nurse was interviewed using the critical decision method to describe the cognitive processes related to the alarm activities. Qualitative data from the conducted interviews were analysed via an a priori framework founded in the critical decision method. This study reveals information, experience, guidance and decision-making as the four prominent categories contributing to nurses' decision-making in relation to alarm management. Managing technology was a category not identified a priori that emerged in the data analysis. Nurses revealed a breadth of information needed to adequately identify and interpret monitor alarms, and how they used that information to put the alarms into the particular context of an individual patient's situations. Understanding the cues and factors nurses use when responding to cardiac alarms will guide the development of learning experiences and inform policies to guide practice. © 2014 John Wiley & Sons Ltd.

  18. Gestational diabetes mellitus patient monitoring and nursing countermeasures%妊娠期糖尿病患者的监测和护理对策

    Institute of Scientific and Technical Information of China (English)



    目的总结妊娠期糖尿病的监测方法和护理体会。方法对28例妊娠期糖尿病采取以下护理措施:加强妊娠期、分娩期、产褥期的护理,具体包括心理辅导、饮食护理、母儿监护、运动指导、产程观察、产后护理、积极预防妊娠期糖尿病并发症。结果经过合理的护理干预对策,本组母婴均平安出院,取得了良好的临床效果。结论对于妊娠期糖尿病患者应全面评估身心情况,完善落实妊娠期糖尿病患者的各项监测治疗和护理工作,确保患者顺利度过孕产期。%objective to gestational diabetes monitoring method and nursing experience. Methods 28 cases of gestational diabetes mellitus and take the following measures: strengthening nursing care of pregnancy, childbirth, postpartum care, including psychological, diet nursing, maternal and perinatal care, exercise guidance, labor observation, postpartum care, actively preventing gestational diabetes complications. Results with reasonable nursing intervention countermeasures, this group of both mother and baby were discharged safely, achieved good clinical results. Conclusion for patients with gestational diabetes should be a comprehensive assessment of physical and mental condition, improve the implementation of gestational diabetes mellitus and the monitoring treatment and nursing work, ensuring that patients spend smoothly in perinatal period.

  19. Monitoring of Soft Fruit Mother Plantings Aimed at Control of Phytophthora fragariae, Causal Agent of Root Rot

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    Slobodan Milenković


    Full Text Available Phytophthora fragariae was first detected in the Republic of Serbia in 2002, and it has been included in A2 quarantine list of damaging organisms since 2003. The project titled ‘Monitoring of soft fruit mother plantings aimed at the control of Phytophthora fragariae, causal agent of root rot’ was realized over 2004 – 2005 aiming at determination of population rate of the pathogen and the control of raspberry planting material. Over that period, the total 388 samples were tested. Collected samples were analyzed by PCR. The presence of Phytophthora fragariae was detected in 156 samples.

  20. An Investigation of the Glucose Monitoring Practices of Nurses in Stroke Care: A Descriptive Cohort Study

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    Elizabeth Ann Laird


    Full Text Available Glucose derangement is commonly observed among adults admitted to hospital with acute stroke. This paper presents the findings from a descriptive cohort study that investigated the glucose monitoring practices of nurses caring for adults admitted to hospital with stroke or transient ischaemic attack. We found that a history of diabetes mellitus was strongly associated with initiation of glucose monitoring and higher frequency of that monitoring. Glucose monitoring was continued for a significantly longer duration of days for adults with a history of diabetes mellitus, when compared to the remainder of the cohort. As glucose monitoring was not routine practice for adults with no history of diabetes mellitus, the detection and treatment of hyperglycaemia and hypoglycaemia events could be delayed. There was a significant positive association between the admission hospital that is most likely to offer stroke unit care and the opportunity for glucose monitoring. We concluded that adults with acute stroke, irrespective of their diabetes mellitus status prior to admission to hospital, are vulnerable to both hyperglycaemic and hypoglycaemic events. This study suggests that the full potential of nurses in the monitoring of glucose among hospitalised adults with stroke has yet to be realised.

  1. Health Monitoring System for Nursing Homes with Lightweight Security and Privacy Protection

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    Yu’e Jiang


    Full Text Available With the rapid growth of aged population in China, it is urgent to design a safe and effective monitoring system for the nursing homes. An optimized scheme and high performance security and privacy protection for monitoring system have already become the focus studied especially. So this paper proposed a health monitoring system with lightweight security and privacy protection for nursing homes. Dual-band RFID, virtual routing location algorithm, and diet and exercise data collection based on RFID were adopted to obtain the location and health information. And that fused a mobile authentication protocol based on Hash function to realize security access and privacy protection, which can improve security and reduce the complexity of calculation and the implementation cost compared with the typical authentication protocols. The experiment results show that the ratio of relative network delay is below 35%. The system has strong real-time, high security, more comprehensive data, and lower cost of computation and communication. It can satisfy the requirements of health monitoring for nursing homes.

  2. Examining the social construction of surveillance: a critical issue for health visitors and public health nurses working with mothers and children. (United States)

    Aston, Megan; Peckover, Sue


    In this paper we will critically examine surveillance practices of health visitors (HV) in the UK and public health nurses (PHNs) in Canada. The practice and meaning of surveillance shifts and changes depending on the context and intent of relationships between mothers and HVs or PHNs. We present the context and practice of HVs in the UK and PHNs in Canada and provide a comprehensive literature review regarding surveillance of mothers within public health systems. We then present our critique of the meaning and practice of surveillance across different settings. Concepts from Foucault and discourse analysis are used to critically examine and discuss the meaning of surveillance RESULTS: Surveillance is a complex concept that shifts meaning and is socially and institutionally constructed through relations of power CONCLUSIONS: Health care providers need to understand the different meanings and practices associated with surveillance to effectively inform practice. Health care providers should be aware of how their positions of expert and privilege within health care systems affect relationships with mothers. A more comprehensive understanding of personal social and institutional aspects of surveillance will provide opportunities to reflect upon and change practices that are supportive of mothers and their families. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.

  3. Randomized controlled trial of a nurse-led rheumatology clinic for monitoring biological therapy. (United States)

    Larsson, Ingrid; Fridlund, Bengt; Arvidsson, Barbro; Teleman, Annika; Bergman, Stefan


    To compare and evaluate the treatment outcomes of a nurse-led rheumatology clinic and a rheumatologist-led clinic in patients with low disease activity or in remission who are undergoing biological therapy. Patients with chronic inflammatory arthritis treated with biological therapy are usually monitored by rheumatologists. Nurse-led rheumatology clinics have been proposed in patients with low disease activity or in remission. Randomized controlled trial. A 12-month follow-up trial was conducted between October 2009 and August 2011, where 107 patients were randomized into two groups with a 6-month follow-up to a nurse-led rheumatology clinic based on person-centred care (intervention group; n = 53) or to a rheumatologist-led clinic (control group; n = 54). The hypothesis was that the nurse-led clinic outcomes would not be inferior to those obtained from a rheumatologist-led clinic at the 12-month follow-up. The primary outcome was disease activity measured by Disease Activity Score 28. A total of 47 patients in the intervention group and 50 in the control group completed the 12-month trial. The trial revealed no statistically significant differences between groups in mean change of Disease Activity Score 28, Visual Analogue Scales for pain, the Health Assessment Questionnaire, satisfaction with or confidence in obtaining rheumatology care. Patients with stable chronic inflammatory arthritis undergoing biological therapy could be monitored by a nurse-led rheumatology clinic without difference in outcome as measured by the Disease Activity Score 28. © 2013 The Authors. Journal of Advanced Nursing published by John Wiley & Sons Ltd.

  4. Evaluation of stress factors among the elderly in the nursing homes for the elderly (Eram and Mother) in Kermanshah, in 2015


    Z. Moradi; Far Ajallah Bike Nouri, M; M Mohammadi; Esfandnia, F; Taovsi, P; Esfandnia, A


    Introduction: The goal of this research was to assess the stress factors among the elderly living in nursing homes (Eram and Mother) in Kermanshah, in 2015. Research method: This was a descriptive - cross analysis and was performed in the first half of 2015 in a sectional way. The statistical population included 150 elderly men and women aged 60 to 74, and the sample size was selected from 108 people using the Cochran formula. A standard questionnaire was used to collect data from a previousl...

  5. Integrating Prevention of Mother to Child HIV Transmission competencies into the nursing curriculum: Methodological lessons from a university-based undergraduate programme. (United States)

    Mbombo, Nomafrench; Bimerew, Million


    South Africa (SA) has the highest number of women infected with HIV and AIDS during pregnancy, which results in more than 70 000 infected babies being born each year AIDS is the major contributor to maternal and child morbidities and mortalities in the country. To combat this, the SA government has developed a national policy to prevent mother-to-child HIV transmission (PMTCT). However, for effective implementation of this policy, there is a dire need for a competent, skilled health worker to render the service. In response to this, the School of Nursing at the University of the Western Cape has integrated PMTCT competencies into the undergraduate Bachelor of Nursing Science curriculum. In this paper, we described teaching and learning approaches used to integrate PMTCT competencies, including the skills laboratory methodology and case-based learning, as well as a portfolio of evidence assessment tool. A quantitative descriptive design was used to analyse data collected from students in regard to assessment of PMTCT competencies achieved. The study used the conceptual framework of Lenburg's competency outcomes and performance assessment model, which focuses on competency development and assessment in a clinical environment. HIV competencies, including PMTCT, should be integrated both theoretically and at service delivery into other nursing and midwifery competencies, including assessment strategies. Provincial policies in provision of antiretrovirals by nurses and midwives become barriers to successful implementation of PMTCT, resulting in limited learning opportunities for students to practice PMTCT competencies. Further research is required to assess an attribute, affect, which is another prong for competencies.

  6. Impact of health education intervention on insecticide treated nets uptake among nursing mothers in rural communities in Nigeria

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    Amoran Olorunfemi E


    Full Text Available Abstract Background ITN use is generally poor in Nigeria among all categories of people. Although use of ITNs has been shown to reduce malarial morbidity and mortality, this measure needs to be supported by an adequate healthcare system providing ITN possibly at the household level. This study was therefore designed to determine the effect of health education on the uptake of ITN among nursing mothers in rural communities in Nigeria. Methods The study design was a quasi-experimental study carried out in Ijebu North Local Government Area of Ogun State. A multistage random sampling technique was used in choosing the required samples for this study and a semi- structured questionnaire was used to collect relevant information. The intervention consisted of a structured educational programme based on a course content adapted from the national malaria control programme. A total of 400 respondents were recruited into the study with 200 each in both the experimental and control groups and were followed up for a period of 3 months when the knowledge and uptake of ITN was reassessed. Result There was no significant difference (P >0.05 observed between the experimental and control groups in terms of socio-dermographic characteristics such as age, marital status, religion, and income. The ITN ever users in experimental group were 59 [29.5%] and 138 [72.6%] in pre and post intervention period, respectively (p value =0.0001. These proportions of ITN ever users were 55 [27.5%] and 57 [31.6%] in control group, during the pre and post intervention periods (p = 0.37. Post health education intervention, degree of change in knowledge of ITN re-treatment [37.0%] and mounting [33.5%], readiness to use if given free [30.5%] and belief in efficacy [36.9%] improved significantly in the experimental group while there was no significant change in the control group [p = 0.84, 0.51, 0.68 &0.69 respectively]. Majority [89%] of the respondents were willing to buy

  7. 护理监控体系的构建与应用%Construction and Application of Nursing Monitoring System

    Institute of Scientific and Technical Information of China (English)



    护理质量的高低对医疗安全及整个医疗行业的声誉具有深远影响。护理监控有提高护理质量的重任,履行监控护理质量、调研影响护理质量的要素、论证护理新技术、培训护理质量管理专业人员等职责。科学完善的护理质量监控环节是保障护理工作安全有序进行的关键。%Has a far-reaching impact on nursing quality of medical security and the health care industry's reputation. Nursing monitoring task to improve the quality of nursing, nursing quality, performance monitoring survey factors, nursing quality nursing new technology demonstration, training of nursing quality management professional duties. Scientific and perfect nursing quality control is the key of ensuring nursing safety at work order.

  8. Teenagers and the mothering experience. (United States)

    vonWindeguth, B J; Urbano, R C


    To determine the relationship between maternal age, perceived social support, and home environment to mother-child interaction. Thirty-three adolescent mother-child pairs and 33 older mother-child pairs were randomly selected from a pool of 63 adolescent mothers and 111 older mothers. The Nursing Child Assessment Feeding Scale (NCAFS), the Personal Resource Questionnaire (PRQ), and the Home Observation for Measurement of the Environment (HOME) were completed during a scheduled home visit. One way ANOVA and Multiple Correlation were used to analyze the data. Mother's sensitivity to cues and social-emotional growth-fostering from the NCAFS favored older mothers. Avoidance of restriction and punishment from the HOME favored older mothers. There was a significant relationship between perceived social support and mother-child interaction for both groups. Maternal behavior was related to mother's age. A mother's perception of the adequacy of her social support resources may be a critical factor in how she interacts with her child.

  9. Factors associated with nursing diagnosis parental deterioration in mothers up to 24 years of age during the first year of rearing.

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    Luis Carlos Orozco


    Full Text Available Introduction: At the present time the pregnancy in the young women is profiled as a problem in Latin America. There are many studies about gestation and the upbringing of the children of young mothers, but in Colombia there has not been yet one infirmary frame that specifically diagnoses the parental deterioration, the true relationship between mother-son and their influence in the presence of this diagnosis. Objective: To establish associated factors to the nursing infirmary diagnosis altered parenting (NANDA in mothers until 24 years old, during the first year of upbringing. Materials and methods: It was a cross-sectional study in a sample of 240 women >24 years old that were in their first year of her last son’s upbringing. An instrument of 88 questions, as well as IPAA formats, self-esteem, social desires, and social support were applied; for the analysis of the information association measures OR and RR were also made through a bivaried analysis due to prevailing reasons and log binomial regression. The multivariable analysis was modelled with the logistical regression and RR was calculated according to Jun Zhang formula. Results: A prevalence of 24.3% to the diagnosis was found and in the final model 6 protective factors and 7 of risk were identified. Discussion: The main protective factor is the attendance to the prenatal controls and it became a fundamental tool, to decrease the parental deterioration diagnosis.

  10. An examination of stress, coping, and adaptation in nurses in a recovery and monitoring program. (United States)

    Bowen, Marie Katherine; Taylor, Kathleen P; Marcus-Aiyeku, Ulanda; Krause-Parello, Cheryl A


    Addiction rates in nurses are higher than in the general population. The relationship between stress, coping, and adaptation in nurses (N = 82) enrolled in a recovery and monitoring program in the state of New Jersey was examined. Social support, a variable tested as a mediator of this relationship, was also examined. Participants completed the Perceived Stress Scale, Multidimensional Scale of Perceived Social Support, and Psychological General Well-Being Index. Negative relationships were found between stress and social support and stress and well-being, and a positive relationship was found between social support and well-being (all ps social support. The findings of this research suggest that, to assist nurses, an increased awareness of stress and its injurious effects on overall well-being must be identified so proactive measures can be implemented to prevent potential untoward consequences. Ultimately, methods to strengthen social support and social networks will enhance the probability of sustained recovery, relapse prevention, and safe reentry into nursing practice. Implications for behavioral health providers and health care practitioners are discussed.

  11. Effectiveness of a nurse-led intensive home-visitation programme for first-time teenage mothers (Building Blocks): a pragmatic randomised controlled trial. (United States)

    Robling, Michael; Bekkers, Marie-Jet; Bell, Kerry; Butler, Christopher C; Cannings-John, Rebecca; Channon, Sue; Martin, Belen Corbacho; Gregory, John W; Hood, Kerry; Kemp, Alison; Kenkre, Joyce; Montgomery, Alan A; Moody, Gwenllian; Owen-Jones, Eleri; Pickett, Kate; Richardson, Gerry; Roberts, Zoë E S; Ronaldson, Sarah; Sanders, Julia; Stamuli, Eugena; Torgerson, David


    Many countries now offer support to teenage mothers to help them to achieve long-term socioeconomic stability and to give a successful start to their children. The Family Nurse Partnership (FNP) is a licensed intensive home-visiting intervention developed in the USA and introduced into practice in England that involves up to 64 structured home visits from early pregnancy until the child's second birthday by specially recruited and trained family nurses. We aimed to assess the effectiveness of giving the programme to teenage first-time mothers on infant and maternal outcomes up to 24 months after birth. We did a pragmatic, non-blinded, randomised controlled, parallel-group trial in community midwifery settings at 18 partnerships between local authorities and primary and secondary care organisations in England. Eligible participants were nulliparous and aged 19 years or younger, and were recruited at less than 25 weeks' gestation. Field-based researchers randomly allocated mothers (1:1) via remote randomisation (telephone and web) to FNP plus usual care (publicly funded health and social care) or to usual care alone. Allocation was stratified by site and minimised by gestation (language of data collection (English vs non-English). Mothers and assessors (local researchers at baseline and 24 months' follow-up) were not masked to group allocation, but telephone interviewers were blinded. Primary endpoints were biomarker-calibrated self-reported tobacco use by the mother at late pregnancy, birthweight of the baby, the proportion of women with a second pregnancy within 24 months post-partum, and emergency attendances and hospital admissions for the child within 24 months post-partum. Analyses were by intention to treat. This trial is registered with ISRCTN, number ISRCTN23019866. Between June 16, 2009, and July 28, 2010, we screened 3251 women. After enrolment, 823 women were randomly assigned to receive FNP and 822 to usual care. All follow-up data were retrieved by

  12. Utility of the theory of planned behavior to predict nursing staff blood pressure monitoring behaviours. (United States)

    Nelson, Joan M; Cook, Paul F; Ingram, Jennifer C


    To evaluate constructs from the theory of planned behavior (TPB, Ajzen 2002) - attitudes, sense of control, subjective norms and intentions - as predictors of accuracy in blood pressure monitoring. Despite numerous initiatives aimed at teaching blood pressure measurement techniques, many healthcare providers measure blood pressures incorrectly. Descriptive, cohort design. Medical assistants and licensed practical nurses were asked to complete a questionnaire on TPB variables. These nursing staff's patients had their blood pressures measured and completed a survey about techniques used to measure their blood pressure. We correlated nursing staff's responses on the TBP questionnaire with their intention to measure an accurate blood pressure and with the difference between their actual blood pressure measurement and a second measurement taken by a researcher immediately after the clinic visit. Patients' perceptions of MAs' and LPNs' blood pressure measurement techniques were examined descriptively. Perceived control and social norm predicted intention to measure an accurate blood pressure, with a negative relationship between knowledge and intention. Consistent with the TPB, intention was the only significant predictor of blood pressure measurement accuracy. Theory of planned behavior constructs predicted the healthcare providers' intention to measure blood pressure accurately and intention predicted the actual accuracy of systolic blood pressure measurement. However, participants' knowledge about blood pressure measurement had an unexpected negative relationship with their intentions. These findings have important implications for nursing education departments and organisations which traditionally invest significant time and effort in annual competency training focused on knowledge enhancement by staff. This study suggests that a better strategy might involve efforts to enhance providers' intention to change, particularly by changing social norms or increasing

  13. Newborn of mothers affected by autoimmune thyroiditis: the importance of thyroid function monitoring in the first months of life

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    Mosca Fabio


    Full Text Available Abstract Background evaluation of thyroid function in neonates born from mothers affected by autoimmune thyroiditis in order to define if a precise follow-up is necessary for these children. The influence of maternal thyroid peroxidase antibody (TPOAb and L-thyroxine therapy during pregnancy on neonatal thyroid function was also investigated. Methods 129 neonates were tested for thyroid function by measurement of free thyroxine (FT4 and thyroid stimulating hormone (TSH in 3th day, 15th day and at one month of life. TPOAb were measured in all patients; periodical control of thyroid function were performed until 6 months of life if Ab were positive. Data concerning etiology of maternal hypothyroidism and maternal replacement therapy with L-thyroxine during pregnancy were retrospectively collected. Results 28% neonates showed at least a mild increase of TSH value at the different determinations. In the majority of them, a spontaneous completely normalisation of TSH value was observed within the first month life. L-thyroxine replacement therapy was started in 3 neonates. TPOAb titer and maternal L-thyroxine replacement therapy were not related to alteration of thyroid hormone function in our study population. Conclusions transient mild elevation of serum TSH above the normal reference value for age is frequently observed in the first month of life in infants born from mothers affected by autoimmune thyroiditis. Persistent hyperthyrotropinemia requiring replacement therapy is observed in 2.2% of these neonates. According to our experience, follow-up is recommended in these newborns; the most accurate and not invasive way to carefully monitor these infants after neonatal screening for CH seems to be serum-testing TSH between 2ndand 4th week of life.

  14. Rede social: desvendando a teia de relações interpessoais da nutriz Social network: revealing the nursing mother social affairs

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    Emanuele Souza Marques


    Full Text Available Este é um estudo qualitativo que se refere à relação da rede social e a amamentação. Como fundamentação teórica, utilizou-se a Teoria da Rede Social de Sanicola, bem como a Teoria das Representações Sociais descrita por Moscovici e Minayo. Participaram do estudo mães, pais e avós, de crianças até dois anos, residentes no município de Coimbra-MG. A análise compreensiva da rede social da nutriz revelou que esta pode oferecer apoio/suporte ou não para o sucesso da lactação. Assim sendo, o apoio recebido foi expresso de várias formas: (1 Auxílio nas atividades domésticas; (2 Ajuda nos cuidados com o bebê; (3 Estímulo ao aleitamento; e (4 Orientações e conselhos. Nessa perspectiva, pensar em rede social implica conhecer o contexto sociocultural no qual a mulher-mãe está inserida, ampliando o olhar sobre a lactação, além de fornecer subsídios para a formulação de políticas públicas mais eficazes em prol do aleitamento.This is a qualitative study resulting from matters involving the nursing mother social system regards to relation between social system and breastfeeding phenomena. The study was based on the social system theory described by Sanicola as well as on the social representations theory described by Moscovici and Minayo. As participants of this study there were mothers, fathers and grandparents of children up to two years old who were living in Coimbra, a city of Minas Gerais state. A comprehensive analysis of nursing mother social system revealed it can or can not give support to breastfeeding success. Thus the support was expressed by different ways such as: 1- housework helping; 2- babysitting; 3- breastfeeding encouragement; 4- orientation and advices. In this way a social system implies realizing which sociocultural context a woman-mother is inserted in. It enlarges the looking over breastfeeding besides giving subsidies to formulate public politics more efficacious in favour of breastfeeding.

  15. Integrating Prevention of Mother to Child HIV Transmission competencies into the nursing curriculum: Methodological lessons from a university-based undergraduate programme

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    Nomafrench Mbombo


    Full Text Available South Africa (SA has the highest number of women infected with HIV and AIDS during pregnancy, which results in more than 70 000 infected babies being born each year AIDS is the major contributor to maternal and child morbidities and mortalities in the country. To combat this, the SA government has developed a national policy to prevent mother-to-child HIV transmission (PMTCT. However, for effective implementation of this policy, there is a dire need for a competent, skilled health worker to render the service. In response to this, the School of Nursing at the University of the Western Cape has integrated PMTCT competencies into the undergraduate Bachelor of Nursing Science curriculum. In this paper, we describedteaching and learning approaches used to integrate PMTCT competencies, including the skills laboratory methodology and case-based learning, as well as a portfolio of evidence assessment tool. A quantitative descriptive design was used to analyse data collected from students in regard to assessment of PMTCT competencies achieved. The study used the conceptual framework of Lenburg’s competency outcomes and performance assessment model, which focuses on competency development and assessment in a clinical environment. HIV competencies, including PMTCT, should be integrated both theoretically and at service delivery into other nursing and midwifery competencies, including assessment strategies. Provincial policies in provision of antiretrovirals by nurses and midwives become barriers to successful implementation of PMTCT, resulting in limited learning opportunities for students to practice PMTCT competencies. Further research is required to assess an attribute, affect, which is another prong for competencies.

  16. Integrating Prevention of Mother to Child HIV Transmission competencies into the nursing curriculum: Methodological lessons from a university-based undergraduate programme

    Directory of Open Access Journals (Sweden)

    Nomafrench Mbombo


    Full Text Available South Africa (SA has the highest number of women infected with HIV and AIDS during pregnancy, which results in more than 70 000 infected babies being born each year AIDS is the major contributor to maternal and child morbidities and mortalities in the country. To combat this, the SA government has developed a national policy to prevent mother-to-child HIV transmission (PMTCT. However, for effective implementation of this policy, there is a dire need for a competent, skilled health worker to render the service. In response to this, the School of Nursing at the University of the Western Cape has integrated PMTCT competencies into the undergraduate Bachelor of Nursing Science curriculum. In this paper, we described teaching and learning approaches used to integrate PMTCT competencies, including the skills laboratory methodology and case-based learning, as well as a portfolio of evidence assessment tool. A quantitative descriptive design was used to analyse data collected from students in regard to assessment of PMTCT competencies achieved. The study used the conceptual framework of Lenburg’s competency outcomes and performance assessment model, which focuses on competency development and assessment in a clinical environment. HIV competencies, including PMTCT, should be integrated both theoretically and at service delivery into other nursing and midwifery competencies, including assessment strategies. Provincial policies in provision of antiretrovirals by nurses and midwives become barriers to successful implementation of PMTCT, resulting in limited learning opportunities for students to practice PMTCT competencies. Further research is required to assess an attribute, affect, which is another prong for competencies.

  17. Monitoring the impact of the DRG payment system on nursing service context factors in Swiss acute care hospitals: Study protocol. (United States)

    Spirig, Rebecca; Spichiger, Elisabeth; Martin, Jacqueline S; Frei, Irena Anna; Müller, Marianne; Kleinknecht, Michael


    With this study protocol, a research program is introduced. Its overall aim is to prepare the instruments and to conduct the first monitoring of nursing service context factors at three university and two cantonal hospitals in Switzerland prior to the introduction of the reimbursement system based on Diagnosis Related Groups (DRG) and to further develop a theoretical model as well as a methodology for future monitoring following the introduction of DRGs. DRG was introduced to all acute care hospitals in Switzerland in 2012. In other countries, DRG introduction led to rationing and subsequently to a reduction in nursing care. As result, nursing-sensitive patient outcomes were seriously jeopardised. Switzerland has the opportunity to learn from the consequences experienced by other countries when they introduced DRGs. Their experiences highlight that DRGs influence nursing service context factors such as complexity of nursing care or leadership, which in turn influence nursing-sensitive patient outcomes. For this reason, the monitoring of nursing service context factors needs to be an integral part of the introduction of DRGs. However, most acute care hospitals in Switzerland do not monitor nursing service context data. Nursing managers and hospital executive boards will be in need of this data in the future, in order to distribute resources effectively. A mixed methods design in the form of a sequential explanatory strategy was chosen. During the preparation phase, starting in spring 2011, instruments were selected and prepared, and the access to patient and nursing data in the hospitals was organized. Following this, online collection of quantitative data was conducted in fall 2011. In summer 2012, qualitative data was gathered using focus group interviews, which helped to describe the processes in more detail. During 2013 and 2014, an integration process is being conducted involving complementing, comparing and contrasting quantitative and qualitative findings

  18. Nurse-led hepatocellular carcinoma surveillance clinic provides an effective method of monitoring patients with cirrhosis. (United States)

    Nazareth, Saroj; Leembruggen, Nadine; Tuma, Rhoda; Chen, Sook-Ling; Rao, Samarth; Kontorinis, Nick; Cheng, Wendy


    The aim of this study is to examine the acceptability and effectiveness of a nurse-led hepatocellular carcinoma (HCC) surveillance clinic in high-risk patients with cirrhosis/advanced fibrosis. Early detection of HCC is associated with better treatment outcomes and improved survival. International guidelines recommend 6-monthly surveillance of patients at risk of developing HCC. A nurse-led HCC surveillance protocol was established to support patients in adherence to surveillance protocols. The design used was retrospective document analysis. Retrospective analysis of healthcare records of patients referred to the clinic between August 2009 and December 2015. Extracted data included attendance of clinic visits, blood testing, ultrasound or other imaging, and outcomes. Ultrasound was attended within 6 months in 30.3% of cases and within 7 months in 71.2% of cases. The median time between Nurse-Led Clinic appointments, ultrasound scans and blood testing did not exceed 9 months. First year FibroScans were attended by 82.9% (63/76) patients; endoscopy was indicated for 42 and attended by 35 (83.3%) patients. Lesions were identified in 16 patients (21.5%) and HCC diagnosed in two patients. One patient died because of HCC and one to sub-dural haematoma. Nurse-led HCC surveillance was an effective method of monitoring patients with cirrhosis at high risk of developing HCC. Well-defined protocols enable timely identification of patients with HCC or hepatic decompensation so that management strategies can be implemented without delay. The potential benefits identified by this study warrant further, rigorous evaluation.

  19. Development and Validation of an Instrument Measuring Theory-Based Determinants of Monitoring Obesogenic Behaviors of Pre-Schoolers among Hispanic Mothers

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    Paul Branscum


    Full Text Available Public health interventions are greatly needed for obesity prevention, and planning for such strategies should include community participation. The study’s purpose was to develop and validate a theory-based instrument with low-income, Hispanic mothers of preschoolers, to assess theory-based determinants of maternal monitoring of child’s consumption of fruits and vegetables and sugar-sweetened beverages (SSB. Nine focus groups with mothers were conducted to determine nutrition-related behaviors that mothers found as most obesogenic for their children. Next, behaviors were operationally defined and rated for importance and changeability. Two behaviors were selected for investigation (fruits and vegetable and SSB. Twenty semi-structured interviews with mothers were conducted next to develop culturally appropriate items for the instrument. Afterwards, face and content validity were established using a panel of six experts. Finally, the instrument was tested with a sample of 238 mothers. Psychometric properties evaluated included construct validity (using the maximum likelihood extraction method of factor analysis, and internal consistency reliability (Cronbach’s alpha. Results suggested that all scales on the instrument were valid and reliable, except for the autonomy scales. Researchers and community planners working with Hispanic families can use this instrument to measure theory-based determinants of parenting behaviors related to preschoolers’ consumption of fruits and vegetables, and SSB.

  20. Use of real time continuous glucose monitoring and intravenous insulin in type 1 diabetic mothers to prevent respiratory distress and hypoglycaemia in infants

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    Passaro Patrizia


    Full Text Available Abstract Background Pregnancy in Type 1 diabetic patients is a precarious condition, both for mother and fetus with increased the risk of prematurity and, immediately after delivery with risk of respiratory distress syndrome and hypoglycaemia in newborns. A strict control and monitoring of diabetes throughout pregnancy is important in reducing the impact of the disease on the fetus and newborn. In recent years many new technologies have been introduced to ameliorate diabetes monitoring, where the last is the Real-time Continuous Glucose Monitoring System (RT-CGMS. Methods In the last three years, 72 h continuous glucose monitoring system (RT-CGMS (Medtronic, CA was performed in 18 pregnant women with Type 1 diabetes in two moments of pregnancy: during treatment with betamethasone to prevent respiratory distress and during delivery. In both cases insulin was administered intravenous and the dose was changed on the basis of glycaemia. Results The results present the use of this new technique during two topics moments of pregnancy of type 1 diabetes patients when is very important intensively to monitor diabetes and to obtain the well being of the fetus. No infant experimented hypoglycaemia or respiratory distress syndrome at the moment and in the first hours after the birth. Conclusion We wish to stress the importance reducing glycaemia during administration of betamethasone and during labor. It is conceivable that the scarce attention paid to monitoring glucose levels in diabetic mothers during labor in gynaecological world may be due to the difficulty in glucose monitoring with the devices until now available. Hopefully, our anecdotal account may prompt improvements with RT-CGMS, and may lead to a better approach to the problem, thereby changing the prognosis of infants born to diabetic mothers.

  1. Impact of nursing intervention on mother - infant prognosis in patients with gestational diabetes mellitus%护理干预对妊娠期糖尿病患者母婴结局的影响

    Institute of Scientific and Technical Information of China (English)



    Objective To explore the impact of nursing intervention on mother-infant prognosis in patients with ges-tational diabetes mellitus( GDM). Methods A total of 150 patients with GDM were selected in Xuzhou Ruibo Hospital in 2013. According to different nursing methods the patients were divided into nursing intervention group and routine nursing group, each of 75 cases. Routine nursing groups were given routine nursing,nursing intervention group were given psychological nurs-ing,medication nursing,exercise and diet nursing. Before and after nursing intervention,fasting blood glucose,glycosylated hemoglobin,CRP and mother-infant prognosis〔pregnancy outcomes( HDCP,premature rupture of membranes,hydramnios, premature delivery),neonatal outcomes( cesarean delivery,macrosomia,fatal distress and neonatal asphyxia)〕between the two groups were compared. Results Before nursing intervention, fasting blood glucose, glycosylated hemoglobin, CRP showed on significant differences between the two groups(P>0. 05),after nursing intervention,fasting blood glucose,glyco-sylated hemoglobin,CRP of nursing intervention group were lower than those of routine nursing group( P 0.05),干预后护理干预组患者空腹血糖、糖化血红蛋白、CRP水平低于常规护理组,差异有统计学意义( P<0.05);护理干预组HDCP、胎膜早破、羊水过多、剖宫产、早产、新生儿窒息、胎儿宫内窘迫、巨大儿发生率低于常规护理组,差异均有统计学意义( P<0.05)。结论护理干预对GDM患者母婴结局有积极影响,可改善患者血糖水平,降低母婴不良事件发生率。

  2. Bispectral index monitoring as an adjunct to nurse-administered combined sedation during endoscopic retrograde cholangiopancreatography

    Institute of Scientific and Technical Information of China (English)

    Se Young Jang; Hyun Gu Park; Min Kyu Jung; Chang Min Cho; Soo Young Park; Seong Woo Jeon; Won Young Tak


    AIM:TO determine whether bispectral index (BIS)monitoring is useful for propofol administration for deep sedation during endoscopic retrograde cholangiopancreatography (ERCP).METHODS:Fifty-nine consecutive patients with a variety of reasons for ERCP who underwent the procedure at least twice between 1 July 2010 and 30 November 2010.This was a randomized cross-over study,in which each patient underwent ERCP twice,once with BIS monitoring and once with control monitoring.Whether BIS monitoring was done during the first or second ERCP procedure was random.Patients were intermittently administered a mixed regimen including midazolam,pethidine,and propofol by trained nurses.The nurse used a routine practice to monitor sedation using the Modified Observer's Assessment of Alertness/Sedation (MOAA/S) scale or the BIS monitoring.The total amount of midazolam and propofol used and serious side effects were compared between the BIS and control groups.RESULTS:The mean total propofol dose administered was 53.1 ± 32.2 mg in the BIS group and 54.9± 30.8 mg in the control group (P =0.673).The individual propofol dose received per minute during the ERCP procedure was 2.90 ± 1.83 mg/min in the BIS group and 3.44 ± 2.04 mg in the control group (P =0.103).The median value of the MOAA/S score during the maintenance phase of sedation was comparable for the two groups.The mean BIS values throughout the procedure (from insertion to removal of the endoscope) were 76.5 ± 8.7 for all 59 patients in using the BIS monitor.No significant differences in the frequency of < 80% oxygen saturation,hypotension (< 80 mmHg),or bradycardia (< 50 beats/min) were observed between the two study groups.Four cases of poor cooperation occurred,in which the procedure should be stopped to add the propofol dose.After adding the propofol,the procedure could be conducted successfully (one case in the BIS group,three cases in the control group).The endoscopist rated patient sedation as excellent for

  3. "Mission Impossible"; the Mothering of a Child With Type 1 Diabetes - From the Perspective of Mothers Experiencing Burnout. (United States)

    Lindström, Caisa; Åman, Jan; Norberg, Annika Lindahl; Forssberg, Maria; Anderzén-Carlsson, Agneta

    To explore how mothers experiencing burnout describe their mothering of a child with type 1 diabetes mellitus (T1DM), with a focus on their experienced need for control and self-esteem. This study used a qualitative, descriptive design and aimed to reveal the experience of mothering a child with diabetes when experiencing burnout. Twenty-one mothers of children with T1DM who were experiencing burnout participated in this study. Data were collected via semi-structured interviews, and content analysis was performed. The main results (latent content of the data) were interpreted in one theme, Mission impossible, an inner feeling derived from an extremely challenging experience of mothering, encompassing involuntary responsibility and constant evaluation. Two sub-themes emerged: Forced to provide extraordinary mothering and Constant evaluation of the mothering. In addition to monitoring the health of the child with T1DM, it is important for clinicians to pay attention to how mothers experience their daily life in order to support those who are at risk of developing burnout, as well as those who are experiencing burnout. The wellbeing of the mother could influence the wellbeing of the child, as well as the entire family. Further research on perceived parental responsibility, gender differences, psychosocial factors, and burnout is needed. Knowledge and understanding of how mothers suffering from burnout experience mothering a child with diabetes could help nurses, social workers, psychologists and counselors conducting pediatric diabetes care become more attentive to the mother's situation and have procedures for counseling interventions. Copyright © 2017 Elsevier Inc. All rights reserved.

  4. Randomized controlled trial on cardiovascular risk management by practice nurses supported by self-monitoring in primary care

    NARCIS (Netherlands)

    Tiessen, Ans H.; Smit, Andries J.; Broer, Jan; Groenier, Klaas H.; van der Meer, Klaas


    Background: Treatment goals for cardiovascular risk management are generally not achieved. Specialized practice nurses are increasingly facilitating the work of general practitioners and self-monitoring devices have been developed as counseling aid. The aim of this study was to compare standard trea

  5. Awareness of bispectral index monitoring system among the critical care nursing personnel in a tertiary care hospital of India

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    Shikha Thakur


    Full Text Available Background: Bispectral index monitoring system (BIS is one of the several systems used to measure the effects of anaesthetic and sedative drugs on the brain and to track changes in the patient′s level of sedation and hypnosis. BIS monitoring provides information clinically relevant to the adjustment of dosages of sedating medication. It can help the nursing personnel in preventing under- and over sedation among intensive care unit (ICU patients. Objective: The present study was conducted to assess the knowledge of nursing personnel working in the ICU regarding BIS. Methods: Fifty-four subjects participated in the study. A structured questionnaire was developed to assess the knowledge of the nursing personnel regarding BIS. Focus group discussions were held among the nursing personnel to know their views regarding BIS. Results: Mean age (years of the subjects was 30.7΁7.19 (21-47 years, with a female preponderance. Although the use of BIS in ICU is not common, majority (94.44% were aware of BIS and its purpose. 79.62% of the subjects knew about its implication in patient care. The mean knowledge score of the subjects was 11.87΁2.43 (maximum score being 15. Conclusion: There exists an awareness among the critical care nursing staff in our institution regarding BIS and its clinical implications. Its use in the critical care setting may benefit the patients in terms of providing optimal sedation.

  6. The Nurse Watch: Design and Evaluation of a Smart Watch Application with Vital Sign Monitoring and Checklist Reminders. (United States)

    Bang, Magnus; Solnevik, Katarina; Eriksson, Henrik

    Computerized wearable devices such as smart watches will become valuable nursing tools. This paper describes a smart-watch system developed in close collaboration with a team of nurses working in a Swedish ICU. The smart-watch system provides real-time vital-sign monitoring, threshold alarms, and to-do reminders. Additionally, a Kanban board, visualized on a multitouch screen provides an overview of completed and upcoming tasks. We describe an approach to implement automated checklist systems with smart watches and discuss aspects of importance when implementing such memory and attention support. The paper is finalized with an in-development formative evaluation of the system.

  7. Teen Mothers' Mental Health. (United States)

    SmithBattle, Lee; Freed, Patricia


    Psychological distress is common in teen mothers. High rates of distress are attributed to teen mothers' childhood adversities and the challenges of parenting in the context of chronic stress, cumulative disadvantage, and limited social support. We describe the prevalence of psychological distress in teen mothers; what is known about its origins and impact on mothers and children; factors that promote teen mothers' mental health and resilience; and the many barriers that make it difficult to obtain traditional mental healthcare. We also briefly review the few studies that test interventions to improve teen mothers' mental health. Because barriers to traditional mental health treatment are ubiquitous and difficult to remedy, the second article in this two-part series calls for nurses in healthcare settings, schools, and home visiting programs to screen pregnant and parenting teens for adverse childhood experiences and psychological distress, and to integrate strength-based and trauma-based principles into their practice. Creating a supportive setting where past traumas and psychological distress are addressed with skill and sensitivity builds upon teen mothers' strengths and their aspirations to be the best parents they can be. These approaches facilitate the long-term health and development of mother and child.

  8. Listening to Hispanic mothers: guidelines for teaching. (United States)

    Wilson, A H; Robledo, L


    Teaching Hispanic mothers in a culturally sensitive way to care for their children is a challenge to pediatric nurses. Pediatric nurses must be familiar with customs and the folk medicine practiced by Hispanic mothers. It is very important that the pediatric nurse listens to the voices of Hispanic mothers to determine their health practices, and those that may have been used in their children. Familiarity with folk medicine and health practices will facilitate an appropriate treatment plan and will help to determine whether the mothers' practices are dangerous or beneficial for the child. Pediatric nurses should assess for concurrent use of home remedies and conventional medications to determine if there are any known interactive effects. Finally, increasing the number of pediatric nurses who are fluent in Spanish will enable the voices of Hispanic mothers to be better heard, which in turn, will improve the health status of Hispanic children.

  9. Executive summary of the Consensus Statement on monitoring HIV: pregnancy, birth, and prevention of mother-to-child transmission. (United States)

    Polo Rodríguez, Rosa; Muñoz Galligo, Eloy; Iribarren, José Antonio; Domingo Pedrol, Pere; Leyes García, María; Maiques Montesinos, Vicente; Miralles Martín, Pilar; Noguera Julian, Antoni; Ocampo Hernandez, Antonio; Peres Bares, María Lourdes; López Rojano, Marta; Suy Franch, Anna; Viñuela Beneitez, M Carmen; González Tomé, María Isabel


    The main objective in the management of HIV-infected pregnant women is prevention of mother-to-child transmission; therefore, it is essential to provide universal antiretroviral treatment, regardless of CD4 count. All pregnant women must receive adequate information and undergo HIV serology testing at the first visit. If the serological status is unknown at the time of delivery, or in the immediate postpartum, HIV serology testing has to be performed as soon as possible. In this document, recommendations are made regarding the health of the mother and from the perspective of minimizing mother-to-child transmission. Copyright © 2013 Elsevier España, S.L. y Sociedad Española de Enfermedades Infecciosas y Microbiología Clínica. All rights reserved.

  10. Impact of health education intervention on malaria prevention practices among nursing mothers in rural communities in Nigeria

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    Olorunfemi Emmanuel Amoran


    Full Text Available Introduction: Malaria is the most prevalent parasitic endemic disease in Africa, which is preventable, treatable and curable. This study aims to assess the effect of health education intervention on the knowledge, attitude, and prevention practices amongst mothers of under-five children in a rural area of Ogun State, Nigeria. Materials and Methods: The study design was a quasi-experimental study carried out in Ijebu North Local Government Area of Ogun State. A multistage random sampling technique was used in choosing the required samples and a semi-structured questionnaire was used to collect relevant information. A total of 400 respondents were recruited into the study with 200 each in both the experimental and control groups and were followed up for a period of 3 months. Results: There was no statistically significant differences observed between the experimental and control groups. Knowledge of indoor spraying increased from 14.7% to 58.2% (P < 0.001 and window and door nets increased from 48.3% to 74.8% (P < 0.001. The proportion of those with ITN use increased from 50.8% to 87.4% (P < 0.001 while those with practice of maintaining clean environment also increased from 40.4% to 54.5% (P < 0.001. There were no significant changes in all the practice of malaria prevention methods in the control group. Conclusion: This suggests that malaria control can be significantly improved in rural areas, if the caregivers are adequately empowered through appropriate health education intervention though change in attitude and belief may require a longer and persistent effort.

  11. Use of an electronic drug monitoring system for ambulatory patients with chronic disease: how does it impact on nurses' time spent documenting clinical care? (United States)

    Hordern, Antonia; Callen, Joanne; Gibson, Kathryn; Robertson, Louise; Li, Ling; Hains, Isla M; Westbrook, Johanna I


    Medication monitoring of ambulatory rheumatology patients on Disease Modifying Anti-Rheumatic Drugs (DMARDS) is time consuming and complex, with possibilities for error. Electronic systems have the potential to improve the process. The aim of this study was to evaluate the impact of an electronic Drug Monitoring System (eDMS) on the time nurses' spent on clinical documentation associated with monitoring. The study was conducted with all nurses (n=4) in the Rheumatology Department of a large metropolitan Australian teaching hospital. The eDMS was designed as a module of the Hospital Clinical Information System (HCIS) to assist clinicians in monitoring rheumatology patients on DMARDS. Timing data were collected using a modified time and motion work measurement technique using software on a handheld computer. Data included the time nurses spent on documentation regarding medication monitoring before and after the implementation of the eDMS. Results showed that following implementation of the eDMS nurses spent significantly less time documenting medication monitoring information (13.6% to 7.2%, PeDMS. Consequently, there was a significant decrease in the time nurses spent using the HCIS (13.01% to 2.8%, peDMS made the process of drug monitoring quicker and simpler for nurses and thus permitted them to increase their time spent in direct patient care.

  12. 护理程序在流动人口妇幼保健管理中的应用%Application of nursing process in the management of mother and child care among floating population

    Institute of Scientific and Technical Information of China (English)

    陈国伶; 饶艳华


    Objective To explore the management mode for mother and child care service among floating population. Methods Nursing process was applied for assessment, diagnosis, plan, implementation and evaluation of management mode for mother and child care service among floating population in Shiqiao street, Xiacheng district, Hangzhou city. Results Compared with those three years before implementing the nursing process, the management of mother and child care was enhanced, for example, the record rate of pregnant woman increased by 208.82% and the systematic management rate increased by 32.70%, the record rate of child care increased by 931.73%, the systematic management rate of child care increased by 31.85%. Conclusions If used properly, nursing process can help to promote the management of mother and child care among floating population greatly.%目的 探讨为流动人口提供妇幼保健服务的管理模式.方法 应用护理程序对杭州市下城区石桥街道的流动人口妇幼保健管理进行评估、诊断、计划、实施和评价.结果 和实施计划前3年相比,流动人口妇幼保健管理得到了加强,如孕妇建卡率增加了208.82%,系统管理率提高了32.70%,儿童保健建卡率增加了931.73%,系统管理率提高了31.85%.结论 正确应用护理程序可以有效促进流动人口自觉纳入社区妇幼保健管理.

  13. Mother/offspring co-administration of the traditional herbal remedy yokukansan during the nursing period influences grooming and cerebellar serotonin levels in a rat model of neurodevelopmental disorders. (United States)

    Muneoka, Katsumasa; Kuwagata, Makiko; Ogawa, Tetsuo; Shioda, Seiji


    Neurodevelopmental impairment in the serotonergic system may be involved in autism spectrum disorder. Yokukansan is a traditional herbal remedy for restlessness and agitation in children, and mother-infant co-administration (MICA) to both the child and the nursing mother is one of the recommended treatment approaches. Recent studies have revealed the neuropharmacological properties of Yokukansan (YKS), including its 5-HT1A (serotonin) receptor agonistic effects. We investigated the influence of YKS treatment on behavior in a novel environment and on brain monoamine metabolism during the nursing period in an animal model of neurodevelopmental disorders, prenatally BrdU (5-bromo-2'-deoxyuridine)-treated rats (BrdU-rats). YKS treatment did not influence locomotor activity in BrdU-rats but reduced grooming in open-field tests. YKS treatment without MICA disrupted the correlation between locomotor behaviors and rearing and altered levels of serotonin and its metabolite in the cerebellum. These effects were not observed in the group receiving YKS treatment with MICA. These data indicate a direct pharmacological effect of YKS on the development of grooming behavior and profound effects on cerebellar serotonin metabolism, which is thought to be influenced by nursing conditions.

  14. Age, introduction of solid feed and weaning are more important determinants of gut bacterial succession in piglets than breed and nursing mother as revealed by a reciprocal cross-fostering model. (United States)

    Bian, Gaorui; Ma, Shouqing; Zhu, Zhigang; Su, Yong; Zoetendal, Erwin G; Mackie, Roderick; Liu, Junhua; Mu, Chunlong; Huang, Ruihua; Smidt, Hauke; Zhu, Weiyun


    A reciprocal cross-fostering model with an obese typical Chinese piglet breed and a lean Western breed was used to identify genetic and maternal effects on the acquisition and development gut bacteria from birth until after weaning. Pyrosequencing of 16S rRNA genes results revealed an age- and diet-dependent bacterial succession process in piglets. During the first 3 days after birth, the bacterial community was relatively simple and dominated by Firmicutes with 79% and 65% relative abundance for Meishan and Yorkshire piglets, respectively. During the suckling period until day 14, the piglet breed and the nursing mother lead to increasing differentiation of the fecal bacterial community, with specific bacteria taxa associated with breed, and others with the nursing sow most likely due to its milk composition. Although the effect of nursing mother and the breed were evident through the suckling period, the introduction of solid feed and subsequent weaning were the major events occurring that dominated succession of the gut microbiota in the early life of piglets. This piglet cross-fostering model is a useful tool for studying the effects of diet, host genetics and the environment on the development and acquisition of the gut microbiota and over longer studies the subsequent impact on growth, health and performance of pigs.

  15. Consulta de enfermagem - um diálogo entre os saberes técnicos e populares em saúde Consulta de enfermería - un diálogo cultural entre los saberes técnicos y populares en salud Dialogue between nurses and mothers during the mother-child binomial consultantion

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    Maria Aparecida Rodrigues da Silva Barbosa


    Full Text Available Neste relato de experiência evidenciamos algumas estratégias que fizeram da consulta de enfermagem ao binômio mãe-filho um espaço privilegiado para o diálogo com a cultura e os saberes da população assistida. A técnica da coleta de dados foi o registro, durante seis meses, em diários de campo, das impressões verbalizadas pelas mulheres sobre o atendimento recebido. Demos o mesmo tratamento às nossas percepções e impressões. Escolhemos 30 registros de mulheres que freqüentaram o serviço regularmente e, a partir desses depoimentos, fomos introduzindo alterações no modelo de consulta. Pudemos compreender, a partir da experiência, que é fundamental o estabelecimento de uma relação dialógica entre os saberes populares e acadêmicos para o cuidado humanizado e eficiente em saúde.En este relato de experiencia evidenciamos algunas estrategias que hicieron de la Consulta de Enfermería, con el binomio madre-niño, un espacio privilegiado para el diálogo con la cultura y los saberes de la población asistida. La técnica de recolección de datos fue el registro, durante seis meses, en diarios de campo, de las impresiones verbalizadas por las mujeres sobre la atención recibida. Dimos el mismo trato a nuestras percepciones e impresiones. Escogimos 30 registros de mujeres que frecuentaron el servicio regularmente y, a partir de esos testimonios, fuimos introduciendo alteraciones en el modelo de consulta. Pudimos comprender, a partir de esa experiencia, que es fundamental el establecimiento de una relación dialógica entre los saberes populares y académicos para el cuidado humanizado y eficiente en salud.To describe strategies that might promote technical and cultural and common knowledge dialogue between nurses and mothers during the mother-child binomial nursing consultation. A purposive sample of 30 women who had regular nursing consultation appointment was used. Data were collected throughout a period of 6 months and consisted

  16. Telemetry Monitor Watchers Reduce Bedside Nurses' Exposure to Alarms by Intercepting a High Number of Nonactionable Alarms. (United States)

    Palchaudhuri, Sonali; Chen, Stephanie; Clayton, Elaine; Accurso, Anthony; Zakaria, Sammy


    Cardiac telemetry, designed to monitor hospitalized patients with active cardiac conditions, is highly utilized outside the intensive care unit but is also resource-intensive and produces many nonactionable alarms. In a hospital setting in which dedicated monitor watchers are set up to be the first responders to system-generated alerts, we conducted a retrospective study of the alerts produced over a continuous 2-month period to evaluate how many were intercepted before nurse notification for being nonactionable, and how many resulted in code team activations. Over the 2-month period, the system generated 20,775 alerts (5.1/patient-day, on average), of which 87% were intercepted by monitor watchers. None of the alerts for asystole, ventricular fibrillation, or ventricular tachycardia resulted in a code team activation. Our results highlight the high burden of alerts, the large majority of which are nonactionable, as well as the role of monitor watchers in decreasing the alarm burden on nurses. Measures are needed to decrease telemetry-related alerts in order to reduce alarm-related harms, such as alarm fatigue. Journal of Hospital Medicine 2017;12:447-449. © 2017 Society of Hospital Medicine.

  17. Evaluation of the radioprotection state-of-the-art for nursing mothers and the recommendation for multidisciplinary teams; Avaliacao do estado da arte da radioprotecao para lactantes e elaboracao de recomendacoes para equipes multidisciplinares

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    Santos, Liliane dos; Oliveira, Silvia M. Velasques de, E-mail:, E-mail: [Instituto de Radioprotecao e Dosimetria (IRD/CNEN-RJ), Rio de Janeiro, RJ (Brazil)


    Related to the ionizing radiation exposure, the breast feed babies can be classified as individuals occupational y exposed and public individuals existing dose limits, and nonexisting limits. breast feeds are always considered as public individuals, independently of the category which women are classified. The contamination can occur by ingestion of mother warm milk on the cases of accidents involving mothers occupational y exposed, intake of radionuclides by inhalation, or ingestion, or when the mother are submitted to diagnostic procedures or therapeutics with radiopharmaceuticals, that can reach high concentrations in the milk which can cause significant absorbed doses for the children organs. Besides the internal dose, the close contact between the mother and the baby results in external doses. In Brazil, round 7 % of the diagnostic procedures use {sup 131}I or {sup 123}I, and 84 % are carry out by women. For {sup 131}I, {sup 67}Ga and {sup 201}Tl, it is necessary the definitive interruption of the breast feeding. This work proposes a study on the risk of children and babies breast feed in the country. A questionnaire was developed to be applied to interviews with doctors and nurses on public and private nuclear medicine services, for the evaluation of the procedures used with young women. After that, will be developed a brochure for multidisciplinary teams, presenting the basic concepts on internal dosimetry of the children and babies, allowing the precise prediction of interruption time of the maternal breast feed and, when applicable, the alternative methods for that period

  18. [Monitoring performance indicators regarding the length of care by the nursing team]. (United States)

    Cucolo, Danielle Fabiana; Perroca, Márcia Galan


    The objectives of the present study were to: characterize medical-surgical clinic units of a philanthropic hospital and the nursing team performing in these units; identify the clientele's care profile, investigate the time length of care provided to the patients by the nursing team. Data were collected from documents of Personnel and Nursing Departments and the application of the classification instrument of patients. To calculate the care hours; the equation proposed by the Hospital Commitment Quality (HCQ) was used. The findings showed relationship of 1:1 nursing professional/bedside and variation from 0.10 to 0.21 nursing/bedside. The patients needed, mainly, minimum (47.1% to 79.6%) and intermediate (17.7% to 38.6%) care, and the average time spent by the nursing team ranged from 4.1 to 5.1 hours. The values showed that the care hours provided by the nursing team were not enough to assist to the patients' care complexity.

  19. Research progress on kangaroo mother care in nursing of preterm infants%袋鼠式护理在早产儿护理中的研究进展

    Institute of Scientific and Technical Information of China (English)

    田莉; 丁晓华; 武玉蓉


    With the development of perinatology and neonatology,the survival rate of preterm infants was improved a lot,the preterm infants become one of the important study in nowdays.there have been many studies about nursing of preterm infants,This article summarizes research progress on kangaroo mother care in nursing of preterm infants.%随着围产医学和新生儿医学的迅速发展,早产儿的存活率得到极大提高,早产儿成为当今研究的重要内容之一.有关早产儿护理干预的研究也很多,现就袋鼠式护理在早产儿护理中的研究进展综述如下.

  20. [Monitoring of nursing service context factors: first descriptive results of a cross-sectional Swiss study prior the introduction of SwissDRG]. (United States)

    Kleinknecht-Dolf, Michael; Spichiger, Elisabeth; Frei, Irena Anna; Müller, Marianne; Martin, Jacqueline S; Spirig, Rebecca


    The adoption of DRG-based payment systems has narrowed hospitals' financial margins, necessitating streamlining and process optimization. The experience of other countries shows that this restructuring can influence context factors essential to the delivery of nursing care. As a result, nursing care quality and patient safety may be impacted. The Sinergia Project aims to develop a monitoring model and related instruments to continuously monitor the impact of DRG-based reimbursement on central nursing service context factors. The descriptive, quantitative results were collected within the framework of a study with a mixed methods design by means of an online survey in which nurses from five hospitals participated. The results show that the nursing service context factors examined (nursing care complexity, quality of the work environment, management, moral distress and job satisfaction), have relevance in all practice areas as regards practice setting and nursing care delivery. Patterns can be recognized that are consistent with those found in the literature and which could be an indication of the relationships between the context factors above, as was hypothesized in the model. The study has provided the participating hospitals with useful data upon which to base discussions on ensuring quality of nursing care and practice development, in addition to information important to the further development of the model and the instruments employed.

  1. Polar bear mother-offspring interactions in maternity dens in captivity. (United States)

    van Gessel, Chad


    Two female polar bears at Dierenrijk Zoo in the Netherlands were monitored at their maternity den one day before the birth of their cubs and three days postpartum. Each bear was monitored for 96 hr to document behaviour and vocalisations. The goal was to obtain insight into the differences between the mother that lost her litter and the other that successfully reared her cubs. Six groups of cub vocalisations were identified: Comfort, Discomfort, Distress, Nursing Attempts, Nursing, and No Vocalisation. Maternal vocalisations were split into three groups: Calm, Grooming, and Stress. Maternal behaviours were also split into three groups: Active, Rest, and Stress. The unsuccessful mother produced more stress vocalisations before and during the birth of her cub, whereas the successful mother appeared less stressed. Vocalisations indicate that the cub that died tried to nurse but was unsuccessful. The unsuccessful mother showed less stress as her cub got weaker and vocalised less. From this I suggest that maternal stress was a factor in cub mortality.

  2. Toward integrating a common nursing data set in home care to facilitate monitoring outcomes across settings. (United States)

    Keenan, Gail; Stocker, Julia; Barkauskas, Violet; Treder, Marcy; Heath, Crystal


    The purpose of our research is to identify a realistic subset of North American Nursing Diagnosis Association (NANDA), Nursing Outcome Classification (NOC), and Nursing Interventions Classification (NIC) terms specific to the home care (HC) setting. A subset of 89 NOC outcomes were identified for study in HC through a baseline survey. Three research assistants then observed the care of 258 patients to whom the 89 NOC outcomes applied and recorded the associated NANDA and NIC terms. Follow-up surveys and focus groups were conducted with the nurses and research assistants. There were 81 different NANDA and 226 NIC labels used to describe study patients' care. Only 36 of the 89 NOC labels studied were deemed clinically useful for HC. We found that expert opinion about terminology usage before actual experience under practice conditions is unreliable.

  3. Underage Mothers

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    Nurşen Turan


    Full Text Available Every person between 0-18 years old is respected as child according to Children Wellness Protocol. To be pregnant and to give birth are not less among children at these age group in the world. Children of underage mother are less healthy and with more risk of abuse and nourishment problem than other children. They live in low socioeconomical level and most of them may have criminal behaviour in future. In Turkey, data and statistical knowledge about teenage mother is not adequate. This artical gives attention to importance of legal arrangement which affects health of underage mother and her child. New legal arrangements about underage mother must be put into practice in order to protect underage mother and her child urgently and more studies are needed to determine situation of underage mothers in Turkey. Key words: Child, underage mothers, pregnancy

  4. Challenges to delivering quality care in a prevention of mother-to ...

    African Journals Online (AJOL)

    Of the healthcare workers, 43.8% were professional nurses and 37.5% were lay counsellors. ..... PMTCT = prevention of mother-to-child transmission of HIV; PCR nurse = nurse responsible for HIV ... a consecutive sampling strategy; although.

  5. My Mother Is a Nurse

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  6. My Mother

    Institute of Scientific and Technical Information of China (English)


    MOTHER had finely-chiseled features. She liked to read and loved flowers, trees and insects. She had wide interests and knowledge and could recite many ancient poems. Mother was never dressed gorgeously or adorned with jewelry like earrings and finger rings. Especially during her middle age, our big family was poverty

  7. An evaluation of a monitoring system intervention: falls, injuries, and affect in nursing homes. (United States)

    Holmes, Douglas; Teresi, Jeanne A; Ramirez, Mildred; Ellis, Julie; Eimicke, Joseph; Jian Kong; Orzechowska, Lucja; Silver, Stephanie


    This project assessed the extent to which modern technology (Vigil) can augment or substitute for direct staff intervention in nonacute late-evening and nighttime situations in a nursing home setting. Vigil was implemented for dementia residents of a special care unit (SCU) in a large nursing home. An SCU matched in terms of unit-wide case mix and cognition was used for comparison. Results showed that there was no significant reduction in falls and injuries, but there was a significant improvement in affective disorder in the intervention group as contrasted with the comparison group. There was no significant increase in staff-perceived burden, despite the significant increase in the amount of direct care time logged. Additional time spent in staff care was significantly related to decreased affective disorder. The findings related to Vigil are generally mixed. The question remains as to whether the improvement in affect was due to Vigil or vigilance.

  8. Postpartum Health Services Requested by Mothers with Newborns Receiving Intensive Care. (United States)

    Verbiest, Sarah; McClain, Erin; Stuebe, Alison; Menard, M Kathryn


    Objectives Our pilot study aimed to build knowledge of the postpartum health needs of mothers with infants in a newborn intensive care unit (NICU). Methods Between May 2008 and December 2009, a Certified Nurse Midwife was available during workday hours to provide health care services to mothers visiting their infants in the NICU at a large tertiary care center. Results A total of 424 health service encounters were recorded. Maternal requests for services covered a wide variety of needs, with primary care being the most common. Key health concerns included blood pressure monitoring, colds, coughs, sore throats, insomnia and migraines. Mothers also expressed a need for mental health assessment and support, obstetric care, treatment for sexually transmitted infections, tobacco cessation, breastfeeding assistance, postpartum visits, and provision of contraception. Conclusions Our study suggests that mothers with babies in the NICU have a host of health needs. We also found that women were receptive to receiving health services in a critical care pediatric setting. Intensive care nurseries could feasibly partner with in-patient mother-baby units and/or on-site obstetric clinics to increase access to health care for the mothers of the high-risk newborns in their units. Modifications should be made within health care systems that serve high-risk infants to better address the many needs of the mother/baby dyad in the postpartum period.

  9. My mother

    Institute of Scientific and Technical Information of China (English)



    @@ My mother is a farmer. She is thirty-five years old. She is verytall. She has big eyes and long hair.She is very hard-working and kind.As my father works a place far away from us, she does all the housework every day. She loves me and loves my grandparents. My grandparents are both over seventy years old. She always looks after them very carefully. My grandmother is often ill, so my mother always buys some meat, fish and eggs for her. My mother gets on well with them. She makes our family become very harmonious.My grandmother often says my mother is better than her own daughter.

  10. Professional collegiality and peer monitoring among nursing staff: An ethnographic study (United States)

    Padgett, Stephen M.


    Background Patient safety and professional self-regulation systems both rely on professional colleagues to hold each other accountable for quality of care. Objectives To understand how staff nurses manage variations in practices within the group, and negotiate the rules-in-use for quality of care, collegiality, and accountability. Design/Methods Ethnographic case study; participant-observation, semi-structured interviews, policy analysis. Setting In-patient unit in an urban US teaching hospital. Results Explicit acknowledgement of conflicts and practice variations was perceived as risky to group cohesion. The dependence of staff on mutual assistance, and the absence of a system of group practice, led to the practice of “mutual deference”, a strategy of reciprocal tolerance and non-interference that gave wide discretion to each nurse’s decisions about care. Conclusions Efforts to improve professional accountability will need to address material constraints and the organization of nursing work, as well as communication and leadership skills. PMID:23332164

  11. Mothers' opinions about their daughters' education

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    Özgün Bener


    mothers (84.1% girls and boys should not be differences of opinion on receive is education. Advanced age groups of children receive the right of girls and boys in education should not be a difference of opinion that the rate is reduced. Increase the level of boys with learning and education will be needed more with the view to reduce the proportion of mothers who are highly educated on this issue between the states that do not have opinions. More than half of mothers (59.1% today as the girls enjoy equal educational opportunities are not opinions. All three variables in the case of the girl child equal opportunities in education today can not be of opinion that the rate of benefit is determined to be high. Education status of mothers as a result of analysis except on the subject of the other two variables were not effective. Mother of girls' education up to the level required for the distribution of opinions which 67.5% of girls can read up to read level,% 21.4 'nün universities, etc. to complete high school 7.8% of high school ın the view of learning required to complete. Nearly half of mothers (41.2% for girls preferred the view that the teaching profession. Doctor (23.9%, nurses, midwives (11.5%, lawyers, judges (9.4%, civil servants (6.0% preferred to be of opinion that the monitors.

  12. 外伤性危重症的CT监测及护理分析%Analysis of CT Monitoring and Nursing Care of Traumatic Critically Ill

    Institute of Scientific and Technical Information of China (English)

    谢琳瑛; 刘喜龙


    目的:探讨外伤性危重症的CT监测及护理措施。方法:回顾性分析本院重症监护室收治的114例外伤性危重症患者CT监测及护理效果。结果:监测过程中,共出现呼吸心跳停止4例,癫痫样发作10例,吐血、咯血4例,过度呼吸继发呼吸衰竭1例。轻度过敏4例,中度过敏1例,无重度过敏情况。患者均完成CT监测。结论:外伤性危重症CT监测对于诊断患者病情具有重要作用,监测过程中护理人员做好护理工作,能辅助CT监测顺利完成。%Objective:To investigate the CT monitoring and nursing of traumatic critically ill. Method:A retrospective analysis of our ICU hospital treated 114 cases of traumatic critically ill patients in CT monitoring and nursing effect. Result:There were 4 cases of respiratory and cardiac arrest,seizure in 10 cases,4 cases of hematemesis, hemoptysis,1 cases with respiratory failure secondary to excessive breathing. Mild allergies in 4 cases,moderate in 1 cases without severe allergy,allergy. Patients completed the CT monitoring. Conclusion:Traumatic critically ill CT monitoring plays an important role in the diagnosis of patients with the disease,the nursing staff in the monitoring process of nursing,can assist the monitoring of CT completed successfully.

  13. Touching Nursing Education Influence the Growth and Development of Pre-mature Infants of Diabetic Mothers%抚触护理对糖尿病产妇育早产儿生长发育的影响

    Institute of Scientific and Technical Information of China (English)



    Objective To investigate the effect of touching nursing on diabetic mothers growth of premature infants. Meth-ods Nursing care of 132 cases of premature infant with diabetes treated in our department from June 2013 to June 2015, Were randomly divided into experimental group and normal group 66 cases, The growth and development of the two groups were analyzed. Results Touch group in weight, length, sleep time, intake of milk were significantly higher than normal group(P<0.05);Touch group NBNA score(38.25±1.38), Compared with the conventional group(P<0.05). Conclusion Touch-ing nursing can effectively promote the development of premature infants physical and nervous system, To meet the percep-tion of being loved.%目的:探讨抚触护理对糖尿病产妇育早产儿生长发育的影响。方法对该科2013年6月-2015年6月收治的糖尿病产妇育早产儿132例进行护理,随机分为抚触组和常规组各66例,分析两组生长发育情况。结果抚触组在体重、身长、睡眠时间、摄入奶量方面均明显高于常规组(P<0.05);抚触组NBNA评分(38.25±1.38)分,较常规组差异有统计学意义(P<0.05)。结论抚触护理可有效促进早产儿体格和神经系统发育,满足其被爱的感知。

  14. Nursing interventions in monitoring the adolescent with Cystic Fibrosis: a literature review. (United States)

    Reisinho, Maria da Conceição Marinho Sousa Ribeiro Oliveira; Gomes, Bárbara Pereira


    to search for nursing interventions focused on the improvement of quality of life and promotion of self-care of adolescents suffering from the Cystic Fibrosis. literature review. The inclusion criteria were: primary studies and studies with interventions developed by nurses in the adolescent population with Cystic Fibrosis, using Portuguese, Spanish, French and English with no time limit, and supported by the databases Scopus, Web of Science and CINAHL. The search expressions were: nursing AND care AND adolescent AND "Cystic Fibrosis" AND ("quality of life" OR "self-care"). a total of 59 articles was retrieved; 8 matched the criteria chosen. Nursing interventions targeted at adolescents with Cystic Fibrosis and their family members were identified. These interventions were organized according to the nurses' role, namely caregiver, coordinator, counsellor, researcher, trainer and care partner. nursing interventions targeted at following up the adolescent during the entire therapeutic process, involving the presence of parents/significant others, since both the adolescent and family have to be responsible for self-care. Healthcare professionals should be capable of identifying the specific needs of patients with chronic disease and their family, permitting a better understanding and adaptation to the health-disease transition process. buscar intervenções de enfermagem que enfoquem a melhoria da qualidade de vida e a promoção do autocuidado em adolescentes que sofrem de fibrose cística. revisão de literatura. Os critérios de inclusão foram: estudos primários e estudos com intervenções desenvolvidas por enfermeiros na população adolescente com fibrose cística, em português, espanhol, francês e inglês, sem delimitação temporal, nas bases de dados Scopus, Web of Science e CINAHL. Os termos utilizados na busca foram: enfermagem AND cuidado AND adolescente AND "Fibrose Cística" AND ("qualidade de vida" OR "autocuidado"). ao total, 59 artigos foram

  15. Official monitoring of the Brazilian Norm for Commercialization of Food for Nursling and Children of First Infancy, Rubber Nipples, Pacifiers, and Nursing Bottles - NBCAL

    Directory of Open Access Journals (Sweden)

    Fabrício Luiz Silva Bartolini


    Full Text Available This work aimed to evaluate advertisement of baby food, rubber nipples, pacifiers and nursing bottles through newspapers as well as on TV, radio, and the internet, in order to check whether the 'Brazilian Norm for Commercialization of Food for Nursling and Children of First Infancy, Rubber Nipples, Pacifiers and Nursing Bottles' (Norma Brasileira de Comercialização de Alimentos para Lactentes e Crianças de Primeira Infância, Bicos, Chupetas e Mamadeiras - NBCAL has been complied. Samples of all the items above were acquired at discount and department stores to check whether labeling was in compliance with the NBCAL. The development of this research as well as the analyses of commercial promotion were carried out in Juiz de Fora - state of Minas Gerais, from May to July 2006, using convenient, non-representative sampling composed of 680 pieces of advertisement. The results obtained through descriptive statistics showed that 564 of the 680 samples analyzed, or 83.0%, did not meet the NBCAL. Irregularities were detected in 100% of the samples advertised on the media and found in hospitals and drugstores; in 70.1% of the samples purchased at supermarkets, in 37% of those from medical clinics and in 86.6% of those found on the internet. The evidences showed that monitoring must be carried out continuously and educational campaigns on the importance of breast-feeding for the full development of children must be addressed to mothers, the food industry and commercial establishments.O presente trabalho teve como objetivo avaliar propagandas e publicidades impressas de alimentos infantis, bicos, chupetas e mamadeiras, além das veiculadas em rádio, TV e internet, para verificar o cumprimento da Norma Brasileira de Comercialização de Alimentos para Lactentes e Crianças de Primeira Infância (NBCAL. Também foi realizada a aquisição de bicos, mamadeiras e chupetas em "lojas de 1,99" e de departamento, para a verificação de rotulagem de acordo

  16. Reducing the stigmatization of teen mothers. (United States)

    SmithBattle, Lee I


    Teen mothers are stigmatized by stereotypes that they are unmotivated, irresponsible, and incompetent parents. In spite of the pervasiveness of these stereotypes, stigma is rarely described as a contributing factor to teen mothers' difficulties and their health and social disparities. After tracing how teen mothers have been misrepresented and stereotyped over the last half century, I describe what is known about the stigma associated with teen mothering, reasons for its persistence, efforts to reduce it, and its potentially harmful effects. Stigma should be of concern to nurses because stigmatizing practices impede effective clinical care, contribute to teen mothers' many challenges, and violate the nursing ethic that patients be treated with respect and dignity. Recommendations for restoring dignity and reducing stigma in healthcare focus on developing recognition practices that are predicated on respect and concern for the teen's well-being and her capacity as a mother. Nurses are also urged to advocate for services and policies that reduce the stigmatization and marginalization of teen mothers.

  17. My Mother

    Institute of Scientific and Technical Information of China (English)

    于艺海; 胡宝兰


    My mother is a teacher She works in a middle school.She teaches music.She can sing very well She teaches four classes every day.She works very hard.She likes her work very much and she loves to work for children.too.

  18. Exploring Preterm Mothers' Personal Narratives: Influences and Meanings. (United States)

    Adkins, Cherie S; Doheny, Kim K

    In this article we report on a study exploring personal narratives of mothers of former preterm infants and the attributed meaning related to that experience over time. Using narrative inquiry as the research method, in-depth, unstructured interviews were conducted with 6 preterm mothers. Findings reveal that a preterm mother's experience is informed by contextual, intrapersonal, and interpersonal dynamics, some predating the birth often with effects that continue for years beyond it. By learning a preterm mother's unique experience and its attributed meaning, nurses can better understand the resulting effect on maternal/family health and well-being and tailor nursing interventions accordingly.

  19. Barriers to physical activity among working mothers. (United States)

    Dombrowski, Jill J


    Working mothers experience several barriers to physical activity. If these barriers can be identified by occupational health nurses and they can partner with working mothers to reduce these perceived barriers, the health of these workers can be improved and chronic disease risk prevented. The purpose of this study was to measure the effect of self-regulatory efficacy on physical activity among working mothers and to describe specific barriers to physical activity. The Barriers Specific Self-Efficacy Scale (BARSE) and the Kaiser Physical Activity Survey (KPAS) were used to measure the variables. Self-regulatory efficacy was found to be a strong predictor of physical activity in a diverse sample of working mothers who did not meet current recommendations for physical activity. Occupational health nurses can use these findings to design programs for groups and for counseling individuals.

  20. Between stigma and mother-blame: blind mothers' experiences in USA hospital postnatal care. (United States)

    Frederick, Angela


    This study examines instances of discrimination that blind mothers in the USA have experienced at the hands of doctors, nurses and social workers during hospital postnatal care. The author identifies postnatal care as the time when blind mothers are likely to face the most stigmatising interactions with medical staff, as it is when scepticism about their competence as mothers is at its height. The author argues these interactions must be understood within their institutional context in which ideologies of risk and mother-blame are embedded in hospital postnatal practices. © 2015 Foundation for the Sociology of Health & Illness.

  1. Automedicação em nutrizes e sua influência sobre a duração do aleitamento materno Self-medication in nursing mothers and its influence on the duration of breastfeeding

    Directory of Open Access Journals (Sweden)

    Roberto G. Chaves


    Full Text Available OBJETIVO: Investigar a prática da automedicação em nutrizes, principais fármacos utilizados e influência sobre a duração do aleitamento materno. MÉTODOS: Estudo longitudinal tipo coorte realizado com 246 mulheres assistidas na maternidade do Hospital Manoel Gonçalves, em Itaúna (MG. O acompanhamento às mães e recém-nascidos foi realizado mensalmente nos primeiros 12 meses após o parto ou até a interrupção da amamentação. O efeito da prática da automedicação sobre o tempo de aleitamento materno foi analisado por análise multivariada, a partir do modelo de regressão de Cox, com covariáveis dependentes do tempo. RESULTADOS: A automedicação foi praticada por 52,4% das nutrizes. As classes farmacológicas mais utilizadas foram os analgésicos/antipiréticos (54,4%, anti-inflamatórios não-esteroides (15%, espasmolíticos (6,2%, laxantes (3,5%, benzodiazepínicos (3%, descongestionantes nasais (1,4% e antibióticos (0,9%. Os fármacos mais utilizados foram dipirona (31,5% e paracetamol (17,9%. A prática de automedicação associou-se à maior probabilidade de uso de medicamentos com risco de efeitos adversos sobre o lactente ou sobre a lactação (p = 0,000. Contudo, a prática da automedicação não foi associada ao desmame (p = 0,135. CONCLUSÕES: A elevada frequência de automedicação entre as nutrizes e o uso de medicamentos com risco de efeitos indesejáveis sobre o lactente e na produção láctea revelam a necessidade de melhor orientação sobre os riscos da automedicação pelas nutrizes. Contudo, a prática da automedicação não se revelou um fator de risco para o desmame.OBJECTIVE: To investigate the practice of self-medication by nursing mothers, the main drugs used and the influence on the duration of breastfeeding. METHODS: A longitudinal cohort study involving 246 women seen at the maternity unit of Hospital Manoel Gonçalves in Itaúna, state of Minas Gerais, Brazil. A monthly follow-up of mothers and

  2. American Nurses Association Nursing World (United States)

    ... ANA Staff Nurses Advanced Practice Nurses Nurse Managers Nursing Research Student Nurses Educators What is Nursing? NursingWorld About ... Online Course Alert! The Ins and Outs of Nursing Research 11/09/16 ANA Ready to Work with ...

  3. Representações sociais sobre a alimentação da nutriz Social representations on the diet of nursing mothers

    Directory of Open Access Journals (Sweden)

    Emanuele Souza Marques


    Full Text Available Trata-se de uma pesquisa qualitativa, que buscou compreender os significados atribuídos pelas mulheres ao hábito alimentar, no que se referem às proibições, permissões e lactogogos durante o aleitamento materno. Como fundamentação teórica, utilizou-a Teoria das Representações Sociais descrita por Moscovici (2003 e Minayo (2006. Participaram do estudo 58 mães de crianças até 2 anos residentes no município de Coimbra (MG. A análise compreensiva da alimentação revelou que para as mães entrevistadas havia a necessidade de uma alimentação especial durante o puerpério, sendo esta composta de alimentos considerados saudáveis, fortes, lactogênicos, além da ingestão de líquido. Ainda, em relação à dieta da lactante, os alimentos quentes, reimosos, gordurosos deveriam ser evitados. Nessa perspectiva, pensar em alimentação nesta fase fisiológica da mulher implica conhecer os aspectos histórico, social e cultural que interferem na escolha alimentar, permitindo assim entender seus hábitos e crenças para que a atuação profissional seja adequada ao grupo atendido e ao contexto no qual ele se insere.This is a qualitative study that sought to establish the significance attributed by women to adequate eating habits with respect to prohibited, permitted and breastmilk-enhancing products during breastfeeding. It was based on the Theory of Social Representations described by Moscovici (2003 and Minayo (2006. 58 mothers of children up to 2 years of age living in the city of Coimbra in Minas Gerais state participated in the survey. Comprehensive analysis of feeding revealed that the new mothers interviewed understood the need for a special diet during postpartum based on healthy, fortified and lactose-rich food, as well as the need for ingesting liquids. Breatfeeding mothers appreciated the need to avoid hot, creamy and fatty food. In this perspective, feeding during this physiological phase implies an understanding of cultural

  4. Early Nursing Intervention on Mother Gestational Diabetes Mellitus and Perinatal Complications%早期护理干预对妊娠期糖尿病母儿围产期并发症的影响

    Institute of Scientific and Technical Information of China (English)



    目的:研究早期护理干预对妊娠期糖尿病(GDM)母儿围产期并发症的影响。方法:选取2011年3月-2013年3月笔者所在医院收治的120例妊娠期糖尿病产妇,按照随机数表法将其分为试验组和对照组,各60例。对照组采用产妇分娩期的常规护理干预措施,试验组采用早期的护理干预措施。产后记录两组产妇及新生儿围产期的并发症发生情况。结果:产后试验组妊娠期高血压疾病、羊水过多、早产、剖宫产、产后出血及产褥疾病等并发症的发生率明显低于对照组,两组比较差异有统计学意义(P<0.05)。试验组新生儿的新生儿窒息、新生儿肺炎、巨大儿、低血糖及新生儿呼吸窘迫综合征等并发症发生率明显低于对照组,两组比较差异有统计学意义(P<0.05)。结论:早期护理干预可降低妊娠期糖尿病母儿围产期并发症的发生率,改善产妇产后状况,效果良好。%Objective:To study the early nursing intervention on the influence of gestational diabetes mother and perinatal complications. Method:120 cases of gestational diabetes women from March 2011 to March 2013 in the author’s hospital were selected,according to the random indicator method divided into trial group and control group.The control group was given routine nursing interventions,the trial group was given the early nursing intervention measures. Postpartum,record the two groups of maternal and infant perinatal complications.Result:Gestational hypertension disease,hydramnios postpartum,premature delivery,cesarean section,postpartum hemorrhage and puerperal disease,in the trial group were significantly lower than the control group,the difference were statistically significant(P<0.05). Group infants of neonatal asphyxia,neonatal pneumonia,macrosomia,hypoglycemia and incidence of complications such as neonatal respiratory distress syndrome were significantly lower than the control group

  5. Successful breast feeding: the mother's dilemma. (United States)

    Harrison, M J; Morse, J M; Prowse, M


    A content analysis of 141 articles on breast feeding by discipline revealed differences in the factors considered necessary for breast feeding success and in the criteria used to determine success. Whereas medical articles focused on maternal factors prenatally and infant health post-natally, or the length of time breast feeding was maintained, lay articles focused on the relationship of the mother with her infant (the nursing couple) and the mother's ability to manage breast feeding within the family context. The implications of this discrepancy for nursing practice and research are discussed.

  6. Adolescent mothers' breastfeeding social support needs. (United States)

    Grassley, Jane S


    To define aspects of social support that adolescents need from nurses when initiating breastfeeding in the early postpartum. MEDLINE and CINAHL databases for years 2000 to 2009. Three searches were done using the following subject terms: adolescent mothers and breastfeeding (12 studies), adolescent mothers and breastfeeding and support (24 studies), and breastfeeding and adolescent mothers and attitudes (15 studies). The 18 studies that were chosen for this synthesized review illuminated the dimensions of social support identified by House. The four types of supportive behavior categories identified by House were described in these studies (informational, instrumental, emotional, and appraisal). Esteem support as defined by Sarafino seemed to be synonymous with appraisal support. Many studies identified the importance of network support as a fifth category of supportive behavior in increased breastfeeding duration among adolescents; network support was included in this synthesis. These five types of social support provide a framework for defining supportive nurse behaviors. Nurses in the early postpartum can promote the long-term health of adolescents and their children through the social support they offer adolescent mothers as they initiate breastfeeding. Network support appears to be essential to adolescents' breastfeeding experiences and needs to be included with informational, instrumental, emotional, and esteem/appraisal support when investigating support for this population. By integrating the five dimensions of social support into their care, nurses play an essential role in providing adolescents with the positive experiences that are so important to establishing breastfeeding. © 2010 AWHONN, the Association of Women's Health, Obstetric and Neonatal Nurses.

  7. Group Services for Unmarried Mothers: An Interdisciplinary Approach (United States)

    Danforth, Joyce; And Others


    Reports on a group program in which a public health nurse and two social workers have been working together to help unmarried mothers prepare for delivery and plan for the care of their babies. (Author/AJ)

  8. Bernoulli Cumulative Sum (CUSUM) control charts for monitoring of anesthesiologists' performance in supervising anesthesia residents and nurse anesthetists. (United States)

    Dexter, Franklin; Ledolter, Johannes; Hindman, Bradley J


    We describe our experiences in using Bernoulli cumulative sum (CUSUM) control charts for monitoring clinician performance. The supervision provided by each anesthesiologist is evaluated daily by the Certified Registered Nurse Anesthetists (CRNAs) and/or anesthesia residents with whom they work. Each of 9 items is evaluated (1 = never, 2 = rarely, 3 = frequently, 4 = always). The score is the mean of the 9 responses. Choosing thresholds for low scores is straightforward, CUSUM detection of low scores was within 50 ± 14 (median ± quartile deviation) days rather than 182 days without use of CUSUM. The true positive detection of anesthesiologists with incidences of low scores greater than the chosen "out-of-control" rate was 14 of 14. The false-positive detection rate was 0 of 29. This CUSUM performance exceeded that of Shewhart individual control charts, for which the smallest threshold sufficiently large to detect 14 of 14 true positives had false-positive detection of 16 of 29 anesthesiologists. The Bernoulli CUSUM assumes that scores are known right away, which is untrue. However, CUSUM performance was insensitive to this assumption. The Bernoulli CUSUM assumes statistical independence of scores, which also is untrue. For example, when an evaluation of an anesthesiologist 1 day by a CRNA had a low score, there was an increased chance that another CRNA working in a different operating room on the same day would also give that same anesthesiologist a low score (P CUSUM, such that detection is more likely. This is an advantage for our continual process improvement application since it flags individuals for further evaluation by managers while maintaining confidentiality of raters.

  9. Nursing practices and lactation amenorrhoea. (United States)

    Elias, M F; Teas, J; Johnston, J; Bora, C


    The purpose of this study is to test the hypothesis that nursing behavior is an independent underlying factor of importance in duration of amenorrhea. Multivariate analysis is applied to information on frequency and duration of nursing practices, maternal age, and nutritional status assessed by weight for height in a sample of 32 middle-class American women with a wide range of nursing behavior. The mothers were followed for 2 years postpartum, data being collected during 8 home visits by interview and by nursing records kept by the mothers. Amenorrhea lasted 1.3 to 27.1 months in the sample as a whole. Those women who nursed frequently (8/day) during exclusive breastfeeding remained amenorrheic longer than infrequent nursers, introduced supplements later, and did not resume menses as promptly thereafter. They continued an hour or more of night nursing during supplemented nursing. Duration of exclusive nursing and night nursing after supplementation were the major influences on duration of amenorrhea. This strong association favors the hypothesis that the underlying factor is nursing behavior. Mother's age, weight-for-height, and nursing frequency before supplementation showed no significant effect. Those women who introduced supplements late and maintained at least an hour of night nursing had a prolonged period of amenorrhea. The median for this group was 6-10 months longer than that for those who started supplements early and/or reduced subsequent night nursing to less than an hour. The recommendation that women must suckle their babies at least 5 times a day with a total suckling duration of more than 65 minutes per day is not sufficient. The findings reported here suggest that if women nurse exclusively for the 1st half year, maintaining night nursing after introducing supplements is important. If they supplement earlier, then they will lose the contraceptive protection of lactation, irrespective of how they nurse.

  10. Social class, anxieties and mothers' foodwork. (United States)

    Wright, Jan; Maher, JaneMaree; Tanner, Claire


    In the context of concerns about childhood obesity, mothers are placed at the forefront of responsibility for shaping the eating behaviour and consequently the health of their young children. This is evident in a multitude of diverse sites such as government reports, health promotion materials, reality TV shows and the advice of childcare nurses and preschools. These sites produce a range of resources available to mothers to draw on to constitute themselves as mothers in terms of caring for their children's health. Drawing on a qualitative study of mothers recruited through three Australian preschool centres, this article examines how the working-class and middle-class mothers of preschool-aged children engage with knowledge about motherhood, children and health and how those engagements impact on their mothering, their foodwork and their children. We argue that, unlike the working-class mothers pathologised in some literature on obesity, these working-class mothers demonstrated a no-nonsense (but still responsibilised) approach to feeding their children. The middle-class mothers, on the other hand, were more likely to engage in practices of self-surveillance and to demonstrate considerable anxieties about the appropriateness of their practices for their children's current and future health.

  11. Nursing of 934 cases of tooth extraction under the monitoring of electrocardiogram%心电监护拔牙护理934例分析

    Institute of Scientific and Technical Information of China (English)

    廖学娟; 赵佛容


    Objective To investigate the effect, complication and nursing key of tooth extraction under the monitoring of electrocardiogram. Methods 934 cases of tooth extraction accompanying with angiocardiopathy were treated under the monitoring of electrocardiogram. All the patients were nursed in all the management. Results Among the 934 cases, there was no any complication in 913 cases. There were some complications, such as high blood pressure, T wave changes, in 21 cases. Tooth extractions were finished after the patients had been given drugs and the symptom had disappeared. Conclusion Tooth extraction under the monitoring of electrocardiogram provides a safe and effective method for the patients of angiocardiopathy who need tooth extraction. Nursing is an important part of tooth extraction under the monitoring of electrocardiogram and helpful to decrease the danger of operation.%目的 探讨心电监护拔牙的手术效果、安全性及其护理要点.方法 对934例需拔牙的心血管疾病患者在心电监护下拔牙,全程对患者进行护理和宣教.结果 纳入本研究的934例患者中,913例顺利完成拔牙,2l例发生血压升高、T波改变等,用药后缓解,并完成拔牙.结论 心电监护拔牙为需拔牙的心血管疾病患者提供了一种安全有效的拔牙方法;护理是心电监护拔牙的重要组成部分,对降低手术风险具有积极的意义.

  12. Micronucleus technology of microspore mother cells of Ottelia acuminata for monitoring water pollution of Dianchi Lake%海菜花花粉母细胞微核技术监测滇池水质污染状况

    Institute of Scientific and Technical Information of China (English)

    翟书华; 樊传章; 侯思名; 郭丽红; 王全坤


    以海菜花生长环境水(路南长湖水)处理作阴性对照,以滇池5个样点的水样处理作阳性对照,利用海菜花花粉母细胞微核技术监测评价滇池水质污染物致突变的情况,测定各采样点水样的海菜花花粉母细胞微核千分率及污染指数.结果表明:滇池5个样点的水样均使海菜花花粉母细胞微核千分率急剧增加,用海莱花水生植物建立的水体环境污染检验系统,可避免用陆生植物监测水体时因改变生长环境而造成的误差.%The micronucleus techniques of microspore mother cells of Ottelia acuminata was used to monitor the water pollution of Dianchi Lake when Ottelia acuminata was grown in the water samples of five sampling sites in the Dianchi lake. The micronucleus permillage and pollution index of the microspore mother cells of Ottelia acuminata in the water samples were determined. The results show that the water samples of the five sampling sites in the Dianchi Lake cause a sharp increase in the micronucleus of microspore mother cells of 0ttelia acuminate. The monitoring system of water environmental pollution established by Ottelia acuminata can avoid the error caused by the change of growth environment of land plants.

  13. Necessity is the mother of invention: an innovative hospitalist-resident initiative for improving quality and reducing readmissions from skilled nursing facilities. (United States)

    Petigara, Sunny; Krishnamurthy, Mahesh; Livert, David


    Background: Hospital readmissions have been a major challenge to the US health system. Medicare data shows that approximately 25% of Medicare skilled nursing facility (SNF) residents are readmitted back to the hospital within 30 days. Some of the major reasons for high readmission rates include fragmented information exchange during transitions of care and limited access to physicians round-the-clock in SNFs. These represent safety, quality, and health outcome concerns. Aim: The goal of the project was to reduce hospital readmission rates from SNFs by improving transition of care and increasing physician availability in SNFs (five to seven days a week physical presence with 24/7 accessibility by phone). Methods: We proposed a model whereby a hospitalist-led team, including the resident on the geriatrics rotation, followed patients discharged from the hospital to one SNF. Readmission rates pre- and post-implementation were compared. Study results: The period between January 2014 and June 2014 served as the baseline and showed readmission rate of 32.32% from the SNF back to the hospital. After we implemented the new hospitalist SNF model in June 2014, readmission rates decreased to 23.96% between July 2014 and December 2014. From January 2015 to June 2015, the overall readmission rate from the SNF reduced further to 16.06%. Statistical analysis revealed a post-intervention odds ratio of 0.403 (p < 0.001). Conclusion: The government is piloting several care models that incentivize value- based behavior. Our study strongly suggests that the hospitalist-resident continuity model of following patients to the SNFs can significantly decrease 30-days hospital readmission rates.

  14. Relationship between nursing care quality, nurse staffing, nurse job satisfaction, nurse practice environment, and burnout: literature review

    Directory of Open Access Journals (Sweden)

    Virya Koy


    Full Text Available The purpose of this literature review is to explore the relationship between nurse staffing, nurse job satisfaction, nurse practice environment, burnout, and nursing care quality through a consideration of what is meant by perceptions of nursing care quality. Different people define nursing care quality in many ways. It is complex, multi-faceted and multi-dimensional, and attempts to assess, monitor, evaluate and improve nursing care quality have evolved over a number of years. Of particular interest is the way in which changes in nurse staffing, nurse job satisfaction, nurse practice environment, and burnout may affect the quality of nursing care delivery. A search was conducted using the CINAHL, Medline and Embase databases, HINARI, Science Direct, Google, and PubMed. The terms searched included quality of health care; nursing care quality; nurse job satisfaction; nurse practice environment; burnout; and nurse staffing. Papers were included for their relevance to the field of enquiry. The original search was conducted in 2003 and updated in 2004. Quality of care is a complex, multi-dimensional concept, which presents researchers with a challenge when attempting to evaluate it. Many different tools have assessed nursing care quality. In addition, the review found that there were relationships between nurse staffing, nurse job satisfaction, nurse practice environment, burnout, and nursing care quality. [Int J Res Med Sci 2015; 3(8.000: 1825-1831

  15. Kangaroo Mother Method: Mothers' Experiences and Contributions to Nursing Método madre canguro: vivencias maternas y contribuciones para la enfermería Método mãe canguru: vivências maternas e contribuições para a enfermagem

    Directory of Open Access Journals (Sweden)

    João Carlos Arivabene


    Full Text Available This research aimed to describe mothers' experiences, analyzing them in the light of the principles of the Kangaroo Mother Method (KMM, and discuss the mothers' contributions based on the meanings of these experiences for nursing actions. In data collection, a questionnaire was used that characterized the mothers' socioeconomic profile and, through focus groups, stories were obtained about the benefits of these experiences, which supported the construction of the following categories: survival and recovery of the baby; the mothers' daily life modified by the KMM and valuation of affective family bonds in the KMM. The experiences are related to increased bonding between mother and baby, reduction of the infant's time of separation from the family, besides leading to increased competition and confidence in the parents to take care of their child, even before discharge, improving the mother's relation with the family, inside the family and with the team that takes care of the baby.El objetivo de este estudio fue describir vivencias de las madres, analizándolas bajo los principios del Método de la Madre Canguro (MMC y discutir las contribuciones de las madres a partir de los significados de esas vivencias para las acciones de enfermería. En la recolección de los datos, se empleó un cuestionario que caracterizó el perfil socioeconómico de las madres y, por medio de la técnica grupo focal, se obtuvieron relatos de los beneficios de esas vivencias que subsidiaron la construcción de las categorías: sobrevivencia y recuperación del bebé; el día a día de las madres modificado por el MMC; y, valorización de los lazos afectivos familiares en el MMC. Se constató que las vivencias están relacionadas al aumento del vínculo entre la madre y el bebé, a la disminución del tiempo de separación del recién nacido de la familia, además de proporcionar mayor competencia y confianza a los padres en los cuidados con su hijo, inclusive antes del

  16. Motivational interviewing competencies among UK family nurse partnership nurses: a process evaluation component of the building blocks trial

    National Research Council Canada - National Science Library

    Channon, Sue; Bekkers, Marie-Jet; Sanders, Julia; Cannings-John, Rebecca; Robertson, Laura; Bennert, Kristina; Butler, Christopher; Hood, Kerenza; Robling, Michael


    ... programmes of health promotion. One example of this is the Family Nurse Partnership (FNP) a licensed, preventative programme for first time mothers under the age of 20, delivered by specialist family nurses who are additionally trained in MI...

  17. Allomaternal nursing in humans. (United States)

    Hewlett, Barry S; Winn, Steve


    Few studies exist of allomaternal nursing in humans. It is relatively common among some cultures, such as the Aka and Efé hunter-gatherers of the Congo Basin, but it does not occur in other foragers such as the !Kung and Hadza of Southern and East Africa. This paper utilizes focal follow observations of Aka and Efé infants, interviews with Aka mothers, ethnographic reports from researchers working with hunter-gatherers, and a survey of the eHRAF cultures to try to answer the following questions: how often does allomaternal nursing occur, who provides it, and under what contexts does it take place? The study indicates that it occurs in many cultures (93% of cultures with data) but that it is normative in relatively few cultures; biological kin, especially grandmothers, frequently provide allomaternal nursing and that infant age, mother's condition, and culture (e.g., cultural models about if and when women other than the mother can nurse an infant or colostrum taboos) impact the nature and frequency of allomaternal nursing. The empirical results of this exploratory study are discussed in the context of existing hypotheses used to explain allomaternal nursing.

  18. Mother Trouble

    Directory of Open Access Journals (Sweden)

    Griselda Pollock


    Full Text Available In the late 1980s a practising painter who is also a practising psychoanalyst reflected upon the significance of events occurring in her painting and being reflected upon in her notebooks to evolve a major theoretical intervention in psychoanalytical thinking at the intersections of British Object Relations (Bion, Laing, Winnicott in which she was trained at the Tavistock and Parisian Lacanian and post Lacanian thinking (Laplanche, Guattari, Aulagnier, Dolto.  Supplementing the  then dominant understanding of Lacan's phallic Symbolic,  defined by the sovereignty of the phallus as the sole signifier, Bracha Ettinger proposed a further symbol, the Matrix and its non-phallic, non-Oedipal process, metramorphosis.  The matrixial enables us to catch up into theoretical knowledge another, shifting but not excluding dimension of  subjectivity that is the effect , on all subjects, irrespective of later, Oedipalised gender or sexuality, of the  feminine sexual specificity of human generation in the non-prohibited intimacy of the feminine-becoming-maternal-in co-emergence-with an-unknown-becoming-partial-other.  Moving beyond the theoretical engagements of object relations with early mother-child, hence post-natal relations between subjects, hence beyond intersubjectivity, Ettinger has been exploring, for almost two decades, the implications for theories of subjectivity and hence for ethics and even the politics of our multiple moments of transsubjective co-affections and co-effects, of the proposition that the feminine, understood as this sexual specificity of the severality of mutual co-effecting becoming of life, has something profound to offer our understanding of the human, its ethics, aesthetics and even politics.  Daring to theorize the gift to later subjectivities of the prolonged encounter-event between pre-natality and pre-maternity, Ettinger has contributed to debates about the maternal, the feminine and human subjectivity in general. In

  19. Nurse-assessed metabolic monitoring: a file audit of risk factor prevalence and impact of an intervention to enhance measurement of waist circumference. (United States)

    Rosenbaum, Simon; Nijjar, Sukh; Watkins, Andrew; Garwood, Natasha; Sherrington, Catherine; Tiedemann, Anne


    The aim of the present study was to: (i) document the prevalence of risk factors for non-communicable diseases among mental health consumers (inpatients) with various diagnoses; and (ii) audit the frequency of waist circumference (WC) documentation before and after an intervention that involved a single nurse-education session, and change in assessment-form design. The study was undertaken in a private psychiatric hospital in Sydney, Australia. Twenty-five nurses participated in the educational intervention. File audits were performed prior to intervention delivery (n = 60), and 3 months' (n = 60), and 9 months' (n = 60) post-intervention. Files were randomly selected, and demographic (age, diagnosis) and risk factor (WC, body mass index (BMI), smoking status, blood pressure) data were extracted. WC was higher in this cohort compared to published general population means, and only 19% of patients had a BMI within the healthy range. In total, 37% of patients smoked, while 31% were hypertensive. At baseline, none of the audited files reported WC, which increased to 35 of the 60 (58%) files audited at the 3-month follow up. At the 9-month follow up, 25 of the 60 (42%) files audited reported a WC. In the 120 post-intervention files audited, only two patients refused measurement. These results illustrate the poor physical health of inpatients, and suggest that nurse-assessed metabolic monitoring can be enhanced with minimal training.

  20. The other mother: a narrative analysis of the postpartum experiences of nonbirth lesbian mothers. (United States)

    McKelvey, Michele M


    The purpose of this study was to develop a metastory of nonbiological lesbian mothers' postpartum experiences utilizing Riessman's structural approach to thematic analysis. Ten nonbirth lesbian mothers were interviewed. Each shared a unique story of her first year of motherhood. Themes were individually analyzed within each story. The metastory of the postpartum experiences of nonbirth lesbian mothers revealed 6 themes including the following: At the mercy of health care providers, Nursing is the major difference between us, Defined by who I am not, Fighting for every piece of motherhood: The world can take them away, What's in a name?, and Epilogue: The new normal.

  1. Nursing experience of the dynamic blood sugar monitoring%动态血糖监测的护理干预体会

    Institute of Scientific and Technical Information of China (English)



    Purpose: LeiLan dynamic glucose monitoring system (CGMS) monitor blood sugar with the changing rule in order to guide the doctor and provide evidence for reasonable and individualized treatment plan.Methods: Choosing 85 cases of diabetic patients apply to LeiLan dynamic blood sugar monitoring system in nursing intervention in October 2012 to July 2013 to our department in the hospital for monitoring blood sugar.Results: In addition to the needles out in 2 cases and the alarm make 6 times,the patients were successful y completed dynamic blood sugar monitoring, data consistent with il ness can be guided clinical treatment.Conclusion: The application and importance of dynamic blood sugar monitoring,we strengthen the application of dynamic nursing intervention in patients with blood glucose monitoring system, is to guarantee the smooth completion of dynamic glucose monitoring in patients with important factors, is to provide guarantee for clinicians better diagnosis and treatment of diseases.%目的:通过雷兰动态血糖监测(CGMS)系统监测血糖了解血糖变化规律,为指导医生制定合理化、个体化的治疗方案提供依据。方法:选择2012年10月至2013年7月来我科住院的85例糖尿病病人进行雷兰动态血糖监测系统监测血糖护理干预。结果:除针头脱出2例,报警6次外,患者均顺利完成动态血糖监测,数据与病情相符,能指导临床治疗;结论:动态血糖监测仪的应用及其重要,加强对应用动态血糖监测系统患者的护理干预,是保证患者顺利完成动态血糖监测的重要因素,为临床医生更好的诊治疾病提供保证。

  2. Mother's and father's monitoring is more important than parental social support regarding sexual risk behaviour among 15-year-old adolescents

    NARCIS (Netherlands)

    Kalina, Ondrej; Geckova, Andrea Madarasova; Klein, Daniel; Jarcuska, Pavol; Orosova, Olga; van Dijk, Jitse P.; Reijneveld, Sijmen A.


    Background and objectives There is strong evidence that parental processes such as monitoring and social support play an important role with regard to sexual risk behaviour among adolescents. We wished to explore the influence of both parents 'monitoring and support on sexual risk behaviour among ad

  3. Nursing: Registered Nurses (United States)

    ... a diploma from an approved nursing program. Registered nurses also must be licensed. Education In all nursing education programs, students take courses in anatomy, physiology, microbiology, chemistry, nutrition, psychology, and other social and ...

  4. Medication monitoring in a nurse-led respiratory outpatient clinic: pragmatic randomised trial of the West Wales Adverse Drug Reaction Profile.

    Directory of Open Access Journals (Sweden)

    Marie E Gabe

    Full Text Available OBJECTIVE: To assess the clinical effect of medication monitoring using the West Wales Adverse Drug Reaction (ADR Profile for Respiratory Medicine. DESIGN: Single-site parallel-arm pragmatic trial using stratified randomisation. SETTING: Nurse-led respiratory outpatient clinic in general hospital in South Wales. PARTICIPANTS: 54 patients with chronic respiratory disease receiving bronchodilators, corticosteroids or leukotriene receptor antagonists. INTERVENTION: Following initial observation of usual nursing care, we allocated participants at random to receive at follow up: either the West Wales ADR Profile for Respiratory Medicine in addition to usual care ('intervention arm' with 26 participants; or usual care alone ('control arm' with 28 participants. MAIN OUTCOME MEASURES: Problems reported and actions taken. RESULTS: We followed up all randomised participants, and analysed data in accordance with treatment allocated. The increase in numbers of problems per participant identified at follow up was significantly higher in the intervention arm, where the median increase was 20.5 [inter-quartile range (IQR 13-26], while that in the control arm was -1 [-3 to +2] [Mann-Whitney U test: z = 6.28, p<0.001]. The increase in numbers of actions per participant taken at follow up was also significantly higher in the intervention arm, where the median increase was 2.5 [1]-[4] while that in the control arm was 0 [-1.75 to +1] [Mann-Whitney U test: z = 4.40, p<0.001]. CONCLUSION: When added to usual nursing care, the West Wales ADR Profile identified more problems and prompted more nursing actions. Our ADR Profile warrants further investigation as a strategy to optimise medication management. TRIAL REGISTRATION: ISRCTN10386209.

  5. Community based trial of home blood pressure monitoring with nurse-led telephone support in patients with stroke or transient ischaemic attack recently discharged from hospital

    Directory of Open Access Journals (Sweden)

    Doshi Reena


    Full Text Available Abstract Background High blood pressure in patients with stroke increases the risk of recurrence but management in the community is often inadequate. Home blood pressure monitoring may increase patients' involvement in their care, increase compliance, and reduce the need for patients to attend their General Practitioner if blood pressure is adequately controlled. However the value of home monitoring to improve blood pressure control is unclear. In particular its use has not been evaluated in stroke patients in whom neurological and cognitive ability may present unique challenges. Design Community based randomised trial with follow up after 12 months. Participants: 360 patients admitted to three South London Stroke units with stroke or transient ischaemic attack within the past 9 months will be recruited from the wards or outpatients and randomly allocated into two groups. All patients will be visited by the specialist nurse at home at baseline when she will measure their blood pressure and administer a questionnaire. These procedures will be repeated at 12 months follow up by another researcher blind as to whether the patient is in intervention or control group. Intervention: Intervention patients will be given a validated home blood pressure monitor and support from the specialist nurse. Control patients will continue with usual care (blood pressure monitoring by their practice. Main outcome measures in both groups after 12 months: 1. Change in systolic blood pressure. 2. Cost effectiveness: Incremental cost of the intervention to the National Health Service and incremental cost per quality adjusted life year gained. Trial registration Clinical registration NCT00514800

  6. Suicidal mothers

    Directory of Open Access Journals (Sweden)

    Salvatore Gentile


    Full Text Available Background: Epidemiological research has demonstrated that suicidal ideation is a relatively frequent complication of pregnancy in both developed and developing countries. Hence, the aims of this study are: to assess whether or not pregnancy may be considered a period highly susceptible to suicidal acts; to recognize potential contributing factors to suicidal behaviors; to describe therepercussions of suicide attempts on maternal, fetal, and neonatal outcome; to identify a typical profile of women at high risk of suicide during pregnancy.Methods: Medical literature information published in any language since 1950 was identified using MEDLINE/PubMed, Scopus, and Google Scholar databases. Search terms were: “pregnancy”,(antenatal “depression”, “suicide”. Searches were last updated on 28 September 2010. Forty-six articles assessing the suicidal risk during pregnancy and obstetrical outcome of pregnancies complicated by suicide attempts were analyzed, without methodological limitations.Results: Worldwide, frequency of suicidal attempts and the rate of death by suicidal acts are low. Although this clinical event is rare, the consequences of a suicidal attempt are medically andpsychologically devastating for the mother-infant pair. We also found that common behaviors exist in women at high risk for suicide during pregnancy. Review data indeed suggest that a characteristicprofile can prenatally identify those at highest risk for gestational suicide attempts.Conclusions: Social and health organizations should make all possible efforts to identify women at high suicidal risk, in order to establish specific programs to prevent this tragic event. The available data informs health policy makers with a typical profile to screen women at high risk ofsuicide during pregnancy. Those women who have a current or past history of psychiatric disorders,are young, unmarried, unemployed, have incurred an unplanned pregnancy (eventually terminated with an

  7. Lone mothers in Sweden

    DEFF Research Database (Denmark)

    Burström, B; Diderichsen, Finn; Shouls, S


    To study trends in the health and socioeconomic circumstances of lone mothers in Sweden over the years 1979-1995, and to make comparisons with couple mothers over the same period.......To study trends in the health and socioeconomic circumstances of lone mothers in Sweden over the years 1979-1995, and to make comparisons with couple mothers over the same period....

  8. Women's lives, mothers' health. (United States)

    Chauliac, M; Masse-raimbault, A M


    This document dealing with women's lives and the health of mothers identifies factors conditioning the health and nutritional status of women and girls (life expectancy at birth, maternal mortality rate, and the birthrate); considers nutritional requirements of pregnant and lactating women, weight gain during preganncy, mothers' age and number of children and interbirth interval, maternal nutritional status and breastfeeding, anemia, work and women's health, pregnancy in adolescents, abortion, the growth of small girls and its effect on future pregnancies, and sexual mutilations; and reports on actions aimed at improving the health of women as well as health problems facing rural women. The 3 key concepts of this reflection on women's lives are: women's health should be taken into account as well as children's health; the development of the whole human being should be respected, implying ongoing surveillance of the health status of women and of their children; and the overall living conditions of women within the family and society must be analyzed at the different phases of their life, so as to encourage integrated actions rather than various uncoordinated efforts. Women's health status, like the health status of everyone, depends on a multitude of socioeconomic and sanitational factors. A figure illustrates several of the many interrelations between the various factors which influence the nutritional status of all individuals. Women of childbearing age are at greater risk than other population groups, due to their reproductive function and their ability to nurse children: pregnancy, like lactation, generates metabolic changes and increases nutritional needs. Delivery itself presents a series of risks for the woman's health, and only regular surveillance of pregnancy may prevent many of these. A woman's health status and, most of all her nutritional status during pregnancy and delivery, condition her future health and ability to assume her many tasks as well as

  9. Consumo de um suplemento alimentar por gestantes e nutrizes de uma unidade de saúde de Ribeirão Preto, SP (Brasil Consumption of a feeding supplement by expectant and nursing mothers at a Health Service in Ribeirão Preto, SP (Brazil

    Directory of Open Access Journals (Sweden)

    Judith Costa


    Full Text Available Descreve-se como as gestantes e nutrizes de uma Unidade Estadual de Saúde que recebem o suplemento alimentar protéico "Gestal" o consomem, e se verifica se a quantidade ingerida é a recomendada pelo serviço.The way in which expectant and nursing mothers take the protein supplement "Gestal" prescribed for them by a S. Paulo State Health Service is described. Whether the quantity taken is the same as that prescribed is also investigated.

  10. Good nurse, bad nurse.... (United States)

    Alavi, C; Cattoni, J


    The construction of the nursing subject is discussed. The paper takes a historical perspective, arguing that the range of speaking positions available to the nurse is limited by gender, class and education. It evaluates the position of nursing in the university, showing how this also has propensity to limit the development of the nursing profession.

  11. The effect of language on lesbian nonbirth mothers. (United States)

    Brennan, Robin; Sell, Randall L


    To explore how language affects the transition of social (nonbirth) mothers into motherhood. Nonexperimental, qualitative design. This study took place in large, urban city located on the East Coast. Interviews were conducted in a private location within the social mother's home or in a private room at a coffee shop. Twenty women who became social mothers through donor insemination with their female partners within the previous 24 months. In depth, semistructured interviews lasting from 45 minutes to 90 minutes. The transition to motherhood for social mothers is influenced by the use of language at the individual (social mother), family (mommy, mama, or something else), community (heterosexism of health care providers), and societal (education equals validation) levels. At present, a common language for or understanding of nonbirth mothers and their motherhood roles does not exist. Health care providers, including doctors, nurses, and office personnel working in maternal and child health settings, can help social mothers transition into motherhood by validating and recognizing their maternal roles through the use of written and spoken language. By understanding how language affects the transition of social mothers to motherhood and by addressing their needs, health care providers can deliver better support to social mothers and their families. © 2014 AWHONN, the Association of Women's Health, Obstetric and Neonatal Nurses.

  12. Entre a Enfermagem e a maternidade: um estudo sobre a interação enfermeira e recém-nascido Entre la enfermería y la maternería: un estudio sobre la interacción enfermera y recién nacido Between nursing and mother nursing: a study on the nurse and the new-born interaction

    Directory of Open Access Journals (Sweden)

    Flávia Cristina Cordeiro Biesbroeck


    during the offer of food to the new-born by the technique of the small glass, in a neonatal unit, to a essential nursing care, aiming the vulnerability of these clientele. Was observed, trough images, twenty nurses during the execution of the cited procedure, and their gestures are discussed based in referential of the human physiology, of the interaction and of the child psychology, among others. It was conclude that the nursing care give to the new-born, besides be scientifically complex, demands, from whom do it, attention, tenderness and sensitivity, subjective elements implicit in the nursing care, that not must be credited to the mother nursing, but to the care dressed in the professionalism, responsibility, scientificity and ethics.

  13. Intercultural caring from the perspectives of immigrant new mothers. (United States)

    Wikberg, Anita; Eriksson, Katie; Bondas, Terese


    To describe and interpret the perceptions and experiences of caring of immigrant new mothers from an intercultural perspective in maternity care in Finland. Descriptive interpretive ethnography using Eriksson's theory of caritative caring. A maternity ward in a medium-sized hospital in western Finland. Seventeen mothers from 12 countries took part in the study. Interviews, observations, and field notes were analyzed and interpreted. Most mothers were satisfied with the equal access to high-quality maternity care in Finland, although the stereotypes and the ethnocentric views of some nurses negatively influenced the experiences of maternity care for some mothers. The cultural background of the mother, as well as the Finnish maternity care culture, influenced the caring. Four patterns were found. There were differences between the expectations of the mothers and their Finnish maternity care experience of caring. Caring was related to the changing culture. Finnish maternity care traditions were sometimes imposed on the immigrant new mothers, which likewise influenced caring. However, the female nurse was seen as a professional friend, and the conflicts encountered were resolved, which in turn promoted caring. The influence of Finnish maternity care culture on caring is highlighted from the perspective of the mothers. Intercultural caring was described as universal, cultural, contextual, and unique. Women were not familiar with the Finnish health care system, and many immigrant mothers lacked support networks. The nurse/patient relationship could partly replace their support if the relationship was perceived as caring. The women had multiple vulnerabilities and were prone to isolation and discrimination if they experienced communication problems. © 2012 AWHONN, the Association of Women's Health, Obstetric and Neonatal Nurses.

  14. The rabbit pup, a natural model of nursing anticipatory activity


    Caba, Mario; González-Mariscal, Gabriela


    Mother rabbits nurse their young once a day with circadian periodicity. Nursing bouts are brief (ca. 3 min) and occur inside the maternal burrow. Despite this limited contact mother rabbits and their pups are tuned to each other to ensure that the capacities of each party are used efficiently to ensure the weaning of a healthy litter. In this review we present behavioral, hormonal, metabolic and hormonal correlates of this phenomenon in mother rabbits and their pups. Research is revealing tha...

  15. [Mother-friendly childbirth practices and breastfeeding]. (United States)

    Lin, Ya-Wen; Tzeng, Ya-Ling; Yang, Ya-Ling


    Childbirth, connecting the stages of pregnancy and postpartum, deeply affects maternal motivation with regard to initiating and continuing postnatal breastfeeding and ultimate breastfeeding success. Although promoting breastfeeding is a strategy critical to achieving wellbeing in both mothers and infants, there remains a lack of professional attention and related research into the effect of childbirth on breastfeeding. Promoting successful breastfeeding is a central component of childbirth-friendly nursing care. Therefore, this paper introduces the origin and concepts of mother-and-infant-friendly childbirth, then analyzes the influences on breastfeeding of medicalized birth practices and suggests how to implement childbirth-friendly interventions. This paper was written to help nurses better understand how the childbirth process affects breastfeeding and provide a reference for creating conditions during childbirth that encourage successful breastfeeding practices.

  16. Helping mothers survive bleeding after birth

    DEFF Research Database (Denmark)

    Nelissen, Ellen; Ersdal, Hege; Ostergaard, Doris


    OBJECTIVE: To evaluate "Helping Mothers Survive Bleeding After Birth" (HMS BAB) simulation-based training in a low-resource setting. DESIGN: Educational intervention study. SETTING: Rural referral hospital in Northern Tanzania. POPULATION: Clinicians, nurse-midwives, medical attendants, and ambul......OBJECTIVE: To evaluate "Helping Mothers Survive Bleeding After Birth" (HMS BAB) simulation-based training in a low-resource setting. DESIGN: Educational intervention study. SETTING: Rural referral hospital in Northern Tanzania. POPULATION: Clinicians, nurse-midwives, medical attendants...... and feasible, although more time should be allocated for training, and teaching materials should be translated into the local language. Knowledge, skills, and confidence of learners increased significantly immediately after training. However, overall pass rates for skills tests of learners after training were...

  17. The Power of Mothers

    Institute of Scientific and Technical Information of China (English)


    MOTHERS always give so much to their children. Regardless of how rich or poor they may be, or whether they are highly educated or not, all mothers guide their children by their own words and actions. Here, six famous figures share their thoughts on the power of mothers.

  18. A new online software tool for pressure ulcer monitoring as an educational instrument for unified nursing assessment in clinical settings

    Directory of Open Access Journals (Sweden)

    Andrea Pokorná


    Full Text Available Data collection and evaluation of that data is crucial for effective quality management and naturally also for prevention and treatment of pressure ulcers. Data collected in a uniform manner by nurses in clinical practice could be used for further analyses. Data about pressure ulcers are collected to differing degrees of quality based on the local policy of the given health care facility and in relation to the nurse’s actual level of knowledge concerning pressure ulcer identification and use of objective scales (i.e. categorization of pressure ulcers. Therefore, we have developed software suitable for data collection which includes some educational tools to promote unified reporting of data by nurses. A description of this software and some educational and learning components of the tool is presented herein. The planned process of clinical application of the newly developed software is also briefly mentioned. The discussion is focused on the usability of the online reporting tool and possible further development of the tool.

  19. Employability of nursing care graduates:


    Donik Barbara; Pajnkihar Majda; Bernik Mojca


    Starting points: In Slovenia, the higher education institution for nursing started exploring employability opportunities in nursing care in connection with the achievement of competencies from students and employers point of view. This article highlights the importance of monitoring nursing graduates employability. Its aim is to examine the employability of nursing care graduates based on the self-evaluation of competences obtained during the last study year and to establish a link between th...

  20. Factors promoting breast feeding and nursing support


    仲村, 美津枝; Nakamura, Mitsue; 琉球大学医学部保健学科小児看護学教室


    This paper aims at describing factors for promoting breastfeeding among working and nonworking mothers. It's also aims at helping them with breastfeeding from the nursing viewpoint. We surveyed the factors for continuing breastfeeding by following up postpartum mothers. We also surveyed the perception of breastfeeding the staff in obstetrical clinics and hospital. From our results, we found the following; 1) Mothers who continued breastfeeding for three months were significantly higher than t...

  1. NGA Tukitanga Mai Koka Ki Tona Ira: Maori mothers and child to mother violence. (United States)

    Ryan, Ripekapaia Gloria; Wilson, Denise


    In common with other indigenous women Māori mothers risk illness, harm, and possible death when abused and intimidated by their children. Yet women suffering child to mother violence are silenced by their fear and shame, and endeavour to minimise the effects of this form of abuse. A qualitative descriptive research design using kaupapa Māori methodology was adopted to explore the experiences of Māori mothers who had been abused by a son or daughter. During semi-structured interviews with five Māori women experiences of abuse by a child, and its impact on the whānau/family were recorded. Interview transcripts were analysed thematically, and three key themes emerged: behind closed doors, my child and a new journey. These Māri mothers carried the secret of the violence alone; keeping it behind closed doors while paradoxically protecting their abusive child. Nonetheless, these mothers reached a point where they chose to undertake a new journey, one that involved telling their story, reconnecting with their indigenous roots, and engaging in healing activities. The mothers' experiences highlight a lack of support and responsiveness by support and health agencies. Regardless of these negative experiences with support agencies, we highlight the important role nurses have in facilitating whānau ora (family wellbeing) for these women. This research contributes an indigenous perspective to the growing literature on child to mother violence, and provides direction for future research.

  2. Pressure ulcers prevention monitoring and nursing intervention%压疮的预防监控与护理干预

    Institute of Scientific and Technical Information of China (English)

    方芳; 刘玉红; 王春花


    压疮又称褥疮、压力性溃疡,是由于患者局部组织长期受压,影响血液循环,导致局部皮肤和皮下组织发生持续缺血、缺氧、营养不良而致组织溃烂坏死。皮肤压疮在康复治疗、护理中是一个普遍性的问题。临床表现为受压局部的红斑,麻木,疼痛,破溃,坏死,溃疡。目的:对压疮高发人群进行规范化管理,降低患者的压疮发生率。方法:提高护理人员对压疮管理的风险预防检测能力降低压疮的发生率,建立压疮护理会诊制度。结论:对神经外科压疮高发患者进行压疮预防监控及护理干预,提高了护士对风险预测能力,有效降低压疮的发生率,提高压疮治愈率。%the pressure sores,also known as decubitus,pressure ulcers,patients with localized tissue due to prolonged pressure,af ecting blood circulation,leading to the occurrence of sustained local skin and subcutaneous tissue ischemia,hypoxia,malnutrition caused tissue ulceration and necrosis.Skin pressure sores in the rehabilitation treatment,care is a universal problem.The clinical manifestations of pressure on local erythema,numbness,pain,lacerations,necrosis,ulceration.Objective:To standardize the management of high risk for pressure ulcer population,reduce the incidence of pressure sore in pa-tients.Methods:To improve nurses'ability to detect pressure ulcer prevention risk management to reduce the incidence of pressure ulcers,establish consultation system of pressure ulcer care.Conclusion:Mo-nitoring and nursing intervention on the prevention of pressure sores of neurosurgery patients,improve the ability of nurses to risk prediction,ef ectively reduce the incidence of pressure sores,improve the cure rate ofpressure ulcer.

  3. A rede de sustentação coletiva, espaço potencial e resgate identitário: projeto mãe-criadeira The collective support network, a potential space for identity recovery: the nursing mother project

    Directory of Open Access Journals (Sweden)

    Marco Antonio Chagas Guimarães


    concept of traumatic conflictive situations in order to give visibility to this effort, which is not observable concretely, in view of its psychological nature. Through the Mãe-Criadeira (Nursing Mother Project experience, developed in the communities of Vigario Geral and Parada de Lucas (Rio de Janeiro, and directed at black and non-black pregnant women, the idea of the Collective Support Network is presented as an intervention strategy, contributing to lessen the harmful effects of racism in this women population.

  4. 医院环境下穿戴式实时跟踪护理监测系统的设计%Design on wearable real-time follow-up nursing monitoring system in hospital environment

    Institute of Scientific and Technical Information of China (English)

    杜娟; 董丹; 李强; 吕英华; 张金玲


    A wearable nursing monitoring system is designed by the author, whose wearing scheme, monitoring terminal, wireless transmission, electronic nurse station, and nursing expert system design are introduced in detail. This monitoring system has the following advantages: it can dynamically observe the change trend of physiological signs and correctly and timely grasp the condition changes of patient; the physiological parameters are acquired and transmitted automatically to avoid mistake; the friendly interface of electronic nurse station use both text and graphics and is convenient for use; the expert system is able to timely analyze the monitored data and give a prompt alarm in case of abnormal information so as to protect the safety of inpatients and lessen the workload of nursing staff. This nursing monitoring system can not only reduce work error and ensure nursing safety but also improve working efficiency.%自行设计了穿戴式护理监测系统,介绍其穿戴方案、监测终端、无线传输、电子护士站、护理专家系统的设计内容及功能。该监测系统具有如下优势:可动态观察生理体征变化趋势,从而准确、及时掌握患者病情变化;生理参数自动采集传输可避免差错;电子护士站界面友好并且图文并茂,使用便捷;专家系统能及时对监测数据进行分析,并对异常信息及时报警,以保障住院患者的安全,减轻护理人员的工作负荷等。该护理监测系统既能减少工作误差、保证护理安全,又能够提高工作效率。

  5. Nursing Supplies (United States)

    ... Stages Listen Español Text Size Email Print Share Nursing Supplies Page Content Article Body Throughout most of ... budget. (Nursing equipment also makes wonderful baby gifts.) Nursing Bras A well-made nursing bra that comfortably ...

  6. Effect of Kangaroo Mother Care on Growth and Morbidity Pattern in Low Birth Weight Infants

    Directory of Open Access Journals (Sweden)

    Keerti Swarnkar


    Full Text Available Background: Kangaroo Mother Care (KMC is dened as skin-to-skin contact between a mother and her newborn baby derived from practical similarities to marsupial care giving, proximately exclusive breastfeeding and early discharge from hospital. This concept was proposed as an alternative to conventional methods of care for low birth weight (LBW infants, and in replication to quandaries of earnest overcrowding in Neonatal Intensive Care Units (NICUs. KMC essentially utilizes the mother as a natural incubator Aim and Objectives: The aim was to assess the feasibility, acceptability and the effectiveness of KMC in LBW infants. It avoids agitation routinely experienced in busy ward. Material and Methods: A pilot open-labeled quasi-randomised clinical trial was conducted in Level III NICU of a teaching institution. 60 newborn infants <2500 g, meeting inclusion criteria were alternatively randomised into two groups: Kangaroo Mother Care (KMC and Conventional Methods of Care (CMC. Kangaroo mother care was practiced with minimum total period of eight hours a day intermittently for the intervention group while the controls remained in incubators or cots. Weight, head circumference, length, morbidity episodes, hospital stay, feeding patterns were monitored for all infants till postmenstrual age of 42 weeks in preterm babies or till a weight of 2500 g is achieved in term SGA babies. Results: The pilot study conrmed that trial processes were efcient, the intervention was acceptable (to mothers and nurses and that the outcome measures were appropriate; KMC babies achieved signicantly better growth at the end of the study (For preterm babies, weight, length and head circumference gain were signicantly higher in the KMC group (weight 19.28±2.9g/day, length 0.99±0.56cm/week and head circumference 0.72±0.07 cm/week than in the CMC group (P <0.001. A signicantly higher number of babies in the CMC group suffered from hypothermia, hypoglycemia, and

  7. Some Thoughts on Nursing

    Directory of Open Access Journals (Sweden)

    Despina Sapountzi-Krepia


    Full Text Available The core concept of nursing is care; although caring is a universal concept and a component of the philosophies guiding the practice of all health and caring professions. Human beings learn to care bybeing cared by other people. In primitive societies there was not a clear distinction between healer and carer. However, caring, healing, and curing include a meaning of getting control over and expressing power upon people who are receiving care. That was a crucial point for the separation of caring from healing and curing. Nursing evolved from the mother's role and is frequently identified in people's perception more as a woman's duty than a job. Nursing continues to struggle to overcome the stereotypes held for centuries. However, as nursing is maturing as a science, an emphasis on the meaning of care and the approach of nursing as a purely caring science is apparent in many scientific nursing books and papers. Caring is evolving as a new paradigm for nursing, as the profession seeks its rightful place in the modern societies.

  8. The effectiveness and cost-effectiveness of the Family Nurse Partnership home visiting programme for first time teenage mothers in England: a protocol for the Building Blocks randomised controlled trial

    National Research Council Canada - National Science Library

    Owen-Jones, Eleri; Bekkers, Marie-Jet; Butler, Chris C; Cannings-John, Rebecca; Channon, Sue; Hood, Kerenza; Gregory, John W; Kemp, Alison; Kenkre, Joyce; Martin, Belen Corbacho; Montgomery, Alan; Moody, Gwenllian; Pickett, Kate E; Richardson, Gerry; Roberts, Zoë; Ronaldson, Sarah; Sanders, Julia; Stamuli, Eugena; Torgerson, David; Robling, Michael


    .... The trial will evaluate the effectiveness of Family Nurse Partnership programme and usual care versus usual care for nulliparous pregnant women aged 19 or under, recruited by 24 weeks gestation...

  9. Family structure and mothers' caregiving of children with cystic fibrosis. (United States)

    Gayer, Debra; Ganong, Lawrence


    The purpose of this investigation is to examine differences in the experiences of mothers of children with cystic fibrosis who are in diverse family structures (first-marriage families, stepfamily households, single-parent households). In particular, mothers' perceptions of children's health, adherence to prescribed treatments, and help received from others were compared and predictors of treatment adherence were examined. Children's health and adherence to treatment regimens were not related to family structure. Mothers had the major responsibility for seeing that cystic fibrosis treatments were followed, regardless of family structure. Single mothers received less help than married and repartnered mothers. Married fathers helped with treatments more than nonresidential divorced fathers and stepfathers. Implications for nursing practice and suggestions for future research are offered.

  10. Breastfeeding the premature infant and nursing implications. (United States)

    Black, Amanda


    Research indicates that feeding preterm infants at the breast is physiologically less stressful than bottle-feeding. Poor sucking reflexes make it difficult to initiate breastfeeding for these high-risk infants. Mothers need to understand the difficulties of breastfeeding, as well as the advantages for herself and her baby. It is important for nurses to be well educated on how preterm infants are breastfed and how to best support the mother through her experience. The nurse must focus on caring for the infant as well as fostering the mother-infant connection to promote breastfeeding. A mother will need continual support, encouragement, and advice from the nurse, while teaching her baby how to breastfeed.

  11. Impact of Video Laryngoscopy on Advanced Airway Management by Critical Care Transport Paramedics and Nurses Using the CMAC Pocket Monitor. (United States)

    Boehringer, Bradley; Choate, Michael; Hurwitz, Shelley; Tilney, Peter V R; Judge, Thomas


    Accurate endotracheal intubation for patients in extremis or at risk of physiologic decompensation is the gold standard for emergency medicine. Field intubation is a complex process and time to intubation, number of attempts, and hypoxia have all been shown to correlate with increases in morbidity and mortality. Expanding laryngoscope technology which incorporates active video, in addition to direct laryngoscopy, offers providers improved and varied tools to employ in management of the advanced airway. Over a nine-year period a helicopter emergency medical services team, comprised of a flight paramedic and flight nurse, intended to intubate 790 patients. Comparative data analysis was performed and demonstrated that the introduction of the CMAC video laryngoscope improved nearly every measure of success in airway management. Overall intubation success increased from 94.9% to 99.0%, first pass success rates increased from 75.4% to 94.9%, combined first and second pass success rates increased from 89.2% to 97.4%, and mean number of intubation attempts decreased from 1.33 to 1.08.

  12. Impact of Video Laryngoscopy on Advanced Airway Management by Critical Care Transport Paramedics and Nurses Using the CMAC Pocket Monitor

    Directory of Open Access Journals (Sweden)

    Bradley Boehringer


    Full Text Available Accurate endotracheal intubation for patients in extremis or at risk of physiologic decompensation is the gold standard for emergency medicine. Field intubation is a complex process and time to intubation, number of attempts, and hypoxia have all been shown to correlate with increases in morbidity and mortality. Expanding laryngoscope technology which incorporates active video, in addition to direct laryngoscopy, offers providers improved and varied tools to employ in management of the advanced airway. Over a nine-year period a helicopter emergency medical services team, comprised of a flight paramedic and flight nurse, intended to intubate 790 patients. Comparative data analysis was performed and demonstrated that the introduction of the CMAC video laryngoscope improved nearly every measure of success in airway management. Overall intubation success increased from 94.9% to 99.0%, first pass success rates increased from 75.4% to 94.9%, combined first and second pass success rates increased from 89.2% to 97.4%, and mean number of intubation attempts decreased from 1.33 to 1.08.

  13. [Risk factors associated with mother negligence in child care]. (United States)

    Vargas-Porras, Carolina; Villamizar-Carvajal, Beatriz; Ardila-Suárez, Edinson Fabian


    To determine the factors associated with the risk of negligence in child care during the first year of rearing in adolescent and adult mothers. This was cross-sectional correlation study with a non-probabilistic sample composed of 250 mothers during their first year of child rearing. The information was collected through the Parenting Inventory for Teenagers and Adults. 88 teenager mothers and 162 adult mothers participated in this study. In general low scores were found in all dimensions in both adolescent mothers group and adult mother group, which indicate the existence of deficiencies in the adequate maternal behavior and risk of negligent care to their children. In the group of teenage mothers there was an evident and significant correlation between the factors: maternal age and occupation dimension belief in punishment and occupation with inappropriate expectations dimension. The group of adult mothers showed significant correlation between: educational level with the dimensions of role reversal, belief in punishment and lack of empathy; socioeconomic dimension with the belief in punishment and age of the child with the lack of empathy dimension. Child rearing expectations of mothers show a high risk of negligence in child care. Therefore, nurses should promote the strengthening of the maternal role. Copyright © 2016. Published by Elsevier España, S.L.U.

  14. The PRO nurse: advocate for quality care. (United States)

    Carroll, M; Maichele, J


    Since the inception of the Social Security Amendments of 1983, nurses have assumed expanded roles in ensuring the monitoring of the quality of care received by Medicare beneficiaries. This unique area of nursing practice offers new challenges and employment opportunities for the nurse as a patient advocate. Nurses who are interested in this role may contact state PRO directors or watch for specific recruitment advertisements in nursing magazines.

  15. 母乳喂养自信心的护理干预对初产妇母乳喂养的影响%Breastfeeding the self-confidence of the influence of nursing intervention for first-time mothers breastfeeding

    Institute of Scientific and Technical Information of China (English)



    Objective To explore the nursing of self-confidence and improve maternal breastfeeding for first-time mothers exclusive rate effect. Method Choose 120 cases as research object, divided the patients into nursing group and the control group.Adopting nursing care group, control group using conventional care. In nursing before and after the BSES assessment of maternal breastfeeding self-efficacy, the third day after nursing intervention, 6 weeks, 12 weeks, observed two groups of maternal self-efficacy and exclusive rates.Results Maternal care group in each period of self-efficacy scores and exclusive breastfeeding rates are higher than the control group, two groups of data comparison difference was statistically significant (P<0.05).Conclusion For systematic nursing can improve the self-efficacy scores of women and the rate of exclusive breastfeeding, worth clinical promotion.%目的:探讨护理对改善产妇母乳喂养自信心以及对初产妇纯母乳喂养率的效果。方法:选择我院产科120例初产妇作为观察对象,随机将患者分为两组。护理组采用系统化护理,对照组采用常规护理。在护理前后采用母乳喂养自我效能感量表(BSES)评价产妇对母乳喂养的自我效能,在护理干预后的第三天、第6周、第12周,观察记录两组产妇的自我效能和纯母乳喂养率。结果:护理组产妇在各个时段的自我效能评分及纯母乳喂养率均高于对照组,两组数据对比差异有统计学意义(P<0.05)。结论:对初产妇进行系统化护理可以提高产妇的自我效能评分及纯母乳喂养率,值得临床推广。

  16. A nurse-led rheumatology clinic versus rheumatologist-led clinic in monitoring of patients with chronic inflammatory arthritis undergoing biological therapy: a cost comparison study in a randomised controlled trial. (United States)

    Larsson, Ingrid; Fridlund, Bengt; Arvidsson, Barbro; Teleman, Annika; Svedberg, Petra; Bergman, Stefan


    Recommendations for rheumatology nursing management of chronic inflammatory arthritis (CIA) from European League Against Rheumatism (EULAR) states that nurses should take part in the monitoring patients' disease and therapy in order to achieve cost savings. The aim of the study was to compare the costs of rheumatology care between a nurse-led rheumatology clinic (NLC), based on person-centred care (PCC), versus a rheumatologist-led clinic (RLC), in monitoring of patients with CIA undergoing biological therapy. Patients with CIA undergoing biological therapy (n = 107) and a Disease Activity Score of 28 ≤ 3.2 were randomised to follow-up by either NLC or RLC. All patients met the rheumatologist at inclusion and after 12 months. In the intervention one of two annual monitoring visits in an RLC was replaced by a visit to an NLC. The primary outcome was total annual cost of rheumatology care. A total of 97 patients completed the RCT at the 12 month follow-up. Replacing one of the two annual rheumatologist monitoring visits by a nurse-led monitoring visit, resulted in no additional contacts to the rheumatology clinic, but rather a decrease in the use of resources and a reduction of costs. The total annual rheumatology care costs including fixed monitoring, variable monitoring, rehabilitation, specialist consultations, radiography, and pharmacological therapy, generated € 14107.7 per patient in the NLC compared with € 16274.9 in the RCL (p = 0.004), giving a € 2167.2 (13 %) lower annual cost for the NLC. Patients with CIA and low disease activity or in remission undergoing biological therapy can be monitored with a reduced resource use and at a lower annual cost by an NLC, based on PCC with no difference in clinical outcomes. This could free resources for more intensive monitoring of patients early in the disease or patients with high disease activity. The trial is registered as a clinical trial at the (NCT01071447). Registration date: October 8

  17. Influência dos Mitos e das Crenças nas Nutrizes Quanto Amamentação em uma Cidade do Vale do Paraíba/Influence of Myths and Beliefs in Nursing Mothers About Breastfeeding in a City of The Vale do Paraíba

    Directory of Open Access Journals (Sweden)

    Ivandira Anselmo Ribeiro Simões


    Full Text Available Objetivo: identificar se as nutrizes conhecem a amamentação exclusiva, identificar mitos e crenças que as nutrizes acreditam influenciar no processo de amamentação e identificar as características pessoais das nutrizes clínicas. Materiais e Métodos: para a investigação foi realizada uma pesquisa descritiva e quantitativa em campo. Este estudo foi desenvolvido no Hospital São Francisco de Assis, na cidade de Jacareí/SP, onde a pesquisa foi realizada com 100 puérperas. Foi aprovado pelo CEP da EEWB com parecer nº 872.765 e seguiu a resolução 466/2012. Resultados e Discussão: os resultados obtidos mostraram que 48% das mulheres têm 21 a 30 anos, 42% são casadas, 68% acreditam que o leite industrializado (NAN é igual ou melhor que o leite materno, 53% acreditam que seu leite sustenta o bebê, 100% não acreditam que dar de mamar em público é algo constrangedor, 85% acreditam que bebês com mais de 6 meses devem continuar a amamentar e 60% acredita que se darem somente o leite materno até os 6 meses de vida, o bebê ganhará pouco peso. Conclusão: foi concluído que pelo menos a metade das puérperas entrevistadas se encontra desinformada sobre as questões relacionadas amamentação. Objective: this study aimed to identify if nursing mothers know about exclusive breastfeeding, identify myths and beliefs that nursing mothers believe to have influence in the breastfeeding process and identify the personal and clinical characteristics of nursing mothers. Materials and Methods: to investigate we used a descriptive and quantitative field research.This study was performed at São Francisco de Assis Hospital in the city of Jacarei / SP, where the survey was conducted with 100 mothers. It was approved by the Committee of Research Ethics- CEP EEWB with report number 872 765 and followed the Resolution 466/2012. Results and Discussion: results showed that 48% of women are 21 to 30 years of age, 42% are married, 68% believe that

  18. Conhecimento sobre aleitamento materno de puérperas atendidas em dois hospitais de Viçosa, Minas Gerais Knowledge about maternal nursing of mothers attended at two hospitals in the city of Viçosa, Minas Gerais, Brazil

    Directory of Open Access Journals (Sweden)

    Nathércia PERCEGONI


    Full Text Available Este estudo teve como objetivo investigar o conhecimento de puérperas sobre o aleitamento materno. Foram entrevistadas 266 puérperas atendidas em dois hospitais da cidade de Viçosa, MG. A amostra caracterizou-se por mulheres na faixa etária de 13 a 48 anos, das quais 58,3% residiam em Viçosa. A maioria delas tinha o 1º grau incompleto. Segundo a pesquisa, 32,7% das mães receberam informação sobre amamentação antes do parto e 14,3% delas foram orientadas no pré-natal. Apesar de 99,2% das entrevistadas manifestaram a necessidade de a criança ser amamentada, 54,8% não conheciam outra função do leite além da alimentar. A sucção foi lembrada por apenas 1,5% das puérperas como fator que aumenta a produção de leite, e 61,0% delas não conheciam a maneira correta de a criança abocanhar o mamilo. Quanto ao problema do ingurgitamento mamário, 57,0% não sabiam como resolvê-lo. Com relação às leis de proteção à nutriz trabalhadora, 84,6% as desconheciam. Concluiu-se que o baixo nível de conhecimento, por parte das puérperas, sobre questões fundamentais para o sucesso da amamentação reafirmam a importância do incentivo e da orientação para o aleitamento durante o pré-natal.This study had the objective of investigating the mothers knowledge about maternal nursing. Two hundred and sixty-six mothers attended at two hospitals in the city of Viçosa, state of Minas Gerais, where interviewed.The sample was characterized by women in the age group from 13 to 48 years old, and 58,3% of them lived in Viçosa. The majority of them had not finished elementary school. From the total of mothers interviewed, 32.7% had received information on breast-feeding before the childbirth, and 14.3% of them were oriented in the prenatal period. Although of 99.2% of the mothers considered that the child should be breastfed, 54.8% did not know another function of milk besides feeding. The suction was remembered by only 1.5% of the mothers as a

  19. Health Workers' Knowledge of Preventing Mother-To-Child ...

    African Journals Online (AJOL)

    the monk

    doctors, nurses, pharmacists, laboratory scientists and counsellors. All the ... received training on the national guidelines on preventing mother-to-child transmission of HIV. .... final year medical students recruited from the .... Table III: Factors affecting knowledge of the National PMTCT Guidelines (No. of health workers=270).

  20. Single Mothers "Do" Family (United States)

    Nelson, Margaret K.


    This paper explores how single mothers both incorporate others into family life (e.g., when they ask others to care for their children) and simultaneously "do families" in a manner that holds out a vision of a "traditional" family structure. Drawing on research with White, rural single mothers, the author explores the manner in which these women…

  1. Opioid Dependent and Pregnant: What Are the Best Options for Mothers and Neonates?

    Directory of Open Access Journals (Sweden)

    Annemarie Unger


    Full Text Available Pregnancy in opioid-dependent women is a major public health issue. Women who are afflicted by opioid addiction are a highly vulnerable group of patients frequently becoming pregnant unplanned and at risk of adverse pregnancy outcomes and peri-natal complications. Opioid agonist maintenance treatment is the best option for the majority of women. Ideally, early and closely monitored treatment in an interdisciplinary team approach including social workers, nurses, psychologists, psychiatrists, gynecologists, anesthesiologists, and pediatricians should be provided. The treatment of comorbid psychiatric conditions, the resolution of financial, legal, and housing issues, and the psychosocial support provided have a significant effect on optimizing pregnancy outcomes. This paper aims to update health professionals in the field of gynecology and obstetrics on the latest optimal treatment approaches for mothers suffering from opioid dependence and their neonates.

  2. Nursing, Nursing Education, and Anxiety. (United States)

    Biggers, Thompson; And Others

    In response to the current crisis in the field of nursing, a study examined nursing students' perceived work-related stress and differences among associate degree, diploma, and baccalaureate nursing programs in their preparation of nursing students. The 171 subjects, representing the three different nursing programs, completed a questionnaire…

  3. Conformity of nurse prescribing to care needs: nurses' understanding

    Directory of Open Access Journals (Sweden)

    Marília Silveira Faeda

    Full Text Available ABSTRACT Objective: investigate the understanding of nurses on nurse prescribing conformity to the care needs of hospitalized patients and factors associated with that conformity. Method: a descriptive study, with a quantitative approach, was conducted at 20 in-patient units of a teaching hospital in the state of São Paulo. The participants (N=139 answered a semi-structured questionnaire. Results: For 43 (30.9% nurses, nurse prescribing is always in line with patients' care needs. The fields of body care and elimination, skin and mucosa care and investigation and monitoring were the most frequently addressed. Conclusion: in the perception of most nurses, nurse prescribing does not conform with patients' health heeds. The establishment of strategies to improve prescribing quality is recommended, as well as the development of permanent qualification programs and the systematic use of instruments for assessment of patients' care demands regarding nursing.

  4. Conformity of nurse prescribing to care needs: nurses' understanding. (United States)

    Faeda, Marília Silveira; Perroca, Márcia Galan


    investigate the understanding of nurses on nurse prescribing conformity to the care needs of hospitalized patients and factors associated with that conformity. a descriptive study, with a quantitative approach, was conducted at 20 in-patient units of a teaching hospital in the state of São Paulo. The participants (N=139) answered a semi-structured questionnaire. For 43 (30.9%) nurses, nurse prescribing is always in line with patients' care needs. The fields of body care and elimination, skin and mucosa care and investigation and monitoring were the most frequently addressed. in the perception of most nurses, nurse prescribing does not conform with patients' health heeds. The establishment of strategies to improve prescribing quality is recommended, as well as the development of permanent qualification programs and the systematic use of instruments for assessment of patients' care demands regarding nursing.

  5. Nursing care for stroke patients

    DEFF Research Database (Denmark)

    Tulek, Zeliha; Poulsen, Ingrid; Gillis, Katrin


    AIMS AND OBJECTIVES: To conduct a survey of the clinical nursing practice in European countries in accordance with the European Stroke Strategies (ESS) 2006, and to examine to what extent the ESS have been implemented in stroke care nursing in Europe. BACKGROUND: Stroke is a leading cause of death...... comprising 61 questions based on the ESS and scientific evidence in nursing practice was distributed to representatives of the European Association of Neuroscience Nurses, who sent the questionnaire to nurses active in stroke care. The questionnaire covered the following areas of stroke care: Organization...... of stroke services, Management of acute stroke and prevention including basic care and nursing, and Secondary prevention. RESULTS: Ninety-two nurses in stroke care in 11 European countries participated in the survey. Within the first 48 hours after stroke onset, 95% monitor patients regularly, 94% start...

  6. Application of invasive blood pressure monitoring in critically ill neonates and the nursing points%有创血压监测在危重新生儿的应用及护理

    Institute of Scientific and Technical Information of China (English)

    张忠菊; 石小娟; 陈丽莲


    Objective To investigate the application of invasive blood pressure monitoring in critically ill neonates and the main points Of nursing. Methods Thirty critically ill neonates in the Neonatal Intensive Care Unit (NICU) were performed invasive arterial blood pressure monitoring continually. Results Timely treatment was given to all the patients according to the dynamic disease situation provided by invasive blood pressure monitoring, which reduced the adverse stimulations caused by pain to the neonates, and greatly alleviated the nurse's workload. No complications occurred during the whole process. Conclusion The arterial blood pressure monitoring provides reliable data of arterial blood pressure, which plays a very important role in the treatment of patients in NICU.%目的 通过对有创血压(IBP)监测的护理,探讨有创血压监测在新生儿重症患者中的作用及其护理要点.方法 对30例NICU新生儿重症患儿进行持续动脉血压监测.结果 30例患儿根据有创血压提供的病情动态变化,及时处理,并未出现并发症.结论 有创血压监测提供了可靠的持续动态血压数据,在NICU患者救治中起到积极重要的作用.

  7. Mothers' Challenges after Infants' Discharge from Neonatal Intensive Care Unit: A Qualitative Study

    Directory of Open Access Journals (Sweden)

    Zeinab Hemati


    Full Text Available ABSTRACTBackground: Mothers with premature infants face certain challenges such as uncertainty on how to deal with their infant's condition and care for it after discharge from neonatal intensive care unit (NICU.Methods: A qualitative design was used to explain mothers' challenges after their infant's discharge from NICUs in Isfahan, Iran, 2015. Purposive sampling was adopted to interview the mothers who could provide us information about the challenges after their infant's discharge. Data collection was performed by interviewing mothers. Data saturation was reached after conducting 23 in-depth, semi-structured interviews. All the data was analyzed by qualitative content analysis.Results: Four themes and nine categories were identified. The themes were incompetence in breastfeeding, dependence on hospital and nurses, feeding tube as a reason for stress, and constantly worried mothers.Conclusion: Mothers have difficulty in meeting their infants' basic needs after discharge. Supporting these mothers can enable them promote their infant's health.

  8. Deployment of Military Mothers during Wartime (United States)


    NUMBER N/A 9. SPONSORING/ MONITORING AGENCY NAME(S) AND ADDRESS(ES) TriService Nursing Research Program, 4301 Jones Bridge Rd, Bethesda, MD 20814 10...Agazio, Janice Blair USU Project Number: N09-P02 17 He even learned how to do her hair which – that was – that to me was the kicker , the icing

  9. Caring for a child with cancer: impact on mother's health. (United States)

    Rafii, Forugh; Oskouie, Fatemeh; Shoghi, Mahnaz


    The life of a mother undergoes a dramatic change after a child is diagnosed with cancer. The present study aimed to determine effects on the everyday life process and health status of mothers with children suffering from leukemia. This qualitative study was based on a grounded theory approach with sixteen mothers. The results indicate that after onset of disease in their children, they marginalized their own health and tied their identities to taking care of the child and keeping the child healthy by ignoring themselves, becoming imprisoned in a taking-care-of-the-child position, and trying very hard for seek balance and stability Enduring physical pressures on the one hand, and constantly attempting to achieve balance and stability in family processes on the other hand, gradually cause exhaustion. It seems that health care providers and nurses should pay much more attention to the health status of this group of mothers.

  10. Characteristics of wet work in nurses

    NARCIS (Netherlands)

    Jungbauer, FHW; Steenstra, FB; Groothoff, JW; Coenraads, PJ

    Background objectives: Nursing is known for its high prevalence of hand dermatitis, mainly caused by the intense exposure to wet work in nursing activities. We aimed to study the characteristics of wet work exposure in nursing. Method: Trained observers monitored the duration and frequency of

  11. Reintegration of young mothers

    Directory of Open Access Journals (Sweden)

    Miranda Worthen


    Full Text Available Young mothers seeking reintegration after periods of time spent livingwith fighting forces and armed groups face exclusion and stigmarather than the support they and their children badly need.

  12. MotherToBaby (United States)

    ... experts behind the most up-to-date research! Hurricane Harvey & Baby Are you Pregnant (or Breastfeeding) and Affected by Hurricane Harvey? MotherToBaby experts have answers to your questions. Get ...

  13. Becoming lesbian mothers. (United States)

    Hequembourg, Amy L


    Lesbian mothering strategies are commonly theorized as instances of assimilationism or resistance. This essay critiques those approaches and presents a promising alternative using the conceptual framework of Gilles Deleuze and Felix Guattari. Their concepts of "becoming" and "rhizoming" are utilized as mechanisms for understanding the inconsistencies and contradictions that constitute the subjectivities of two lesbian co-mothers. The essay concludes with the political implications of these analyses.

  14. Motherly and Fatherly Love

    Institute of Scientific and Technical Information of China (English)


    Motherly love by its very nature is unconditional.Mother loves the newborn infant because it is her child,not because the child has fulfilled any specific condition, or lived up to any specific expectation.Unconditional love corresponds in one of the deepest longings,not only of the child,but of every human being;on the other hand,

  15. [Nursing practice in maternity intensive care units. Severe pre-eclampsia in a primigravida]. (United States)

    Carmona-Guirado, A J; Escaño-Cardona, V; García-Cañedo, F J


    39 year old woman, pregnant for 31+5 weeks, who came to our intensive care unit (ICU) referred from the emergency department of the hospital, having swollen ankles, headache and fatigue at moderate effort. We proceeded to take blood pressure (158/96 mmHg) and assess lower limb edema. The fetal heart rate monitoring was normal. Knowledgeable and user of healthy guidelines during her pregnancy, she did not follow any treatment. Single mother, she worried about her fetus (achieved through in vitro fertilization), her mother offered to help for any mishap. We developed an Individualized Care Plan. For data collection we used: Rating 14 Virginia Henderson Needs and diagnostic taxonomy NANDA, NOC, NIC. Nursing diagnoses of "fluid volume excess" and "risk of impaired maternal-fetal dyad" were detected, as well as potential complications such as eclampsia and fetal prematurity. Our overall objectives (NOC) were to integrate the woman in the process she faced and that she knew how to recognize the risk factors inherent in her illness. Nursing interventions (NIC) contemplated the awareness and treatment of her illness and the creation of new healthy habits. The work of nursing Maternal ICU allowed women to help maintain maximum maternal and fetal well-being by satisfying any of her needs. Mishandling of the situation leads into a framework of high morbidity and mortality in our units.

  16. Nursing audit as a method for developing nursing care and ensuring patient safety. (United States)

    Mykkänen, Minna; Saranto, Kaija; Miettinen, Merja


    Nursing documentation is crucial to high quality, good and safe nursing care. According to earlier studies nursing documentation varies and the nursing classifications used in electronic patient records (EPR) is not yet stable internationally nor nationally. Legislation on patient records varies between countries, but they should contain accurate, high quality information for assessing, planning and delivering care. A unified national model for documenting patient care would improve information flow, management between multidisciplinary care teams and patient safety. Nursing documentation quality, accuracy and development needs can be monitored through an auditing instrument developed for the national documentation model. The results of the auditing process in one university hospital suggest that the national nursing documentation model fulfills nurses' expectations of electronic tools, facilitating their important documentation duty. This paper discusses the importance of auditing nursing documentation and especially of giving feedback after the implementation of a new means of documentation, to monitor the progress of documentation and further improve nursing documentation.

  17. [Mother/child affective bond at the unit of the pediatric ward]. (United States)

    Faquinello, Paula; Collet, Neusa


    This study presents the importance of the mother-son relationship in the child physical and emotional development. It aims at contributing to the construction of knowledge in nursing, by rescuing the importance of the mothers' stay in the units of the pediatric ward. It is a bibliographical research using as sources: books, scientific articles, journals, magazines, encyclopedias and the Internet. By reading and analyzing the texts it is possible to identify how the consolidation of the mother and son affective bond is processed and to point out the positive aspects of the mother's stay with the hospitalized son.

  18. The rabbit pup, a natural model of nursing anticipatory activity (United States)

    Caba, Mario; González-Mariscal, Gabriela


    Mother rabbits nurse their young once a day with circadian periodicity. Nursing bouts are brief (ca. 3 min) and occur inside the maternal burrow. Despite this limited contact mother rabbits and their pups are tuned to each other to ensure that the capacities of each party are used efficiently to ensure the weaning of a healthy litter. In this review we present behavioral, hormonal, metabolic and hormonal correlates of this phenomenon in mother rabbits and their pups. Research is revealing that the circadian rhythm of locomotion shifts in parallel to the timing of nursing in both parties. In pups corticosterone has a circadian rhythm with highest levels at the time of nursing. Other metabolic and hormonal parameters follow an exogenous or endogenous rhythm which is affected by the time of nursing. In the brain clock genes (e.g., Per1) are differentially expressed in specific brain regions (e.g., suprachiasmatic nucleus, paraventricular nucleus) in relation to providing or ingesting milk in mothers and young, respectively. These findings suggest that circadian activities are modulated, in the mothers, by suckling stimulation and, in the young, by the ingestion of milk and/or the perception of the mammary pheromone. In conclusion the rabbit pup is an extraordinary model for studying the entraining by a single daily food pulse with minimal manipulations. The mother offers the possibility of studying nursing as a non-photic synchronizer, also with minimal manipulation, as suckling stimulation from the litter occurs only once daily PMID:19863657

  19. Being an HIV-positive mother: meanings for HIV-positive women and for professional nursing staff Ser-madre HIV-positivo: significados para las mujeres HIV-positivo y para la enfermería Ser-mãe HIV-positivo: significados para mulheres HIV-positivo e para a enfermagem

    Directory of Open Access Journals (Sweden)

    Marisa Monticelli


    Full Text Available OBJECTIVES: To comprehend the meanings of being an HIV-positive mother for HIV-positive women and for professional nursing staff of shared in-patient maternity wards, and to identify similarities and contrasts present in these meanings. METHODS: This was a descriptive and comparative secondary analysis study of data from two previous larger studies conducted in Public Hospitals of the Greater Florianopolis Area, Santa Catarina, Brazil. Data was collected through observation and interviews. RESULTS: For HIV-positive women the main meaning of being an HIV-positive mother was being a "super-mom" while for professional nursing staff the meaning was being "resistant." The meaning of being super-mom focuses on the motherhood role, which may be incompatible with the condition of carrier of the HIV virus. The meaning of being resistant does not fit with the experience of being mother. CONCLUSION: The meanings attributed by HIV-positive women, compared to those attributed by professional nursing staff, suggest prejudice, social stigma, and symbolic vulnerability.OBJETIVO: comprender los significados de ser-madre VIH positivo para mujeres VIH positivo y para trabajadoras de enfermería de unidades de alojamiento conjunto e identificar las similitudes y contrastes presentes en esos significados. MÉTODOS: estudio descriptivo y comparado, en el que se utilizó datos de dos investigaciones anteriores, desarrolladas en unidades de alojamiento conjunto de maternidades públicas de la Gran Florianópolis, (Santa Catarina-Brasil, recolectados por medio de observaciones participantes y entrevistas. RESULTADOS: para las mujeres VIH positivo, esas mujeres son "mamazonas" y para las trabajadoras de enfermería, esas mujeres son "resistentes", evidenciándose ciertas representaciones relativas al papel materno, como absolutamente incompatibles con la condición de portadoras del virus. Para la enfermería, el hecho de que la puérpera sea VIH positivo no "combina

  20. 助产士及产科专科护士胎儿监护相关知识的问卷调查%Questionnaire survey about fetal monitoring knowledge in midwives and obstetric nurses

    Institute of Scientific and Technical Information of China (English)

    张兰; 姚强


    Objective To learn about the mastery level of midwives and obstetric nurses about fetal monitoring knowledge.Methods 77 midwives and obstetric nurses attending a fetal monitoring education programme in Huaxi Second Hospital of Sichuan University were investigated by using a self-made questionnaire.Results Some respondents lacked of systematic training in fetal monitoring knowledge,and they could not accurately answer the purpose or contents of fetal monitoring,as well as the basic elements and related knowledge about fetal electronic monitoring.Most of the respondents focused on fetal monitoring in clinical practice,but neglected the corresponding frontier progresses.Conclusions The training and education on fetal monitoring knowledge should be strengthened to improve obstetric quality because of the unsatisfactory survey results in midwives and obstetric nurses.%目的 了解助产士及产科专科护士对胎儿监护相关知识的掌握程度.方法 采用自制问卷调查表对在华西第二医院参加胎儿监护相关知识培训的77名助产士及产科专科护士进行胎儿监护相关知识的调查,并对结果进行分析.结果 77名调查对象中有部分人员既往缺乏系统正规的胎儿监护相关知识培训,不能准确回答孕期胎儿监护目的内容以及胎儿电子监护的基本要素及相关知识.大部分调查对象偏重于胎儿监护的临床实践,而较忽视相应的前沿进展.结论 受调查的助产士及产科专科护士对胎儿监护的相关知识尚缺乏系统全面的认识,今后应该加强此方面的训练,以利产科质量的提高.

  1. Barriers to access to treatment for mothers with postpartum depression in primary health care centers: a predictive model

    Directory of Open Access Journals (Sweden)

    Pablo Martínez


    Full Text Available Objective to develop a predictive model to evaluate the factors that modify the access to treatment for Postpartum Depression (PPD. Methods prospective study with mothers who participated in the monitoring of child health in primary care centers. For the initial assessment and during 3 months, it was considered: sociodemographic data, gyneco-obstetric data, data on the services provided, depressive symptoms according to the Edinburgh Postpartum Depression Scale (EPDS and quality of life according to the Short Form-36 Health Status Questionnaire (SF-36. The diagnosis of depression was made based on MINI. Mothers diagnosed with PPD in the initial evaluation, were followed-up. Results a statistical model was constructed to determine the factors that prevented access to treatment, which consisted of: item 2 of EPDS (OR 0.43, 95%CI: 0.20-0.93 and item 5 (OR 0.48, 95%CI: 0.21-1.09, and previous history of depression treatment (OR 0.26, 95%CI: 0.61-1.06. Area under the ROC curve for the model=0.79; p-value for the Hosmer-Lemershow=0.73. Conclusion it was elaborated a simple, well standardized and accurate profile, which advises that nurses should pay attention to those mothers diagnosed with PPD, presenting low/no anhedonia (item 2 of EPDS, scarce/no panic/fear (item 5 of EPDS, and no history of depression, as it is likely that these women do not initiate treatment.

  2. Robot mother ship design (United States)

    Budulas, Peter P.; Young, Stuart H.; Emmerman, Philip J.


    Small physical agents will be ubiquitous on the battlefield of the 21st century, principally to lower the exposure to harm of our ground forces. Teams of small collaborating physical agents conducting tasks such as Reconnaissance, Surveillance, and Target Acquisition (RSTA); chemical and biological agent detection, logistics, sentry; and communications relay will have advanced sensor and mobility characteristics. The mother ship much effectively deliver/retrieve, service, and control these robots as well as fuse the information gathered by these highly mobile robot teams. The mother ship concept presented in this paper includes the case where the mother ship is itself a robot or a manned system. The mother ship must have long-range mobility to deploy the small, highly maneuverable agents that will operate in urban environments and more localized areas, and act as a logistics base for the robot teams. The mother ship must also establish a robust communications network between the agents and is an up-link point for disseminating the intelligence gathered by the smaller agents; and, because of its global knowledge, provides the high-level information fusion, control and planning for the collaborative physical agents. Additionally, the mother ship incorporates battlefield visualization, information fusion, and multi-resolution analysis, and intelligent software agent technology, to support mission planning and execution. This paper discusses on going research at the U.S. Army Research Laboratory that supports the development of a robot mother ship. This research includes docking, battlefield visualization, intelligent software agents, adaptive communications, information fusion, and multi- modal human computer interaction.

  3. [Nurse anesthetist in France]. (United States)

    Mizuno, Ju; Yann, Douchy; De Almeida, Sylvie; Deckert, Christine; Gauss, Tobias; Bonneville, Claire Tae; Merckx, Paul; Mantz, Jean


    We present the system of nurse anesthetist (Infirmier Anesthésiste Diplômé d'Etat: IADE) in France to the community of Japanese anesthesiologists. This French system with 70 years' history is older than the Japan Society of Anesthesiologists itself. There are 7000 nurse anesthetists in France now and the number of nurse anesthetists increases by 450-500 each year. Training to become a nurse anesthetist requires at least two years' experience as a general nurse and the general nurse must pass an examination after two years' special training in an anesthetistic nurse school to acquire the national certification. The nurse anesthetist's profession is regulated by French law. They work in a team with certified anesthesiologists. They can perform many kinds of anesthetic tasks including tracheal intubation and insertion of arterial catheter under the responsibility and supervision of certified anesthesiologists. The nurse anesthetists are not allowed to perform spinal, epidural, conduction and local anesthesia, although they can maintain these anesthesia and control these methods, e.g., by injecting local anesthetic agents through epidural catheter, following a specified prescription. The nurse anesthetists are not allowed to insert central venous and pulmonary artery catheters, although they can manage them. They are allowed to administer inhalation anesthetic agents, and inject venous anesthetic agents, muscle relaxants, their antagonists, and opioids by their own initiatives, but the decision for the use of catecholamine and emergency drugs is reserved to certified anesthesiologists. The nurse anesthetists perform other tasks preparing and checking anesthetic agents and equipment such as anesthetic machine, monitor, and defibrillator everyday, and sometimes use autologous blood recovery systems. The relationship between the certified anesthesiologist and the nurse anesthetist is marked by mutual respect, confidence and cooperation at each step of the anesthetic

  4. Racial Socialization Messages and the Quality of Mother/Child Interactions in African American Families. (United States)

    Frabutt, James M.; Walker, Angela M.; MacKinnon-Lewis, Carol


    Examined linkage between mothers' provision of racial socialization messages and communication, warmth, negativity, child monitoring, and involvement. Found that mothers with moderate frequency of proactive responses to discrimination items exhibited the most positivity, were most involved, monitored their child's activities the most, and…

  5. Employability of Nursing Care Graduates

    Directory of Open Access Journals (Sweden)

    Donik Barbara


    Full Text Available Starting points: In Slovenia, the higher education institution for nursing started exploring employability opportunities in nursing care in connection with the achievement of competencies from students’ and employers’ point of view. This article highlights the importance of monitoring nursing graduates’ employability. Its aim is to examine the employability of nursing care graduates based on the self-evaluation of competences obtained during the last study year and to establish a link between the self-evaluation of competences and students’ academic performance.

  6. The influence of general self-efficacy of mothers and their interaction with their babies during breastfeeding


    Misawa, Sumi; Oe, Seiko; Saimon, Naomi; Endo, Yumiko


    The purpose of this study was to investigate the relationship between general self-efficacy postpartum mothers and their interaction with their babies during nursing. Our goal was to find more effective nursing support to help new mothers to continue to interact with their new born baby. The subjects were 34 primiparas who were planning to deliver their babies in a particular hospital in Prefecture A. They were asked to fill out a survey form to answer questions regarding general self-efficac...

  7. The clinical monitoring and nursing of micro-pump potassium after surgery operation%外科术后微量泵经静脉补钾的临床监测及护理

    Institute of Scientific and Technical Information of China (English)

    李娟; 李勇兰; 党翠云; 曾小平


    To summarize the experience of clinical monitoring and nursing in patients who used the micro-pump potassium to rectify the hypokalemia after operation in ICU,heart surgery and common surgery department of our hospital.76 cases of hypokalemia were selected and used micro-pump to rectify the hypokalemia after surgery operation by intravenous infusion 10% liquids with original potassium chloride,the process was monitored and nursed closely.This prevented the occurrence of hypokalemia after operation effectively.During pumping potassium period,there was no phlebitis,no arrhythmia or other adverse effect occurred.Using micro-pump to supply potassium by vein to correct hypokalemia under tight clinical monitoring and nursing is effective and safe.%总结我院ICU、心脏外科、普外科病人术后使用微量泵泵钾纠正低钾血症的临床监测及护理体会.76例外科术后低钾血症患者使用微量注射泵经静脉输注浓度为10%氯化钾原液,以纠正低钾血症,补钾过程中进行严密监测和护理.有效预防了术后低血钾的发生.患者在泵钾期间无1例高钾血症发生,无静脉炎、心律失常等不良反应发生.严密的临床监测和护理下使用微量泵经静脉补钾纠正低钾血症的方法 是有效、安全的.

  8. Occupational stress of nurses in South Africa

    Directory of Open Access Journals (Sweden)

    S Rothmann


    Full Text Available The objective of this study was to examine the construct validity and reliability of the Nursing Stress Indicator (NSI and to identify differences between occupational stressors of professional and enrolled nurses. A cross-sectional survey design was used. A sample of professional nurses (/V = 980 and enrolled and auxiliary nurses (N = 800 in South Africa was used. The NSI was developed as measuring instrument and administrated together with a biographical questionnaire. Five reliable stress factors, namely Patient Care, Job Demands, Lack of Support, Staff Issues, and Overtime were extracted. The most severe stressors for nurses included health risks posed by contact with patients, lack of recognition and insufficient staff. Watching patients suffer, demands of patients and staff issues were also severe stressors for professional nurses. The severity of stressors was higher for professional nurses (compared with enrolled and auxiliary nurses. Organisations that employ nurses should implement programmes to monitor and manage stress, specifically regarding staff issues and job demands.

  9. Occupational stress of nurses in South Africa. (United States)

    Rothmann, S; van der Colff, J J; Rothmann, J C


    The objective of this study was to examine the construct validity and reliability of the Nursing Stress Indicator (NSI) and to identify differences between occupational stressors of professional and enrolled nurses. A cross-sectional survey design was used. A sample of professional nurses (N = 980) and enrolled and auxiliary nurses (N = 800) in South Africa was used. The NSI was developed as measuring instrument and administrated together with a biographical questionnaire. Five reliable stress factors, namely Patient Care, Job Demands, Lack of Support, Staff Issues, and Overtime were extracted. The most severe stressors for nurses included health risks posed by contact with patients, lack of recognition and insufficient staff. Watching patients suffer, demands of patients and staff issues were also severe stressors for professional nurses. The severity of stressors was higher for professional nurses (compared with enrolled and auxiliary nurses). Organisations that employ nurses should implement programmes to monitor and manage stress, specifically regarding staff issues and job demands.

  10. Does a first-born female child bring mood risks to new Asian American mothers? (United States)

    Pham, Anh; Hardie, Thomas


    To define the relationship between gender of the first-born child and mood in Asian American mothers. A secondary analysis was used to address the objectives of the study. The sample was obtained from the Pregnancy Risk Assessment Monitoring System (PRAMS) of 40 states in the United States. The sample included 1,310 women of Asian origin who delivered their first children during the prior 2- to 4-month period. Based on data from the PRAMS survey mailed 2- to 4-months postpartum, participants were selected for inclusion in the study sample from those who had given birth to their first children and were of Chinese, Japanese, Filipino, or other Asian origin. Chi squared analyses and an independent sample t test were used to assess the relationship between the child's sex and the mother's response to three PRAM mood questions; a single score was generated by summing the responses to the three questions. There were no significant (p > .05) differences in rate of mood symptoms or the means of the aggregated score related to a child's gender. The study findings are similar to those reported in the United Kingdom and suggest that the cultural preference for a son is not a significant mood risk in Asian American women. © 2013 AWHONN, the Association of Women's Health, Obstetric and Neonatal Nurses.

  11. Qualitative evaluation of the Teenage Mothers Project in Uganda: a community-based empowerment intervention for unmarried teenage mothers. (United States)

    Leerlooijer, Joanne N; Bos, Arjan E R; Ruiter, Robert A C; van Reeuwijk, Miranda A J; Rijsdijk, Liesbeth E; Nshakira, Nathan; Kok, Gerjo


    A large proportion of unmarried teenage mothers in Uganda face physical, psychological, and social problems after pregnancy and childbirth, such as obstetric complications, lack of education, and stigmatisation in their communities. The Teenage Mothers Project (TMP) in Eastern Uganda empowers unmarried teenage mothers to cope with the consequences of early pregnancy and motherhood. Since 2000, 1036 unmarried teenage mothers, their parents, and community leaders participated in economic and social empowerment interventions. The present study explored the changes resulting from the TMP as well as factors that either enabled or inhibited these changes. Semi-structured interviews (N = 23) were conducted with former teenage mothers , community leaders, and project implementers, and lifeline histories were obtained from former teenage mothers (N = 9). Quantitative monitoring data regarding demographic and social characteristics of teenage mother participants (N = 1036) were analysed. The findings suggest that, overall, the TMP seems to have contributed to the well-being of unmarried teenage mothers and to a supportive social environment. It appears that the project contributed to supportive community norms towards teenage mothers' position and future opportunities, increased agency, improved coping with early motherhood and stigma, continued education, and increased income generation by teenage mothers. The study findings also suggest limited change in disapproving community norms regarding out-of-wedlock sex and pregnancy, late active enrolment of teenage mothers in the project (i.e., ten months after delivery of the child), and differences in the extent to which parents provided support. It is concluded that strengths of the community-based TMP seem to be its socio-ecological approach, the participatory planning with community leaders and other stakeholders, counselling of parents and unmarried teenage mothers, and the emphasis on education and income

  12. Evolution of accreditation in continuing nursing education in America. (United States)

    Whitehead, Tanya D; Lacey-Haun, Lora


    There is widespread agreement that nurses must acquire and maintain the specialized knowledge needed to provide highly skilled care and to demonstrate their competence to the public, their employers, their profession, and patients on an ongoing basis throughout their work lives. Nurses report that continuing nursing education is the third most vital component of nursing skill building. Nurses from states that mandate continuing nursing education, as well as those from states that do not, rank continuing nursing education just after their workplace experience and their basic nursing education in importance. A wide range of organizations create and disseminate continuing nursing education to nurses in states with and without mandated continuing nursing education requirements. Although there is no governmental standard for the field, nursing monitors education across work-life stages. The National Council of State Boards of Nursing monitors nursing licensure and continuing nursing education. The credentialing arm of the American Nurses Association, the American Nurses Credentialing Center, acting in synch with national organizations that call for accreditation standards in the health care professions, provides review and accreditation of providers and approvers of continuing nursing education on a national basis and is, itself, internationally certified by International Standards for a Sustainable World.

  13. The Chinese Tiger Mother


    Jacek Hołówka


    In 2010 a book by Amy Chua: Battle Hymn of the Tiger Mother was published and it sparked a broad discussion among pedagogues and the open society about the factors determining educational success. Chua forms a simple and provocative thesis – the Chinese mothers are the best in the world because they don’t spoil their children, quickly introduce them into the adult culture, have high expectations of them, they are brusque and cold but they teach their children how to survive and be competitive...


    Directory of Open Access Journals (Sweden)

    Duygu Arıkan


    Full Text Available This study was carried out descriptively with the aim of determining the knowledge and applications of the mothers about toy selection.5700mothers living Yeniehir Health Center and nearby it and having 1-6 year old children constitued the study contend.The sampling was determined as 360 with a formule used in case of the investigation of frequency of being seen in the study content.The datawere collected by means of questionnaria form with questions including the criteria which the mothers took into consideration when buying thetoys,and formed by taking over interested literature and socio-demographic features. In the evaluation, percentage, variance analysis and chisquarewere used.It was found out that 81.9 % of the mother, while buying the toys ,took into consideration the children’s abilities , and that 86..7 % ofthem considered mental development, and that 65.6 % of them considered the improvement of imagination-world.It was detected that 63.6 %of the mothers wanted to choose the toys which don’t support the violence, and 93.1 % desired that they become safe,and that 68.9 % of themothers wanted the toys to become easily cleanable, and that 82.2 % the mothers desired that the toys become suitable for their sex, and that83.1 % of them considered that the toys became suitable for their age,and that 43.3 % of the mothers for its price, and 67.2 % of them forthe beauty, and that 85.6 % of them considered that their children should select their own toys.In conclusion, it was determined that themothers gave less importance some criteria about toy selection.We can suggest that true knowledge of the nurses about toy selection should beemphasized, and education role of the nurses should be used in order to corrected mis-knowledge and application

  15. Postpartum Depression Among Asian Indian Mothers. (United States)

    Goyal, Deepika; Park, Van Ta; McNiesh, Susan


    To explore Asian Indian mothers' perspectives of postpartum depression (PPD) and mental health help-seeking behavior. Qualitative exploratory design. Using convenience sampling, postpartum mothers were recruited through flyers posted in public places and on social media sites. Postpartum depression risk was assessed with the Edinburgh Postnatal Depression Scale (EPDS) prior to qualitative interviews. Content analysis methods were used to extract themes from participant narratives. Twelve self-identified, married, Asian Indian mothers, aged between 29 and 40 years, living in Northern California, who gave birth to a healthy infant within the last 12 months, took part in this study. Scores on the EPDS indicated two participants were at an increased risk for developing PPD. Content analysis revealed two emerging themes: (1) Culture-specific postpartum practices and ceremonies and their role in maternal-infant postpartum recovery; and (2) Maternal mental health help-seeking behavior. Nurses taking care of women during the extended prenatal and postpartum period have the unique opportunity to build rapport with their patients which can offer a window of opportunity to educate and help dispel myths about PPD symptoms and treatment. To promote successful maternal-infant outcomes, PPD education should be initiated at the first prenatal appointment, continue during the pregnancy, and be incorporated into well-baby visits through the first postpartum year. Education should include signs and symptoms of PPD as well as importance of timely mental-health help-seeking.

  16. Low-Income First-Time Mothers

    Directory of Open Access Journals (Sweden)

    Jean Hannan PhD


    Full Text Available Background. Low-income mothers have greater challenges in accessing health care services due changes in the health care system and budget cuts. The purpose of this randomized clinical trial was to test a nurse practitioner (NP intervention using cell phone and texting on maternal/infant outcomes. Methods. The sample included 129 mother-infant pairs. Intervention group mothers received NP 2-way cell phone follow-up intervention post–hospital discharge for 6 months. Results. Intervention mothers’ perceived social support was significantly higher. Intervention infants received their first newborn follow-up visit significantly earlier (6 vs 9 days; significantly more infants were immunized at recommended times (2, 4, and 6 months of age; and there were fewer infant morbidities compared to controls. The intervention saved between $51 030 and $104 277 in health care costs averted. Conclusion. This easy-to-use, safe intervention is an effective way to reach a wide range of populations and demonstrated improved maternal/infant outcomes and decreased cost.

  17. [Bibliographic study of the mother-child relationship: basis for pediatric and neonatal care]. (United States)

    Ferreira, E A; Vargas, I M; Rocha, S M


    The study consists of a bibliographical review about the mother and son attachment and its considerations in nursing care intervention, in the child's hospitalization process. In deciding to study this theme we had the purpose to obtain knowledge that would be useful in daily pediatric and neonatal nursing practice. We evidenced the importance of knowledge dissemination about the attachment among the nursing professionals, because their performance can interfere in a significant way in the hospitalized child's social and emotional development. However, in spite of the importance of the theme, few scientific studies in the nursing area were published. For our theoretical knowledge we searched another knowledge areas as psychology, sociology and anthropology.

  18. The intricacies of induced lactation for same-sex mothers of an adopted child. (United States)

    Wilson, Erica; Perrin, Maryanne Tigchelaar; Fogleman, April; Chetwynd, Ellen


    The definition of a modern family is changing. In this case study, we describe the breastfeeding experience of a child receiving human milk from all 3 of his mothers: his 2 adoptive mothers, who induced lactation to nurse him, and his birth mother, who shared in his early feeding during the open adoption process and continued to pump and send milk to him for several months. We review the lactation protocol used by his adoptive mothers and the unique difficulties inherent in this multi-mother family dynamic. Both adoptive mothers successfully induced moderate milk production using a combination of hormonal birth control, domperidone, herbal supplements, and a schedule of breast pumping. However, because of the increased complexity of the immediate postpartum period and concerns with defining parental roles in a same-sex marriage, maintenance of milk production was difficult.

  19. Mothers in postdivorce families caring for a child with cystic fibrosis. (United States)

    Ganong, Lawrence; Doty, Mary Ellen; Gayer, Debra


    This study explored the experiences of mothers of children with cystic fibrosis (CF) in postdivorce family structures. In-depth interviews of mothers were conducted by registered nurses with expertise in CF. Interviews focused on responsibility for care of the CF child within the context of postdivorce families (e.g., extent of nonresidential fathers' involvement in children's care, communication between households). Interviews were audiotaped and transcribed verbatim. The constant comparison method was used for analyzing interview data. Marital transitions contributed to the closeness between mothers and children with CF, but they also added to the mothers' sense of being overwhelmed with responsibilities. It is likely that children and mothers are more at risk for stress-related problems when mothers are overburdened by the demands of caregiving, earning a living, and other responsibilities.

  20. Understanding mothers' perceptions of what is important about themselves and parenting. (United States)

    Riesch, S K; Coleman, R; Glowacki, J S; Konings, K


    The purpose of this article is to report what mothers of young adolescents perceive as important about themselves and parenting. Their perceptions were identified from brief written statements from a sample of 538 mothers of young adolescents. The women's statements were analyzed using content analysis techniques. Six themes emerged. Mothers described the challenges of putting their ideals about parenting into practice, including incorporating or discarding the influence of their own upbringing and the seeking of knowledge and skills to improve their parenting. Mothers described their values and goals. Feelings of self-doubt were made apparent through self-critical comments. Expressions of frustration were evident as were the serious life stressors managed by the sample. Repeated comments identified mothers' emphases on the importance of open family communication. Mothers had developed styles of parenting based on decision-making methods and understanding the child's perspective. We suggest community health nurses use the themes as guidelines for anticipatory guidance with families during adolescence.

  1. Mothers in Honors (United States)

    Killinger, Mimi; Binder-Hathaway, Rachel; Mitchell, Paige; Patrick, Emily


    This article describes the experiences of four honors mothers as they offer sage advice. They argue convincingly that they are motivated, focused students who bring rich diversity to college programs. They further report disturbing marginalization and isolation that could be ameliorated with support and increased sensitivity on the part of…

  2. Mothers, work and childcare

    NARCIS (Netherlands)

    Ingrid Ooms; Evelien Eggink; Edwin van Gameren


    Original title: Moeders, werk en kinderopvang in model. The government wants women to go out to work more. The choices made by women between working and looking after children are accordingly receiving a great deal of attention. This report describes which factors influence these choices by mothers

  3. 心内直视术后有创动脉血压监测护理%Nursing Experiences of Invasive Blood Pressure Monitoring for Patients Having Undergone Open-heart Surgery

    Institute of Scientific and Technical Information of China (English)

    程良平; 任燕; 张丽莉; 龚仁蓉


    Objective To summarize the nursing experiences of invasive blood pressure (IBP) monitoring for patients having undergone open-heart surgery. Methods We retrospectively analyzed the IBP monitoring processes for 634 patients who had undergone open-heart surgery from December 2009 to May 2010. Results In all the 634 cases, 3 had detached catheter, 2 had loose connection, 1 had detachment from the piezometer, and 2 had catheter obstruction. No complications like infection, hemorrhage, thrombosis or swelling of distal limb occurred. Conclusions, IBP monitoring is absolutely essential for hemodynamic monitoring after open-heart surgery. The focus of nursing is to keep the catheter clear, fixed, and prevent from infection, bleeding, thrombosis and swelling of distal limb.%目的 总结心内直视术后有创血压监测的护理经验.方法 回顾性分析2009年12月-2010年5月634例心内直视术后患者有创血压监测的护理过程.结果 除3例患者导管脱出,2例连接不紧密,1例与测压管脱开,2例导管堵塞外,其余均未发生感染、出血、栓塞及肢体远端肿胀等并发症.结论 有创血压监测是心内直视术后必不可少的监测方法,护理的重点是保持管道通畅、固定,预防感染、出血、栓塞及肢体远端肿胀.

  4. The relationship between home nursing coverage, sleep, and daytime functioning in parents of ventilator-assisted children. (United States)

    Meltzer, Lisa J; Boroughs, Deborah S; Downes, John J


    This descriptive study examined the relationship between home-care nursing support, sleep, and daytime functioning in familial caregivers of ventilator-assisted children. Thirty-six primary caregivers (27 mothers, 7 fathers, 1 foster mother, and 1 grandmother) of ventilator-assisted children completed measures of home nursing support, sleep, depression, fatigue, and daytime sleepiness. Daytime nursing coverage was not related to caregiver sleep or daytime functioning, but caregivers with less nighttime nursing coverage had significantly shorter sleep onset latency than caregivers with some night nursing (16-48 hours/week). Caregivers with regular night nursing (>48 hours/week) had a total sleep time of almost 1 hour more than caregivers without regular night nursing (depression and sleepiness received significantly fewer hours of night nursing per week than caregivers without significant symptoms of depression or sleepiness. Home nursing support, in particular night nursing, is important for the health and well-being of familial caregivers of ventilator-assisted children.

  5. Nursing Reclaims its Role. (United States)

    Diers, Donna


    An attempt is made to explain the nurses' role: what the nurse is, what the nurse does, how the nurse is viewed by society, why nurses suffer burnout, nursing costs, and health care system reform. (CT)

  6. Addressing Occupational Fatigue in Nurses: A Risk Management Model for Nurse Executives. (United States)

    Steege, Linsey M; Pinekenstein, Barbara


    Addressing occupational fatigue in nursing work systems and mitigating associated risks to nurses require strategic management and high-level decision making as well as daily management through operational and tactical actions. Nurse executives are well positioned to lead implementation of a proposed multilevel fatigue risk management system that includes monitoring and decision-support tools to support a culture of safety and nurse well-being.

  7. Nursing diagnosis


    Ščavničar, Ema


    Nursing diagnosis is an integral part of nursing process approach. There are many definitions, which have one common theme: it's a stth status of a client.A nursing diagnostic statement has two or three parts. The article includes section on making of nursing diagnosis and a section on classification. Negovalna diagnoza je sestavni del v procesnem pristopu zdravstvene nege. Predstavljene so definicije, katere temeljijo na varovančevem stanju zdravja. Negovalna diagnoza ima dva ali tri dele...


    Women's Bureau (DOL), Washington, DC.


  9. Psychosocial adjustment process of mothers caring for young men with traumatic brain injury: focusing on the mother-son relationship. (United States)

    Fumiyo, Ishikawa; Sumie, Suzuki; Akiko, Okumiya; Yasuko, Shimizu


    This study focuses on the mother-son relationship of 13 mothers caring for single sons between the ages of 15 and 30 years who have higher brain dysfunction due to a traumatic brain injury. We aimed to elucidate the psychosocial adjustment process of mothers for 5 years following the injury to facilitate the social rehabilitation of both mother and son. Data obtained through a semistructured interview method were analyzed using a modified grounded theory approach. After 56 concepts were identified, 18 categories and then 8 core categories were semantically created. The 8 core categories were (a) avoid contact with son, (b) support son based on mother's own desire, (c) support son alone without external support, (d) realize mother's care limits and seek external support sources, (e) request and utilize external support, (f) support and work toward son's independence while monitoring his interactions with others, (g) mother considers own feelings and reenters society, and (h) strive for continued care of son with mother's acquired energy and efficient management skills. These were grouped into the following five stages: (a) avoidance, (b-c) closed, (d) support seeking, (e-f) withdrawal, and (g-h) reconstruction.

  10. Supporting mothers to bond with their newborn babies: Strategies used in a neonatal intensive care unit at a tertiary hospital in Malawi

    Directory of Open Access Journals (Sweden)

    Ellemes Phuma-Ngaiyaye


    Results: It was showed that nurses and midwives used different approaches to facilitate maternal–newborn bonding. The responses revealed two major themes: mother–newborn interaction and mother–nurse/midwife interaction. Mother–newborn interaction involved breastfeeding and maternal involvement in newborn care, whereas mother–nurse/midwife interaction involved effective communication and psychosocial support. Maternal–newborn bonding promotes a mother's successful transition into motherhood, nurses and midwives should actively initiate strategies facilitating early maternal–newborn bonding.

  11. Nursing Homes (United States)

    ... newsletter! Aging & Health A to Z Nursing Homes Basic Facts & Information Nursing homes have changed dramatically over the past several ... how accessible are they? How close is the nursing home to family members? How close ... much do basic services cost? What services are covered? What additional ...

  12. Nursing: What's a Nurse Practitioner? (United States)

    ... is a big part of the pediatric NP's role. Pediatric and family practice NPs can treat acute ( ... Nurse Practitioners (NAPNAP) and through local hospitals or nursing schools. Also, many doctors share office space with ...

  13. Entry into Nursing: An Ethnographic Study of Newly Qualified Nurses Taking on the Nursing Role in a Hospital Setting

    Directory of Open Access Journals (Sweden)

    Mari Skancke Bjerknes


    Full Text Available The transition from student to working nurse has long been recognized as challenging. This paper presents the findings of research into the opportunities and limitations encountered by newly qualified nurses when taking on the nursing role. The study had an ethnographic design. Observation, interviews, and document analysis were used to gain insight into nurses' daily work from the perspective of recently graduated nurses. Thirteen nurses were monitored closely during their first year in a hospital setting in Norway. These new nurses generally entered the field with empathy for their patients, enthusiasm for the profession, and readiness to learn more about being a good nurse. However, their more experienced colleagues seemed to neither respect nor nurture this attitude. The new nurses experienced heavier responsibilities than expected, fragmentation of patient care, and stressful interactions with colleagues. The lack of a supportive work environment and role models increased the new nurses' experience of overwhelming responsibility in their daily work situations. The nurses learned to cope the hard way, despite the organizational culture, not because of it. Adjusting the profession's expectations of new nurses, and offering good role models and more comprehensive support programmes, would markedly ease the transition for new nurses.

  14. Parenting attitudes of addict mothers. (United States)

    Wellisch, D K; Steinberg, M R


    Parenting attitudes of female heroin addicts were investigated in a single factor design which compared addict mothers, addict non-mothers, nonaddict mothers, and nonaddict nonmothers. A principal components factor analysis was performed on the PARI and used as the dependent measure. A factor labeled "authoritarian overinvolvement" emerged which significantly differentiated between groups. Further, the effects of mothering and addiction proved to be additive such that addict mothers were extremely high on this scale. This result was discussed in terms of the parental home environment of addict women.

  15. Nursing: What's a Nurse Practitioner? (United States)

    ... such as family practice or pediatrics. Pediatric and family practice NPs can provide regular health care for kids. Nurse practitioners (also referred to as advanced practice nurses, or APNs) have a master's degree in nursing (MS or MSN) and board certification in their ...

  16. Nutrition for Nurses: Nursing 245. (United States)

    Palermo, Karen R.

    A description is presented of "Nutrition for Nurses," a prerequisite course for students anticipating entrance into the junior level of a state university registered nursing program. Introductory material highlights the course focus (i.e., the basics of good nutrition; nutrition through the life cycle; nursing process in nutritional care; and…

  17. A Letter to Mother

    Institute of Scientific and Technical Information of China (English)


    MOTHER, I remember the day I left you to emigrate to the United States. We were hugging sadly in your room while the taxi waited to take my husband, my son and me to the airport. My heart was broken by the thought that I might never see you again. On the plane, I could hear your voice : "" Do not worry about what you have left behind. Look forward and be a strong woman.

  18. Mothers depart. Variations 2009

    Directory of Open Access Journals (Sweden)

    Agnieszka Czyżak


    Full Text Available This article proposes some considerations on a particular variation of the elegiac mood represented by and manifested in lyrical farewells of departing mothers. A review of the variants commences with an analysis of a particularly important work by Tadeusz Różewicz written at the beginning of this century — Matka odchodzi. The book was, at the time, a particular reference point for the following poetic volumes in which the theme of the death of the poet’s mother was paramount and significant. The article also focuses on volumes of poems, written by poets that belonged to different generations but shared the same date of publication, i.e. the year 2009. Both clear similarities and marked differences in the actual commitment in carrying out the theme and in creating the profiles of mothers that have passed away are to be found in the works of Piotr Sommer (Dni i noce, Jan Polkowski (Cantus and Eugeniusz Tkaczyszyn-Dycki (Piosenka o zależnościach i uzależnieniach.

  19. The Chinese Tiger Mother

    Directory of Open Access Journals (Sweden)

    Jacek Hołówka


    Full Text Available In 2010 a book by Amy Chua: Battle Hymn of the Tiger Mother was published and it sparked a broad discussion among pedagogues and the open society about the factors determining educational success. Chua forms a simple and provocative thesis – the Chinese mothers are the best in the world because they don’t spoil their children, quickly introduce them into the adult culture, have high expectations of them, they are brusque and cold but they teach their children how to survive and be competitive. Chua shows this educational model as a contrast to the Western model, where the children have their own, naive and sentimental culture, their own shops and catwalks in shopping malls. The results of systematic research on education seem to prove something quite different. The educational success has to be measured using different scales, because it depends on different factors. The data published by OECD show that the level of education depends on the educational tradition of the society, level of GDP, intergenerational contacts, level of education of teachers and their social status. A strong determiner is the family, but not necessarily the mother. Even more, there is a strong correlation between the results in learning and a supporting stance of the parents, but also with their habit of spending free time with their children. The parents who take their children to the cinema, an a trip, gossip with them or take them to McDonalds, can be sure that their children will have statistically higher than the average grades. Detailed results from other sources show that success correlates the most with grades from previous class, parents’ habit of talking about things at school, higher education of the parents, being a child of a single mother, signing the child up for extracurricular classes from music and the mother working part-time. Failure correlates with being an Afro-American or Latino, checking homework by parents, free time after school without

  20. Unfractionated heparin: a nursing dilemma. (United States)

    Oertel, Lynn B


    Nurses face challenges in all aspects of their practice, especially with administering and monitoring drugs in a safe, effective manner. Key factors known to affect drug administration include general drug knowledge, formal nurse education, continuing education needs, clinical experience, and the nationwide nursing shortage. Other factors are advances in technologic aids and quality improvement initiatives. Emphasis on patient safety is growing, especially as it relates to drug therapy and high-alert drugs such as unfractionated heparin (UFH). Specific interventions related to UFH administration can enhance patient care management. Because nurses are at the site of direct patient care, they are often in an opportune position for identifying medication errors. At the same time, and most important, nurses need to collaborate with other health care professionals to actively develop solutions to minimize these errors. Adopting a systems approach and working collaboratively with an interdisciplinary team can result in improved patient outcomes.

  1. Precautions and Troubleshooting of Clinic Patient Monitors That Nurses Should Be Aware of%护理人员应知晓的监护仪操作注意事项及故障处理方法

    Institute of Scientific and Technical Information of China (English)

    陆银春; 赵世娣


    目的:探讨护理人员应知晓的常见监护仪的原理、分类、使用中的注意事项、常见故障及处理。方法:提出了监护仪血压、心电、呼吸、血氧饱和度等参数测量中的操作注意事项,分析了常见的监护仪黑屏、气泵充气异常、波形异常等故障现象。结果:护理人员了解监护仪的原理及分类,熟练掌握监护仪操作中的要领,可以排除一些常见故障。结论:护理人员作为医疗器械的主要操作者,不但要熟练使用,也要了解维修保养常识,这样既能确保护理工作的顺利进行,又能提高维修效率,降低医疗成本。%Objective: To investigate the principle, classification, precautions and troubleshooting of common monitors that the paramedics should be aware of. Methods: This paper puts forward the precautions in monitoring blood pressure, ECG, respiration, blood oxygen saturation, and analyses the common failures like black screen, abnormal air inflation, unusual ECG wave and other symptoms. Result: After the nurses understand the principle and classification of common patient monitors, and master their operations, they can exclude some common faults. Conclusion: Nurses as the main operator of medical equipments, have to use them expertly, and also have to understand the common sense of maintenance. This will not only ensure the smooth progress of the nursing work, but also improve maintenance efficiency and reduce health care costs.

  2. Occupation: nurse; occupational hazard: radiation

    Energy Technology Data Exchange (ETDEWEB)

    Nickson, K.


    The work of the occupational health nurses at the Pickering Generating Station is described. A staff of two nurses teach first aid and safety, practice an emergency plan, and monitor personnel for minimum health standards for radiation workers. Special attention is paid to problems which might be aggravated by radiation, such as skin complaints, respiratory diseases, emotional stability, or phobias regarding heights, plastic suits, or radiation itself. Procedures used in treating contaminated personnel are outlined.

  3. Effect of anesthesia depth monitoring on the nursing quality of patients in the postanesthesia care unit (PACU)%麻醉深度监测对麻醉恢复室护理工作的影响

    Institute of Scientific and Technical Information of China (English)

    简晓敏; 许立新; 阮祥才; 刘焕仪


    Objective To investigate the effect of anesthesia depth monitoring on the recovery quality and nursing qual-ity of patients treated with lower abdominal surgery under general anesthesia. Methods A total of 1 20 patients who underwent the lower abdominal surgeries from June 201 5 to December 201 5 were randomly divided into 2 groups:non-Narcotrend monitoring group (non NT group)and Narcotrend monitoring group (NT group).And each group contains 60 cases.All patients were set in the same induce plan,and maintained by propofol-fentanyl during the operation.The dosage of propofol,the time of tracheal ex-tubation,the PACU staying time,the Ricker sedation-agitation scale,the incidence of PONV and POD,the nursing quality and nursing working load were recorded in the project. Results Using Narcotrend to monitor the anesthesia depth could significant-ly decrease the dosage of propofol (P <0.05).The tracheal extubation time and the PACU staying time of patients in NT group were much shortened than patients in non NT group (P <0.05).In NT group the Ricker scores of patients were much lower than patients in non NT group (P <0.05).And the effective anesthesia depth monitoring using Narcotrend could significantly de-crease the nursing working load and improve the nursing quality (P <0.05). Conclusion Effective anesthesia depth monito-ring using Narcotrend may improve the recovery quality in the PACU,which may decrease the working load of nurses and improve the nursing quality in PACU.%目的:研究术中麻醉深度监测在全麻下行下腹部手术患者苏醒质量和护理工作应用。方法选取择期全麻下行下腹部手术患者120例(ASAⅠ~Ⅱ级),随机分成 NT 组和 NNT 组,NT 组患者(60)术中用 Narco-trend 监测,NNT 组患者(60)术中不用 Narcotrend 监测。记录术中丙泊酚用量;记录术后气管导管拔管时间和麻醉恢复室(postanesthesia care unit,PACU)留观时间;记录恢复室 Ricker 镇静—躁

  4. Breast milk composition and bile salt-stimulated lipase in well-nourished and under-nourished Nigerian mothers. (United States)

    Gindler, J; Nwankwo, M U; Omene, J A; Roberts, I M; LaRocca, G M; Glew, R H


    Breast milk was analysed in 9 under-nourished Nigerian mothers and 23 well-nourished mothers who served as controls. Milk from the under-nourished mothers contained adequate amounts of lactose and total triglycerides, but had significantly lower bile salt-stimulated lipase activity (BSSL); their mean BSSL activity was only about 50% of the activity in milk from the control group. Total milk protein was also significantly lower than for the controls (1.45 vs. 1.09 g/dl, respectively; P less than 0.01). Our findings may have nutritional implications for breast-fed infants of under-nourished nursing mothers.

  5. Ways to Enhance Children's Activity and Nutrition (WE CAN) - a pilot project with Latina mothers. (United States)

    James, Kathy S; Connelly, Cynthia D; Gracia, Luz; Mareno, Nicole; Baietto, Janice


    This article presents the feasibility and acceptability of the 4-week Ways to Enhance Children's Activities and Nutrition (WE CAN) program. Mixed methods were utilized. Quantitative data were collected from Latina mothers using self-administered surveys. The program was positively received, although attrition was a concern. Mothers were concerned about their children's weight and were receptive to being key role models for being more active, limiting screen time, buying less junk food, and increasing consumption of fruits and vegetables. Findings provide nurses with knowledge on how mothers view appropriate nutrition and activity as important to their children's health. © 2010, Wiley Periodicals, Inc.

  6. Dopaminergic activation anticipates daily nursing in the rabbit. (United States)

    Aguirre, J; Meza, E; Caba, M


    Maternal care is a motivated behavior and in the rabbit it is restricted to the spontaneous return of the mother to nurse her pups for just a few minutes once a day. Previously we have reported neural activation of brain areas and neuroendocrine cells after nursing. However, this daily spontaneous return suggests that the mother is in a high motivational state to nurse her pups. Here we hypothesized that during anticipation of nursing there is an activation of dopaminergic neurons of the mesolimbic system and in their target areas. Then we explored, by the expression of FOS protein, possible activation of the mesolimbic system as well as dopaminergic cells of the A10 cell group before and after nursing and in control does. Additionally, we measured FOS expression in the preoptic area and lateral septum. We found a significant increase of FOS before nursing, and a further increase after nursing, in the mesolimbic system and dopaminergic cells as well as in the preoptic area and lateral septum. Interestingly, the medial prefrontal area shows an intense activation during anticipation of nursing, which remains after nursing. We conclude that the activation of the mesolimbic system before nursing is related to the high locomotor behavior prior to the next nursing bout and support the proposal that the mother is in a high motivational state at the time of returning to the nest. The additional activation after nursing can be related to the neuroendocrine and neural consequences of the milk ejection reflex by suckling. © 2017 Federation of European Neuroscience Societies and John Wiley & Sons Ltd.

  7. Being a nursing teacher, woman and mother: showing the experience in the light of social phenomenology Ser docente de enfermería, mujer y madre: revelando la vivencia bajo la perspectiva de la fenomenología social Ser docente de enfermagem, mulher e mãe: desvelando a vivência sob a luz da fenomenologia social

    Directory of Open Access Journals (Sweden)

    Miriam Aparecida Barbosa Merighi


    Full Text Available The trajectory of this study was focused on understanding the experience of being a nursing teacher, woman and mother and reconciling work, motherhood and other daily activities. Participants were 11 women, mothers, teachers at higher education Institutions. Social Phenomenology was adopted for the analysis. The context of meanings was evidenced by categories: Difficulty in performing multiple activities; care of oneself and conciliation of social roles. Women give priority to being a mother, so that they have less time to take care of themselves. In spite of desiring to invest in teaching, they expect to have more time available to be in touch with their children and partner. This study showed that the professional and personal worlds need an interface, which allows for co-existence between the different roles women play in society.La trayectoria de este estudio se dirigió para la comprensión del ser docente de enfermería, mujer y madre, que debe conciliar la vida profesional, la maternidad y demás actividades de lo cotidiano. Participaron 11 mujeres, madres, y docentes de instituciones de enseñanza superior. Fue adoptada la Fenomenología Social para el análisis. El contexto de significados fue evidenciado a partir de las categorías: Dificultad en el desempeño de multiplicidad de actividades, Cuidado de sí misma, y Conciliación de los papeles sociales. Las mujeres le dan prioridad al ser madre, disponiendo de poco tiempo para el cuidado de sí misma; a pesar de que tengan el deseo de hacer inversiones en la carrera docente, tienen la expectativa de tener mayor disponibilidad de tiempo para la convivencia con los hijos y con el compañero. El estudio mostró que los universos, profesional y personal, necesitan de un medio de comunicación que posibilite una convivencia entre los diversos papeles ejercidos por la mujer en la sociedad.A trajetória deste estudo voltou-se para a compreensão do ser docente de enfermagem, mulher e mãe ao

  8. Nursing the Nursing Shortage Back to Health. (United States)

    Weisbord, Anne


    Discusses shortage of nurses, improved compensation, and other benefits for nurses. Discusses effects of institutional reputation. Describes move to retention programs by nurse recruiters. Concludes image of nursing has developed into professional status. (ABL)

  9. Nursing the Nursing Shortage Back to Health. (United States)

    Weisbord, Anne


    Discusses shortage of nurses, improved compensation, and other benefits for nurses. Discusses effects of institutional reputation. Describes move to retention programs by nurse recruiters. Concludes image of nursing has developed into professional status. (ABL)

  10. Breast-feeding behavioral patterns among La Leche League mothers: a descriptive survey. (United States)

    Cable, T A; Rothenberger, L A


    Many studies have documented the behavioral patterns of unrestricted breast-feeding among Third World mothers, but knowledge of this behavior among Western women is lacking. La Leche League International is a strong advocate of unrestricted breast-feeding, a feeding behavior more characteristic of women in developing countries than in Western society. To investigate the breast-feeding patterns of La Leche League mothers, a pilot study of 24 active members was undertaken. Utilizing a home diary, a 2-month record of suckling frequency, vaginal bleeding, sexual intercourse, solid food supplements, and six-hour intervals without a suckling episode was maintained. The results show the La Leche League mother in this sample to be an average of 29 years old, white, and well-educated. She fed an infant an average of 15 times per day and frequently slept with her child. Frequency of mother and child sleeping together was inversely related to the frequency of marital intercourse. Prolonged lactational amenorrhea was also found, as 92% of the mothers nursing infants 5 to 16 months old had not regained their normal menstrual flow. La Leche League mothers represent a subset of nursing mothers who have a life-style of which the primary care physician must be aware in order to provide optimal maternal-infant care.

  11. Evaluation the Efficacy of Management and Monitoring Combined With Nursing Intervention in Pressure Ulcers%管理监控联合护理干预在压疮干预的效果评价

    Institute of Scientific and Technical Information of China (English)

    黎燕红; 麦志芹; 黄海玲; 梁巧媚; 叶小平; 蓝凤群


    Objective To evaluation the efficacy of management and monitoring combined with nursing intervention in pres-sure ulcers. Methods 100 community pressure ulcers were randomLy divided into the observation group and the control group.each group contained 50cases. the control group were treated with routine care intervention.and the observation group treated with Man-agement and monitoring combined with nursing intervention. Include: the establishment of control group, create a profile, pressure sores health education, physical and mental evaluation and assessment of pressure sores, pressure sores develop care programs, the implementation of nursing interventions, monitoring and management.The pressure ulcers grade status and pressure sores heal score (PUSH score) were compared before intervention and the 3rd months after intervention. Results 24 cases with Pressure ulcers healed, 10 cases with stage I pressure ulcers, 12 cases with stage II pressure ulcers,4 cases with stage III pressure ulcers in the observation group after 3 months intervention.9 cases with Pressure ulcers healed, 14 cases with stage I pressure ulcers, 18 cases with stage II pressure ulcers,7 cases with stage III pressure ulcers,4 cases with stage IV pressure ulcers in the control group after 3 months intervention.the efficacy in the observation group was significantly better than the control group (P<0.05).the push score (3.9±3.5 score vs7.1±3.2 score)in the observation group was significantly higher than the control group after 3 months interven-tion.Conclusion Management and monitoring combined with nursing intervention can effectively enhance the patient's pressure sores.and promote wound healing of pressure sores.%目的:探讨管理监控联合护理干预在压疮患者中的效果。方法将100例社区压疮患者随机分为观察组与对照组,每组各50例,对照组患者采用常规护理干预,观察组采用管理监控联合护理干预,包括成立管控小组、建

  12. Nursing Revalidation


    F. Cannon; McCutcheon, K.


    This article details the Nursing and Midwifery Council revalidation requirements essential for all registered nurses and midwives in the United Kingdom. Nursing revalidation is effective from April 2016 and is built on the pre-existing Post-registration education and practice. Unlike the previous process, revalidation provides a more robust system which is clearly linked to the Code and should assist towards the delivery of quality and safe effective care

  13. African American teen mothers' perceptions of parenting. (United States)

    Wayland, J; Rawlins, R


    The purpose of this study was to describe the childbearing African American teens' perceptions of parenting based on their own experiences. Focus group discussions were held with 17 teens in their school setting for 50 minutes each week. Group discussions were audiotaped, tapes were transcribed, and then analyzed for common themes. The unmarried teens ranged in age from 15 to 18 years. Findings indicated that the teens depended on grandmothers to provide child care and for information about parenting. The teens identified parenting problems including crying, discipline, and conflicts dealing with grandmothers and the child's father. Teens wanted more information about breastfeeding and minor childhood diseases. The researchers identified that teens lacked information about their children's growth and development and safety issues. Findings have implications for nurses who care for childbearing teens and their children; and those involved in planning and implementing parent education programs for African American teen mothers and their families. Further research is indicated with larger samples of African American teens; and to explore the context of family relationships in which teen mothers and grandmothers share parenting for the teens' children.

  14. [Leadership and communication in nursing management]. (United States)

    Trevizan, M A; Mendes, I A; Fávero, N; Melo, M R


    Considering communication and leadership, authors examine the role of the leader as a focus of reception and transmission of information, based on the classification of Mintzberg related to their informative roles, such as the leader acting as monitor, disseminator and spokesman. Contextualizing this approach in the scenery of nursing management, authors study the dimension of nurses-leaders role as an essential element of communication in the systems of organization of nursing care.

  15. Learning preferences among neonatal and maternal child nurses. (United States)

    Pilcher, Jobeth


    How do you prefer to learn? Do you prefer to attend a lecture or complete a self-study? Do you enjoy looking up material on the Internet? Do you participate in online nursing continuing education (CE) activities, blogs, or forums? How about podcasts, webinars, or simulations? We asked these types of questions to nurses attending the Twelfth Neonatal Nurses Conference and the Fifteenth National Mother Baby Nurses Conference in Chicago in September 2012. This article includes an overview of their responses as well as a discussion regarding how the information can be applied to the learning environment.

  16. Fostering nursing ethics for practical nursing


    森田, 敏子; モリタ, トシコ; Morita, Toshiko


    Higher nursing ethics can raise nursing quality. The author attempts to define theproblem from the seedling of sensibility in practical nursing and focuses on the clinical environment surrounding nursing ethics from its pedagogical and historicalaspects. On the basis of these standpoints, the author discusses issues on the practical nursing as a practitioner of nursing ethics.

  17. The Plight of Transnational Latina Mothers: Mothering from a Distance

    Directory of Open Access Journals (Sweden)

    Rosa Maria Sternberg


    Full Text Available Economic globalization, trade agreements, and revolutionary changes in transportation and communication have fueled a steady increase in international migration. Foreign-born Latinas, driven by a strong desire to escape poverty and to improve life for their children, face difficult decisions as transnational mothers. These women emigrate from their countries of origin, leaving their children behind with relatives. After overcoming the hardships and dangers involved in a clandestine crossing of the U.S.-Mexico border, they continue to suffer the pain of separation from their children and to hope for eventual family reunification. This study focuses on the experiences of eight Latina transnational mothers and calls for reflection and solidarity by nurses and other health care professionals in order to influence the dynamics of social, economic, and political actions to relieve social suffering.La mondialisation, les accords commerciaux et les évolutions révolutionnaires que connaissent les secteurs des transports et des communications ont favorisé l'augmentation régulière de l’immigration internationale. Motivées par la volonté d’échapper à la pauvreté et d’offrir une vie meilleure à leurs enfants, les mères latino-américaines sont confrontées à des décisions difficiles en tant que mères transnationales. Ces femmes émigrent de leur pays d’origine, laissant leurs enfants à leur famille. Après avoir surmonté les épreuves et les dangers inhérents au passage clandestin de la frontière américano-mexicaine, elles continuent à souffrir du fait de la séparation d’avec leurs enfants et vivent dans l’espoir de se retrouver à nouveau en famille. Cette étude s’intéresse à l’expérience de huit mères latino-américaines vivant aux Etats-Unis et appelle les infirmières et autres professionnels de la santé à réfléchir et à faire preuve de solidarité afin d’influencer une dynamique d’actions sociales,

  18. Nursing informatics and nursing ethics

    DEFF Research Database (Denmark)

    Kaltoft, Mette Kjer


    All healthcare visions, including that of The TIGER (Technology-Informatics-Guiding-Educational-Reform) Initiative envisage a crucial role for nursing. However, its 7 descriptive pillars do not address the disconnect between Nursing Informatics and Nursing Ethics and their distinct communities......-of-(care)-decision. Increased pressure for translating 'evidence-based' research findings into 'ethically-sound', 'value-based' and 'patient-centered' practice requires rethinking the model implicit in conventional knowledge translation and informatics practice in all disciplines, including nursing. The aim is to aid 'how...... nurses and other health care scientists more clearly identify clinical and other relevant data that can be captured to inform future comparative effectiveness research. 'A prescriptive, theory-based discipline of '(Nursing) Decisionics' expands the Grid for Volunteer Development of TIGER's newly launched...

  19. A Mother's Humiliation: School Organizational Violence toward Latina Mothers (United States)

    Monzo, Lilia D.


    This paper examines how Latina mothers experience violence in schools through everyday interactions with those positioned with greater power in our society. Drawing on Bourdieu's concept of symbolic violence, the article discusses how deficit perspectives held toward Latina mothers and the privileging of White, middle-class frames result in…

  20. Exploring the related factors influencing polysomnography monitoring results and nursing counter measures%影响多导睡眠监测效果的原因分析及护理对策

    Institute of Scientific and Technical Information of China (English)

    费力娟; 杨冬梅; 骆宏


    目的探讨影响多导睡眠呼吸监测结果的相关因素及护理对策。方法对276例临床拟诊OSAHS患者进行7小时以上多导睡眠监测,全程观察监测效果包括导线是否脱落、连接是否良好、信号是否良好等。结果多导睡眠呼吸监测因各种因素导致失败25例,其中波形显示紊乱或脱落6例,入睡困难5例,胸带或腹带连接不当5例,口鼻气流信号缺失4例,血氧饱和度脱落3例,电脑数据丢失2例。结论监测前做好充分的准备,监测中加强巡视,保证各项监测导联准确连接,是避免监测失败的必要措施,从而为患者的诊断和治疗提供保证。%Objective To explore the related factors influencing polysomnography monitoring results and nursing counter measures. Methods For more than 7 hours polysomnography in 276 patients, To observe the whole monitoring effect including wire is off, the connection is good, whether the signal is good. Results Polysomnography for various factors resulting in failure in 25 cases. Involving waveform display confusion or fal off 6 cases, difficulty in fal ing asleep 5 cases, chest strap and bel yband connect error 5 cases, the missing of muzzle flow sign 4 cases, the monitor of blood oxygen saturation fal off 3cases, loss of data 2 cases. Conclusion Monitoring ful preoperative preparation, strengthen the inspection monitoring, to ensure the accurate monitoring leads connected, is the necessary measures to avoid monitoring failure, so as to provide guarantee for the diagnosis and treatment of patients.

  1. Stress levels of psychiatric nursing staff

    NARCIS (Netherlands)

    Looff, P.C. de; Kuijpers, E.; Nijman, H.L.I.


    During a total of 30 shifts, the arousal levels of 10 psychiatric nurses were assessed while working on a (forensic) psychiatric admissions ward. Arousal was assessed by means of a small device (wristband) by which the Skin Conductance Level (SCL) of the participating nurses was monitored. Each nurs

  2. Stress levels of psychiatric nursing staff

    NARCIS (Netherlands)

    Looff, P.C. de; Kuijpers, E.; Nijman, H.L.I.


    During a total of 30 shifts, the arousal levels of 10 psychiatric nurses were assessed while working on a (forensic) psychiatric admissions ward. Arousal was assessed by means of a small device (wristband) by which the Skin Conductance Level (SCL) of the participating nurses was monitored. Each

  3. School Nurse Role in Electronic School Health Records. Position Statement (United States)

    Hiltz, Cynthia; Johnson, Katie; Lechtenberg, Julia Rae; Maughan, Erin; Trefry, Sharonlee


    It is the position of the National Association of School Nurses (NASN) that Electronic Health Records (EHRs) are essential for the registered professional school nurse (hereinafter referred to as school nurse) to provide efficient and effective care in the school and monitor the health of the entire student population. It is also the position of…

  4. Mothers' pupillary responses to infant facial expressions. (United States)

    Yrttiaho, Santeri; Niehaus, Dana; Thomas, Eileen; Leppänen, Jukka M


    Human parental care relies heavily on the ability to monitor and respond to a child's affective states. The current study examined pupil diameter as a potential physiological index of mothers' affective response to infant facial expressions. Pupillary time-series were measured from 86 mothers of young infants in response to an array of photographic infant faces falling into four emotive categories based on valence (positive vs. negative) and arousal (mild vs. strong). Pupil dilation was highly sensitive to the valence of facial expressions, being larger for negative vs. positive facial expressions. A separate control experiment with luminance-matched non-face stimuli indicated that the valence effect was specific to facial expressions and cannot be explained by luminance confounds. Pupil response was not sensitive to the arousal level of facial expressions. The results show the feasibility of using pupil diameter as a marker of mothers' affective responses to ecologically valid infant stimuli and point to a particularly prompt maternal response to infant distress cues.

  5. Selling Out Mothers and Babies by Marsha Walker


    Sandra M., Gossler


    The monitoring project reported in Marsha Walker's book, Selling Out Mothers and Babies, offers a qualitative assessment of formula companies' unethical marketing practices in the United States. The book presents extensive documentation on the questionable strategies of formula companies and how they avoid and circumvent recommendations of the International Code of Marketing of Breast Milk Substitutes.

  6. 临床护士针刺伤事件监测及分析%Monitoring and analysis of needle stick injuries events in clinical nurses

    Institute of Scientific and Technical Information of China (English)

    宋平; 周建芹; 王艳娜


    目的 探讨护士针刺伤发生的危险因素及防范措施.方法 对2008年1月-2009年12月,护士发生的针刺伤事件进行监测、统计和分析.结果 针刺伤发生率为27.83%,护龄<3年护士针刺发生率明显高于≥3年的护士,差异有统计学意义(χ2=12.907,P<0.01);针刺伤类别构成比:头皮针刺伤占75.00%;注射针头刺伤占12.5%;采血针刺伤占6.25%,留置针针芯刺伤占6.25%;发生原因:被意外碰撞占21.87%;因胶布意外粘连占21.87%;因头皮针或采血针投入利器盒时连接管惯性伸展导致针头反弹占18.75%,拔吊瓶或做其他注射后,手持针头注意力分散占15.63%,回套针帽或将针头刺入瓶塞占12.50%,其他占9.38%.结论护士是医疗工作中职业暴露的高危群体,应加强培训,提高护士防范意识,规避危险行为,减少针刺伤的发生.%OBJECTIVE To investigate the risk factors of acupuncture injury and preventive measures in nurses performance.METHODS The acupuncture injury incident on nurses from Jan 2008 to Dec 2009 were detected,summarized and analyzed.RESULTS Care age <3 years of acupuncture were significantly higher than nurses ≥3 years of nursing, the difference was statistically significant (x2= 12.907,P<0.01).The needle type component ratio:transfusion scalp acupuncture injuries accounted for 75.00%; injection needle stick injuries accounted for 12.5%; stab wounds for blood collection needles accounted for 6.25%, catheter needle stick injuries accounted for 6.25%; The are all occurrented between the needles pulled out from the patient's body and into the tool box.The ratio of constituent causes: accidental collision by a patient or family members accounted for 21.87% ; accidents by scalp needle or infusion tube to keep the tape adhesioned accounted for 21.87%; the needle rebound as total inertia when scalp needle or lancet been pulled into sharps boxes which are not allowed to stretch the connecting tube on time

  7. Exposed: younger mothers and breastfeeding. (United States)

    Noble-Carr, Debbie; Bell, Catherine


    This qualitative study, conducted by volunteers from the Australian Capital Territory/Southern New South Wales (ACT/SNSW) Branch of the Australian Breastfeeding Association (ABA), explored the breastfeeding experiences of younger mothers (under the age of 26 years) in the ACT by conducting three focus groups. The study aimed to gain an understanding of how, when and where younger mothers want and need to receive breastfeeding information and support. Younger mothers provided important insights into their breastfeeding experiences, which were often characterised by judgement from health professionals and the wider public. A number of key issues were identified including: breastfeeding is far from a cultural norm in our society and as such the risks of artificial baby milk are not clearly understood by many younger mothers; younger mothers are strongly influenced by their partners, mothers and peers and they rely upon them for breastfeeding information and support. Younger mothers indicated that a number of improvements could be made to the way that breastfeeding information and support is currently provided within the ACT. The findings indicated that younger mothers (and their significant others) would benefit from receiving clear, concise and consistent breastfeeding information early on in their pregnancy, that is positive in tone, not necessarily 'young mum' specific and consistent with a 'less is more' approach. Younger mothers indicated that after the birth of their baby this breastfeeding information needs to be complemented by readily accessible, seamless, respectful support for as long as they need to establish breastfeeding and overcome any breastfeeding challenges. The focus group findings were largely consistent with the existing literature available on younger mothers and breastfeeding and provide valuable insights to all stakeholders responsible for providing breastfeeding information and support to younger mothers.

  8. 75 FR 26875 - Mother's Day, 2010 (United States)


    ... two parents, a single mother, two mothers, a step-mom, a grandmother, or a guardian. Mother's Day... 8517 of May 7, 2010 Mother's Day, 2010 By the President of the United States of America A Proclamation Generations of mothers have labored tirelessly and selflessly to support and guide their children and families...

  9. Theoretical Factors Affecting Parental Roles in Children's Mathematical Learning in American and Chinese-Born Mothers

    National Research Council Canada - National Science Library

    Jessica H Hunt; Bi Ying Hu


    ...; and (h) parent as monitor/motivator. The authors argue that similarities and differences between American and Chinese-born mothers regarding their parental roles can be explained through the context of parental views of the importance...

  10. Efficacy of primary care in a nursing center. (United States)

    Helvie, C O


    Nursing opportunities have expanded beyond the traditional bedside role. Nurses serve in a variety of roles such as administrators, teachers, or primary care givers in a variety of settings. The role of primary care giver is a more recent role; it involves relatively independent nursing practice with clients who have acute or chronic illnesses. Client groups may include the elderly in high rise buildings, mothers and children at schools, or homeless and low-income populations at homeless shelters. This care is often provided in a nursing center. Nursing centers are nurse-managed centers in which nurses are accountable and responsible for care of clients; they are the primary provider of care and the one most seen by clients. Case managers may be in a position to refer patients to nursing centers or to work directly with nurse practitioners in nursing centers. However, questions about the primary care provided in nursing centers must be addressed for healthcare providers, insurance companies, and patients to be confident in the efficacy of this delivery system. Is the primary care comprehensive? Is it of high quality? Is it cost effective? Is it satisfactory to clients? These and other questions about the primary care provided in nursing centers must be answered to effect political and other changes needed to fulfill the role of nursing centers envisioned by early leaders of the movement. This article addresses questions related to the efficacy of primary care provided in nursing centers by family nurse practitioners. After defining efficacy, the discussion focuses on the components identified and studied in one nursing center and includes information on opportunities for case managers to utilize nursing centers for referral and appropriate follow-up of their patients.

  11. "Migrant Mother" by Dorothea Lange. (United States)

    Henry, Carole


    Maintains that the photograph, "Migrant Mother," is recognized throughout the world. Provides a three-part instructional unit on Dorothea Lange and social issues related to migrant workers. Includes four photographs by Lange, including the most well-known, "Migrant Mother 5." (CFR)




  13. Rhetorical Visions of Unmarried Mothers. (United States)

    Endres, Thomas G.


    Examines the symbolic reality of unmarried mothers using Bormann's fantasy theme analysis and Q-methodology. Identifies three rhetorical visions with a dramatistic humanistic analysis produced by and about unmarried mothers: the Down and Out Vision, the Making the Best Vision, and the Yummie Vision. (MS)

  14. Like Mother,Like Daughter

    Institute of Scientific and Technical Information of China (English)


    On the road to maturity, one's parents always have a great degree of influence. Yang Yuying, a young singer, attributes much of her success to her mother Xiong Yonghong. The hard working mother has exerted an imperceptible influence on her daughter's attitude to life with her traditional Chinese virtues.

  15. Adolescent Mothers' Adjustment to Parenting. (United States)

    Samuels, Valerie Jarvis; And Others


    Examined adolescent mothers' adjustment to parenting, self-esteem, social support, and perceptions of baby. Subjects (n=52) responded to questionnaires at two time periods approximately six months apart. Mothers with higher self-esteem at Time 1 had better adjustment at Time 2. Adjustment was predicted by Time 2 variables; contact with baby's…

  16. Adolescent Mothers' Adjustment to Parenting. (United States)

    Samuels, Valerie Jarvis; And Others


    Examined adolescent mothers' adjustment to parenting, self-esteem, social support, and perceptions of baby. Subjects (n=52) responded to questionnaires at two time periods approximately six months apart. Mothers with higher self-esteem at Time 1 had better adjustment at Time 2. Adjustment was predicted by Time 2 variables; contact with baby's…

  17. Strategies for Supporting Teenage Mothers (United States)

    Wells, Robin A.; Thompson, Barbara


    Programs for teenage mothers provided through school districts or community agencies often have their own curricular agenda for teaching teenage mothers about the proper care of and nutrition for infants and the typical stages of child development, but not all programs are successful in supporting the development of positive early relationships…

  18. Significados das ações educativas de enfermagem centradas na amamentação na perspectiva das nutrizes e familiares Significados de las acciones educativas de enfermería centradas en la lactancia desde la perspectiva de las madres y de sus familiares Meanings of educative nursing actions centred on breastfeeding from the perspective of breastfeeding mothers and their families

    Directory of Open Access Journals (Sweden)

    Patrícia Pereira de Queiroz


    del referido ambulatorio. Los diálogos fueron sometidos a análisis de contenido temático e interpretados a la luz de los constructos de Paulo Freire: diálogo, problematización y humanización. De tal análisis emergieron cuatro temas: experiencia exitosa de la acogida y del cuidado; aprendizaje familiar; empoderamiento del conocimiento sobre la lactancia; y orientaciones centradas en metodologías activas. Las acciones de enfermería, dialógicas, problematizadoras y humanísticas significaron para los participantes del presente estudio producción y aprehensión del conocimiento, cuidado, apoyo y respeto de los saberes, proporcionando una práctica tranquila de la lactancia, centrada en la facilidad de amamantar.The number of mothers who opt for artificial milk is growing. Therefore, to change this situation, strategies centred on educative aspects and forming opinions need to be developed. In this light, the intention behind this descriptive, exploratory, qualitative study was to understand the results of educative nursing actions towards breastfeeding mothers and relatives attending the breastfeeding clinic at the Federal University of Pernambuco’s Teaching Hospital in Recife-PE, Brazil. Semi-structured interviews with two guiding questions were held with eleven breastfeeding mothers and eleven family members in the aforementioned clinic. Responses underwent thematic content analysis and were interpreted in the light of the constructs developed by Paulo Freire: dialogue, problematisation and humanisation. From this analysis, four themes emerged: successful experience involving collection and care; familiar learning; empowerment of breastfeeding awareness; and instruction centred on active methodologies. The dialogic, problematisation and humanistic nursing actions, for the participants of this study, resulted in production and capture of knowledge, care, support and respect towards the learners, enabling a calm breastfeeding practice resulting from ease of

  19. Maternity care during the post-World War II Baby Boom: the experience of general duty nurses. (United States)

    Martell, L K


    The purpose of this study is to describe maternity nursing during the post-World War II Baby Boom from the perspective of general duty nurses. During the Baby Boom, maternity care changed with medical advances and the highest birth rate ever in the United States. This study provides insight into the impact of context on nurses' work experiences. Seven general duty postpartum or nursery nurses were interviewed about their nursing experiences during the Baby Boom. Constant comparative analysis was used to synthesize the transcripts of the interviews into in-depth descriptions of participants' work experiences. The large numbers of mothers and babies in their care, the prevailing concerns for infections, and paternalism influenced these nurses' work. Expectations about and by the nurses as well as work relationships contributed to the nurses' acceptance and rejection of changes in care of mothers and babies.

  20. Regulating migrant maternity: nursing and midwifery's emancipatory aims and assimilatory practices. (United States)

    DeSouza, Ruth


    In contemporary Western societies, birthing is framed as transformative for mothers; however, it is also a site for the regulation of women and the exercise of power relations by health professionals. Nursing scholarship often frames migrant mothers as a problem, yet nurses are imbricated within systems of scrutiny and regulation that are unevenly imposed on 'other' mothers. Discourses deployed by New Zealand Plunket nurses (who provide a universal 'well child' health service) to frame their understandings of migrant mothers were analysed using discourse analysis and concepts of power drawn from the work of French philosopher Michel Foucault, read through a postcolonial feminist perspective. This research shows how Plunket nurses draw on liberal feminist discourses, which have emancipatory aims but reflect assimilatory practices, paradoxically disempowering women who do not subscribe to ideals of individual autonomy. Consequently, the migrant mother, her family and new baby are brought into a neoliberal project of maternal improvement through surveillance. This project--enacted differentially but consistently among nurses--attempts to alter maternal and familial relationships by 'improving' mothering. Feminist critiques of patriarchy in maternity must be supplemented by a critique of the implicitly western subject of maternity to make empowerment a possibility for all mothers.

  1. The rabbit pup, a natural model of nursing-anticipatory activity. (United States)

    Caba, Mario; González-Mariscal, Gabriela


    Mother rabbits nurse their young once a day with circadian periodicity. Nursing bouts are brief (ca. 3 min) and occur inside the maternal burrow. Despite this limited contact mother rabbits and their pups are tuned to each other to ensure that the capacities of each party are used efficiently to ensure the weaning of a healthy litter. In this review we present behavioral, metabolic and hormonal correlates of this phenomenon in mother rabbits and their pups. Research is revealing that the circadian rhythm of locomotion shifts in parallel to the timing of nursing in both parties. In pups corticosterone has a circadian rhythm with highest levels at the time of nursing. Other metabolic and hormonal parameters follow an exogenous or endogenous rhythm which is affected by the time of nursing. In the brain, clock genes and their proteins (e.g. Per1) are differentially expressed in specific brain regions (e.g. suprachiasmatic nucleus, paraventricular nucleus) in relation to providing or ingesting milk in mothers and young, respectively. These findings suggest that circadian activities are modulated, in the mothers, by suckling stimulation and, in the young, by the ingestion of milk and/or the perception of the mammary pheromone. In conclusion, the rabbit pup is an extraordinary model for studying the entraining by a single daily food pulse with minimal manipulations. The mother offers the possibility of studying nursing as a non-photic synchronizer, also with minimal manipulation, as suckling stimulation from the litter occurs only once daily.

  2. Recommendations for responsible monitoring and regulation of clinical software systems. American Medical Informatics Association, Computer-based Patient Record Institute, Medical Library Association, Association of Academic Health Science Libraries, American Health Information Management Association, American Nurses Association. (United States)

    Miller, R A; Gardner, R M


    In mid-1996, the FDA called for discussions on regulation of clinical software programs as medical devices. In response, a consortium of organizations dedicated to improving health care through information technology has developed recommendations for the responsible regulation and monitoring of clinical software systems by users, vendors, and regulatory agencies. Organizations assisting in development of recommendations, or endorsing the consortium position include the American Medical Informatics Association, the Computer-based Patient Record Institute, the Medical Library Association, the Association of Academic Health Sciences Libraries, the American Health Information Management Association, the American Nurses Association, the Center for Healthcare Information Management, and the American College of Physicians. The consortium proposes four categories of clinical system risks and four classes of measured monitoring and regulatory actions that can be applied strategically based on the level of risk in a given setting. The consortium recommends local oversight of clinical software systems, and adoption by healthcare information system developers of a code of good business practices. Budgetary and other constraints limit the type and number of systems that the FDA can regulate effectively. FDA regulation should exempt most clinical software systems and focus on those systems posing highest clinical risk, with limited opportunities for competent human intervention.

  3. Nursing consultation to the user with hypertension in primary attention


    Gilvan Ferreira Felipe; Thereza Maria Magalhães Moreira; Lúcia de Fátima da Silva; Andressa Suelly Saturnino de Oliveira


    In primary care, the nursing care for hypertensive patients can be provided during the nursing consultation. The main aim of this research was to examine the activities developed by nurses during the nursing consultation for hypertensive patients followed in primary care. This descriptive study, developed in three Family Health Centers of the Regional IV Executive Secretary in Fortaleza, through monitoring of 39 consultations and completion of a checklist. It was found out that the consultati...

  4. Nursing Home Checklist (United States)

    ... nursing home: ____________________________________________________ Address: ________________________________________________________________ Phone number: __________________________________________________________ Date of visit: _____________________________________________________________ Basic information Yes No Notes Is the nursing home Medicare certified? Is the nursing home Medicaid ...

  5. Youth or disadvantage? The construction of teenage mothers in medical journals. (United States)

    Breheny, Mary; Stephens, Christine


    Teenage motherhood is routinely discussed in medical and nursing journals as a cause for concern and a social problem. Taking these accounts as a starting point, this paper uses discursive analysis to understand how the teenage mother is produced as an unsuitable mother. Beginning with a 'Public Health' discourse, early motherhood is understood as a disease requiring surveillance and a public health response. Using an 'Economic' discourse, teenage mothers are positioned as a financial drain on society and early motherhood as a cost to the mothers themselves. An 'Ethnicity' discourse classifies young mothers into ethnic groups and explains differential fertility rates through the resistance of appropriate reproductive technology among minority group members. These understandings are reflected in a 'Eugenics' discourse, which engages metaphors of parenting as a biological priority and highlights the unsuitability of young mothers as parents. An examination of these discourses shows that concern about teenage motherhood is as much about the wrong sort of young women becoming mothers, as mothering too soon.

  6. 糖尿病患者血糖自我监测与医护照顾期望的调查%The status of self-monitoring of blood glucose in diabetic patients and their expectations about nursing care

    Institute of Scientific and Technical Information of China (English)

    王西英; 施雁; 孙晓


    目的 了解糖尿病患者血糖自我监测(self-monitoring of blood glucose,SMBG)现状与对医护照顾的期望.方法 采取便利抽样法,选择2012年7-8月就诊于同济大学附属第十人民医院的糖尿病患者105例,采用问卷调查法进行调查,内容包括患者基本状况、SMBG现状和对医护照顾的期望.结果 ①SMBG方面:48.6%患者没有进行SMBG,11.4%患者SMBG后没有记录;但88.6%患者认为,SMBG对自身健康有帮助.②医护照顾期望方面:81.0%患者认为,需要从医护人员那里获得远程实时照顾;90.5%患者认为,获得医护人员的时刻关注对身体健康是有益的;81.0%患者希望在医护照顾系统中能够有属于自己的糖尿病管理档案.结论 基于医院-社区-家庭联动机制,启动糖尿病管理项目,对糖尿病患者进行延续性护理照护,改善糖尿病患者SMBG行为,可以最大限度地满足其对医护照顾的期望.%Objective To investigate the status of self-monitoring of blood glucose (SMBG) in diabetic patients and their expectations about nursing care.Methods A total of 105 diabetic patients were chosen from our hospital from July to August 2012 by convenience sampling.They were investigated by questionnaire to detect their present medical condition,attitude and behavior about SMBG,and expectations about nursing care.Results Regarding SMBG,60.0% patients did not do SMBG (48.6%) or did not record results (11.4%) ; But 88.6% patients thought that SMBG was beneficial to their health.Regarding expectations about nursing care,81.0% patients thought it was necessary to get remote and real-time health care from the medical staff; 90.5% patients thought it was good for their health if the medical staff paid close attention to their diabetic condition;81.0% patients expected to build up their own diabetes files in the medical care system.Conclusion Based on the hospital-community-family linkage,E diabetes management project was

  7. Naturalistic nursing. (United States)

    Hussey, Trevor


    Where nurse education aims to provide an overarching intellectual framework, this paper argues that it should be the framework of naturalism. After an exposition of the chief features of naturalism and its relationship to science and morality, the paper describes naturalistic nursing, contrasting it with some other perspectives. There follows a defence of naturalism and naturalistic nursing against several objections, including those concerning spirituality, religion, meaning, morality, and alternative sources of knowledge. The paper ends with some of the advantages of the naturalistic approach.

  8. [Cardiac arrest in newborn of mother treated with labetalol]. (United States)

    Sala, X; Monsalve, C; Comas, C; Botet, F; Nalda, M A


    The use of beta-adrenergic antagonists for the control of high blood pressure associated to pregnancy is frequent. Their use is related with the appearance of undesirable effects of the fetus. The case of neonatal cardiac arrest attributed, to the administration of labetalol to the mother is presented. The high transplacentary passage, the different pharmacokinetics of the drug in the newborn and the clinical evolution of the patient suggests its involvement. It is concluded that labetalol may cause severe undesirable effects in newborns and fetal heart rate of the mother and neonate should be monitored upon use of this drug.

  9. Nursing Challenges in Motivating Nursing Students through Clinical Education: A Grounded Theory Study. (United States)

    Nasrin, Hanifi; Soroor, Parvizy; Soodabeh, Joolaee


    Nurses are the first role models for students in clinical settings. They can have a significant role on students' motivation. The purpose of this study was to explore the understanding of nursing students and instructors concerning the role of nurses in motivating nursing students through clinical education. The sampling was first started purposefully and continued with theoretical sampling. The study collected qualitative data through semistructured and interactive interviews with 16 nursing students and 4 nursing instructors. All interviews were recorded, transcribed, and analyzed using grounded theory approach. One important pattern emerged in this study was the "concerns of becoming a nurse," which itself consisted of three categories: "nurses clinical competency," "nurses as full-scale mirror of the future," and "Monitoring and modeling through clinical education" (as the core variable). The findings showed that the nurses' manners of performance as well as the profession's prospect have a fundamental role in the process of formation of motivation through clinical education. Students find an insight into the nursing profession by substituting themselves in the place of a nurse, and as result, are or are not motivated towards the clinical education.

  10. [The effect of milk products consumption in mothers during breastfeeding]. (United States)

    Carranza-Lira, Sebastián; Uribe-Medina, Aída; Ogando-Suárez, Manuel


    Several studies indicate that milk products consumption by mothers during the nursing period induce colic in the newborns. However, when mothers interrupt milk consumption, the colic of the newborns disappears. to analyze milk composition in Mexican women according to maternal milk products consumption. Seven women were studied in puerperal period, three of them consumed milky products and four not. All were healthy; they gave a five cc milk sample, which was frozen until the moment of the analysis. A double dimension electrophoresis in polyacrilamide gels was carried out. The protein levels were determined by Lowry's method. Total lipid extraction and cromatography in thin plaque was carried out. Total carbohydrate content was quantified. No differences were found in protein electrophoresis neither in the chromatographic lipid analysis. Carbohydrate content was similar in both groups. Colic in newborn depends on the idiosyncrasy of each one, and not in the supposed induced modifications of milk products on maternal milk consumption.

  11. Becoming a mother: teenage mothers' experiences of first pregnancy. (United States)

    Maputle, M S


    The purpose of this study was firstly to explore and describe the experiences of teenage mothers of first pregnancy. Secondly, to develop guidelines of a support programme that is contextual and relevant to the needs of teenage mothers. The guidelines are aimed at assisting midwives in meeting the needs of teenage mothers. An exploratory, descriptive, contextual and qualitative design was used. The phenomenological approach was implemented to collect and analyze data from a purposively selected sample of fourteen (14) teenage mothers who were pregnant for the first time. The model of Guba and Lincoln (1985: 301-318) was implemented to ensure trustworthiness in this qualitative study. Five themes emerged from the analysis of the data. Guidelines and recommendations for support programme were developed.

  12. Differences in parenting stress between married and single first time mothers at six to eight weeks after birth. (United States)

    Copeland, Debra; Harbaugh, Bonnie Lee


    Parenting stress has been shown to affect relationships between mothers and their infants. Single mothers may experience more parenting stress due to exposure to stressors that are unique to their environment. The purpose of this secondary analysis was to determine the differences between married and single first-time mothers on the Parenting Stress Index/Short Form (PSI/SF Abidin, 1995). A convenience sample of 22 single and 52 married first-time mothers were recruited from postpartum units in two large metropolitan hospitals in the southeastern United States. During hospitalization, participants completed a demographic sheet and at six weeks postpartum, were mailed the PSI/SF. T-tests were assessed for differences between mean scores. Study findings indicate significant differences between single and married first-time mothers on the Parental Distress subscale (t = -3.468, p = .001), the Difficult Child subscale (t = -2.032, p = .046), and Defensive Responding subscale (t = -3.720, p = .000), with single mothers consistently scoring higher than married mothers; however, there was not a significant statistical difference between mothers on the Parent-Child Dysfunctional Interaction subscale (t = -1.290, p = .201). Overall, single mothers scored higher on the Total Parenting Stress scores of the PSI/SF than married mothers (t = -2.858, p = .005), suggesting that single women experience more stress as a new mother than married new mothers. It is important to understand the specific stressors of new, single mothers and to develop nursing interventions that decrease parenting stress in single mothers.

  13. Family Health Nursing – A European Perspective

    Directory of Open Access Journals (Sweden)

    Mirosław J. Jarosz


    Full Text Available Florence Nightingale, while formulating her concept of nursing mentioned, among nurses’ tasks, the popularization of personal hygiene and hygiene of surroundings in workers’ environments, as well as teaching baby care to mothers. The performance of these tasks required cooperation with the families, and at that time, such a cooperation was postulated by William Rathbone (1819–1902. According to him, to the tasks of a nurse providing home care for a patient also belong assistance to the family in the area of hygiene and health care.

  14. Use of Data Base Microcomputer Software in Descriptive Nursing Research


    Chapman, Judy Jean


    Data base microcomputer software was used to design a file for data storage and retrieval in a qualitative nursing research project. The needs of 50 breast feeding mothers from birth to four months were studied. One thousand records with descriptive nursing data were entered into the file. The search and retrieval capability of data base software facilitated this qualitative research. The findings will be discussed in three areas: (1) infant concerns, (2) postpartum concerns, and (3) breast c...

  15. Health Occupations Curriculum. Skills and Theory for Practical Nurse. Units 18, 19, and 20. (United States)

    Arizona State Dept. of Education, Phoenix.

    Part of a health occupations program, these instructional units consist of materials for use by those who are studying to become practical nurses. Covered in the units are the following: the nursing care of mothers and newborns (obstetrics, prenatal care and complications, patient needs, care of the newborn, prematurity, medications, and cultural…

  16. Medical student-mothers. (United States)

    Taylor, Julie; Macnamara, Marina; Groskin, Anna; Petras, Laura


    Medical training is challenging and parenting is a full-time responsibility. Balancing a family with the significant demands of medical school is a daunting endeavor. Yet there is little research available to guide students, faculty, or administrators. Using one U.S. medical school as a case study, this article provides a comprehensive overview of the common personal and professional challenges that medical students who are also mothers face during their undergraduate medical education, and practical strategies and resources useful in navigating such challenges. This article is also a resource guide for the faculty and administrators who teach, advise, and mentor medical-student parents. For leaders in medical education, the article concludes with suggestions to better support the health and educational experience of medical student-parents: 1) a systematic network of career advisors, 2) scheduling flexibility, 3) formal breastfeeding policies and workplace support, 4) institutionally supported childcare, and 5) how student-parents may foster the educational health mission of medical schools.

  17. Troubling Mothers: Introduction

    Directory of Open Access Journals (Sweden)

    Imogen Tyler


    Full Text Available This panel explored a range of classed figurations of the maternal. It had two primary aims: firstly, to explore the relationship between social class and 'the maternal' and secondly to foreground the relative absence of psycho-social or psychoanalytic theoretical work on what Diane Reay has called 'The Psychic Landscape of Social Class' (2005. The data explored in this panel primarily originates from 'social spheres', popular and sensationalist media, art practice and 'everyday life'. It aimed to engage with analysis of these mediums and materials, and to initiate debate about the ways in which visible class representations and invisible class relations structure not only 'maternal publics' and also our most intimate, personal and 'interior' sense of ourselves as 'maternal subjects', as well as the ways in which 'visceral aversions, recognition, abjection and the markings of taste constitute a psychic economy of social class [that] contributes powerfully to the ways we are, feel and act' (Reay, 2005, p. 911. Four speakers presented their work on mothers, and three of these talks have been developed for publication in this issue.

  18. Application of Nursing Process and Its Affecting Factors among Nurses Working in Mekelle Zone Hospitals, Northern Ethiopia (United States)

    Hagos, Fisseha; Alemseged, Fessehaye; Balcha, Fikadu; Berhe, Semarya; Aregay, Alemseged


    Background. Nursing process is considered as appropriate method to explain the nursing essence, its scientific bases, technologies and humanist assumptions that encourage critical thinking and creativity, and permits solving problems in professional practice. Objective. To assess the application of nursing process and it's affecting factors in Mekelle Zone Hospitals. Methods. A cross sectional design employing quantitative and qualitative methods was conducted in Mekelle zone hospitals March 2011. Qualitative data was collected from14 head nurses of six hospitals and quantitative was collected from 200 nurses selected by simple random sampling technique from the six hospitals proportional to their size. SPSS version 16.1 and thematic analysis was used for quantitative and qualitative data respectively. Results. Majority 180 (90%) of the respondents have poor knowledge and 99.5% of the respondents have a positive attitude towards the nursing process. All of the respondents said that they did not use the nursing process during provision of care to their patients at the time of the study. Majority (75%) of the respondent said that the nurse to patient ratio was not optimal to apply the nursing process. Conclusion and Recommendation. The nursing process is not yet applied in all of the six hospitals. The finding revealed that the knowledge of nurses on the nursing process is not adequate to put it in to practice and high patient nurse ratio affects its application. The studied hospitals should consider the application of the nursing process critically by motivating nurses and monitor and evaluate its progress. PMID:24649360

  19. 血流动力学监测技术在脓毒性休克患者中的应用及护理%Application of hemodynamic monitoring technology in and nursing of patients with septic shock

    Institute of Scientific and Technical Information of China (English)

    古伟升; 李敏


    目的:探讨血流动力学监测技术在脓毒性休克患者中的应用及护理。方法:选取我院2012年3月~2013年3月收治的脓毒性休克患者100例,并随机等分为观察组和对照组。对两组患者均给予常规治疗,其中观察组患者在脉搏指示剂连续性心排血量( PiCCO)监测技术指导下进行休克治疗及护理,而对照组患者在中心静脉压( CVP)监测下指导治疗及护理。观察两组各项指标的变化情况。结果:观察组患者的达标时间早于对照组,且MVP,CVP,ScvO2,PaO2/FiO2等血流动力学指标均明显高于对照组;观察组患者每小时尿量多于对照组,6 h及24 h输液量少于对照组,Lac值较对照组低。观察组患者治愈46例,多于对照组。结论:PiCCO血流动力学监测技术在脓毒性休克患者早期液体复苏治疗中具有十分重要的应用价值,PiCCO监测在休克患者中的应用护理效果佳,能很好的纠正血流动力学的紊乱及氧代谢异常,适合在临床上广泛推广。%To explore and analyze the hemodynamic monitoring techniques in patients with septic shock application and nursing. Methods:In our hospital from septic shock patients in March 2012-March 2013 100 patients were treated,and they were randomly divided into observation group and con-trol group. Two groups of patients were given conventional treatment, patients in the observation group pulse indicator continuous cardiac output ( PiCCO) monitoring technology guidance shock treatment and care,while the control group of patients in central venous pressure ( CVP) monitoring under guide treat-ment and care. To observe the efficacy of the two groups and the change of the indicators before and after care. Results:The patient′s compliance time signifi-cantly earlier than the control group,and the MVP,CVP,ScvO2 ,PaO2/FiO2 and other hemodynamic parameters were significantly higher. observed in pa-tients urine,per hour significantly more than the control

  20. Nursing Home


    Allocca Hernandez, Giacomo Antonio


    Getting old involves a lot of changes in life. Family and social relations change and mobility can decrease. These variations require new settings, and of course special care. A nursing home is a place dedicated to help with this situation. Sometimes nursing homes can be perceived as mere institutions by society, and even by future residents. Inside, senior citizens are suppose to spend the rest of their lives doing the same activities day after day. How can we improve these days? Archite...

  1. A Study to Develop Critical Indicators for Monitoring and Evaluating Potentially Compensable Events for the Nursing Risk Management Program at Dewitt Army Community Hospital (United States)


    identification process to eliminate, reduce, or prevent accidents and injury; (3) investigation of adverse patient outcomes; (4) coordinate claims follow...Unusual C0t occurrences are described as events which include, but are not limited to, accidents , injuries, and therapeutic <m zmisadventures...Blood Product Administration 12. Patient Transport ( Intrahospital ) 13. Other Once the outcome monitor has been noted, it is necessary to evaluate

  2. Effect of Early Intervention to Promote Mother - Infant Interaction and Maternal Sensitivity in Japan: A Parenting Support Program based on Infant Mental Health. (United States)

    Komoto, Keiko; Hirose, Taiko; Omori, Takahide; Takeo, Naoko; Okamitsu, Motoko; Okubo, Noriko; Okawa, Hiroji


    This study investigated the effects of the Japanese Early Promotion Program (JEPP), which is based on the Infant Mental Health (IMH) program. The JEPP aims to promote mother-infant interactions by enhancing the mother's ability to respond appropriately her child. Mothers in the JEPP group (n = 15) received support from IMH nurses in a pediatric clinic until their infants reached 12 months of age. The nurses provided positive feedback that emphasized strength of parenting, and assisted the mothers in understanding the construct of their infants. Mother-infant interactions and mother's mental health status were assessed at intake (1-3 months), and at 6, 9, and 12 months of infants' age. The JEPP group data were compared with cross-sectional data of the control group (n = 120). Although JEPP dyads were not found to be significantly different from the control group in general dyadic synchrony, both before and after intervention, JEPP mothers significantly improved their ability to understand their infant's cues and to respond promptly. In the JEPP group, unresponsiveness to infants was reduced in mothers, while infants showed reduced passiveness and enhanced responsiveness to the mother. Furthermore, the intervention reduced the mothers' parenting stress and negative emotions, thereby enhancing their self-esteem.

  3. 75 FR 80073 - Reasonable Break Time for Nursing Mothers (United States)


    ... is eating solid food, and other factors. In the early months of life a baby may need as many as 8 to... variety of workplace environments, work schedules, and individual factors that will impact the number and... are involved in interstate commerce include those who: produce goods that will be sent out of...

  4. 17例双胎之一宫内死亡的母儿监测及护理分析%Analysis on monitoring and nursing for twin pregnancy with intrauterine single fetal death

    Institute of Scientific and Technical Information of China (English)

    符白玲; 蒋凤菊; 肖志群; 罗燕琴; 孟会


    目的 探讨双胎妊娠孕早、中期1胎死亡后期待治疗过程中的母儿监测及护理方法 .方法 回顾性分析2003年7月至2008年7月,本院收治的17例孕早、中期经B超确诊双胎妊娠1胎宫内死亡病例的期待治疗结果 及新生儿的转归.结果 期待治疗时间为3~147天,平均80天,平均分娩孕周为35周,无一例出现明显凝血功能障碍.羊水过少和胎膜早破是常见并发症,胎盘因素是胎死宫内的重要原因.结论 孕早、中期双胎之一胎死宫内后采取期待疗法,严密监测母儿的各项相关指标和并发症的条件下,配合积极的护理措施,可以尽可能延长存活胎儿在宫内生长的时间,提高存活胎儿的生存质量.%Objective To investigate the monitoring and nursing for twin pregnancy with intrauterine single fetal death. Methods The expectant management and neonatal outcome of 17 cases of intrauterine death of twin which were diagnosed by ultrasonography from July 2003 to July 2008 were analyzed retrospectively. Results The period of expectant management was 3-147days. The average period was 80 days. The average delivery pregnancy week was 35 weeks. No one case developed blood coagulation dysfunction. The common complications were oligohydramnios and premature ruptures of membrane, the important reasons of intrauterine death was placental factor Conclusions Taking expectant management, comprehensive monitoring the related indexes and complication of pregnant and fetal of intrauterine death of twin and nursing measures can prolong the time of intrauterine growth of survival fetal and improve the quality of life of neonatal.

  5. Mothers' pre-pregnancy BMI and weight gain during pregnancy and risk of breast cancer in daughters. (United States)

    Wilson, Kathryn M; Willett, Walter C; Michels, Karin B


    Previous studies have established that higher birthweight is associated with increased risk of breast cancer. However, the mechanisms underlying this association remain unclear. We explored whether maternal pregnancy weight gain and pre-pregnancy body mass index (BMI), which influence birthweight, are associated with risk of breast cancer in offspring. The Nurses' Mothers case-control study of breast cancer was nested in the Nurses' Health Study I and II cohorts. Mothers of 814 nurses with and 1,809 nurses without breast cancer completed questionnaires with information on pre-pregnancy height and weight, pregnancy weight gain, and other aspects of their pregnancies with the nurse daughters. We calculated odds ratios for breast cancer using conditional logistic regression. Mean pregnancy weight gain was 23 lb, and average pre-pregnancy BMI was 21 kg/m². Mothers' weight gain during pregnancy was not associated with the daughters' risk of breast cancer. Compared to women whose mothers gained 20-29 lb, women whose mothers gained less than 10 lb had a relative risk of 0.92 (95% confidence interval [CI]: 0.62-1.36), adjusting for the age of the nurses. Women whose mothers gained 40 or more pounds had a relative risk of 0.82 (95% CI: 0.55-1.23). Mothers' pre-pregnancy BMI was not associated with the daughters' risk of breast cancer. Women whose mothers had a pre-pregnancy BMI of 30 or more had a relative risk of 0.77 (95% CI: 0.34-1.74) compared to those with BMI less than 20. Additional adjustment for prenatal factors or for nurses' characteristics later in life had no effect on the results. The association between birthweight and breast cancer risk is likely due to factors independent of mothers' weight gain during pregnancy or pre-pregnancy BMI. Because BMIs and pregnancy weight gains were lower in this population than today, we cannot rule out associations for very high pre-pregnancy BMIs or pregnancy weight gains.

  6. Motivational interviewing competencies among UK family nurse partnership nurses: a process evaluation component of the building blocks trial


    Channon, Susan; Bekkers, Marie-Jet; Sanders, Julia; Cannings-John, Rebecca; Robertson, Laura; Bennert, Kristina; Butler, Christopher; Hood, Kerenza; Robling, Michael


    Background Motivational Interviewing (MI) is a person-centred counselling approach to behaviour change which is increasingly being used in public health settings, either as a stand-alone approach or in combination with other structured programmes of health promotion. One example of this is the Family Nurse Partnership (FNP) a licensed, preventative programme for first time mothers under the age of 20, delivered by specialist family nurses who are additionally trained in MI. The Building Block...

  7. Effect of Training from Trained Mothers and Education from Mother to Mother on Family Functions and Child-Rearing Attitudes (United States)

    Demircioglu, Haktan; Ömeroglu, Esra


    The effect of training from trained mothers and education from mother to mother on family functions and child-rearing attitudes was examined. The study was conducted in the 2010-2011 academic year in Ankara, and was modeled based on a pre-test, post-test control group experimental pattern. The study was conducted with a total of 96 mothers, with…

  8. 多发伤患者常见并发症的监测及护理%Monitoring and nursing for common complications of patients with multiple injuries

    Institute of Scientific and Technical Information of China (English)



    Objective To investigate the impact and the care measures of common complications on the prognosis of patients with multiple injuries.Methods 164 patients with multiple injuries treated in comprehensive intensive care unit(ICU)were guarded by many comprehensive monitoring systems such as continuous multi-parameter monitoring including heart rate,rhythm,arterial blood pressure,respiration,body temperature and pulse oxygen saturation(SpO2).More dynamic monitoring of blood gas analysis including arterial partial pressure of oxgen(PaO2)and arterial partial pressure of carbon dioxide(PaCO2),in addition blood biochemical tests,conscions,the pupil,urine,and other changes were observed and the proposal secondary complications were taken corresponding interventions.Results The serious complications affected the prognosis of multiple injuries including hypoxemia,shock,infection and multiple organ dysfunction syndrome(MODS).Closely monitoring and taking appropriate intervention measures would improve the success rate of resuscitation.Conclusions Early to closely monitor the common serious complications of multiple injuries and take appropriate intervention measures can improve the prognosis.%目的 探讨影响多发伤患者预后的常见并发症及其监护措施.方法 对164例人住综合ICU的多发伤患者进行多系统综合监护,监测心率、心律、动脉血压、呼吸、体温及脉搏血氧饱和度(SpO2);动态监测血气分析、动脉血氧分压(PaO2)、动脉血二氧化碳分压(PaCO2)和血液生化检查等,同时观察患者意识、瞳孔、尿量等的变化,对可能继发的并发症采取相应的干预措施.结果 影响多发伤预后的严重并发症主要有低氧血症、休克、感染和多器官功能障碍综合征(MODS),经严密监测及采取相应的干预措施,提高了抢救成功率.结论 对多发伤患者,早期严密监测及采取相应的干预措施,可改善其预后.

  9. Hands-on approach during breastfeeding support in a neonatal intensive care unit: a qualitative study of Swedish mothers' experiences

    Directory of Open Access Journals (Sweden)

    Dumas Louise


    Full Text Available Abstract Background Assisting mothers to breastfeed is not easy when babies experience difficulties. In a neonatal intensive care unit (NICU, nurses often help mothers by using hands-on-breast without their permission. Little is known about how mothers feel about this unusual body touching. To gain more knowledge from mothers who lived through this experience, this hands-on practice was studied in a NICU in Sweden. Methods Between January and June 2001, in-depth interviews were conducted with ten mothers of preterm or sick term infants and all of them experienced the hands-on approach. In this research, Radnitzky's seven principles of hermeneutic interpretation were applied in order to interpret the meaning of mothers' responses. This article presents results related to the period of initiation of breastfeeding. This qualitative study was based on a combination of the models of Gustafsson, Orem, and Aarts' Marte Meo. Results Five main themes were identified: Insult to integrity, Manipulating the baby, Understanding and adjustment, Breasts as objects, Alternatives to this practice. Hands-on help in the breastfeeding situation was experienced as unpleasant and the women experienced their breasts as objectified. The mothers accepted the hands-on help given by nursing staff, even though they considered it unpleasant. Most mothers expressed a need for assistance when starting breastfeeding, but could not suggest any alternative to hands-on help such as demonstrating with an artificial breast and a doll. Conclusion The study provides information about how mothers experience unexpected hands-on help with breastfeeding in a NICU, which has not been described previously. Since most mothers in this study regarded this behavior as unpleasant and not helpful mostly because it was unexpected and unexplained, it would be important to either explain beforehand to mothers what type of physical approach could be attempted on their body or better, to avoid this

  10. Communication Barriers Perceived by Nurses and Patients. (United States)

    Norouzinia, Roohangiz; Aghabarari, Maryam; Shiri, Maryam; Karimi, Mehrdad; Samami, Elham


    Communication, as a key element in providing high-quality health care services, leads to patient satisfaction and health. The present Cross sectional, descriptive analytic study was conducted on 70 nurses and 50 patients in two hospitals affiliated to Alborz University of Medical Sciences, in 2012. Two separate questionnaires were used for nurses and patients, and the reliability and validity of the questionnaires were assessed. In both groups of nurses and patients, nurse-related factors (mean scores of 2.45 and 2.15, respectively) and common factors between nurses and patients (mean scores of 1.85 and 1.96, respectively) were considered the most and least significant factors, respectively. Also, a significant difference was observed between the mean scores of nurses and patients regarding patient-related (p=0.001), nurse-related (p=0.012), and environmental factors (p=0.019). Despite the attention of nurses and patients to communication, there are some barriers, which can be removed through raising the awareness of nurses and patients along with creating a desirable environment. We recommend that nurses be effectively trained in communication skills and be encouraged by constant monitoring of the obtained skills.

  11. Application and nursing of intracranial pressure monitoring in children with craniocerebral injury%颅内压监护在小儿颅脑损伤中的应用及护理

    Institute of Scientific and Technical Information of China (English)

    林丽; 谢静慧; 魏晓玲; 周玉华


    Objective To investigate the effect and nursing methods of intracranial pressure monitoring in children with craniocerebral injury. Methods 40 children with craniocerebral injury from March 2011 to December 2015 cured in our hospital were selected and randomly divided into two groups, 20 cases were divided into control group and mainly treated with routine neurosurgery nursing, which monitored of vital signs by observing the change of consciousness, pupil and physical activity, and then prescribed medication. The other 20 cases were divided into experimental group and applied with intracranial pressure monitor, through the correct use of intracranial pressure monitor, according to the data of intracranial pressure, pre sexual found the dynamic changes of intracranial pressure, so as to guide the clinical medication, forward-looking taken a series of interventions for intracranial pressure increased nursing measures on the basis of routine nursing. Results The experimental group did not appear mortality (0) and the control group had 2 cases (10.00%), and there were significant difference between the two groups (P<0.05). Experimental group accounted for 1 (5.00%) in rebleeding, the control group occurred in 3 cases of rebleeding (15.00%), and there were significant difference between the two groups (P < 0.05). Experimental group accounted for 1 case of severely disabled children (5.00%), the control group had 4 cases of severely disabled children (20.00%), and there were significant difference between the two groups (P < 0.05). In the days of hospitalization, the average days of hospitalization of experimental group was (9.4±3.4)days, which was significantly lower than that of control group with (16.5±5.8) days, and there were significant difference between the two groups (P < 0.05). Conclusion The implementation of intracranial pressure monitoring in patients with severe brain injury is helpful to the early detection of intracranial pressure, to guide medical

  12. 20例妊娠期高血压疾病患者的观察与护理%Observation and nursing of 20 cases of gestational hypertension disease

    Institute of Scientific and Technical Information of China (English)



    Objective: To improve the quality of obstetric care, seeking the effective nursing method of maternal hypertensive disorder complicating pregnancy. Methods:The psychological nursing, nursing, special nursing, observation of blood pressure medication and fetal monitoring nursing, eclamptic seizure, nursing care, postpartum several comprehensive nursing measures of maternal 20 cases of hypertensive disorders in pregnancy. Results: 20 cases of hypertensive disorder complicating pregnancy pregnant women after standard treatment and comprehensive care effectively, without eclampsia, no other complications, no maternal death, were cured and the safety of the mother. Conclusion: The premise and key of successfully treated patients with hypertensive disorder complicating pregnancy were careful observation and careful nursing.%目的:提高产科护理质量,寻找妊娠期高血压疾病孕产妇的有效护理方法。方法:对20例妊娠期高血压疾病孕产妇进行了心理护理、一般护理、特殊药物治疗的护理、血压观察及胎儿监测的护理、子痫发作时护理、产后护理等几项综合护理措施。结果:20例妊娠期高血压疾病孕产妇经规范治疗和全面有效护理,无子痫发生,无其他并发症,无孕产妇死亡,均治愈出院且母子平安。结论:认真观察和耐心细致的护理是妊娠期高血压疾病患者治愈成功的前提和关键。

  13. Breastfeeding status and marketing practices of baby food manufactured in nursing homes. (United States)

    Mathur, G P; Pandey, P K; Mathur, S; Mishra, V K; Singh, K; Bhatt, O P; Loomba, R K; Luthra, C; Taneja, S; Kapoor, R


    In January 1993 in Kanpur, India, a survey of 7 private nursing homes revealed that infant formula was given to most newborns (52.4%). The most common brands included Lactogen-I, Milk Care, Raptakos, Dexolac Special Care, and Lactodex. Staff at 5 nursing homes gave prelacteal feeds (water, glucose water, and infant formula) to newborns when they were separated from their mothers. Staff at only 2 nursing homes gave the newborn to the mother immediately after delivery. The longest period between delivery and giving the newborn to the mother was 24 hours. All but one of the nursing homes did not know about the government policy and the recent bill that bars free or low-cost infant formula supplies to hospitals. The administration of the nursing homes did not inform the procurement department, in writing, of the government policy. 4 nursing homes bought low-cost supplies of infant formula from the companies. The companies sold the infant formula to the nursing homes at a price 48.3% to 86.7% lower than the market price. Medical stores inside or outside the nursing homes sold the infant formula to parents at the other 3 homes. The nursing homes used, on average, 2-50 kg/month. Nestle (Lactogen-I) and Dalmia Industries (Milk Care) had a monopoly in infant formula in 4 and 3 nursing homes, respectively. Infant formula was in stock in 5 nursing homes. None of the nursing homes gave mothers free or low-cost infant formula at discharge. Lower than market price and increased number of calls to the hospitals and physicians by company personnel were marketing techniques used by the manufacturers to maintain market share. These results show that, despite government policy and the bill, hospitals continue to use infant formula. The government should use the mass media to increase awareness about its policy on infant foods and the concept of the Baby Friendly Hospital.

  14. Examining the breastfeeding support resources of the public health nursing services in Ireland. (United States)

    Mulcahy, Helen; Phelan, Agnes; Corcoran, Paul; Leahy-Warren, Patricia


    The aim of the study was to review breastfeeding support provided by Public Health Nurses in Ireland. The objectives were to identify the availability of appropriate guiding policies, educational preparation, attitude of Public Health Nurses and the availability and use of other supportive services. Breastfeeding rates in Ireland are among the lowest in Europe. The main source of formal support for breastfeeding mothers in the community in Ireland is from Public Health Nurses who can make referral to other non-statutory resources. The nature of this support is determined by policies guiding clinical practice and education that increases breastfeeding confidence and competence of all personnel. Consequently, an assessment of breastfeeding resources requires an analysis of all these variables. A large quantitative, cross-sectional study was conducted, involving Public Health Nurses and mothers. This paper represents the results from the perspective of Public Health Nurses. Directors of Public Health Nursing (n = 24) and Public Health Nurses (n = 204) completed self-report questionnaires by mail and online. Data were analysed using the Statistical Package for Social Sciences and reported using descriptive and inferential statistics. Public Health Nurses are well educated to support breastfeeding and have a positive attitude and a high degree of self-assessed confidence and competence. A wide variety of non-statutory support exists for breastfeeding but is not always used to their full potential. Standardising educational requirements for Public Health Nurses in supporting breastfeeding is an area that requires attention. Ultimately, service delivery in relation to supporting breastfeeding mothers would benefit from being more timely and responsive. Awareness of support resources is necessary for Public Health Nurses to make appropriate referrals for breastfeeding mothers. Furthermore, Directors of Public Health Nursing need to encourage the breastfeeding supportive

  15. Trust and the demand for autonomy may explain the low rates of immunizations among nurses



    Rates of vaccinations of healthcare workers with recommended vaccines are generally low in the developed countries. Our goals were to identify attitudes associated with self-reported vaccinations against pertussis and seasonal influenza among Israeli nurses in Mother and Child Healthcare Centers (MCHC) in the Haifa District. Over 100 nurses answered a self-administered questionnaire. Forty two percent of the nurses reported receiving the pertussis vaccine in the last five years and 44% report...

  16. Needed: Nursing and Social Work Leadership (United States)

    Levine, Carol


    This is a tale of caregiving in two cities--and it was the best of times and the worst of times. In this article, the author describes the differences in the care given by nurses and social workers to her 90-year-old mother who died from metastatic colon cancer and to her husband who had traumatic brain injury in an automobile accident and was…

  17. Mothers' Mobility after Separation : Do Grandmothers Matter?

    NARCIS (Netherlands)

    Das, Marjolijn; de Valk, Helga; Merz, Eva-Maria


    Starting from a life course perspective, this study aims to gain more insight into mobility patterns of recently separated mothers, focusing especially on moves to the location of their own mother: the maternal grandmother. Separated mothers, having linked lives with their own mothers, may benefit

  18. Evaluating Latino WIC Mothers' Perceptions of Infant's Healthy Growth: A Formative Assessment. (United States)

    Valencia, Angela C; Thomson, Cynthia A; Duncan, Burris; Arthur, Andrew


    This article reports on a formative assessment with Latino mothers in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) evaluating knowledge, attitudes and behaviors regarding healthy growth for infants and their understanding of infant growth monitoring. Further, we explored the acceptability and feasibility of mothers' monitoring their infants' growth. This assessment includes healthy growth perceptions from mothers, caregivers and from WIC staff. Utilizing a mixed method approach, this assessment included qualitative focus groups with WIC mothers that included a growth chart plotting exercise and a quantitative survey. In-depth interviews with clinic staff discussing protocols used in assessing children's growth were also conducted in one WIC clinic. Focus group participants included 34 mothers and 19 caregivers with a mean age of 32 years; 90 % identified as Latino. Themes included concern for underweight status, and reports of limited conversations between mothers and healthcare providers regarding overweight status, and infant feeding practices/beliefs that may contribute to feeding behaviors associated with risk for excess weight gain during infancy. Growth charts were well received, mothers were able to plot with modest accuracy; but effectiveness of growth plotting might be limited without refinement for health literacy and the provision of culturally-sensitive education in relation to feeding behaviors to support healthy infant growth. This represents a first effort in evaluating Latino mothers' perceptions of infants' healthy growth and use growth charts as a potential tool that can help prevent excess weight gain in early infancy.

  19. Retrospective analysis of monitoring of death patients and the time of death and nursing countermeasures in ICU%ICU死亡患者监护、死亡时间的回顾性分析及护理对策

    Institute of Scientific and Technical Information of China (English)

    许春娟; 王敏


    目的 分析ICU死亡患者的监护时间,探索监护时间的影响因素,并提出护理对策.分析患者的死亡时间分布,预见性地做好救护防范措施.方法 对2011年7月至2012年7月ICU病房52例死亡患者的病史资料进行回顾性分析.结果 特护时间≤1d、特护时间2~7d以及特护时间>7d的3组患者院内感染发生率及病死率比较差异有统计学意义(x2 =6.741,P<0.05).特护时间越长,院感发生率越高.白班与夜班病死人数差异无统计学意义(P>0.05),但死亡时间集中于各班交班后的2h内.结论 管理者应积极主动采取有效措施,预防院内感染的发生.规范ICU准入与准出标准,控制ICU患者停留时间,从而降低感染率与死亡率.本研究中患者死亡时间在交接班时间段呈集中趋势,应采取相应的治疗护理对策,加大护理力度,及时发现病情变化,减少患者死亡.%Objective To analyze the ICU death patient monitoring time,to explore the impact factors of time monitoring and put forward nursing countermeasures ; To analyze the distribution of death time of the patients and make preventive measures.Methods The medical history and the data of 52 death patients from July 2011 to July 2012 were retrospectively analyzed.Results The incidence and mortality of nosocomial infection in the three groups patients including intensive care time ≤ 1 day,from 2 to 7 days and ≥7 days were different,and the difference was statistically significant (x2 =6.741,P < 0.05).The longer intensive care time,the higher incidence and mortality of nosocomial infection.The death cases were similar in the day shift and night shift,and the difference was not statistically significant (P > 0.05).The time of death focus on each class after hand-over 2 hours.Conclusions Managers should take effective measures to prevent the occurrence of nosocomial infection.To standardize access and exit in ICU and to control the residence time of ICU patients

  20. Application and nursing of evaluation indexes of fetal electronic monitoring in late pregnancy%妊娠晚期胎儿电子监护评价指标的应用与护理

    Institute of Scientific and Technical Information of China (English)

    张再青; 柯伟琳; 罗军; 孙波; 郑碧霞; 康汉丽


    目的 探讨胎儿无应激试验(NST)与脐动脉血流S/D异常值对妊娠晚期胎儿的影响,寻求最佳的护理措施.方法 选择妊娠28周以上NST试验异常105例作为研究组,进行脐动脉血流检测和有效的护理干预措施,回顾性资料98例作为对照组.结果 研究组105例NST异常中,Fischer评分5~7分103例,<5分2例;脐动脉血流S/D值正常者87例、轻度异常16例、重度异常2例.轻度异常者S/D值为(3.716±0.432)分,吸氧后,S/D值变为(3.132±0.398)分,差异有统计学意义(t=3.977,P<0.01).研究组胎儿窘迫、新生儿窒息、低体重儿及围产儿病死率均低于对照组.结论 妊娠晚期有必要常规联合进行NST试验和脐动脉血流检测,及早发现胎儿宫内异常,及时采取有效的监护和护理干预措施,减少新生儿并发症和窒息,降低围产儿病死率.%Objective To investigate the influence of Nan-stress test (NST) and abnormal umbilical blood flow S/D on fetus in late pregnancy, and to explore the effective nursing. Methods A total of 105 cases with abnormal NST, above 25 weeks pregnancy, were selected to be undergone umbilical blood flow graph and effective nursing interventions. Retrospective data of 98 cases were selected as control group. Results According to the results of NST positive eases of the case group, 103 cases with NST Fischer score 5 ~7(98.1% ), 2cases with less than 4 ( 1.9% ). Umbilical blood flow S/D of 87 cases were normal ( 82.9% ), 16 cases were mild abnormity( 15.2% ), 2 cases were severe abnormality( 1.9% ). Umbihcal blood flow S/D of mild abnormity was (3.716±0.432), it became lower (3. 132±0.398) after Oxygen was given to the cases. The rates of fetal distress ,neonatal asphyxia, low birth wight neonatal and perinatal mortality in case group were lower than that of the control group. Conclusions NST and umbilical blood flow monitoring should be done as routine tests in late pregnancy in order to detect the fetal abnormal

  1. Nursing Challenges in Motivating Nursing Students through Clinical Education: A Grounded Theory Study

    Directory of Open Access Journals (Sweden)

    Hanifi Nasrin


    Full Text Available Nurses are the first role models for students in clinical settings. They can have a significant role on students’ motivation. The purpose of this study was to explore the understanding of nursing students and instructors concerning the role of nurses in motivating nursing students through clinical education. The sampling was first started purposefully and continued with theoretical sampling. The study collected qualitative data through semistructured and interactive interviews with 16 nursing students and 4 nursing instructors. All interviews were recorded, transcribed, and analyzed using grounded theory approach. One important pattern emerged in this study was the “concerns of becoming a nurse,” which itself consisted of three categories: “nurses clinical competency,” “nurses as full-scale mirror of the future,” and “Monitoring and modeling through clinical education” (as the core variable. The findings showed that the nurses’ manners of performance as well as the profession’s prospect have a fundamental role in the process of formation of motivation through clinical education. Students find an insight into the nursing profession by substituting themselves in the place of a nurse, and as result, are or are not motivated towards the clinical education.

  2. Explaining the experiences of nurses about post-registration nursing education context: A qualitative study

    Directory of Open Access Journals (Sweden)

    A. A Vaezi


    Full Text Available Introduction: One of the ways that can improve scientifically the nursing care behaviors is Post-Registration Nursing Education and sttaf development process. To achieve this objective appropriate context Post-Registration Education must be provided for nurses. Currently, despite the legal requirement for continuing education for nurses, this goal has not been achieved as desired. To achieve this goal, the underlying cause should be investigated. Therefore, the aim of this study was to explore nurses' experiences of nursing continuing education context by a qualitative study.  Methods: The study with a qualitative approach was conducted in 2011, 23 people from the Educational Supervisors, nurse managers and nurses with a purposeful sampling participated in the study . The data collected by unstructured interviews and field notes and were analyzed using conventional content analysis .  Results: During the process of content analysis, participants explained three themes includeing: 1 insufficient attitude to the required training 2 inadequate support 3 Passive training monitoring and the main theme of the study was inadequate perception of their legal education.  Conclusion: Currently, due to lack of motivation, support and effective supervision of Post-Registration Nursing Education nurses involved inactively in the learning process and continuing education is limited to the statutory approvals and business benefits of training for nurses and their organizations. So To improve this situation is required attention and good infrastructure Includeing adequate support and effective supervision.

  3. Mothers' health-seeking behaviour in acute diarrhoea in Tlaxcala, Mexico. (United States)

    Pérez-Cuevas, R; Guiscafré, H; Romero, G; Rodríguez, L; Gutiérrez, G


    This study, a cross-sectional survey, was conducted to assess how mothers take care of their children with diarrhoea and to develop a model of health-care seeking behaviour. Multistage sampling was used. Mothers whose children aged less than five years had suffered from diarrhoea in the last fortnight were included. Nurses interviewed the mothers to collect data. Variables included in the interview were: mothers' characteristics, children's characteristics, clinical data, treatment given by the mother, maternal health-seeking behaviour and mothers' information about diarrhoea and dehydration. Variables corresponding to the clinical data were grouped to identify dehydration signs and the need for medical care. Dehydration was defined as the presence of two or more of the following reported signs: thirst, sunken eyes, sunken fontanelle, or scanty urine. The need for medical care was defined as the presence of one or more of the following characteristics: illness lasting more than three days, vomiting, fever, bloody diarrhoea or dehydration. A sample of 747 mothers was obtained. Household treatments consisted of herbal teas to stop diarrhoea (52.3%), liquids to prevent dehydration (92.2%), symptomatic drugs (35.2%) and changes in feeding patterns (36.3%), which consisted in suppressing milk and dairy products and interrupting breast feeding (12.2%). Mothers sought medical assistance when they perceived a worsening of clinical conditions. Clinical signs statistically associated with their decision were: bloody diarrhoea, vomiting, illness longer than three days, weight loss, and fever. The signs of dehydration were not associated with health care-seeking because the mother did not recognise them. It is concluded that maternal educational programmes should emphasise, besides the proper use of oral rehydration therapy, teaching mothers to identify signs of dehydration as an indication to seek timely medical care.

  4. School nursing. (United States)

    Igoe, J B


    School nursing has been in a process of transition since its inception. This role evolution parallels the growing complexity of the health, education, and social needs of America's youth. The workplace within which school nurses practice is equally complicated because health and education administrators often hold differing philosophies of management, and school health programs are ill-defined. Fortunately, there is growing support for an integrated services approach and the development of school health systems with nurses joining an interdisciplinary team rather than continuing to function as "boundary dwellers." The roles of the school nurse as primary care provider, school health coordinator, case manager, and epidemiologist are emerging and replacing outdated nursing functions. As the role of the school nurse shifts and expands, it produces a cascade effect. The role of the school health assistant to aid the nurse surfaces as the next logical step in planning. Numerous model school health programs exist today. The emphasis, and rightfully so, is preventive in nature and should be targeted at the preparation of a new generation of health consumers who are more self-reliant than their predecessors. Unfortunately, all these programs are plagued with financing problems that could be alleviated with the right plan for health care reform, such as an expansion of maternal and child health funds (Title V) to health departments and the introduction of school nursing leadership into the DASH office at the Centers for Disease Control and Prevention, a health education unit largely run by health educators, to reallocate some of these resources to the clinical preventive services needed in schools to reduce health risk behaviors. Finally, total quality management is the next issue on the horizon for this nursing specialty; benchmarking would be the place to start. In summary, systems development in the school health field is now underway, and it will not be easy, but this

  5. Nursing Leadership. (United States)

    Crisp, Carol


    Nurse transformational leaders can serve in academic settings and at local, national, international professional nursing organizations and community-based groups. As a transformational leader, nurses can lead in any workplace. According to a study by Stanley (2012), clinical leaders are not sought for their capacity to outline a vision, but for their values and beliefs on display that are easily recognized in their actions. This encompasses the moral component of transformational leadership. It is the APRNs duty to continue to strive towards a better vision for the well-being of all nurses, patients, and colleagues. Autonomous APRNs are happier, healthier, and better prepared to provide the best patient care to their patients. We should not be happy to sit back and let others fight this fight. APRNs need to be on the frontline, leading the way. This is only an insight that I have gained after many frustrating years of cheering our profession and then being made to feel inferior at the same time. Only nurses, who have that nurturing spirit, would hold back if they felt it might hurt others. Don't back off or hold back! It might hurt those that follow!

  6. Use of social media and internet to obtain health information by rural adolescent mothers. (United States)

    Logsdon, M Cynthia; Mittelberg, Meghan; Myers, John


    Adolescent mothers residing in rural areas need accurate health information to care for themselves and their babies. The purpose of this study was to determine the use of social media and Internet by adolescent mothers residing in rural areas, particularly in regard to obtaining health information. Using a cross-sectional design, a convenience sample of adolescent mothers living in a rural county in a state located in the southern U.S. (n = 15), completed the Pew Internet Survey during home visits with nurses from a community health agency. All adolescent mothers accessed Internet using cell phones (93%) or computers (100%). Many adolescent mothers sent or received over 50 text messages per day. Thirty-three percent of adolescent mothers searched for health information on the Internet every few weeks; 27% received health information from Facebook. Communication of health information using the Internet and social media may be effective with adolescent mothers residing in rural areas. Copyright © 2014 Elsevier Inc. All rights reserved.

  7. Related visual impairment to mother-infant interaction and development in infants with bilateral retinoblastoma. (United States)

    Nagayoshi, Michie; Hirose, Taiko; Toju, Kyoko; Suzuki, Shigenobu; Okamitsu, Motoko; Teramoto, Taeko; Omori, Takahide; Kawamura, Aki; Takeo, Naoko


    This study was conducted with infants diagnosed with bilateral retinoblastoma (RB) and their mothers. It explored characteristics of the mother-infant interaction, the infants' developmental characteristics and related risk factors. Cross-sectional statistical analysis was performed with 18 dyads of one-year-old infants with bilateral RB and their mothers. Using the Japanese Nursing Child Assessment Teaching Scale (JNCATS) results showed that infants with RB had significantly lower scores compared to normative Japanese scores on all of the infants' subscales and "Child's contingency" (p visual impairment at high risk of developmental problems had a pass rate of 0% on six JNCATS items. There were positive correlations between Developmental quotients (DQ) and JNCATS score of "Responsiveness to caregiver" (ρ = 0.50, p visual impairment were characterized by high likelihood of developmental delays and problematic behaviors; they tended not to turn their face or eyes toward their mothers, smile in response to their mothers' talking to them or the latter's changing body language or facial expressions, or react in a contingent manner in their interactions. These infant behaviors noted by their mothers shared similarities with developmental characteristics of children with visual impairments. These findings indicated a need to provide support promoting mother-infant interactions consistent with the developmental characteristics of RB infants with visual impairment. Copyright © 2017 Elsevier Ltd. All rights reserved.

  8. Maternal anxiety following delivery, early infant temperament and mother's confidence in caregiving. (United States)

    Jover, Manuel; Colomer, Julia; Carot, Jose Miguel; Larsson, Christina; Bobes, Maria Teresa; Ivorra, Jose Luis; Martín-Brufau, Ramón; Sanjuan, Julio


    A mother's emotional state is a well-known environmental factor that relates to the development of infant temperament. However, some relevant issues have not yet been fully explored. The current study examines the influence of determined maternal, contextual and perinatal variables on infant temperament and the mother's confidence in caregiving during the first weeks of life. A prospective study was carried out in three-hundred and seventeen newborns and their mothers. Perinatal and socio-demographic variables were recorded. The mother's anxiety and mood were measured in the first days after childbirth and again at 8 weeks. Infant temperament and the mother's confidence in caregiving were measured at 8 weeks. A mother's postpartum anxiety following delivery was the best predictor for most of the variables of infant temperament, including infant irritability (p = .001), and other child variables like infant sleep (p = .0003) and nursing difficulty (p = .001). Contextual-family variables, such as the number of people at home (p = .0024) and whether they were primiparous (p = .001), were the best predictors for a mother's confidence in caregiving. Support was found for an early effect of maternal anxiety on infant temperament. The results have clinical implications for postnatal psychological interventions.

  9. Security giving in surrogacy motherhood process as a caring model for commissioning mothers: A theory synthesis. (United States)

    Zandi, Mitra; Vanaki, Zohreh; Shiva, Marziyeh; Mohammadi, Eesa; Bagheri-Lankarani, Narges


    Despite the increasing use of surrogacy, there are no caring theories/models that serve as the basis for nursing care to surrogacy commissioning mothers. This study has designed a model for caring of surrogacy commissioning mothers in 2013. The theory synthesis of Walker and Avant's strategies of theory construction (2011) was used to design a caring model/theory. The theory synthesis includes three stages: (i) selection of focal concept (the concept of "security giving in motherhood" was selected); (ii) review of studies in order to identify factors related to focal concept relevant studies (42 articles and 13 books) were reviewed, statements and concepts related to focal concept were then extracted and classified, and their relations were specified; and (iii) organization of concepts and statements within a relevant general and effective manifestation of the phenomenon under study which led to developing of a model. In this caring model/theory, entitled "security giving in surrogacy motherhood", nurses roles were conceptualized within the conceptual framework that includes three main roles: (i) coordination; (ii) participation; and (iii) security giving (physical, emotional, and legal support; empowerment; presence; relationship management between both parties and advocacy). Training surrogacy specialist nurses and establishment of surrogacy care centers are important factors for implementation of the model. This model could help to provided better caring for surrogacy clients, especially for commissioning mothers. © 2016 Japan Academy of Nursing Science.


    Directory of Open Access Journals (Sweden)

    Diah Ayu Maharani


    Full Text Available Despite the importance of conducting regular epidemiological surveys to monitor dental health in lower socio-economic citizens especially of preschool children, only few papers were published respectively. The aims of this study were to describe preschool children's and their mother's dental caries experiences and to describe mothers' knowledge and behaviors' towards dental health in a suburb area near the capital city of Indonesia. The samples were 152 mother-childpairs with children age less than 5 years old. Intra oral examination by decay-missing-filling-teeth index was performed. Moreover, interviews were conducted to gain information regarding mothers’ oral health behavior and knowledge. 70% children had caries with mean dmf-t= 3.7, consisting 100% of component decay. 90% mothers had caries with DMF-T=7.8, consisting 99% of component decay. More than 50% of mothers had low knowledge and behaviors towards dental health, which comprises of: (1 never checked their children’s dental health, (2 starting to clean their child's teeth after child's age is more than 1 years old, (3 don’t know that caries is an infectious disease, (4 frequently using same feeding and drinking equipments together with their children, (5 considering deciduous teeth are not importantbecause it will be replaced with permanent teeth anyway. It could beconcluded that the prevalence of dental caries in studied sample were high, these were relevant to the findings that the mother's knowledge and behaviors' towards dental health were low. The results of this study demonstrated that mothers might have a high contribution in their child’s caries risk. Prevention should be undertaken at an early age and actively including caregivers is essential in planningand conducting any dental health interventions.

  11. Rural nurses

    DEFF Research Database (Denmark)

    Wilson, Rhonda L.; Usher, Kim


    with descriptive techniques. In-depth interviews were conducted and the transcribed data were analysed using thematic techniques. Results: The results of this study demonstrate that in general rural people are willing to seek mental health care, and that rural nurses are well suited to provide initial care...... to young people. Conclusions: Non-traditional venues such as community, school and justice settings are ideal places where more convenient first conversations about mental health with young people and their families, and rural nurses should be deployed to these settings. Relevance to Clinical Practice......: Rural nurses are able to contribute important initial engagement interventions that enhance the early mental health care for young people when it is needed....

  12. Towards a national report card in nursing: a knowledge synthesis. (United States)

    Doran, Diane; Mildon, Barbara; Clarke, Sean


    This paper is an abridged version of a knowledge synthesis undertaken to inform the proceedings of a collaborative forum of nurse leaders convened under the auspices of Health Canada, the Academy of Canadian Executive Nurses, the Canadian Nurses Association and Canada Health Infoway for the purpose of discussing the development of a nursing report card for Canada. The synthesis summarized the state of the science in the measurement of nursing-sensitive outcomes and the utilization of nursing report cards - information that informed forum participants' dialogue and planning. This condensed version of the synthesis focuses on initiatives related to outcomes and performance monitoring in nursing, including specific indicators and reporting systems and the development, implementation and utilization of nursing report cards.

  13. Perceptions of nursing students' parents regarding the profession and their college. (United States)

    Baykal, U; Altuntas, S


    To ensure client satisfaction, it is important for all educational institutions to identify the characteristics of their clients and to consider their expectations and demands through quality studies. The study aims to identify the perceptions of parents of nursing students regarding the nursing profession and the related educational institution. The parents of all students attending the nursing school of a public Turkish university were included in the study. Following permission from the university management, questionnaires developed by the researchers in light of the related literature were sent to 474 parents via mail, and 133 completed questionnaires (28% response rate) were analysed statistically. Mothers of nursing students were mostly ≤45 years of age, primary school graduates and housewives, while fathers were ≥46 years of age, at least secondary school graduates, old-age pensioners or had an independent business. In general, the responding fathers and mothers preferred not to get involved in their children's choice of profession, perceiving nursing as a helpful and sacred profession. Therefore, they also recommended nursing to others and had no problems with the idea of male nurses. Study findings demonstrated that the parents had positive attitudes towards the nursing profession and were satisfied with the nursing college. © 2010 The Authors. International Nursing Review © 2010 International Council of Nurses.

  14. Action now in family planning: the role of nurse. (United States)

    Malhotra, A K; Kapur, S


    In India, nurses at all organizational levels can play a vital role in the national family planning program. Family planning is an integral component of family welfare, and the control of population growth is crucial for the economic and social development of the country. The goals of the family planning program are to promote the small family ideal, to disseminate family planning information, and to ensure that contraceptive supplies and services are available to all couples. Administrative nurses at the national level can further these goals by 1) advocating appropriate policies and influencing budget allocations, 2) preparing family planning guidelines for state directors of nursing, and 3) ensuring that all senior nurses are provided with in-service family planning education. Administrators in training facilities can ensure that an effective and up-to-date family planning component is a part of all nurses' training programs and that students receive clinical experience in family planning. In hospitals, nursing superintendents can develop family planning seminars and discussion sessions for the nursing staff and provide incentives for nurses to motivate couples toward family planning. Nurses working in pediatric and gynecology wards are in an ideal position to alert mothers to the health problems associated with repeated and closely spaced pregnancies. They can arrange to show family planning films to the mothers, display posters on the ward halls, and organize family planning discussion groups among the patients. Nurses working in prenatal and postpartum clinics can inform the mothers, as well as the factors who frequently accompany their wives to the clinics, about the advantages of family planning. School nurses can familiarize students with the advantages of small family size. Children can sometimes motivate their parents to limit family size. Community health nurses generally play a major role in disseminating contraceptive information and in providing

  15. Patient safety culture among nurses. (United States)

    Ammouri, A A; Tailakh, A K; Muliira, J K; Geethakrishnan, R; Al Kindi, S N


    Patient safety is considered to be crucial to healthcare quality and is one of the major parameters monitored by all healthcare organizations around the world. Nurses play a vital role in maintaining and promoting patient safety due to the nature of their work. The purpose of this study was to investigate nurses' perceptions about patient safety culture and to identify the factors that need to be emphasized in order to develop and maintain the culture of safety among nurses in Oman. A descriptive and cross-sectional design was used. Patient safety culture was assessed by using the Hospital Survey on Patient Safety Culture among 414 registered nurses working in four major governmental hospitals in Oman. Descriptive statistics and general linear regression were employed to assess the association between patient safety culture and demographic variables. Nurses who perceived more supervisor or manager expectations, feedback and communications about errors, teamwork across hospital units, and hospital handoffs and transitions had more overall perception of patient safety. Nurses who perceived more teamwork within units and more feedback and communications about errors had more frequency of events reported. Furthermore, nurses who had more years of experience and were working in teaching hospitals had more perception of patient safety culture. Learning and continuous improvement, hospital management support, supervisor/manager expectations, feedback and communications about error, teamwork, hospital handoffs and transitions were found to be major patient safety culture predictors. Investing in practices and systems that focus on improving these aspects is likely to enhance the culture of patient safety in Omani hospitals and others like them. Strategies to nurture patient safety culture in Omani hospitals should focus upon building leadership capacity that support open communication, blame free, team work and continuous organizational learning. © 2014 International

  16. Child development surveillance: intervention study with nurses of the Family Health Strategy

    Directory of Open Access Journals (Sweden)

    Altamira Pereira da Silva Reichert


    Full Text Available Objective: to evaluate the effectiveness of an educational action in child development surveillance performed by nurses working in primary health care.Methods: interventional study with a before-and-after type of design, carried out with 45 nurses and 450 mothers of children under 2 years of age. Initially, it was evaluated the practices and knowledge of nurses on child development surveillance and the mothers were interviewed about these practices. Subsequently, workshops were carried out with nurses and four months later, the knowledge of nurses and the maternal information were reevaluated.Results: after intervention there was significant increase in the frequency of the following aspects: from 73% to 100%, in relation to the practice of nurses of asking the opinion of mothers about their children's development; from 42% to 91%, regarding the use of the systematized instrument of evaluation; from 91% to 100% with respect to guidance to mothers on how to stimulate child development.Conclusions: the intervention contributed to the increase of knowledge of nurses and implementation of child development surveillance, showing the importance of this initiative to improve the quality of child health care.

  17. Child development surveillance: intervention study with nurses of the Family Health Strategy1 (United States)

    Reichert, Altamira Pereira da Silva; Collet, Neusa; Eickmann, Sophie Helena; Lima, Marília de Carvalho


    Objective: to evaluate the effectiveness of an educational action in child development surveillance performed by nurses working in primary health care. Methods: interventional study with a before-and-after type of design, carried out with 45 nurses and 450 mothers of children under 2 years of age. Initially, it was evaluated the practices and knowledge of nurses on child development surveillance and the mothers were interviewed about these practices. Subsequently, workshops were carried out with nurses and four months later, the knowledge of nurses and the maternal information were reevaluated. Results: after intervention there was significant increase in the frequency of the following aspects: from 73% to 100%, in relation to the practice of nurses of asking the opinion of mothers about their children's development; from 42% to 91%, regarding the use of the systematized instrument of evaluation; from 91% to 100% with respect to guidance to mothers on how to stimulate child development. Conclusions: the intervention contributed to the increase of knowledge of nurses and implementation of child development surveillance, showing the importance of this initiative to improve the quality of child health care. PMID:26487147

  18. "Nurse's cramp"

    DEFF Research Database (Denmark)

    Jepsen, Jørgen Riis


    Calculating the number of tablets or capsules to administer to patients is one of the most common tasks that a nurse is required to make. Home care and nursing home staff may dose tablets for clients for up to two hours per day. An increasing proportion of tablets are dispensed in blister packs....... Three patients with “nurse’s cramp” related to this task are presented. The patients were referred to a department of occupational medicine due to volar forearm and hand pain related to tablet-dosing from blister packs. A detailed physical examination including a neurological assessment was performed...

  19. First world war: 'The first big test of professional nursing'. (United States)

    Trueland, Jennifer


    When Helen Fairchild, a young nurse in Pennsylvania, volunteered to take her skills to Europe in the first world war, she was glad to go but felt sorry for her mother. 'If she would only not worry so much', she wrote to her brother Ned.

  20. Age and nursing affect the neonatal porcine uterine transcriptome (United States)

    The lactocrine hypothesis for maternal programming of neonatal development was proposed to describe a mechanism through which milk-borne bioactive factors, delivered from mother to nursing offspring, could affect development of tissues, including the uterus. Porcine uterine development, initiated be...

  1. Exploring the characteristics of nursing agencies in South Africa. (United States)

    Olojede, Omolola I; Rispel, Laetitia C


    Nursing agencies are temporary employment service providers or labour brokers that supply nurses to health establishments. This study was conducted to determine the characteristics of nursing agencies and their relationship with clients in the health sector. During 2011, a cross-sectional national survey of 106 nursing agencies was conducted. After obtaining informed consent, telephone interviews were conducted with a representative of the selected nursing agency using a pretested structured questionnaire. Questions focused on the following: ownership, date of establishment, province of operation, distribution of clients across private and public health facilities; existence of a code of conduct; nature of the contractual relationship between nursing agencies and their clients, and numbers and cadres of nurses contracted. The survey data were analysed using STATA(®) 12. Fifty-two nursing agencies participated in the survey, representing a 49% response rate. The study found that 32 nursing agencies (62%) served private-sector clients only, which included private hospitals, homes for elderly people, patients in private homes, and private industry/company clinics, and only four (8%) of the agencies served the public sector only. Twenty-seven percent of nursing agencies provided services to homes for elderly individuals. Nursing agencies were more likely to have contracts with private-sector clients (84%) than with public-sector clients (16%) (p = 0.04). Although 98% of nursing agencies reported that they had a code of conduct, the proportion was higher for private-sector clients (73%) compared to public-sector clients (27%). In terms of quality checks and monitoring, 81% of agencies agreed with a statement that they checked the nursing council registration of nurses, 82% agreed with a statement that they requested certified copies of a nurse's qualifications. Only 21% indicated that they conducted reference checks of nurses with their past employers. Nursing agencies

  2. The migration of nurses: trends and policies. (United States)

    Buchan, James; Sochalski, Julie


    This paper examines the policy context of the rise in the international mobility and migration of nurses. It describes the profile of the migration of nurses and the policy context governing the international recruitment of nurses to five countries: Australia, Ireland, Norway, the United Kingdom, and the United States. We also examine the policy challenges for workforce planning and the design of health systems infrastructure. Data are derived from registries of professional nurses, censuses, interviews with key informants, case studies in source and destination countries, focus groups, and empirical modelling to examine the patterns and implications of the movement of nurses across borders. The flow of nurses to these destination countries has risen, in some cases quite substantially. Recruitment from lower-middle income countries and low-income countries, as defined by The World Bank, dominate trends in nurse migration to the United Kingdom, Ireland, and the United States, while Norway and Australia, primarily register nurses from other high-income countries. Inadequate data systems in many countries prevent effective monitoring of these workforce flows. Policy options to manage nurse migration include: improving working conditions in both source and destination countries, instituting multilateral agreements to manage the flow more effectively, and developing compensation arrangements between source and destination countries. Recommendations for enhancements to workforce data systems are provided. PMID:15375448

  3. [Features of nursing of the autistic children]. (United States)

    Lesinskiene, Sigita; Pūras, Dainius; Kajokiene, Asta; Senina, Julija


    Due to the behavioral and communication difficulties autistic children need individualized approaches providing them medical help. Aspects of nursing of autistic children were not investigated in our country. Thirty seven mothers of autistic children and 74 mothers of children without developmental disorders (control group) were interviewed orally and filled the questionnaire. The age of children was 3-12 years old. The aim of the research was to analyze peculiarities of behavior, communication and social adaptation of children with autism disorder together with troubles they face in medical services (outpatient and inpatient), and prepare practical recommendations to the pediatric and mental health nurses. It appeared that families with autistic children come across the great difficulties in various areas of the daily life. Autistic children tended to have severe behavioral and emotional difficulties while being examined by the medical staff. Adaptation difficulties in medical services were very prominent, especially at the in-patient departments (unpredictable and impulsive behavior, anxiety, decrease of appetite, sleep disturbances). Possibilities of home visit of the nurses are underestimated and could provide more useful and constructive help to the families. The data showed existing difficulties for the pediatric nurses and medical staff to establish good contact with the autistic children and their parents and lack of knowledge about the children with pervasive developmental disorders and their needs. Practical recommendations are provided.

  4. Needs, concerns, and social support of single, low-income mothers. (United States)

    Keating-Lefler, Rebecca; Hudson, Diane Brage; Campbell-Grossman, Christie; Fleck, Missy Ofe; Westfall, Joan


    The purposes of this qualitative pilot study were to describe needs and concerns of single, low-income mothers and to evaluate social support mechanisms these mothers valued during the transition to parenthood. Qualitative analysis consisted of word and context interpretation from focus group data. The following themes resulted from the discussion: (a) transition: resilience, finding new direction, and an array of emotions and mixed feelings; (b) stress: loss, isolation, and barriers; and (c) social support: positive and negative social support, and the need for informational, appraisal, emotional, and tangible support. Nursing interventions are discussed.

  5. Mulher e trabalho: a história de vida de mães trabalhadoras de enfermagem Mujer y trabajo: la historia de vida de madres trabajadoras en enfermería Woman and work: the history of life of nursing professionals who are also mothers

    Directory of Open Access Journals (Sweden)

    Thelma Spindola


    Full Text Available Trata-se de estudo qualitativo utilizando o método de história de vida, tendo como objeto o cotidiano das mulheres-mães-trabalhadoras de enfermagem. Os objetivos foram: descrever o dia-a-dia dessas profissionais, identificar a interferência da profissão na vida dessa mulher e analisar a percepção dessa realidade tomando como base sua história de vida. A análise parcial dos dados revelou que a profissão interfere na vida da mulher, especialmente pelo tipo de atividade que realiza e, em muitas situações, provoca mudança significativa na rotina familiar. A dupla jornada, vivenciada pela grande maioria, foi apontada como uma das causas de cansaço e estresse. Pode-se concluir que, embora a mulher valorize a atividade profissional, se sente sobrecarregada com o acúmulo de funções, relevando a participação do marido compartilhando o dia-a-dia em família.Se trata de un estudio cualitativo utilizando el método historia de vida, teniendo como objeto la cotidianidad de las mujeres-madres-trabajadoras en enfermería. Los objetivos fueron: describir el día a día de estas profesionales; identificar la interferencia de la profesión en la vida de esta mujer y analizar la percepción de esta realidad tomando como base su historia de vida. El análisis parcial de los datos reveló que la profesión interfiere en la vida de la mujer, especialmente por el tipo de actividad que realiza y, en muchas situaciones, provoca un cambio significativo en la rutina familiar. La doble jornada, vivida por la gran mayoría, fue señalada como una de las causas de cansancio y estrés. Puede concluirse que aunque la mujer valorice la actividad profesional, se siente sobrecargada con la acumulación de funciones resaltando la participación del marido en el día a día en familia.This study focused on the life of women who are both mothers and nursing professionals, applying the method of life history. The goals were: to describe the every day life of these

  6. Parenthood motives in IVF-mothers. (United States)

    Colpin, H; De Munter, A; Vandemeulebroecke, L


    This is an exploratory study to answer two questions: (1) does in-vitro fertilization (IVF)-mothers' motivation for parenthood differ from the naturally conceiving mothers' motivation for parenthood? and (2) are IVF-mothers' parenthood motives correlated with their adjustment to parenthood (in the same way as they are for naturally conceiving mothers)? The study sample consisted of 31 mothers with a 24-30 month old, single-born child conceived by homologous IVF and a comparison group of 31 mothers with a naturally conceived child. Self-rating questionnaires were used. Overall, the parenthood motivation pattern was quite similar for IVF-mothers and mothers by natural conception. However, 'identity', 'motherhood' and 'social control' were significantly more important motives for IVF-mothers than for the naturally conceiving mothers. The two former motives remained more important for IVF-mothers when findings were adjusted for the influence of the mothers' age and educational level. Possible explanations for these findings refer to the infertility history. Overall, few correlations between parenthood motives and the adjustment to parenthood were significant, both for the IVF-mothers and for the mothers by natural conception. Further (hypothesis-testing) research is needed to support these findings.

  7. Monitorização hemodinâmica invasiva a beira do leito: avaliação e protocolo de cuidados de enfermagem Monitorización hemodinámica invasiva a la cabecera del paciente: evaluación y protocolo del cuidado de enfermeria Invasive hemodynamic monitoring at bedside: nursing evaluation and nursing care protocol

    Directory of Open Access Journals (Sweden)

    Carla Cristina de Souza Ramos


    study aimed to establish clinical evaluation parameters essential to the patient subject to hemodynamic monitoring by Pulmonary Artery Catheter (PAC and to develop a Nursing Care Protocol to critical care patients using catheter with the nurses of an ICU in Santa Catarina State. The population consisted of a non-probabilistic intentional sample of five nurses, and the data were collected through group meetings and questionnaire. The study is presented with descriptive statistics and qualitative analyses of the subjective questions. In conclusion, the clinical evaluation criteria, essential to the patient subjected to hemodynamic monitoring, are constituted by invasive and non-invasive parameters and the protocol grounds making clinical decisions when caring for patient using PAC.

  8. Saving lives with caring assessments: How Tanzanian nurse-midwives and obstetricians negotiate postpartum practices. (United States)

    Kohi, Thecla W; Aston, Megan; Mselle, Lilian T; Macdonald, Danielle; Mbekenga, Columba; Murphy, Gail Tomblin; White, Maureen; OHearn, Shawna; Price, Sheri; Jefferies, Keisha


    To explore the nurse-midwives' and obstetricians' experiences delivering postpartum care assessments and how it was constructed through personal, social and institutional discourses. The Tanzanian Government has prioritised maternal and child health as an urgent healthcare issue. Nurse-midwives and obstetricians are the two main providers of care throughout the prenatal and postpartum periods. A qualitative design guided by a feminist poststructuralist methodology. Ten nurse-midwives and three obstetricians from three Regional Hospitals in Dar es Salaam participated in individual semi-structured in-depth interviews. Assessment emerged as a significant theme with three subthemes. Nurse-midwives shared their beliefs and values about assessments that focused on the safety of mothers and babies. They felt proud working with mothers and babies and shared their frustrations having to deal with inadequate working conditions. Guidelines and practices were part of the institutional discourse that impacted the day-to-day experiences of nurse-midwives and obstetricians. The nurse-midwives held the belief that it was vital to complete a comprehensive assessment to identify danger signs, keep mothers and babies safe and look for any abnormalities. They were concerned that mothers were being sent home too early. Nurse-midwives' experiences in the provision of postpartum care portray that these health providers work heartedly to make sure that the mothers and their newborns receive the best care they can provide. The health system is challenged to address the needed supplies and equipment for reproductive health in particular postpartum care services. Institutional health discourses significantly affect the practice of nurse-midwives and obstetricians to deliver timely and effective postpartum assessments. Immediate and ongoing postpartum assessments conducted by nurse-midwives and obstetricians can save lives. This study presents the first theme of the study: Caring assessments

  9. Being concerned: caregiving for Taiwanese mothers of a child with cerebral palsy. (United States)

    Huang, Yu-Ping; Kellett, Ursula; St John, Winsome


    This article explores the Chinese social context and provides insight into Taiwanese mothers' challenging experiences when a disabled child is born into their families. International research indicates that barriers to maternal caregiving for a disabled child revolve around challenging relationships. Giving birth to a disabled child creates a huge challenge for mothers in Chinese society. Data were collected using in-depth interviews and journaling methods. A hermeneutic phenomenological approach, informed by the philosophical world views of Heidegger and Gadamer, provided theoretical guidance in revealing and interpreting mothers' experiences. Interviews were carried out with a purposeful sample of 15 mothers who were primary caregivers for a child aged between 0-18 years who was diagnosed with cerebral palsy and used Mandarin or Taiwanese as their primary language. Shared meanings revealed four modes of being concerned: (1) experiencing burden as a sole primary caregiver; (2) managing the challenges by balancing demands; (3) being marginalised by others; and (4) encountering limited or no professional support. Taiwanese mothers face the strain of managing barriers to caregiving in contexts in which their children are not supported or acknowledged as being important contributors to family and Chinese society at large. This study highlights how the family can be important to caregiving mothers in traditional Chinese family life. Poor support and dynamics will emerge when family members regard disability as a loss of face or a stigma. By learning from Taiwanese mothers who accommodate barriers to caregiving on a daily basis, nurses can seize the impetus to explore ways of reconceptualising nursing practice with families and people with disabilities. The aim is to explore ways that will ultimately align intentions and caring processes and foster coping and positive reward in caring, thereby creating a context that is stress reducing and therapeutic. © 2011 Blackwell

  10. Maternal Oxytocin Is Linked to Close Mother-Infant Proximity in Grey Seals (Halichoerus grypus.

    Directory of Open Access Journals (Sweden)

    Kelly J Robinson

    Full Text Available Maternal behaviour is a crucial component of reproduction in all mammals; however the quality of care that mothers give to infants can vary greatly. It is vital to document variation in maternal behaviour caused by the physiological processes controlling its expression. This underlying physiology should be conserved throughout reproductive events and should be replicated across all individuals of a species; therefore, any correlates to maternal care quality may be present across many individuals or contexts. Oxytocin modulates the initiation and expression of maternal behaviour in mammals; therefore we tested whether maternal plasma oxytocin concentrations correlated to key maternal behaviours in wild grey seals (Halichoerus grypus. Plasma oxytocin concentrations in non-breeding individuals (4.3 ± 0.5 pg/ml were significantly lower than those in mothers with dependent pups in both early (8.2 ± 0.8 pg/ml and late (6.9 ± 0.7 pg/ml lactation. Maternal plasma oxytocin concentrations were not correlated to the amount of nursing prior to sampling, or a mother's nursing intensity throughout the dependent period. Mothers with high plasma oxytocin concentrations stayed closer to their pups, reducing the likelihood of mother-pup separation during lactation which is credited with causing starvation, the largest cause of pup mortality in grey seals. This is the first study to link endogenous oxytocin concentrations in wild mammalian mothers with any type of maternal behaviour. Oxytocin's structure and function is widely conserved across mammalian mothers, including humans. Defining the impact the oxytocin system has on maternal behaviour highlights relationships that may occur across many individuals or species, and such behaviours heavily influence infant development and an individual's lifetime reproductive success.

  11. Maternal Oxytocin Is Linked to Close Mother-Infant Proximity in Grey Seals (Halichoerus grypus). (United States)

    Robinson, Kelly J; Twiss, Sean D; Hazon, Neil; Pomeroy, Patrick P


    Maternal behaviour is a crucial component of reproduction in all mammals; however the quality of care that mothers give to infants can vary greatly. It is vital to document variation in maternal behaviour caused by the physiological processes controlling its expression. This underlying physiology should be conserved throughout reproductive events and should be replicated across all individuals of a species; therefore, any correlates to maternal care quality may be present across many individuals or contexts. Oxytocin modulates the initiation and expression of maternal behaviour in mammals; therefore we tested whether maternal plasma oxytocin concentrations correlated to key maternal behaviours in wild grey seals (Halichoerus grypus). Plasma oxytocin concentrations in non-breeding individuals (4.3 ± 0.5 pg/ml) were significantly lower than those in mothers with dependent pups in both early (8.2 ± 0.8 pg/ml) and late (6.9 ± 0.7 pg/ml) lactation. Maternal plasma oxytocin concentrations were not correlated to the amount of nursing prior to sampling, or a mother's nursing intensity throughout the dependent period. Mothers with high plasma oxytocin concentrations stayed closer to their pups, reducing the likelihood of mother-pup separation during lactation which is credited with causing starvation, the largest cause of pup mortality in grey seals. This is the first study to link endogenous oxytocin concentrations in wild mammalian mothers with any type of maternal behaviour. Oxytocin's structure and function is widely conserved across mammalian mothers, including humans. Defining the impact the oxytocin system has on maternal behaviour highlights relationships that may occur across many individuals or species, and such behaviours heavily influence infant development and an individual's lifetime reproductive success.

  12. 胎动NST和B超联合监测作为孕41周母婴高危程度的探讨%Monitoring The High Risk Factors of Mother and Infant by NST and B-ultrasound

    Institute of Scientific and Technical Information of China (English)

    余桂英; 陈艳; 邵明琨; 马晓燕


    目的 观察胎儿宫内窘迫发病率和手术产率.方法 对2006年6月至2007年7月在我院妇产科定期检查和分娩的孕妇共106例,对孕妇进行每周NST和B超检查等联合检测分三组观察比较.第Ⅰ组:孕41周组(孕周41~41周+6 d),第Ⅱ组:足月妊娠组(孕周37~40周+6 d),第Ⅲ组:过期妊娠组(孕周≥42周).结果 孕41周组胎儿宫内窘迫及手术产的发生率高于足月妊娠组,与过期妊娠相似.结论 妊娠41周后母婴存在一定程度的高危因素,应用多种监护手段进行检测,及时发现母儿异常给予相应处理,以降低围产儿病死率.%Objective To investigate the incidence of fetal distress in uterus and the rate of C-sect by NST and B-ultrasound every week. Method 106 cases of pregnant women who took examination and delivery in our hospital between Dec 2006 to Jul 2007 were divided into three groups: gestational age of 41weeks group (41 weeks ~ 41 weeks +6 days) , term pregnancy group (37 weeks ~ 40 weeks +6 days), and prolonged pregnancy group (≥42 weeks). Result The incidence of fetal distress in uterus and the rate of C-sect in gestational age 41weeks group, which were similar to prolonged pregnancy group, were higher than term pregnancy group.Conclusion There are some high risk factors in pregnant women whose gestational age was more than 41weeks,and multiple methods should be used to monitor the risk factors in order to reduce the perinatal mortality rate.

  13. Unmarried Mother's Knowledge and Attitudes toward Emergency Contraceptive Pills

    Directory of Open Access Journals (Sweden)

    Gyeong Mi Lee


    Full Text Available PurposeThis study was conducted to identify relationships among knowledge and attitudes of unmarried mothers toward emergency contraceptive pills.MethodsData were collected through structured questionnaires from 135 unmarried mothers enrolled in 7 single mothers' facilities nationwide. Data were analyzed using the SPSS/WIN 17.0 program for descriptive statistics, t-test, ANOVA, Scheffe-test, and Pearson correlation coefficients.ResultsFor knowledge about emergency contraceptive pills, there were significant differences among who live with her before pregnancy, experience of past pregnancies, state of present pregnancy and preparation in using contraceptives. For attitude toward emergency contraceptive pills, there were significant differences according to age, education level and religion. There were significant positive relationships between knowledge and attitudes toward emergency contraceptive pills.ConclusionThe results of this study suggest that unmarried women should be better informed about emergency contraceptive pills, and reassured about their safety. Efforts are needed to disseminate up-to-date information to experts in sex education including nurses.

  14. A Narrative of Fear: Advice to Mothers. (United States)

    Åström, Berit


    Taking present-day research into so-called new momism and intense mothering as a starting point, this article argues that the current mothering discourse, rather than articulating a new phenomenon, perpetuates a regulative discourse developed in the nineteenth century, in advice books written by medical doctors for pregnant women and new mothers. Both the Victorian and the present-day texts play on feelings of guilt and inadequacy in order to control the actions and emotions of mothers, although the threatened outcome differs: present-day mothers are warned that their children may become obese or develop neuropsychological disorders, whereas Victorian mothers are warned that their children might die.

  15. Nursing shortages and international nurse migration. (United States)

    Ross, S J; Polsky, D; Sochalski, J


    The United Kingdom and the United States are among several developed countries currently experiencing nursing shortages. While the USA has not yet implemented policies to encourage nurse immigration, nursing shortages will likely result in the growth of foreign nurse immigration to the USA. Understanding the factors that drive the migration of nurses is critical as the USA exerts more pull on the foreign nurse workforce. To predict the international migration of nurses to the UK using widely available data on country characteristics. The Nursing and Midwifery Council serves as the source of data on foreign nurse registrations in the UK between 1998 and 2002. We develop and test a regression model that predicts the number of foreign nurse registrants in the UK based on source country characteristics. We collect country-level data from sources such as the World Bank and the World Health Organization. The shortage of nurses in the UK has been accompanied by massive and disproportionate growth in the number of foreign nurses from poor countries. Low-income, English-speaking countries that engage in high levels of bilateral trade experience greater losses of nurses to the UK. Poor countries seeking economic growth through international trade expose themselves to the emigration of skilled labour. This tendency is currently exacerbated by nursing shortages in developed countries. Countries at risk for nurse emigration should adjust health sector planning to account for expected losses in personnel. Moreover, policy makers in host countries should address the impact of recruitment on source country health service delivery.

  16. A remote drip infusion monitoring system employing Bluetooth. (United States)

    Amano, Hikaru; Ogawa, Hidekuni; Maki, Hiromichi; Tsukamoto, Sosuke; Yonezawa, Yoshiharu; Caldwell, W Morton


    We have developed a remote drip infusion monitoring system for use in hospitals. The system consists of several infusion monitoring devices and a central monitor. The infusion monitoring device employing a Bluetooth module can detect the drip infusion rate and an empty infusion solution bag, and then these data are sent to the central monitor placed at the nurses' station via the Bluetooth. The central monitor receives the data from several infusion monitoring devices and then displays graphically them. Therefore, the developed system can monitor intensively the drip infusion situation of the several patients at the nurses' station.

  17. Circadian activity rhythms for mothers with an infant in ICU. (United States)

    Lee, Shih-Yu; Lee, Kathryn A; Aycock, Dawn; Decker, Michael


    Circadian rhythms influence sleep and wakefulness. Circadian activity rhythms (CAR) are altered in individuals with dementia or seasonal affective disorder. To date, studies exploring CAR and sleep in postpartum women are rare. The purpose of this report is to describe relationships between CAR, sleep disturbance, and fatigue among 72 first-time mothers during their second week postpartum while their newborn remain hospitalized in intensive care unit. Seventy-two mothers were included in this secondary data analysis sample from three separate studies. Participants completed the general sleep disturbance scale (GSDS), numerical rating scale for fatigue, and a sleep diary. The objective sleep data included total sleep time (TST), wake after sleep onset (WASO), and CAR determined by the circadian quotient (amplitude/mesor) averaged from at least 48-h of wrist actigraphy monitoring. The TST of mothers who self-reported as poor sleepers was 354 min (SEM = 21.9), with a mean WASO of 19.5% (SEM = 2.8). The overall sleep quality measured by the GSDS was clinically, significantly disrupted (M = 5.5, SD = 1.2). The mean score for morning fatigue was 5.8 (SD = 2.0), indicating moderate fatigue severity. The CAR was 0.62 (SEM = 0.04), indicating poor synchronization. The self-reported good sleepers (GSDS  3) (t[70] = 2.0, p sleep disturbance scores (r = -0.35, p = 0.01), and less morning fatigue (r = -0.26). Findings indicate that mothers with a hospitalized infant have both nocturnal sleep problems and disturbed circadian activity rhythms. Factors responsible for these sleep and rhythm disturbances, the adverse effects on mother's physical and mental well-being, and mother-infant relationship require further study.

  18. Critical care nursing: Embedded complex systems. (United States)

    Trinier, Ruth; Liske, Lori; Nenadovic, Vera


    Variability in parameters such as heart rate, respiratory rate and blood pressure defines healthy physiology and the ability of the person to adequately respond to stressors. Critically ill patients have lost this variability and require highly specialized nursing care to support life and monitor changes in condition. The critical care environment is a dynamic system through which information flows. The critical care unit is typically designed as a tree structure with generally one attending physician and multiple nurses and allied health care professionals. Information flow through the system allows for identification of deteriorating patient status and timely interventionfor rescue from further deleterious effects. Nurses provide the majority of direct patient care in the critical care setting in 2:1, 1:1 or 1:2 nurse-to-patient ratios. The bedside nurse-critically ill patient relationship represents the primary, real-time feedback loop of information exchange, monitoring and treatment. Variables that enhance information flow through this loop and support timely nursing intervention can improve patient outcomes, while barriers can lead to errors and adverse events. Examining patient information flow in the critical care environment from a dynamic systems perspective provides insights into how nurses deliver effective patient care and prevent adverse events.

  19. The Mother of Famous Mathematician

    Institute of Scientific and Technical Information of China (English)


    MOTHERS not only create families, but also create genius. World-famous mathematician Hua Luogeng (1910-1985) is one of the forefathers of China’s modern mathematics research and pedagogy. Hua developed the study of the analytic theory of numbers and the typical matrix geometry in China. Hua Lianqing, 90, is three years older

  20. Volunteerism: 'community mothers' in action. (United States)

    Downie, Jill; Clark, Kim; Clemenston, Katy

    Volunteers represent a growing, but often undervalued, section of service delivery in many areas in the community, particularly in health care. This paper is centred on volunteers' perceptions and experiences of home visiting gained through the implementation of the Community Mothers (CM) program in Western Australia (WA). Further, the paper aims to inform debate about the issue of professional versus non-professional home visitors and offers a perspective on the issue that may provide direction for policy makers and practitioners. This qualitative study involved individual telephone interviews with a volunteer sample of 12 participants, purposefully selected. Transcription data from each interview were examined and coded utilising an adapted method of content analysis described by Burnard (1991). Three main themes emerged in the findings as to why volunteers became involved in the Community Mothers Program: (1) Empathetic concern; (2) Contribution to community life; and (3) Lifecourse issues and personal development. With experiences of volunteers in home visiting, four main themes reflected the participants' views: (1) Facilitating client empowerment; (2) Facilitating personal empowerment; (3) Promoting social connectedness; and (4) Enabling goal setting. Although programs such as the Community Mothers Program aim to benefit and support mothers in the parenting role it is clear that there are benefits that emerge also for the individual volunteer, such as increased self-esteem, self-efficacy and satisfaction. Hence, measuring the overall outcomes that result from such program remains a major challenge.

  1. Editorial: Mother Tongue and Education

    Directory of Open Access Journals (Sweden)

    S. P. Singh


    Full Text Available Linguists, language experts and child-psychologists believe that children can learn better in their mother tongue but that doesn’t go against multilingual education. It has also been observed that children studying through multilingual system develop better thinking and skills than monolingual education systems. Parents and peer all can help the child understand the issues if it

  2. Working Mothers and Their Children (United States)

    Mead, Margaret


    Discusses possible ways of providing continuity of care for young children of working mothers, including industry - sponsored day nurseries, cooperative nursery schools, communal clusters where working and nonworking women share household tasks and child care, and expanded neighborhood day care. (MG)

  3. The mother not the father. (United States)

    Adams, P L


    Otto Rank pioneered in regarding the mother's place as paramount in the emotional life of the child, even when he was enveloped in Freudian orthodoxy, but expanded his viewpoint after he had left the Freudian ranks. His more mature views were to stress separation and individuation as lifelong dilemmas because they were in tension with our urges to seek oneness and to merge with others and not to regard that struggle as a dialectic that got worked through or transcended in an early, pre-Oedipal stage. He believed that fusing and individuating were lifetime issues for all, in or out of their psychoanalyses. Rank showed radical feminist attitudes far ahead of his time, contending that the female is central and superior to male existence, and that women need a psychology that is not warmed-over male biases but truly a "female psychology." He foreshadowed later writers who emphasized the motherly warmth and caregiving of psychotherapists. He regarded many of his technical innovations as ways to heighten the reexperiencing of early child-and-mother interactions and thought of the analytic setting itself as being akin to the mother-child relationship. Among psychoanalysts of all colorations respecting their Freudian orthodoxy, there is a special mystique and nostalgia around the Oedipus complex and paramountcy of the father in a child's mental life; but Otto Rank took a militant, yet reasoned, stand against such patriarchal biases.

  4. Neither father nor biological mother

    DEFF Research Database (Denmark)

    Dahl, Bente; Malterud, Kirsti


    -mother” wasperceived as a bureaucratic concept. Conclusion: For lesbian co-mothers, being recognized in maternity care implies that they are valued forthe qualities that separate them from other user groups on a personal level. On a societal level, beingrecognized is related to acknowledgement of inventive ways...

  5. 重型颅脑损伤患者低血钾的监测及护理%The monitoring and nursing of hypokalemia for patients with severe cranial injury

    Institute of Scientific and Technical Information of China (English)



    Objective To reduce the hypokalemia caused by inner environment imbalance effectively in order to lower the death rate and improve the prognosis for patients with severe cranial injury.Methods Seventy-five patients with severe cranial injury who had hypokalemia were studied retrospoctively from October 10th,2003 to July 30th,2006.Results The waves of electrocardiogram and changes of illness condition was closely observed,the volume:of intake and output and kalium outcome was accurately recorded.Kalium was supplemented as early as possible.the amount was adjusted by the use of dehydratins agents and biochemical kalium.Only timely and effective monitoring and treatment could complications be reduced or prevented.Conclusions Severe cranial injury is one of the most severe trauma,timely monitoring and nursing measures are key point for rectification of hypokalemia for patients with severe cranial injury.%目的 有效减少重型颅脑损伤患者因内环境的失衡而出现的低钾血症,降低死亡率,改善预后.方法 2003年10月10日-2006年7月30日对经治疗的75例重型颅脑损伤致不同程度低钾血症患者的护理进行回顾性分析.结果 护理上密切观察心电图波形的改变及病情的变化,准确记录出入量及血钾检查结果 ,尽早补钾,剂量根据脱水剂的用量及生化血钾值来调整.有效减少或防止了并发症的发生.本组患者死亡16例,其余血钾浓度均予有效纠正.结论 重型颅脑损伤是各种外伤中最严重的损伤之一,及时采取相应的监测手段及护理措施是纠正重型颅脑损伤患者低血钾的关键.

  6. Patient safety culture in Norwegian nursing homes. (United States)

    Bondevik, Gunnar Tschudi; Hofoss, Dag; Husebø, Bettina Sandgathe; Deilkås, Ellen Catharina Tveter


    Patient safety culture concerns leader and staff interaction, attitudes, routines, awareness and practices that impinge on the risk of patient-adverse events. Due to their complex multiple diseases, nursing home patients are at particularly high risk of adverse events. Studies have found an association between patient safety culture and the risk of adverse events. This study aimed to investigate safety attitudes among healthcare providers in Norwegian nursing homes, using the Safety Attitudes Questionnaire - Ambulatory Version (SAQ-AV). We studied whether variations in safety attitudes were related to professional background, age, work experience and mother tongue. In February 2016, 463 healthcare providers working in five nursing homes in Tønsberg, Norway, were invited to answer the SAQ-AV, translated and adapted to the Norwegian nursing home setting. Previous validation of the Norwegian SAQ-AV for nursing homes identified five patient safety factors: teamwork climate, safety climate, job satisfaction, working conditions and stress recognition. SPSS v.22 was used for statistical analysis, which included estimations of mean values, standard deviations and multiple linear regressions. P-values homes. In multiple linear regression analysis, we found that increasing age and job position among the healthcare providers were associated with significantly increased mean scores for the patient safety factors teamwork climate, safety climate, job satisfaction and working conditions. Not being a Norwegian native speaker was associated with a significantly higher mean score for job satisfaction and a significantly lower mean score for stress recognition. Neither professional background nor work experience were significantly associated with mean scores for any patient safety factor. Patient safety factor scores in nursing homes were poorer than previously found in Norwegian general practices, but similar to findings in out-of-hours primary care clinics. Patient safety culture

  7. Caring for vulnerable children: challenges of mothering in the Australian foster care system. (United States)

    Blythe, Stacy L; Halcomb, Elizabeth J; Wilkes, Lesley; Jackson, Debra


    Foster carers have a significant responsibility in caring for vulnerable children. In order to support and facilitate foster carers it is important to understand how they perceive and fulfil this responsibility. A qualitative story-telling study, informed by feminist perspectives, was used to conduct in-depth, semi-structured interviews with 20 women providing long-term foster care in Australia. Thematic analysis revealed these women characterised themselves as mothers, rather than paid carers, to the long-term foster children in their care. Using this maternal self-perception as the starting point, this paper reveals some of the challenges and difficulties participants encountered when mothering within the confines of the child protection system. Implications for nursing practice are discussed. These implications focus on ways that nurses can effectively support foster carers, thus optimising the health and well-being of the vulnerable children in their care.

  8. How staff nurses perceive the impact of nurse managers' leadership style in terms of job satisfaction: a mixed method study. (United States)

    Morsiani, Giuliana; Bagnasco, Annamaria; Sasso, Loredana


    To describe staff nurses' perceptions related to the leadership styles adopted by their nurse managers, identify which leadership style ensured job satisfaction in staff nurses and describe which behaviours nurse managers should change. Empirical literature suggests that leadership styles of nurse managers significantly influence staff satisfaction. However, few studies investigate how staff nurses perceive the leadership styles of their nurse managers, and how these impact upon the staff nurses' job satisfaction. This was a mixed method study, which included the administration of the Multi-factor Leadership Questionnaire and three focus groups. Ward nurse managers mostly adopted a transactional leadership style ('Management by exception active') aimed at monitoring errors and intervening to correct errors and punish, which had a negative impact on staff nurses' levels of job satisfaction. In contrast, the transformational leadership style, which is mostly correlated with satisfaction ('Idealized Influence Attributed', which staff nurses perceived as 'respect', 'caring for others', 'professional development' and 'appreciation'), was rarely practiced by nurse managers. The transformational leadership skills of Italian nurse managers need to be improved through behaviours based on greater respect, caring for others, professional development and appreciation. The present study could also serve as model to improve the leadership style of nurse managers in other countries. The themes of transformational leadership could serve as a guide for nurse managers to help them improve their leadership style, and improve the levels of job satisfaction in staff nurses. Owing to the complexity and the importance of this issue, classroom educational interventions would not be sufficient: it should be dealt as a strategic priority by nursing directors. © 2016 John Wiley & Sons Ltd.

  9. Mothers' knowledge, perception and practice of childhood ...

    African Journals Online (AJOL)

    Methods: A structured questionnaire was administered to 207 mothers who have at ... 13% (27) of mothers had out-rightly rejected immunization during campaign ... with knowledge of reason for immunization and acceptance of immunization ...

  10. 77 FR 28761 - Mother's Day, 2012 (United States)


    ... mothers. Today, we continue to mark Mother's Day by paying tribute to the women who shape our characters..., at home and overseas, on the beat and on the bench. We celebrate the efforts of all our Nation's...

  11. Daily positive spillover and crossover from mothers' work to youth health. (United States)

    Lawson, Katie M; Davis, Kelly D; McHale, Susan M; Hammer, Leslie B; Buxton, Orfeu M


    Prior research shows that employees' work experiences can "spill over" into their family lives and "cross over" to affect family members. Expanding on studies that emphasize negative implications of work for family life, this study examined positive work-to-family spillover and positive and negative crossover between mothers and their children. Participants were 174 mothers in the extended care (nursing home) industry and their children (ages 9-17), both of whom completed daily diaries on the same 8 consecutive evenings. On each workday, mothers reported whether they had a positive experience at work, youth reported on their mothers' positive and negative mood after work, and youth rated their own mental (positive and negative affect) and physical health (physical health symptoms, sleep quality, sleep duration). Results of 2-level models showed that mothers' positive mood after work, on average, was directly related to youth reports of more positive affect, better sleep quality, and longer sleep duration. In addition, mothers with more positive work experiences, on average, displayed less negative mood after work, and in turn, adolescents reported less negative affect and fewer physical health symptoms. Results are discussed in terms of daily family system dynamics.

  12. Um estudo bibliográfico sobre o apego mãe e filho: bases para a assistência de enfermagem pediátrica e neonatal Un estudio bibliográfico acerca del apego madre-hijo: bases para la asistencia de enfermeria pediátrica y neonatal A bibliographical study on the mother and son attachment: bases for the pediatric and neonatal nursing care

    Directory of Open Access Journals (Sweden)

    Evellisse Angelica Ferreira


    Full Text Available O trabalho consiste de um revisão bibliográfica sobre o apego mãe e filho e as suas considerações na intervenção da assistência de enfermagem, no processo de hospitalização da criança. Ao decidirmos estudar essa temática tivemos como objetivo obter conhecimentos que nos fossem úteis no cotidiano da prática de enfermagem pediátrica e neonatológica. Evidenciamos a importância de divulgar os conhecimentos sobre o apego entre os profissionais de enfermagem, visto que sua atuação poderá refletir de forma significativa no desenvolvimento social e emocional da criança hospitalizada. Entretanto, apesar da relevante importância do tema, poucos trabalhos científicos na área de enfermagem foram publicados. Para o nosso embasamento teórico pesquisamos em outras áreas de conhecimento como a psicologia, sociologia e antropologia.El trabajo consiste de una revisión bibliográfica acerca del apego madre-hijo y sus consideraciones en la intervención de asistencia en enfermería, en el proceso de hospitalización de los niños. Al decidirnos estudiar la temática tuvimos como objetivo la obtención de conocimientos útiles al cotidiano de la práctica de enfermaría pediátrica y neonatológica. Evidenciamos la importancia de divulgar los conocimientos acerca del apego entre los profesionales de enfermería, dado que su actuación podrá reflejar de forma significativa en el desarrollo social y emocional de los niños hospitalizados. Apesar de revelante importancia del tema, pocos trabajos científicos en área de enfermería han sido publicados. Para nuestro basamento teórico recurrimos a otras áreas de conocimiento como la psicología, sociología y antropología.The study consists of a bibliographical review about the mother and son attachment and its considerations in nursing care intervention, in the child's hospitalization process. In deciding to study this theme we had the purpose to obtain knowledge that would be useful in

  13. Singapore - The Nursing Scene

    Directory of Open Access Journals (Sweden)

    M.A. Doyle


    Full Text Available In many ways Singapore still bears evidence of the period of British colonialism and the system of nursing service and nursing education is also still greatly influenced by the British system of nursing.

  14. Child Psychiatric Nursing Option. (United States)

    Koehler, Mary Frances


    Describes a course at the Indiana University School of Nursing which allows senior students in a baccalaureate nursing program to concentrate on emotionally disturbed children in an advanced nursing course. Discusses course philosophy, clinical experiences, and program results. (CT)

  15. Cetacean mother-calf behavior observed from a small aircraft off Southern California. Animal Behavior and Cognition

    Directory of Open Access Journals (Sweden)

    Mari A. Smultea


    Full Text Available During early developmental stages, cetacean calves are dependent on their mothers for survival. Protection of young whales engaged in behaviors that are biologically important is critical for population recovery, so that appropriate management actions can be taken to minimize human disturbance. However, the occurrence and frequency of whale nursing and calves back-riding their mothers (both considered important to calf survival have rarely been observed nor adequately quantified or defined. Therefore, it may not always be clear when disruption is occurring. We used extended behavioral observations, still photography, and video camera footage obtained during aircraft surveys in the Southern California Bight in 2008 – 2013 to characterize cetacean mother-calf interactions. Based on observations of four mother/calf pairs (two gray whale, Eschrichtius robustus, one fin whale, Balaenoptera physalus, and one blue whale, B. musculus and one killer whale presumed mother/yearling pair (Orcinus orca, we describe bouts of nursing and calves riding on the backs of their presumed mothers, including activity duration, frequency, and relative body positioning. We conclude with specific definitions useful to wildlife conservation agencies authorizing and establishing restrictions to certain human activities when they might constitute behavioral disruptions.

  16. Implementing best practice in medication management in a nursing home



    Medication management is one of the major roles of a nurse leader in any health care setting particularly in the nursing homes. Evidence suggests that errors do occur at any stage of the medication use process (prescribing, documenting/transcribing, dispensing, administering and monitoring) and these might pose significant risks to older people in nursing homes. Thus, this change project was carried out to reduce the incidence of medication errors, ensure resident’s safety and promote complia...

  17. A qualitative study: Mothers of late preterm infants relate their experiences of community-based care (United States)

    Dosani, Aliyah; Oliver, Lynnette May; Lodha, Abhay K; Young, Marilyn


    Purpose In Alberta, the high occurrence of late preterm infants and early hospital discharge of mother-infant dyads has implications for postpartum care in the community. Shortened hospital stay and complexities surrounding the care of biologically and developmentally immature late preterm infants heighten anxiety and fears. Our descriptive phenomenological study explores mothers’ experience of caring for their late preterm infants in the community. Methods Eleven mothers were interviewed using a semi-structured interview guide. Interview transcripts were analysed using an interpretive thematic approach. Findings The mothers’ hospital experience informed their perspective that being a late preterm infant was not a “big deal,” and they tended to treat their infant as normal. “Feeding was really problem,” especially the variability in feeding effectiveness, which was not anticipated. Failing to recognize late preterm infants’ feeding distress exemplified lack of knowledge of feeding cues and tendencies to either rationalize or minimize feeding concerns. Public health nurses represent a source of informational support for managing neonatal morbidities associated with being late preterm; however, maternal experiences with public health nurses varied. Some nurses used a directive style that overwhelmed certain mothers. Seeing multiple public health nurses and care providers was not always effective, given inconsistent and contradictory guidance to care. These new and changing situations increased maternal anxiety and stress and influenced maternal confidence in care. Fathers, family, and friends were important sources of emotional support. Conclusion After discharge, mothers report their lack of preparation to meet the special needs of their late preterm infants. Current approaches to community-based care can threaten maternal confidence in care. New models and pathways of care for late preterm infants and their families need to be responsive to the

  18. Advising Mothers on the Use of Medications during Breastfeeding: A Need for a Positive Attitude. (United States)

    Davanzo, Riccardo; Bua, Jenny; De Cunto, Angela; Farina, Maria Luisa; De Ponti, Fabrizio; Clavenna, Antonio; Mandrella, Stefania; Sagone, Antonella; Clementi, Maurizio


    The use of medications by the nursing mother is a common reason for interrupting breastfeeding. Few drugs have been demonstrated to be absolutely contraindicated during breastfeeding. Excessive caution may lead health professionals to unnecessarily advise to interrupt breastfeeding, without assessing the latest evidence or considering the risk-benefit ratio of taking a medication versus terminating breastfeeding. To foster an appropriate approach toward the use of medications in breastfeeding women, the Italian Society of Perinatal Medicine created the following policy statement.

  19. [The nurturing and development of nurse practitioners]. (United States)

    Wang, Man-Hsi; Lin, Wen-Ling


    The role of nurse practitioner has been established because of a shortage of doctors. In May 2007, the first cohort of 582 nurse practitioners were licensed in Taiwan. The post of nurse practitioner in Taiwan is formally moving towards systematization and the most urgent matters in that regard are the sorting out of contentious issues and the establishment of clear job descriptions. Competence in critical thinking and problem-based learning is important and has to be improved with practice. The application of teaching assessment tools such as direct observation procedural skills (DOPS), objective structured clinical examination (OSCE), miniclinical evaluation exercises (Mini-CEX), and 360 degree assessments may contribute to the improvement of nurse practitioners' skills in conducting research, appraising evidence-based nursing literature, and developing teaching strategies and advanced systems by making policy clear, evaluating, auditing and monitoring the clinical competence of nurse practitioners, and incorporating essential findings into hospitals' evaluations of such staff, enabling them all the better to perform their role functions. Obviously, nursing accreditation is necessary in improving the intervention quality of nurse practitioner.

  20. [Precision Nursing: Individual-Based Knowledge Translation]. (United States)

    Chiang, Li-Chi; Yeh, Mei-Ling; Su, Sui-Lung


    U.S. President Obama announced a new era of precision medicine in the Precision Medicine Initiative (PMI). This initiative aims to accelerate the progress of personalized medicine in light of individual requirements for prevention and treatment in order to improve the state of individual and public health. The recent and dramatic development of large-scale biologic databases (such as the human genome sequence), powerful methods for characterizing patients (such as genomics, microbiome, diverse biomarkers, and even pharmacogenomics), and computational tools for analyzing big data are maximizing the potential benefits of precision medicine. Nursing science should follow and keep pace with this trend in order to develop empirical knowledge and expertise in the area of personalized nursing care. Nursing scientists must encourage, examine, and put into practice innovative research on precision nursing in order to provide evidence-based guidance to clinical practice. The applications in personalized precision nursing care include: explanations of personalized information such as the results of genetic testing; patient advocacy and support; anticipation of results and treatment; ongoing chronic monitoring; and support for shared decision-making throughout the disease trajectory. Further, attention must focus on the family and the ethical implications of taking a personalized approach to care. Nurses will need to embrace the paradigm shift to precision nursing and work collaboratively across disciplines to provide the optimal personalized care to patients. If realized, the full potential of precision nursing will provide the best chance for good health for all.

  1. Determining true nursing costs improves financial planning. (United States)

    Payson, A A


    The traditional method of apportioning nursing care costs ona per diem basis does not consider nursing intensity or patients' special needs and often includes nonnursing duties. Many hospitals now favor a fee-for-service concept and are determining direct patient care costs to identify the true nursing cost. A patient classification system correlated with the diagnosis-related group (DRG) classification improves nursing cost analyses. For each patient, nurse managers need systems to determine quantified nursing tasks and patient acuity levels for each day. This information can be used to adjust staffing and to establish variable billing procedures. Then they can institute variable billing methods that are based on direct care costs as well as indirect costs of administration, education, and supplies. Variable billing identifies revenue cost centers, allows systematic monitoring of nursing services, and improves budget planning. The entire nursing staff must become involved in the financial system so the hospital can obtain an accurate data base for rate setting and third-party reimbursement.

  2. Technology developments applied to healthcare/nursing. (United States)

    Øyri, Karl; Newbold, Susan; Park, Hyeoun-Ae; Honey, Michelle; Coenen, Amy; Ensio, Anneli; Jesus, Elvio


    Future technology developments as applied to healthcare and particularly nursing were discussed. Emerging technologies such as genetics, small unobtrusive monitoring devices, use of information and communication technologies are as tools to not only facilitate but also promote communication among all parties of the healthcare process. These emerging technologies can be used for ubiquitous healthcare (u-health). The role of nursing in the u-health is fundamental and required for success and growth. Nursing's role will evolve as nurses become 'information-mediators' in a broader-sense than current role. All technologies will ultimately focus on the consumer through 'behind-the-scenes' data collection, which in turn will also allow nurses to analyze these data to improve care. We need to acknowledge an increased presence and or pervasiveness of information technologies as key components of quality healthcare. This sort of acknowledgment will help propel nursing, and healthcare, to increase use of these tools. To develop nurses with these types of skills the nursing education process will require a fundamental change to integrate these technology-sorts of tools as necessary elements for success.

  3. No apparent benefits of allonursing for recipient offspring and mothers in the cooperatively breeding meerkat. (United States)

    MacLeod, Kirsty J; McGhee, Katie E; Clutton-Brock, Tim H


    Cooperative behaviours by definition are those that provide some benefit to another individual. Allonursing, the nursing of non-descendent young, is often considered a cooperative behaviour and is assumed to provide benefits to recipient offspring in terms of growth and survival, and to their mothers, by enabling them to share the lactation load. However, these proposed benefits are not well understood, in part because maternal and litter traits and other ecological and social variables are not independent of one another, making patterns hard to discern using standard univariate analyses. Here, we investigate the potential benefits of allonursing in the cooperatively breeding Kalahari meerkat, where socially subordinate females allonurse the young of a dominant pair without having young of their own. We use structural equation modelling to allow us to account for the interdependence of maternal traits, litter traits and environmental factors. We find no evidence that allonursing provides benefits to pups or mothers. Pups that received allonursing were not heavier at emergence and did not have a higher survival rate than pups that did not receive allonursing. Mothers whose litters were allonursed were not in better physical condition, did not reconceive faster and did not reduce their own nursing investment compared to mothers who nursed their litters alone. These patterns were not significantly influenced by whether mothers were in relatively good, or poor, condition. We suggest that allonursing may persist in this species because the costs to allonurses may be low. Alternatively, allonursing may confer other, more cryptic, benefits to pups or allonurses, such as immunological or social benefits.

  4. Exploring Behavioral Intentions among Young Mothers (United States)

    Turney, Howard M.; Conway, Pat; Plummer, Pam; Adkins, Samuel E.; Hudson, George Cliff; McLeod, David A.; Zafaroni, Aileen


    This study examined the relationship between young mothers' individual characteristics (demographics and self-efficacy), social support, and behavioral intentions regarding education and child bearing. Using a home visiting model, the program recruited 141 teen mothers to participate. Young mothers completed an initial assessment, measuring…

  5. Incest Survivor Mothers: Protecting the Next Generation. (United States)

    Kreklewetz, Christine M.; Piotrowski, Caroline C.


    A study involving 16 incest-survivor mothers with daughters between the ages of 9-14 found the mothers described themselves as very protective and often overly-protective parents, wanting to parent differently, and better, than they were parented. Many survivors strive to be the "perfect mother" including over-protecting and over-nurturing…

  6. Mothers' Repartnering after a Nonmarital Birth (United States)

    Bzostek, Sharon H.; McLanahan, Sara S.; Carlson, Marcia J.


    This article examines the prevalence, predictors and outcomes of unmarried mothers' repartnering patterns following a nonmarital birth. Results indicate that, within five years after a birth, approximately two-thirds of unmarried mothers end their relationship with the focal child's biological father, and more than half of these mothers enter new…

  7. Exploring Behavioral Intentions among Young Mothers (United States)

    Turney, Howard M.; Conway, Pat; Plummer, Pam; Adkins, Samuel E.; Hudson, George Cliff; McLeod, David A.; Zafaroni, Aileen


    This study examined the relationship between young mothers' individual characteristics (demographics and self-efficacy), social support, and behavioral intentions regarding education and child bearing. Using a home visiting model, the program recruited 141 teen mothers to participate. Young mothers completed an initial assessment, measuring…

  8. College Students' Positivity toward Teen Mothers (United States)

    Eshbaugh, Elaine M.


    Although teen pregnancy and parenthood are more visible in society than in the past, teen mothers are often stereotyped and stigmatized. The study examined positivity toward teen mothers among college students (N = 316) at a midwestern university. Although students responded positively to some items regarding teen mothers, other statements showed…

  9. 78 FR 28715 - Mother's Day, 2013 (United States)


    ... women who raised them. Whether single or in partnership, foster or adoptive, mothers hold a special... Documents#0;#0; ] Proclamation 8980 of May 10, 2013 Mother's Day, 2013 By the President of the United States... Americans first came together to mark Mother's Day, generations of women have empowered their children with...

  10. Human milk composition differs in healthy mothers and mothers with celiac disease

    NARCIS (Netherlands)

    Olivares, M.; Albrecht, S.; Palma, de G.; Desamparados Ferrer, M.; Castillejo, G.; Schols, H.A.; Sanz, Y.


    Purpose To investigate whether breast-milk composition and microbiota differ in healthy mothers and mothers with celiac disease (CD) to ultimately contribute to identify additional factors determining CD risk. Methods Breast-milk samples from healthy mothers (n = 12) and mothers with CD (n = 12) wer

  11. Trappings of technology: casting palliative care nursing as legal relations. (United States)

    Larsen, Ann-Claire


    Community palliative care nurses in Perth have joined the throng of healthcare workers relying on personal digital assistants (PDAs) to store, access and send client information in 'real time'. This paper is guided by Heidegger's approach to technologies and Habermas' insights into the role of law in administering social welfare programs to reveal how new ethical and legal understandings regarding patient information add to nursing's professional responsibilities. This qualitative research interprets data from interviews with twenty community palliative care nurses about clients' legal rights to informational privacy and confidentiality. It explores nurses' views of their nursing responsibilities regarding clients' legal rights, liability issues, bureaucratic monitoring and enforcement procedures. It concludes that nurses and clients are construed as legal subjects entrenched in legal relations that have magnified since these nurses began using PDAs in 2005/2006. © 2011 Blackwell Publishing Ltd.

  12. Evaluating an accelerated nursing program: a dashboard for diversity. (United States)

    Schmidt, Bonnie J; MacWilliams, Brent R


    Diversity is a topic of increasing attention in higher education and the nursing workforce. Experts have called for a nursing workforce that mirrors the population it serves. Students in nursing programs in the United States do not reflect our country's diverse population; therefore, much work is needed before that goal can be reached. Diversity cannot be successfully achieved in nursing education without inclusion and attention to quality. The Inclusive Excellence framework can be used by nurse educators to promote inclusion, diversity, and excellence. In this framework, excellence and diversity are linked in an intentional metric-driven process. Accelerated programs offer a possible venue to promote diversity, and one accelerated program is examined using a set of metrics and a dashboard approach commonly used in business settings. Several recommendations were made for future assessment, interventions, and monitoring. Nurse educators are called to examine and adopt a diversity dashboard in all nursing programs.

  13. Nursing agency: the link between practical nursing science and nursing practice. (United States)

    Banfield, Barbara E


    The relationship of nursing science and nursing practice has been the topic of numerous discussions over the past decades. According to Orem, nursing science is a practical science, meaning that knowledge is developed for the sake of nursing practice. Within Orem's self-care deficit nursing theory, the concept of nursing agency links nursing science and nursing practice. Nursing agency refers to the power or ability of the nurse to design and produce systems of care. The relationship of practical nursing science, nursing practice, and nursing agency is examined in this article. Suggestions for further work related to nursing agency are provided.

  14. Scholarship in nursing: Degree-prepared nurses versus diploma-prepared nurses

    Directory of Open Access Journals (Sweden)

    Lizeth Roets


    Conclusion: The global nursing crisis, nor the nursing profession, will benefit by only training more nurses. The profession and the health care sector need more degree prepared nurses to improve scholarship in nursing.

  15. Cancer nursing in Ontario: defining nursing roles. (United States)

    Fitch, Margaret I; Mings, Deborah


    The delivery of cancer care in Ontario is facing unprecedented challenges. Shortages in nursing, as in all professional disciplines, are having an impact on the delivery of cancer care. Oncology nurses have a major role to play in the delivery of optimum cancer care. Oncology nursing, when adequately defined and supported, can benefit the cancer delivery system, patients, and families. A primary nursing model is seen as being key to the delivery of optimum cancer care. Primary nursing as a philosophy facilitates continuity of care, coordination of a patient's care plan, and a meaningful ongoing relationship with the patient and his/her family. Primary nursing, when delivered in the collaboration of a nurse-physician team, allows for medical resources to be used appropriately. Defined roles enable nurses to manage patients within their scope of practice in collaboration with physicians. Enacting other nursing roles, such as nurse practitioners and advanced practice nurses, can also enable the health care system to manage a broader number of patients with more complex needs. This article presents a position paper originally written as the basis for an advocacy and education initiative in Ontario. It is shared in anticipation that the work may be useful to oncology nurses in other jurisdictions in their efforts to advance oncology nursing and improvement of patient care.

  16. 2006-07 north metropolitan Perth breastfeeding cohort study: how long are mothers breastfeeding? (United States)

    Forde, Karen A; Miller, Laura J


    Information about local breastfeeding rates and predictors of breastfeeding outcomes can assist with improving health planning and community support. Longitudinal infant feeding data were collected during scheduled contacts with a Community Child Health Nurse and a telephone survey at 6 months for 3828 infants in Perth, Western Australia. Breastfeeding rates were below recommended targets. Regression analyses identified several significant protective and risk predictors of breastfeeding outcomes. Factors that increased the likelihood of use of artificial baby milk in hospital were low birth weight, multiple births, private hospital, primiparity and mother of Asian ethnicity. At 6 months, factors that reduced the likelihood of breastfeeding were young mother, no tertiary education, multiple births, use of artiicial baby milk in hospital, low birth weight and mother seeking postnatal professional breastfeeding advice within 14 days. A strong commitment by health leaders and professionals is required across the continuum of care to provide timely and consistent support to maintain breastfeeding.

  17. Pregnant with possibilities: drawing on hermeneutic thought to reframe home-visiting programs for young mothers. (United States)

    SmithBattle, Lee


    Although the positive outcomes achieved in home-visiting interventions targeting young, disadvantaged mothers are partly credited to therapeutic relationships, researchers rarely offer philosophical or theoretical explanations for these relationships. This omission is a conspicuous oversight as nurse-family relationships have figured prominently in public health nursing practice since its inception. In this study, I suggest that the contribution of therapeutic relationships to positive outcomes will remain theoretically undeveloped as long as clinical trials and nursing practice models follow the logic of techne. After describing how a scientific-clinical gaze misrepresents teen mothers and contributes to a rational-technical model of clinical practice, I draw on contemporary hermeneutics to describe how dialog and understanding are indispensable for clinical judgment and the judicious use of scientific knowledge. This hermeneutic corrective calls attention to the dialogical nature of truth and the relational skills that disclose meaning, preserve personhood, and support possibilities available in the life-world. Dialogical understanding also disrupts the scientific-clinical gaze by disclosing the social disparities that are implicated in early childbearing and teen mothers' long-term prospects. The implications of this thought for legitimating and supporting the flexibility and clinical know-how that 'strays' from protocol-driven care is addressed.

  18. Implantação do Método Mãe-Canguru na percepção de enfermeiras de um hospital universitário Implantación del Método Madre canguro en la percepción de enfermeras de un hospital universitario Implantation of the Kangaroo Mother Method in the perception of nurses in a university hospital

    Directory of Open Access Journals (Sweden)

    Thaís Cristina de Hollanda Parisi


    involucramiento de los colaboradores de la institución, en los procesos de cambio y la necesidad de adecuación de los recursos humanos y físicos para la implantación efectiva del método. De esta forma, dio subsidios para la reorganización de las actividades asistenciales y gerenciales en el referido servicio.OBJECTIVE: To understand the perception of nurses in a Neonatal Unit about the implantation of the Kangaroo Mother Method. METHODS: This is an exploratory-descriptive, qualitative study, performed at the Neonatal Unit at Hospital das Clínicas, Universidade de São Paulo, with the participation of five nurses. Data collection occurred through interviews, which were transformed into narratives and then categorized. RESULTS: Three categories were extracted from the narratives and interpreted according to the planned changes: the decision-making and awareness processes of the healthcare team, the intervenient factors and the beliefs and feelings associated to the implantation of the Kangaroo Mother Method. CONCLUSION: This study showed the importance of the involvement of the collaborators at the institution during the processes of change and the need to adequate the human and physical resources for the effective implantation of the method. Therefore, it yielded subsidies for the reorganization of the healthcare and managerial activities of the service.

  19. The Staff Nurse Clinical Leader at the Bedside: Swedish Registered Nurses' Perceptions. (United States)

    Larsson, Inga E; Sahlsten, Monika J M


    Registered nurses at the bedside are accountable for and oversee completion of patient care as well as directly leading and managing the provision of safe patient care. These nurses have an informal leadership role that is not associated with any given position. Leadership is a complex and multifaceted concept and its meaning is unclear, especially in the staff nurse context. The aim was to describe registered nurses' perceptions of what it entails to be the leader at the bedside in inpatient physical care. A phenomenographic approach was employed. Interviews were performed with Swedish registered nurses (n = 15). Five descriptive categories were identified: demonstrating clinical knowledge, establishing a good atmosphere of collaboration, consciously structuring the work in order to ensure patients' best possible nursing care, customized presence in the practical work with patients according to predetermined prerequisites, and monitoring coworkers' professional practice. Registered nurses informal role as leader necessitates a social process of deliberate effort to attain and maintain leader status and authority. Participants used deliberate communicative approaches and interactive procedures. Leader principles grounded in the core values of the nursing profession that ensure nursing values and person-centered attributes were a key aspect.

  20. Nursing Jobs in Nursing Homes (United States)

    Torpey, Elka Maria


    The need for practical nurses who focus on caring for older people is growing. According to the U.S. Census Bureau, the number of people ages 65 and older is expected to increase from 40 million to 72 million between 2010 and 2030. And the U.S. Bureau of Labor Statistics (BLS) projects that this increasing population will result in job growth for…

  1. The use of online information resources by nurses*†



    Purpose: Based on the results of an informal needs assessment, the Usage of Online Information Resources by Nurses Project was designed to provide clinical nurses with accurate medical information at the point of care by introducing them to existing online library resources through instructional classes. Actual usage of the resources was then monitored for a set period of time.

  2. The silent customers: measuring customer satisfaction in nursing homes. (United States)

    Kleinsorge, I K; Koenig, H F


    Nursing home administrators concerned with customer satisfaction and quality of care need a tool to assess and monitor ongoing satisfaction of nursing home residents and family members. The authors report a preliminary effort to develop such a survey using focus groups.

  3. MOSAIC (MOthers' Advocates In the Community: protocol and sample description of a cluster randomised trial of mentor mother support to reduce intimate partner violence among pregnant or recent mothers

    Directory of Open Access Journals (Sweden)

    Taft Angela J


    Full Text Available Abstract Background Intimate partner violence (IPV is prevalent globally, experienced by a significant minority of women in the early childbearing years and is harmful to the mental and physical health of women and children. There are very few studies with rigorous designs which have tested the effectiveness of IPV interventions to improve the health and wellbeing of abused women. Evidence for the separate benefit to victims of social support, advocacy and non-professional mentoring suggested that a combined model may reduce the levels of violence, the associated mental health damage and may increase a woman's health, safety and connection with her children. This paper describes the development, design and implementation of a trial of mentor mother support set in primary care, including baseline characteristics of participating women. Methods/Design MOSAIC (MOtherS' Advocates In the Community was a cluster randomised trial embedded in general practice and maternal and child health (MCH nursing services in disadvantaged suburbs of Melbourne, Australia. Women who were pregnant or with infants, identified as abused or symptomatic of abuse, were referred by IPV-trained GPs and MCH nurses from 24 general practices and eight nurse teams from January 2006 to December 2007. Women in the intervention arm received up to 12 months support from trained and supported non-professional mentor mothers. Vietnamese health professionals also referred Vietnamese women to bilingual mentors in a sub-study. Baseline and follow-up surveys at 12 months measured IPV (CAS, depression (EPDS, general health (SF-36, social support (MOS-SF and attachment to children (PSI-SF. Significant development and piloting occurred prior to trial commencement. Implementation interviews with MCH nurses, GPs and mentors assisted further refinement of the intervention. In-depth interviews with participants and mentors, and follow-up surveys of MCH nurses and GPs at trial conclusion will

  4. Motivational incentives of nurses and nursing leadership

    National Research Council Canada - National Science Library

    Bakola H; Zyga S; Panoutsopoulos G; Alikari V


    ... and maximizing the quality of service. Purpose: The purpose of this paper is to highlight the need for motivating nurses, presenting a realistic framework of incentives as well as the role of nursing leadership in this. Method...

  5. District nurses: relationships in nurse prescribing.


    Fisher, Richard


    Although nurse prescribing has been established in the UK for approximately 8 years, little is known about the effect this additional role is having on those who are involved in its processes. This article reports on the early phrases of an ethnographic study which is aiming to discover how prescribing is altering the ways in which district nurses relate to general practitioners, pharmacists, other community nurses, patients and carers during the experience of nurse prescribing. Using qualita...

  6. Pioneer Mothers' Memorial Forest revisited (United States)

    R.C. Schlesinger; D.T. Funk; P.L. Roth; C.C. Myers


    The area now known as Pioneer Mothers' Memorial Forest was acquired by Joseph Cox in 1816 from the public domain. In 1944, a portion of that property, including the area referred to as Cox Woods, was established as a National Forest Research Natural Area. This beech-maple forest, located in the Knobs area of southern Indiana, is considered to be one of the few...

  7. 77 FR 41986 - Division of Nursing, Public Health Nursing Community Based Model of PHN Case Management Services (United States)


    ...), Community Based Model of Public Health Nursing Case Management Services. This program is authorized under... management model that utilizes the PHN as a case manager. Research indicates nursing case management is a..., communication and monitoring. The goals and outcomes of the PHN case management model are early detection...

  8. Costing nursing care: using the clinical care classification system to value nursing intervention in an acute-care setting. (United States)

    Moss, Jacqueline; Saba, Virginia


    The purpose of this study was to combine an established methodology for coding nursing interventions and action types using the Clinical Care Classification System with a reliable formula (relative value units) to cost nursing services. Using a flat per-diem rate to cost nursing care greatly understates the actual costs and fails to address the high levels of variability within and across units. We observed nurses performing commonly executed nursing interventions and recorded these into an electronic database with corresponding Clinical Care Classification System codes. The duration of these observations was used to calculate intervention costs using relative value unit calculation formulas. The costs of the five most commonly executed interventions were nursing care coordination/manage-refer ($2.43), nursing status report/assess-monitor ($4.22), medication treatment/perform-direct ($6.33), physical examination/assess-monitor ($3.20), and universal precautions/perform-direct ($1.96). Future studies across a variety of nursing specialties and units are needed to validate the relative value unit for Clinical Care Classification System action types developed for use with the Clinical Care Classification System nursing interventions as a method to cost nursing care.

  9. Risk profile of pregnant mothers in Kelantan. (United States)

    Zulkifli, A; Rogayah, J; Hashim, M H; Shukri, O; Azmi, H


    A demographic and obstetric profile of pregnant mothers attending antenatal clinics in kelantan over period of one year was determined by a retrospective study of 10,032 registered pregnant mothers. The prevalence of risk factors related to the age of the mother, parity, weight, haemoglobin level, bad obstetric history and pregnancy related diseases were determined. Prevalence of teenage pregnancy and primigravida accounted for 4.3 and 17.2 percent respectively. Nearly 3.9 percent of the mothers weighed less than 40 kg and 44.5 percent of mothers were found to be anaemic (Hb less than 11g/d) at the first antenatal visit. Only 3.2 percent of the mothers did not have any designated risk factor. Previous bad obstetric history and pregnancy related disease accounted for 17.1 and 3.5 percent of mothers respectively.

  10. Virtually Nursing: Emerging Technologies in Nursing Education. (United States)

    Foronda, Cynthia L; Alfes, Celeste M; Dev, Parvati; Kleinheksel, A J; Nelson, Douglas A; OʼDonnell, John M; Samosky, Joseph T

    Augmented reality and virtual simulation technologies in nursing education are burgeoning. Preliminary evidence suggests that these innovative pedagogical approaches are effective. The aim of this article is to present 6 newly emerged products and systems that may improve nursing education. Technologies may present opportunities to improve teaching efforts, better engage students, and transform nursing education.

  11. Circadian activity rhythms for mothers with an infant in ICU

    Directory of Open Access Journals (Sweden)

    Shih-Yu eLee


    Full Text Available Circadian rhythms influence sleep and wakefulness. Circadian activity rhythms (CAR are altered in individuals with dementia or seasonal affective disorder. To date, studies exploring CAR and sleep in postpartum women are rare. The purpose of this report is to describe relationships between CAR, sleep disturbance, and fatigue among 72 first-time mothers during their 2nd week postpartum while their newborn remain hospitalized in intensive care unit (ICU. Seventy two mothers were included in this secondary data analysis sample from three separate studies. Participants completed the General Sleep Disturbance Scale (GSDS, Numerical Rating Scale for Fatigue (NRS-F, and a sleep diary. The objective sleep data included total sleep time (TST, wake after sleep onset (WASO, and CAR determined by the circadian quotient (amplitude/mesor averaged from at least 48-hours of wrist actigraphy monitoring. The TST of mothers who self-reported as poor sleepers was 354 minutes (SEM= 21.9, with a mean WASO of 19.5% (SEM= 2.8. The overall sleep quality measured by the GSDS was clinically, significantly disrupted (M= 5.5, SD= 1.2. The mean score for morning fatigue was 5.8 (SD= 2.0, indicating moderate fatigue severity. The CAR was .62 (SEM= .04, indicating poor synchronization. The self-reported good sleepers (GSDS < 3 had better CAR (M= .71, SEM= .02 than poor sleepers (GSDS > 3 (t [70] = 2.0, p< .05. A higher circadian equation was associated with higher TST (r= .83, p<.001, less WASO (r= -.50, p< .001, lower self-reported sleep disturbance scores (r= -.35, p= .01, and less morning fatigue (r= -.26. Findings indicate that mothers with a hospitalized infant have both nocturnal sleep problems and disturbed circadian activity rhythms. Factors responsible for these sleep and rhythm disturbances, the adverse effects on mother’s physical and mental well-being, and mother-infant relationship require further study.

  12. Cardiovascular nursing in Israel. (United States)

    Blaer, Yosef; Rosenberg, Orit; Reisin, Leonardo


    Cardiovascular (CV) nursing as an entity in Israel dates back to 1952, when the nurses in Tel-Hashomer hospital took care of postoperative heart surgery patients. The first intensive cardiac care units (ICCUs) were established in 1971. In 1982, the first ICCU course was established in Tel-Hashomer hospital nursing school. Today, most of the nursing staff in Israels ICCUs are graduates of ICCU courses. The nurses professional society, the Society for Nursing of Israel, was established in 1947. In 1989 the Society for Advancement of Cardiac Nursing in Israel (SACN) was established. The main goals of the society were: the exchange of CV nursing knowledge, CV nursing research, CV nursing education in nursing schools, education of nurses in other departments in the care of the cardiac patient, and CV nursing education in the community. The CV nurse takes a large role in the total care of the cardiac patient, which includes rehabilitation within the hospital and in the ambulatory setting and coordination of nursing in national and international multicenter clinical trials. In collaboration with the Ministry of Health Nursing Division, Israeli CV nurses participate in national and international projects to: develop and upgrade nursing education; train new CV nurses; develop, review, and revise nursing protocols and guidelines; and establish new, more advanced ICCUs in underdeveloped areas within Israel and around the world. Our vision for the future development of CV nursing in Israel includes coordination and management roles in the hospital setting, and the establishment and management of home-care programs. Copyright 2003 CHF, Inc.

  13. Ambulatory Blood Pressure Monitoring and Nursing Observation and Studyof HD Hypertension Patients%透析高血压患者的动态血压监测及护理观察研究

    Institute of Scientific and Technical Information of China (English)

    陈悦霞; 张红梅; 应波; 孔梅敏; 金海娟; 郭晶


    未被理想控制的高血压是透析病人长期存活的主要威胁。为了熟悉其变化规律,对44例透析高血压患者进行了动态血压监测及护理观察研究,发现:(1)透析高血压多以收缩压升高为主,透析程序中血压升高较透析间期为甚;(2)血压波动规律,收缩压在透析程序中于穿刺、进食、回血时呈现3个小高峰,引血、回血前30min略趋下降,回血后2~4h呈较高趋势,舒张压总体波动较平坦;(3)血压昼夜节律变化基本消失;(4)透析时的血压波幅、间期的平均动脉压均与左室重量指数呈显著正相关。%Uncontrolled hypertension is the major threat to survival rate ofhemodialysis patients.In order to be familiar with blood pressure changing rhythm,with monitoring the ABp and nursing observation in 44 HD hypertension patients.We found:(1)systolic Bp was obviously high,Bp was higher during dialysis than no-dialysis period;(2)three peak of systolic Bp appeared when eating,fistula puncture and blood returning,but SBp slightly decreased half an hour later after blood drawing and returning and increased 2~4 hours later after blood returning.Generally DBp fluctuated slightly.(3)Bp fluctuation rhythm in day and night disappeared;(4)the extent of Bp fluctuation during dialysis and MAP during no-dialysis period were positively correlative with LVMI.

  14. Effects of nursing care and staff skill mix on patient outcomes within acute care nursing units. (United States)

    Hart, Patricia; Davis, Nancy


    This article presents the findings from a study that evaluates the relationships between staffing indicators and patient outcomes at the hospital unit level. Nursing administrators should not only evaluate the impact staffing decisions have on patient outcomes at the hospital level but also examine these relationships at the unit level. The findings from this study have implications for nursing practice in the areas of staff orientation, education, and patient outcome monitoring.

  15. Paths to nursing leadership. (United States)

    Bondas, Terese


    The aim was to explore why nurses enter nursing leadership and apply for a management position in health care. The study is part of a research programme in nursing leadership and evidence-based care. Nursing has not invested enough in the development of nursing leadership for the development of patient care. There is scarce research on nurses' motives and reasons for committing themselves to a career in nursing leadership. A strategic sample of 68 Finnish nurse leaders completed a semistructured questionnaire. Analytic induction was applied in an attempt to generate a theory. A theory, Paths to Nursing Leadership, is proposed for further research. Four different paths were found according to variations between the nurse leaders' education, primary commitment and situational factors. They are called the Path of Ideals, the Path of Chance, the Career Path and the Temporary Path. Situational factors and role models of good but also bad nursing leadership besides motivational and educational factors have played a significant role when Finnish nurses have entered nursing leadership. The educational requirements for nurse leaders and recruitment to nursing management positions need serious attention in order to develop a competent nursing leadership.

  16. District nurse training


    Elliott, Arnold; Freeling, Paul; Owen, John


    Training for district nursing is being reviewed. By 1981 district nurses will have a new administrative structure, a new curriculum, and a new examination. Training for nursing, like that for general practice, is to become mandatory. The history of the development of district nurse training is briefly described.

  17. Nursing control over practice and teamwork. (United States)

    Castner, Jessica; Ceravolo, Diane J; Foltz-Ramos, Kelly; Wu, Yow-Wu


    Nurses' control over practice is essential to nursing care quality and fosters teamwork at the point of care delivery. This article describes a study to measure the impact of nurses' control over their practice from the perspective of teamwork. The purpose of this study was to measure the relationship of control over practice to the five following dimensions of teamwork: team structure, leadership, situation monitoring, mutual support, and communication. The study method was a secondary analysis of 456 surveys from registered nurses working in a five-hospital system. Study results demonstrated that the global measure of teamwork correlated with control over practice and nursing experience, but not with teamwork training. All five individual dimensions of teamwork were perceived as better for those who had a high level of control over practice compared to those who did not. In the discussion section, we consider situation monitoring since this dimension demonstrated an interaction effect between teamwork training and control over practice. Nursing control over practice demonstrates a positive relationship with teamwork and should be considered in future education, policy, and research efforts. Further study is needed to understand control over practice as a potential moderator or mediator of other predecessors of effective teamwork.

  18. Mothers' part-time employment: associations with mother and family well-being. (United States)

    Buehler, Cheryl; O'Brien, Marion


    The associations between mothers' part-time employment and mother well-being, parenting, and family functioning were examined using seven waves of the NICHD Study of Early Child Care and Youth Development data (N = 1,364), infancy through middle childhood. Concurrent comparisons were made between families in which mothers were employed part time and both those in which mothers were not employed and those in which mothers were employed full time. Using multivariate analysis of covariance with extensive controls, results indicated that mothers employed part time had fewer depressive symptoms during the infancy and preschool years and better self-reported health at most time points than did nonemployed mothers. Across the time span studied, mothers working part time tended to report less conflict between work and family than those working full time. During their children's preschool years, mothers employed part time exhibited more sensitive parenting than did other mothers, and at school age were more involved in school and provided more learning opportunities than mothers employed full time. Mothers employed part time reported doing a higher proportion of child care and housework than mothers employed full time. Part-time employment appears to have some benefits for mothers and families throughout the child rearing years.

  19. [Introduction to nursing aesthetics]. (United States)

    Chen, Chen-Jung; Tsai, Chuan-Hsiu; Chen, Yi-Chang


    Empirical, aesthetic, ethical, and personal knowing are the four fundamental patterns of knowledge inquiry. Of these, the aesthetic knowing pattern is least discussed in nursing literature. This article discusses the definition of nursing aesthetics; its utilization in practice; and correlations between aesthetics and clinical practice. One of the advantages inherent to nursing is its ability to deliver skillful care directly to patients. Skillful performance is essential to reduce discrepancies between goals and patterns. Aesthetic nursing addresses more than the form of nursing. It further addresses the crucial elements of nursing knowledge. The science of nursing is influential in its ability to attain harmony among abundant empiric content, power of beneficence, and pleasure of aesthetic experience. In clinical practice, nurses can employ aesthetic nursing through various channels to create meaning and promote the professional image of nurses. Concepts listed in this article may be utilized in clinical supervision, practice and education.

  20. Advanced urology nursing practice. (United States)

    Crowe, Helen


    Urology nursing has developed as a specialty over the past few decades in response to several factors, workload demands being a prime reason. Nurses are taking on additional roles and activities including procedures such as cystoscopy and prostate biopsy, and running nurse-led clinics for a variety of urological conditions. Audits of advanced urological nursing practice have shown this care to be of a high standard and investigative procedures performed by these nurses match the diagnostic quality of existing services. Professional urological nursing organizations support the professional needs of these nurses, but the provision of education and training for advanced practice activities remains an unaddressed need. A range of confusing advanced urology nursing titles exists, and uncertainty regarding the roles and scope of practice for these nurses remains a concern. Acceptance and support from medical colleagues is required for the success of advanced urological nursing practice, but opinions on these roles remain divided.

  1. Breastfeeding duration in mothers who express breast milk: a cohort study

    Directory of Open Access Journals (Sweden)

    Zhao Yun


    Full Text Available Abstract Background The expression of breast milk allows a mother to be away intermittently from her infant while continuing to breastfeed. The aim of this study was to investigate the association between expression of breast milk and breastfeeding duration Methods A cohort study of 12 months duration. The mothers were recruited from two public maternity hospitals in Perth, Australia between mid-September 2002 and mid-July 2003. While in hospital, participating mothers completed a questionnaire that included questions on how they were feeding their newborn. Telephone interviews conducted at regular periods monitored changes in infant feeding practices, including expression of breast milk. Multivariate Cox regression analysis was used to explore the association between breast milk expression and the duration of any breastfeeding. Results A total of 587 mothers, or 55% of those eligible, participated in the study. Of these 93.5% were breastfeeding at discharge from hospital. Mothers who expressed breast milk (at one or more time periods were less likely to discontinue any breastfeeding before six months (Relative Risk 0.71, 95% CI 0.52, 0.98 than those who had never expressed milk. Conclusion This study found that mothers who express breast milk are more likely to breastfeed to six months (any breastfeeding. While further research is required in different cultures to confirm these results, the appropriate use of expressed breast milk may be a means to help mothers to achieve six months of full breastfeeding while giving more lifestyle options.

  2. [Food intakes in breast-feeding mothers]. (United States)

    Savino, F; Bermond, S; Bonfante, G; Gallo, E; Oggero, R


    The relation between mother's diet and breastmilk composition is still an open issue. Nutritional inadequacies during lactation may affect the well-being of both the mother and the infant. For this reason breast feeding women usually pay attention about their alimentary practices and about their style of life during breast-feeding period. This research was conducted to verify the adequacy of lactating mother's diet in comparison with the Italian recommended daily assumption levels of nutrients (LARN 1996) for this category. We have also compared food intake of not breast feeding mothers with the LARN, and analyzed the differences between these groups of mothers. Forty-eight healthy infants were selected, 23 bottle fed, 25 breast fed. Mothers's diet in the previous 48 hours was investigated using a structured questionnaire. The data collected were processed using software Dietosystem to obtain the daily nutrient intakes. The wetnurses's diet in comparison with the LARN 1996 resulted hypocaloric and hyperproteic, deficient in Calcium, Iron, folic acid and vitamin E. Surprisingly not breast feeding mothers's intake of nutrients is closer to LARN levels than that of breast feeding mothers. Mothers are not informed enough about their alimentation during lactating period. Pediatricians must improve their knowledge about this subject and give the mothers the information they need to achieve the recommended food requirements.

  3. Single Mother Parenting and Adolescent Psychopathology. (United States)

    Daryanani, Issar; Hamilton, Jessica L; Abramson, Lyn Y; Alloy, Lauren B


    Children raised in single-mother families are at increased risk for psychopathology, but the mechanisms that help explain this relationship are understudied. In a community sample of diverse adolescents (N = 385, 52 % female, 48 % Caucasian) and their mothers, we hypothesized that single mothers would be more likely than cohabitating mothers to engage in negative parenting behaviors, which would predict adolescent psychopathology prospectively. Single mothers were more likely to engage in psychologically controlling behaviors, which predicted to their adolescent offspring experiencing higher rates of depressive symptoms and externalizing disorders. Girls were more susceptible to depressive symptoms via psychologically controlling parenting than boys in single-mother families. Further, single mothers were more likely to engage in rejecting parenting behaviors, which predicted to a higher prevalence of adolescent externalizing disorders. Surprisingly, rejection in single-mother families predicted to less severe anxiety symptoms in adolescents relative to two-parent families. It is likely that single mothers are not inherently inferior parents relative to cohabitating mothers; rather, their parenting practices are often compromised by a myriad of demands and stressors. Consistent with this postulate, low socioeconomic status was associated with single motherhood and negative parenting behaviors. Clinical implications and study limitations are discussed.

  4. District nurses prescribing as nurse independent prescribers. (United States)

    Downer, Frances; Shepherd, Chew Kim


    Nurse prescribing has been established in the UK since 1994, however, limited focus has been placed on the experiences of district nurses adopting this additional role. This phenomenological study explores the experiences of district nurses prescribing as nurse independent prescribers across the West of Scotland. A qualitative Heideggarian approach examined the every-day experiences of independent prescribing among district nurses. A purposive sample was used and data collected using audio taped one-to-one informal interviews. The data was analysed thematically using Colaizzi's seven procedural steps. Overall these nurses reported that nurse prescribing was a predominantly positive experience. Participants identified improvements in patient care, job satisfaction, level of autonomy and role development. However, some of the participants indicated that issues such as support, record keeping, confidence and ongoing education are all major influences on prescribing practices.

  5. Mental support during two months after delivery to facilitate psychosocial acceptance for a mother who has a baby with Apert syndrome By using "baby memorandum"


    長谷川, 香


    The mental shock of parents who have had a baby with congenital malformation cannot be overstressed. In this paper, we report a 29-year-old mother who has a new-born baby with Apert syndrome to show her psychosocial acceptance after the diagnosis by using "baby memorandum" (memo that is used in our neonatal unit for communication between mothers and nurses). The mother wrote her honest and frank feelings on these memo pages for two months after delivery. Thus, the memo was useful to understan...

  6. Enhancing assertiveness in district nurse specialist practice. (United States)

    Green, Julie


    District nurse (DN) care delivery has undergone substantial change in recent years due to changing demographics and service delivery demands that have called for a move of care delivery from secondary to primary care. The title District Nurse is recorded with the Nursing and Midwifery Council (NMC) on completion of the Specialist Practice Qualification in District Nursing (SPQ DN), which purports to be a 'transformational' course that prepares future caseload holders to manage their team and prioritise care delivery effectively. This article explores the need for assertiveness skills in this role in response to Australian research, and outlines the pedagogic interventions implemented during the SPQ DN course to enhance this skill. Assertiveness scores were monitored for the duration of the course and demonstrated a significant increase-a topic that is now the subject of a future, funded study.

  7. Mothers' and fathers' knowledge of adolescents' daily activities: its sources and its links with adolescent adjustment. (United States)

    Waizenhofer, Robyn N; Buchanan, Christy M; Jackson-Newsom, Julia


    To elucidate the benefits ascribed to parental monitoring, the authors examined links between parental knowledge and methods of obtaining knowledge about adolescents' activities, and links between these constructs and adolescent adjustment. The roles of parent gender, adolescent gender, and family earner status in these associations were also studied. Participants were 95 adolescents (ages 10 to 17 years, 60% male and 40% female) and their parents. Mothers knew more about adolescents' activities than did fathers and were more likely than fathers to gain information by active supervision or voluntary disclosure from the adolescent. Fathers, more than mothers, received information via spouses. Active methods of supervision predicted more knowledge among fathers and mothers from dual-earner families but not among mothers from single-earner families. More maternal knowledge predicted lower adolescent deviance. No method of gaining knowledge predicted adjustment directly.

  8. [Application of Epigenetics in Perinatal Nursing Care]. (United States)

    Chou, Hsueh-Fen; Kao, Chien-Huei; Gau, Meei-Ling


    Epigenetics is a field of biomedicine that expanded tremendously during the 1980s. Epigenetics is the study of heritable changes in gene expression independent of underlying DNA (DeoxyriboNucleic Acid) sequence, which not only affect this generation but will be passed to subsequent generations. Although conception is the critical moment for making decisions regarding gene mapping and fetal health, studies have shown that perinatal nursing care practices also affect the genetic remodeling processes and the subsequent health of the mother and her offspring. To optimize maternal-infant and the offspring health, it is important to ensure that the new mother get adequate nutrition, reduce stress levels, adopt gentle birth practices, facilitate exclusive breastfeeding, and avoid contacting toxic substances.

  9. Observation on therapeutic effect of ultrasonic atomizing inhalation of mother chrysanthemum in treatment of acute pharyngitis and nursing care of it%野菊花超声雾化吸入治疗急性咽炎的疗效观察及护理

    Institute of Scientific and Technical Information of China (English)



    [目的]观察野菊花针剂雾化吸入治疗急性咽炎的疗效。[方法]将200例病人随机分为治疗组和对照组,每组100例,治疗组使用野菊花针剂雾化吸入,对照组使用庆大霉素+地塞米松雾化吸入,比较两组病人的治疗效果。[结果]治疗组疗效明显优于对照组(P<0.01)。[结论]野菊花针剂雾化吸入对急性咽炎有良好的效果。%Obj ective:To observe the therapeutic effect of ultrasonic atomizing inhalation with mother chrysanthemum inj ection in treating acute pharyngitis. Methods:A total of 200 patients were randomly divided into treatment group and control group,200 cases in each.The patients in treatment group were giv-en ultrasonic atomizing inhalation with mother chrysanthemum inj ection,while the patients in control group were given ultrasonic atomizing inhalation with gentamicin and dexamethasone.Results:The therapeutic effect in treatment group was significantly better than that in control group(P<0.01).Conclu-sion:The therapeutic effect of ultrasonic atomizing inhalation with mother chrysanthemum inj ection for acute plmryngitis is good.

  10. Mothers' View on Late Postoperative Pain Management by the Nursing Team in Children After Cardiac Surgery El manejo del dolor en niños, en el posoperatorio tardío de cirugía cardíaca, por los profesionales de enfermería, bajo la perspectiva de las madres O manejo da dor em crianças, no pós-operatório tardio de cirurgia cardíaca, pelos profissionais de enfermagem, na ótica das mães

    Directory of Open Access Journals (Sweden)

    Lucila Castanheira Nascimento


    Full Text Available Postoperative pain management in children is a complex, multidimensional and subjective phenomenon. It represents a challenge for children, parents and health professionals. This study aimed to understand how mothers assess their children's pain management by the nursing team in the late postoperative phase of cardiac surgery. Empirical data collection was carried out through semistructured interviews with 17 mothers who accompanied their children. Data were subject to qualitative analysis, revealing that, for the mothers, taking good care results from the confidence they vest in the nursing team and from the observation of the medication interventions this team performs. Not taking good care of their children is a consequence of lack of information or inadequate communication between the team and the mothers. The results of this study permit identifying aspects that strengthen and weaken nursing care for these clients, contributing to the improvement of the delivered care.El manejo del dolor posoperatorio en el niño es un fenómeno complejo, multidimensional y subjetivo; siendo que se constituye en un desafío para los niños, padres y profesionales de la salud. El objetivo de este trabajo fue comprender como las madres evalúan el manejo del dolor de sus hijos, realizado por el equipo de enfermería, en el posoperatorio tardío de cirugía cardíaca. La recolección de datos empíricos fue realizada por medio de entrevista semiestructurada con 17 madres que acompañaron a sus hijos. Los datos fueron analizados cualitativamente. Aprendimos que para las madres cuidar bien es resultante de la confianza que ellas depositan en el equipo de enfermería y de la observación de las intervenciones medicamentosas que ese equipo realiza. El no cuidar bien de sus hijos es consecuencia de la falta de información o comunicación inadecuada entre el equipo y las madres. Los resultados de este estudio posibilitaron identificar aspectos que pueden fortalecer

  11. Family matters: how mothers of adolescent parents experience adolescent pregnancy and parenting. (United States)

    Dallas, Constance


    Family support has been demonstrated to be essential for successful long-term outcomes of low-income, African American adolescent mothers and their children [Apfel, N., & Seitz, V. (1996). Urban girls: Resisting stereotypes, creating identities. NY: New York University Press]. Family support may also be essential for the continued paternal involvement of unmarried, low-income, African American adolescent fathers. Twenty mothers of unmarried, low-income, African American adolescent parents were individually interviewed for this qualitative study to describe the experiences of paternal grandmothers (mothers of adolescent fathers) and maternal grandmothers (mothers of adolescent mothers) during transition to fatherhood for unmarried, low-income, African American adolescent fathers. Findings are presented according to the six factors of transition conditions from the nursing model of transitions [Schumacher, K., & Meleis, A. I. (1994). Image, 26, 119-127]: meanings, expectations, level of knowledge and skill, the environment, level of planning, and emotional and physical well-being. Findings indicate that transition to parenthood and grandparenthood is often abrupt and complicated for unmarried, low-income, African American adolescent parents and their families. Paternal and maternal grandmothers continue to act as primary parents for their adolescents while compensating for the lack of skills and attributes for the adolescents' children. Findings from this study can be used to design developmentally and culturally appropriate health care interventions that can support these families during this complex process.

  12. Assumptions and advice: mothers and Queensland well-baby clinics. A review. (United States)

    Thorley, Virginia


    In 20th century Australia, free well-baby clinics were run by maternal and child health nurses, although the funding and organisational structure varied from state to state. It was assumed that women who attended followed the advice assiduously; yet attendance did not necessarily equate to practice. In Queensland, the state government's free Maternal and Child Welfare Service (MCW) advised mothers on infant feeding and care through well-baby clinics throughout the state, a correspondence section for mothers in remote areas and a railcar clinic to some western towns, under the state government's policy of covering every mother and baby in Queensland. Women in Queensland, as in other states, were exposed to other influences on how to feed babies and often exercised agency in making their own decisions according to their circumstances and their own judgment. This review will place research from Queensland on women's reasons for attending the clinics and adherence to the advice provided, during the period 1920-1965, within a wider context. This includes research on barriers to following advice, counselling versus imparting information and the mother's self-efficacy. The message for today is that adherence to advice still cannot be assumed and mothers' own circumstances need to be factored in.

  13. Supporting the need for home care by mothers of children with hemophilia. (United States)

    Ergün, Sibel; Sülü, Esma; Başbakkal, Zümrüt


    This research is a descriptive study that took place in Turkey and was intended to determine the difficulties experienced by mothers of children with hemophilia in maintaining their care at home and establishing appropriate interventions. Research data were collected using a survey prepared by the researchers after reviewing the existing literature. The survey contained 2 sections: (a) questions about the mothers' sociodemographic data and (b) 5 questions about the difficulties that mothers with hemophiliac children experience. Mothers were observed to have not received education about accidents and first aid and were afraid that their child would have an accident (55%); they experienced difficulty finding medications (75%); they felt they needed healthcare personnel during medication administration (85%); and they were sad that their child was ill (80%). Pediatric haematology nurses should strive to educate mothers with hemophiliac children about the disease and how to deal with accidents, first aid, and medication administration; home care services should be organized and made available for all hemophiliac children and their families.

  14. [Application of an OPT model in a paediatric nursing clinical case in primary health care]. (United States)

    Rifà Ros, Rosa; Pérez Pérez, Isabel


    This article describes the assessment and nursing diagnostic hypothesis generation on a 10 years old child with a parietal contusion who attended the health care centre with his mother. The health centre is located in a rural area in Catalonia, and a paediatric nurse was placed in charge of the child. In the assessment and the subsequent information analysis, the nurse identified an unhealthy situation for the correct development of the child. The situation required the mother's intervention and a change in her habits and behaviours. For the approach of the case study, the OPT model (Outcome Present-state Testing) by Pesut and Herdman was used. The assessment was made by using Marjory Gordon's Functional Health Patterns assessment, and the NANDA-I nursing diagnoses taxonomy, NOC Outcomes taxonomy and NIC Interventions taxonomy was used for the diagnoses and planning.

  15. The prevalence of nursing caries in 18 to 60 months old children in Qazvin. (United States)

    Ramezani, Gh H; Norozi, A; Valael, N


    The study was carried out to establish the prevalence of Nursing Caries and its relation and caustive factors in children aged 18 to 60 months coming to Health Care Center weighing more than 2.5 kg. A total of 544 children (314 boys and 230 girls) were included in this study. The prevalence of Nursing Caries in girls was 23.5%, in boys 16.5% and in both sexes 19.5%. In affected children dmft was 3.8 times more than the unaffected children and DMFT of their mothers was higher too. Bottle feeding specially during sleep showed statistically significant increase in nursing caries and so did the duration of feeding with mother's milk. The results agree with those obtained in similar populations and showed that the prevalence of nursing caries is anxiously high.

  16. Effective nurse parent communication: a study of parents' perceptions in the NICU environment. (United States)

    Jones, Liz; Woodhouse, Darlene; Rowe, Jennifer


    This study examined mothers' and fathers' perceptions of effective and ineffective communication by nurses in the neonatal intensive care unit (NICU) environment, using communication accommodation theory (CAT) as the framework. Twenty mothers and 13 fathers participated in a semi-structured interview about their perceptions of effective and ineffective communication with nurses when their infant was in the NICU. The interviews were coded for using the CAT strategies. Descriptions of effective and ineffective communication differed in terms of the strategies mentioned with effective communication about shared management of the interaction and appropriate support and reassurance by nurses. Ineffective communication was more about the interpretability strategy, particularly for fathers, and these interactions were seen as more intergroup. Mothers emphasised more being encouraged as equal partners in the care of their infant. Effective communication by nurses was accommodative and more interpersonal while ineffective communication was generally under-accommodative and more intergroup. The findings provide a framework for communication skills training for nurses that identifies both effective and ineffective communication strategies to use with mothers and fathers.

  17. Monitoring neonates for ototoxicity. (United States)

    Garinis, Angela C; Kemph, Alison; Tharpe, Anne Marie; Weitkamp, Joern-Hendrik; McEvoy, Cynthia; Steyger, Peter S


    Neonates admitted to the neonatal intensive care unit (NICU) are at greater risk of permanent hearing loss compared to infants in well mother and baby units. Several factors have been associated with this increased prevalence of hearing loss, including congenital infections (e.g. cytomegalovirus or syphilis), ototoxic drugs (such as aminoglycoside or glycopeptide antibiotics), low birth weight, hypoxia and length of stay. The aetiology of this increased prevalence of hearing loss remains poorly understood. Here we review current practice and discuss the feasibility of designing improved ototoxicity screening and monitoring protocols to better identify acquired, drug-induced hearing loss in NICU neonates. A review of published literature. We conclude that current audiological screening or monitoring protocols for neonates are not designed to adequately detect early onset of ototoxicity. This paper offers a detailed review of evidence-based research, and offers recommendations for developing and implementing an ototoxicity monitoring protocol for young infants, before and after discharge from the hospital.

  18. The experience of nursing women with breastfeeding support: a qualitative inquiry (United States)

    Adair, Carol E.; Nettel-Aguirre, Alberto; Musto, Richard; Tough, Suzanne C.


    Background: Breastfeeding difficulties are a common occurrence, are highly personal and can vary from one infant to the next for any mother. Multiple sources of support, help and advice for breastfeeding are available to nursing mothers. Evidence suggests that the experience of the quality of breastfeeding supports may play an important role in maternal mental health and well-being in the postpartum period. We sought to explore the experiences of nursing mothers with support they received for breastfeeding in order to better inform and optimize existing breastfeeding supports and interventions. Methods: We conducted a qualitative inquiry of nursing mothers’ experiences with help, advice and support for breastfeeding. Participants were asked to provide open-ended, written accounts of their experiences with all sources of breastfeeding support received in the 6 months following the delivery of a healthy full-term infant in Calgary. We conducted qualitative thematic analysis, using constant comparison techniques. Results: The sample included 86 mothers. Our analyses uncovered 4 emergent themes that contributed to the perceived quality of breastfeeding support: knowledge, effectiveness, sensitivity/emotional support and accessible when sought. Interpretation: Our study provides a greater understanding of how mothers perceive the quality of the breastfeeding support that they receive, as well as what qualities of breastfeeding support are seen as beneficial or negative. The qualities contributing to the perception of breastfeeding support are important to inform and optimize perinatal care, and potentially reduce the risk of negative mental health outcomes for mothers. PMID:26442229

  19. Intención de colecho en el puerperio según características sociodemográficas de las madres: ¿Qué podemos recomendar los profesionales de enfermería? Intention of bed sharing during the postpartum period according to sociodemographic characteristics of the mother: What should professional nurses recommend?

    Directory of Open Access Journals (Sweden)

    Mª Teresa Roldán-Chicano


    Full Text Available Justificación: El colecho es una práctica muy extendida en algunos entornos culturales, sin embargo diferentes investigaciones presentan resultados muy contradictorios respecto a los beneficios y riesgos de compartir el lecho con el lactante. Objetivo: determinar la prevalencia en la intención de practicar colecho entre madres que están en la planta de maternidad (puerperio inmediato e intermedio, y relacionarla con sus características sociodemográficas. Diseño-metodología: Estudio transversal de prevalencia realizado en una muestra de 384 madres: españolas, marroquíes y ecuatorianas. Para determinar el grado de asociación entre variables categóricas se utilizó el test de la Chi-cuadrado. El tratamiento de los datos se realizó con el programa SPSS v.13. Resultados y conclusiones: Un 12% de las madres encuestadas tienen intención de practicar colecho esporádico o permanente. Las madres inmigrantes y las que tienen más hijos fueron las que más optaron por compartir el lecho con el lactante en el ámbito doméstico. Comparando nuestros resultados con los de otras investigaciones, podemos afirmar que algunas madres, aunque no tengan intención de practicar colecho, finalmente lo llevan a la práctica sin haber recibido por parte del profesional sanitario ningún consejo para que se lleve a cabo con unas condiciones de seguridad aceptables.Justification: Bed sharing is widely practised within different cultural environments, however different researches show contradicting results on the benefits and risks of parent-infant bed sharing. Objective: To determine the prevalence of the intention of bed sharing practice among mothers admitted to the maternity ward (immediate and intermediate postpartum period, and to relate this prevalence to their sociodemographic characteristics. Design-Methodology: Cross-sectional prevalence study conducted with a sample of 384 mothers: Spaniards, Moroccans and Ecuadorians. Chi-square test was used to

  20. Mother and infant: early emotional ties. (United States)

    Klaus, M


    Recent behavioral and physiologic observations of infants and mothers have shown them ready to begin interacting in the first minutes of life. Included among these findings are the newborn infant's ability to crawl toward the breast to initiate suckling and mother-infant thermoregulation. The attachment felt between mother and infant may be biochemically modulated through oxytocin; encouraging attachment through early contact, suckling, and rooming-in has been shown to reduce abandonment.

  1. Diaphragmatic myasthenia in mother and child.


    Mier, A K; Havard, C W


    A 28 year old patient with ocular myasthenia for 2 y gave birth to a baby with diaphragmatic weakness. Following delivery the mother developed severe weakness of the diaphragm and required assisted ventilation. The baby recovered spontaneously and the mother responded to treatment with plasma exchange and immunosuppression. Neither mother nor baby responded to anticholinergic drugs and in neither serum were acetyl choline receptor antibodies detected.

  2. Reducing mother-to-child HIV transmission

    Institute of Scientific and Technical Information of China (English)


    In developing countries,mother-to-child trans mission of human immune deficiency virus (HIV)is responsible for 5 to 10 percen t o f all new HIV infections.Most children born to HIV-positive mothers are not HIV positive,but one quarter to one third are.The following instert looks at the p o ssibilities for reducing mother-to-child HIV transmission,and discusses some of the questions that are still unanswered.

  3. Self-Efficacy and Postpartum Depression Teaching Behaviors of Hospital-Based Perinatal Nurses


    Logsdon, M. Cynthia; Foltz, Melissa Pinto; Scheetz, James; Myers, John A.


    Based upon the Self-Efficacy Theory, this study examined the relationship between self-efficacy, self-efficacy-related variables, and postpartum depression teaching behaviors of hospital-based perinatal nurses. Findings revealed that teaching new mothers about postpartum depression is related to a perinatal nurse's self-efficacy in postpartum-depression teaching, self-esteem, and the following self-efficacy-related variables: social persuasion (supervisor's expectations for teaching); mastery...

  4. Reasons for loss to follow-up among mothers registered in a prevention-of-mother-to-child transmission program in rural Malawi. (United States)

    Bwirire, L D; Fitzgerald, M; Zachariah, R; Chikafa, V; Massaquoi, M; Moens, M; Kamoto, K; Schouten, E J


    This study was conducted to identify reasons for a high and progressive loss to follow-up among HIV-positive mothers within a prevention-of-mother-to-child HIV transmission (PMTCT) program in a rural district hospital in Malawi. Three focus group discussions were conducted among a total of 25 antenatal and post-natal mothers as well as nurse midwives (median age 39 years, range 22-55 years). The main reasons for loss to follow-up included: (1) not being prepared for HIV testing and its implications before the antenatal clinic (ANC) visit; (2) fear of stigma, discrimination, household conflict and even divorce on disclosure of HIV status; (3) lack of support from husbands who do not want to undergo HIV testing; (4) the feeling that one is obliged to rely on artificial feeding, which is associated with social and cultural taboos; (5) long waiting times at the ANC; and (6) inability to afford transport costs related to the long distances to the hospital. This study reveals a number of community- and provider-related operational and cultural barriers hindering the overall acceptability of PMTCT that need to be addressed urgently. Mothers attending antenatal services need to be better informed and supported, at both community and health-provider level.

  5. Meals in nursing homes

    DEFF Research Database (Denmark)

    Kofod, Jens Erik; Birkemose, A.


    of nursing home improves the residents' meal situation with a positive effect on nutrition. The aim of this work is to test the general hypothesis that (i) residents appreciate the meal situation in these nursing homes and (ii) nutritional status of the residents is improved in this type of nursing home......Undernutrition is present among 33% of nursing home residents in Denmark. Hence, it is relevant to examine the meal situation at nursing homes to single out factors that may increase or reduce the residents' food intake. in the ongoing Danish nursing home debate it is claimed that a new type....... This study was carried out in four Danish nursing homes at various locations in Denmark. The methods used are qualitative interviews and observations at four nursing homes in combination with measurement of body mass index (BMI) at two of the four nursing homes. Undernutrition is defined as a BMI below 20...

  6. Meals in nursing homes

    DEFF Research Database (Denmark)

    Kofod, Jens Erik; Birkemose, A.


    . This study was carried out in four Danish nursing homes at various locations in Denmark. The methods used are qualitative interviews and observations at four nursing homes in combination with measurement of body mass index (BMI) at two of the four nursing homes. Undernutrition is defined as a BMI below 20......Undernutrition is present among 33% of nursing home residents in Denmark. Hence, it is relevant to examine the meal situation at nursing homes to single out factors that may increase or reduce the residents' food intake. in the ongoing Danish nursing home debate it is claimed that a new type...... of nursing home improves the residents' meal situation with a positive effect on nutrition. The aim of this work is to test the general hypothesis that (i) residents appreciate the meal situation in these nursing homes and (ii) nutritional status of the residents is improved in this type of nursing home...

  7. The Jerusalem psychiatric mother-baby unit. (United States)

    Maizel, S; Kandel Katzenelson, S; Fainstein, V


    The Jerusalem mother and baby unit (MBU) is influenced by the psychoanalytical orientation of the staff, and the historical and cultural conditions surrounding the unit. Forty-three patients with 44 babies (one set of twins) were admitted in 13 years, a rate of admission far from the theoretical demand. Schizophrenia, schizoaffective disorder and mood disorders have been the major diagnoses in more than 50% of the patients. Mothers with schizophrenia were significantly more likely to be admitted sooner after the birth than mothers without schizophrenia (p = 0.025). One infant was separated from the mother on discharge and four recommendations for adoption were given.

  8. Signal Analysis by New Mother Wavelets

    Institute of Scientific and Technical Information of China (English)

    NIU Jin-Bo; FAN Hong-Yi; QI Kai-Guo


    Based on the general formula for finding qualified mother wavelets [Opt. Lett. 31 (2006) 407] we make wavelet transforms computed with the newly found mother wavelets (characteristic of the power 2n) for some optical Gaussian pulses, which exhibit the ability to measure frequency of the pulse more precisely and clearly. We also work with complex mother wavelets composed of new real mother wavelets, which offer the ability of obtaining phase information of the pulse as well as amplitude information. The analogy between the behavior of Hermite-Gauss beams and that of new wavelet transforms is noticed.

  9. Mothers' union histories and the mental and physical health of adolescents born to unmarried mothers. (United States)

    Williams, Kristi; Sassler, Sharon; Frech, Adrianne; Addo, Fenaba; Cooksey, Elizabeth


    As nonmarital childbearing becomes a dominant pathway to family formation, understanding its long-term consequences for children's well-being is increasingly important. Analysis of linked mother-child data from the 1979 National Longitudinal Survey of Youth indicates a negative association of having been born to a never-married mother with adolescent self-assessed health but not with depressive symptoms. We also consider the role of mothers' subsequent union histories in shaping the adolescent health outcomes of youth born to unmarried mothers. With two exceptions, unmarried mothers' subsequent unions appear to have little consequence for the health of their offspring during adolescence. Adolescents whose mothers subsequently married and remained with their biological fathers reported better health, yet adolescents whose mothers continuously cohabited with their biological fathers without subsequent marriage reported worse adolescent mental health compared with adolescents whose mothers remained continually unpartnered.

  10. The mother as hidden regulator

    Directory of Open Access Journals (Sweden)

    Annie Panzer


    Full Text Available A human baby is born with a decidedly immature brain, and is absolutely dependent on an intense relationship with its mother (or primary caregiver for brain maturation. In the short term, maternal regulation contributes to a more joyful baby, while in the long term it leads to the internalisation and development of self-regulatory capabilities. The ability to regulate one’s own emotional states is based on the development of right orbitofrontal dominance of dual limbic circuits, i.e. the excitatory sympathetic ventral tegmental circuit, and the inhibitory parasympathetic lateral tegmental circuit. Thus the child will be able to calm down after nigh overwhelming emotions by activating the parasympathetic system, but also to bounce back after setbacks by activating the sympathetic system. The mother influences the parcellation of the two limbic systems and thus the permanent excitation-inhibition autonomic balance of its prefrontal regulatory system. Repeated unregulated emotional states in the practicing period from 12-18 months pave the way for various psychological and psychiatric disorders in adulthood. It is worrisome that many children pass through this critical time in nursery schools, where a shortage of adult staff may lead to the scenario where a child’s emotions are repeatedly not modulated, with dire consequences for the internalisation of its future self-regulating capabilities.

  11. Girl Babies Make Mothers Sick

    Institute of Scientific and Technical Information of China (English)



    已经或是将要做母亲的女性阅读此文一定兴味盎然。本文告诉我们: …women suffering from extreme morning sickness during the first three months of pregnancy are more likely to be carrying a daughter than a son. 这个结论不是凭空想象出来的,其调查的对象人数多达百万,令人吃惊: Askling and his team compared more than a million births in Sweden with records of women admitted to hospital for extreme morning sickness. 更令人吃惊的是,除了现代的调查之外,研究人员还引用了古希腊名医希波克拉底的观点: …female fetuses gave the mother a pale face, whereas a mother carrying a male fetus has a healthier tone(气色)to her skin.】

  12. Using Nursing Languages in School Nursing Practice. Second Edition (United States)

    Denehy, Janice


    The purpose of this updated manual is to define and describe standardized nursing languages, highlight how nursing languages are a part of the nursing process, and illustrate through case examples how nursing languages are used in school nursing practice. This manual also summarizes the history and development of three nursing classifications, the…

  13. Nursing Home Work Practices and Nursing Assistants' Job Satisfaction (United States)

    Bishop, Christine E.; Squillace, Marie R.; Meagher, Jennifer; Anderson, Wayne L.; Wiener, Joshua M.


    Purpose: To estimate the impact of nursing home work practices, specifically compensation and working conditions, on job satisfaction of nursing assistants employed in nursing homes. Design and Methods: Data are from the 2004 National Nursing Assistant Survey, responses by the nursing assistants' employers to the 2004 National Nursing Home Survey,…

  14. Mary Seacole: self taught nurse and heroine of the Crimean War. (United States)

    Harold, Ellis


    Mary Jane Seacole was born Mary Grant in Kingston Jamaica in 1805. Her father was a Scottish army officer and her mother a free Jamaican black, (slavery was not fully abolished in Jamaica until 1838). Her mother ran a hotel, Blundell Hall, in Kingston and was a traditional healer. Her skill as a nurse was much appreciated, as many of her residents were disabled British soldiers and sailors. It was from her mother that Mary learned the art of patient care, and she also assisted at the local British army hospital.

  15. Cross border nursing. (United States)

    Cutshall, P


    In 1989, the Canadian Nurses Association asked a professional nurse from British Columbia to help nurses in Nepal develop their association an work on nursing legislation. Nepal had about 3000 nurses, including assistant nurse-midwives, 500 of whom were members of the Trained Nurses Association of Nepal (TNAN). It wanted to expand nursing's contribution to health care in Nepal. The nurses wanted to increase the visibility of the association, to become a self-sustaining organization, to establish a licensing law, and to improve the availability of continuing education. The Canadian nurse helped the Nepalese nurses with a workshop on association management covering record keeping and meeting plans. She helped a newly formed committee with licensing law and with decision factors in pursuing self-regulation for nursing. She discussed a work plan and a lobby strategy. She helped another committee develop objectives for the next year. A follow-up visit the next year revealed that the office was operating well and the association was keeping good records. TNAN sponsored workshops on professionalism and leadership. This visit yielded further progress on a licensing law and on identifying ways to become self-sufficient. The nurses discussed the Norwegian Nurses Association's (NNA) interest in providing funds to buy a building for TNAN use and to derive income from rent. NNA eventually donated the funds. By the 1992 visit, the nurses had revised and registered their constitution and bylaws. They had sponsored workshops on HIV/AIDS and mental health. The name was now the Nursing Association of Nepal (NAN). The newly created executive council had met frequently. NAN had expanded from 6 to 11 local branches. It had created 5 committees: fund raising, research, international coordination, nurses welfare, and publications. A workshop in western Nepal centered on quality nursing care. NAN had a role in the government's progress in primary health care and mental health services.

  16. [Role of nursing in the development of breastfeeding in the premature newborn]. (United States)

    Borrero-Pachón, María del Pilar; Olombrada-Valverde, Ana Esther; Martínez de Alegría, María Inés


    The birth of a premature infant creates anxiety and uncertainty for the parents, who may go through the same grieving process as parents who have lost a baby. Breastfeeding is considered a natural act, although it is not always an easy one for mother and premature infant to establish. Providing breast milk is one of the most important psychological benefits a mother can give her premature infant. Breast milk can be considered the ideal nutrition for preterm infants. Involving the parent in the child's care helps increase parental feelings of control. Neonatal nurses are in a unique position to help minimize parental stress by providing information. It is the responsibility of health professionals who care for premature infants to provide accurate information regarding the benefits and methods of breastfeeding, so that the mother can make an informed choice. The existence of a standardized care plan could assist in establishing breastfeeding in the pre-term newborn, to unify and guide practitioners in making decisions. The aim of this article is to describe the actions needed to be made by nursing staff to achieve successful breastfeeding. We present a standardized care plan that follows the NANDA (North American Nursing Diagnosis Association), NOC (Nursing Outcomes Classification), and NIC (Nursing Interventions Classification) and show how these needs could be managed by nursing professionals.

  17. Seguimento de enfermagem: monitorando indicadores infantis na saúde da família El acompañamiento de enfermería: monitorización de indicadores infantiles en salud de la familia Nursing follow-up: monitoring of children's health indicators in the program of family health

    Directory of Open Access Journals (Sweden)

    Débora Falleiros de Mello


    profesionales ha sido importante en la mejoría de los indicadores de salud infantil. La monitorización de los indicadores posibilita fortalecer la organización de la asistencia al niño, particularmente en el contexto de la estrategia salud de la familia.Objective: To describe children's health indicators during the first two years of their life. Method: This was a descriptive study. Data were collected through birth certificates and medical records of 68 children born between January 1st 2002 and December 31st 2004. The children were monitored from birth to December 31st 2006 in an outpatient health unit of the program of family health at Ribeirao Preto, SP. Results: The children were at risk for health problems and a significant number of their mothers were teenagers with more than 3 children. Health care provided by the program of family health consisted of an increase in the amount of prenatal care, expansion of breastfeeding support and coverage, vaccination, and foot testing. Conclusion: Nursing and other professionals care has been very important in improving the children's health indicators. Monitoring health indicators can promote adequate child care; particularly, among children attending a program of family health.

  18. The nursing crisis. (United States)

    McVEAGH, T C


    Three concrete proposals are made for the improvement of the present nursing situation:1. Make nursing education more easily available by holding the prerequisites to a minimum and concentrating upon the real essentials of nursing, granting the student the R.N. degree when she has completed this basic and essential training.2. Utilize more fully the principles of group nursing as applied to "specialing" whether in the home or in the hospital.3. Completely avoid the use of sub-standard nurses, while furnishing to the nurse such non-technical service (through the use of maid assistants or others) as shall make practicable the complete utilization of her skill and training.

  19. Perspectives on nursing knowledge. (United States)

    Takahashi, T


    On May 19, 1991, in Tokyo, Japan, four nurse theorists participated in a panel discussion at Discovery International, Inc.'s Biennial Nurse Theorist Conference. The participants were Imogene M. King, Hildegard E. Peplau, Rosemarie Rizzo Parse, and Martha E. Rogers. The goal of the conference was to present the latest views on nursing knowledge of these nurse leaders. The panel discussion provided the nurse theorists with an opportunity to engage in dialogue regarding issues of concern to the audience. The panel moderator was Hiroko Minami of St. Luke's College of Nursing in Tokyo.

  20. Shifting cardiovascular care to nurses results in structured chronic care. (United States)

    Nouwens, Elvira; van Lieshout, Jan; van den Hombergh, Pieter; Laurant, Miranda; Wensing, Michel


    To explore nurse involvement in cardiovascular risk management (CVRM) in primary care and how this involvement was associated with the degree of structured chronic illness care. A cross-sectional observational study in 7 European countries. Five aspects of nurse involvement in CVRM and 35 specific components of structured chronic illness care were documented in 202 primary care practices in Austria, Belgium, Germany, the Netherlands, Slovenia, Spain, and Switzerland. An overall measure for chronic care management, range 0 to 5, was constructed, derived from elements of the Chronic Care Model (CCM). Random coefficient regression modeling was used to explore associations. A majority of practices involved nurses for organization of CVRM in administrative tasks (82.2 %), risk factor monitoring (78.5%) and patient education (57.1%). Fewer practices involved nurses in defining protocol and the organization for CVRM (45%) or diagnosis and treatment (34.6%). With an increasing number of tasks handled by nurses, overall median adoption of CCM increased from 2.7 (95% CI, 1.5-3.6) to 4.2 (95% CI, 3.8-4.1). When the number of nurse tasks increased by 1, the adoption of CCM increased by 0.13 (P nurse involvement had high adoption of CCM, while variation of adoption of CCM across practices reduced substantially with an increasing level of nurse involvement. Nurses were involved in the delivery of CVRM in varying degrees. Higher involvement of nurses was associated with higher degree of structured chronic illness care, with less variation.

  1. Experiências de mães de filhos com doença de hirschsprung: subsídios para o cuidado de enfermagem Experiencias de madres en la atención de los hijos con Enfermedad de Hirschsprung: contribución para la atención de enfermería Experiences of mothers in care to children with Hirschsprung Disease: supports for nursing care

    Directory of Open Access Journals (Sweden)

    Maria José Gilbert


    ía, teniendo como objetivo la mejor calidad de vida de niños y adolescentes con Enfermedad de Hirschsprung y sus familias.This study aimed to know the experiences of mothers of daughters with Hirschsprung Disease attended at a school-hospital in the interior of the state of São Paulo. This descriptive and exploratory study adopted a qualitative methodological approach, with semi-structured interviews with 13 mothers of children and adolescents with Hirschsprung Disease. Data taken from the interviews were grouped in two themes: knowing the disease and care experience. Involvement of parents in care to children in situations of disease has been a big challenge for health professionals. To have success in this intervention, technical and interpersonal ability from both parents and health professionals is needed. Results enabled the identification of aspects that need intervention by the health team, specially nursing, aiming a better quality of life for children and adolescents with Hirschsprung Disease and their families.

  2. Sexual Risk among African American Girls: Psychopathology and Mother-Daughter Relationships (United States)

    Donenberg, Geri R.; Emerson, Erin; Mackesy-Amiti, Mary Ellen


    Objective: To examine the associations among mental health problems, maternal monitoring and permissiveness, mother-daughter communication and attachment, and sexual behaviors among African American girls receiving outpatient psychiatric care. Youths with mental health problems report higher rates of HIV-risk behavior than do their peers, and…

  3. The Impact of Daughters' Eating Disorders in Mothers' Sense of Self: Contextualizing Mothering Experiences. (United States)

    Hoskins, Marie L.; Lam, Eugenie


    Examines how daughters' anorexia influence the mothers' understandings of mothering and self within the greater context of societal influences. Using constructivist theory and discursive psychology, four themes characterized participants' relationship to cultural myths and discourses associated with eating disorders and mothering. (Contains 48…

  4. Sexual Health Discussions between African-American Mothers and Mothers of Latino Descent and Their Children (United States)

    Murray, Ashley; Ellis, Monica U.; Castellanos, Ted; Gaul, Zaneta; Sutton, Madeline Y.; Sneed, Carl D.


    We examined approaches used by African-American mothers and mothers of Latino descent for informal sex-related discussions with their children to inform sexually transmitted infection (STI)/HIV intervention development efforts. We recruited mothers (of children aged 12-15) from youth service agencies and a university in southern California.…

  5. Conflict Between Mothers and Adolescents in Single-Mother, Blended, and Two-Biological-Parent Families. (United States)

    Laursen, Brett


    OBJECTIVE: This investigation was designed to shed light on household structure differences in mother - adolescent conflict. DESIGN: Atotal of 453 early, mid, and late adolescents from 3 ethnic groups completed questionnaires describing the rate and affective intensity of daily conflicts with mothers and fathers in single-mother (divorced or never married), 2-biological-parent, and blended (remarried) families. RESULTS: Compared to sons, daughters reported more disagreements with mothers and more negative affect in disagreements with mothers and fathers. Adolescents reported more total disagreements and more angry disagreements with single mothers than with mothers in 2-biological-parent families; adolescents in blended families fell in between. Reports of conflict with fathers did not differ across 2-biological-parent families and blended families. There were no household structure differences in conflict with parents (mothers and residential fathers combined), indicating that levels of conflict with single mothers are elevated by approximately the same number of disagreements that otherwise fall to fathers in 2-parent households. Potential moderators (adolescent age, ethnicity, and gender, maternal employment, prior marital status of single-mothers, socioeconomic status, and levels of social interaction) did not alter the results. CONCLUSIONS: For adolescents, single parenthood restricts the number of partners available for disagreement but has little bearing on the number or affective tenor of daily disagreements with mothers. In contrast, single parenthood is associated with elevated levels of family discord for mothers.

  6. Contributing Factors to Older Teen Mothers' Academic Success as Very Young Mothers (United States)

    Hernandez, Jennifer; Abu Rabia, Hazza M.


    This qualitative study explores the factors contributed to 13 older teen mothers' academic success as very young mothers. The participants were older teen mothers who were pregnant and gave birth at the age of 16 years old or younger, and who have achieved a college degree from an accredited college or university while they raised their…



    K. M. H. Cavalcante; Botelho, M.L.; P. P. Cavalcanti; F. M. P. Garcia


    Aimed to identify and discuss nursing diagnosis present in 50 Case Studies developed by students of graduation nursing of Federal University of Mato Grosso - Campus of Sinop, in a unit of clinical medical. Documentary research that addressed quantitatively the nursing diagnosis proposed using the Taxonomy II of NANDA-I (2009-2011). It was documented 82 different diagnosis, and covered all the 13 domains. The involvement of all the domains and the large variability of diagnoses identified sug...

  8. Well-Paid Nurses are Good Nurses


    Alessandro Fedele


    Some recent articles suggest that increasing wage in the nursing market with the aim of reducing shortage may yield a negative effect on the average ability and motivation of applicants attracted and, in turn, on the average quality of care. This finding is at odds with empirical evidence and has been criticized on the grounds that nurses' motivation is modeled in an overly simplistic way. The present paper provides a novel theoretical framework where the orientation of nurses' motivation - i...

  9. Nurse Against Nurse: Horizontal Bullying in the Nursing Profession. (United States)

    Granstra, Katherine


    Healthcare professionals are not immune to bullying; in fact, they experience bullying at an alarming rate. Sometimes the bullying is passed down from superiors, but frequently bullying occurs between coworkers. This is known as "horizontal bullying," and it has become a serious issue within the nursing profession. Horizontal bullying between nurses can cause negative consequences for everyone involved, in particular the nurses, patients, and the entire organization. To fully address and resolve horizontal bullying in the nursing profession, we must consider many factors. The first step is to establish what constitutes bullying and to develop a clear process for dealing with it when it occurs. Before it is possible to eliminate the problem, we need to understand why bullying takes place. To be effective, solutions to the problem of horizontal bullying in the nursing profession must include the entire healthcare industry.

  10. Knowledge and Behaviors about Breast Milk and Breastfeeding on Mothers who have 0–24 Months Old Children

    Directory of Open Access Journals (Sweden)

    Diren Kaya


    Full Text Available AIM: This study is done to mothers who applied to Firat University Hospital Pediatric Health and Disease Policlinic, for determining the mothers’ knowledge, attitude about breastfeeding and breast milk. METHOD: This descriptive type study was practiced with a questionnaire form which is including 44 questions by the 453 mothers who has 0–24 month children applied to the Firat University Hospital Pediatric Health and Disease Policlinic for consultation. RESULTS: The age mean of the mothers comprised in the research is 28.04±5.49 years old. %56.5 of mothers have got information about breast milk and breastfeeding before birth. Course of to get information was %64.0 in postpartum time. %80.6 of mothers have give breast milk as first nutriment to their babies. %49.9 of mothers have suckled their babies in first hour after the birth. %90.9 of mothers said that they have give the colostrum to their babies. Babies breastfeeding time average was 6.66±5.37 months. Breastfeeding time average is low because of babies low age average. In study; %65.3 of babies are nourished with breast milk in first month and this rate as %60.0 in fourth month. This rate has decreased to %28.0 end of the sixth month. CONCLUSION: Consequently the mothers who applied to Firat University Hospital Pediatric Health and Disease Policlinic, percent of feeding with breast milk after the birth is high. However the percent of nursing with only breast milk is low in first six month and percent of starting to additional nourishment is high in early period. [TAF Prev Med Bull. 2009; 8(6: 479-484

  11. Training nurses to save lives of malnourished children

    Directory of Open Access Journals (Sweden)

    T Puoane


    Full Text Available A qualitative study with a pre- and post-intervention component was undertaken among 66 professional nurses at 11 hospitals in the Eastern Cape to assess their perceptions and attitudes towards severely malnourished children and their mothers/ caregivers. Nurses’ attitudes were compared before and after attending a 5-day training course to improve the management of malnutrition along with implementing World Health Organization (WHO guidelines. Severe malnutrition is a major cause of death among paediatric patients in many hospitals in South Africa. A qualitative study with a pre- and post-intervention component was undertaken among 66 professional nurses at 11 hospitals in the Eastern Cape to assess their perceptions and attitudes towards severely malnourished children and their mothers/caregivers. Nurses’ attitudes were compared before and after attending a 5-day training course to improve the management of severe malnutrition through implementing the World Health Organisation (WHO guidelines. Focus group discussions were conducted in isiXhosa following a semi-structured discussion guide. Three themes emerged from these discussions, i.e. nurses placed blame on the mothers for not giving adequate care at home; nurses valued malnourished children less than those with other conditions; and nurses felt resentment towards caregivers. Underlying reasons for the negative attitudes towards severely malnourished children and their caregivers were misunderstandings of the causes of malnutrition, misinterpretation of clinical signs, especially poor appetite, and high mortality during treatment. However, the training course and successful application of the treatment guidelines altered these perceptions and helped nurses to have a better understanding of the causes of the presenting clinical signs. These nurses have begun advocating for raised awareness of the physiological differences that occur in malnutrition and the need to include the WHO Ten

  12. A feasibility study to assess the effectiveness of safe dates for teen mothers. (United States)

    Herrman, Judith W; Waterhouse, Julie K


    To determine the effectiveness of the adapted Safe Dates curriculum as an intervention for pregnant and/or parenting teens to prevent teen dating violence (TDV). This pre-/posttest, single-sample study provided a means to assess the effectiveness of an adapted Safe Dates curriculum for teen mothers. The adapted Safe Dates curriculum was implemented in three schools designed for the unique needs of teens who are pregnant and/or parenting. The final sample of 41 teen participants, with a mean age of 16.27, completed 80% of the curriculum and two of the three assessments. Most of the teens were pregnant during participation in the curriculum, and six had infants between age 1 and 3 months. The teen mothers completed the pretest, participated in the 10-session adapted Safe Dates curriculum, and completed the posttest at the end of the program and 1 month after program completion. The pre/posttest was adapted from the Safe Dates curriculum-specific evaluation instrument. Senior, undergraduate nursing students were trained in and implemented the curriculum. Participation in the adapted Safe Dates program yielded significant differences in the areas of responses to anger, gender stereotyping, awareness of resources for perpetrators and victims, and psychological violence perpetration. This adapted program may be effective in changing selected outcomes. The implementation of a larger scale, experimental/control group study may demonstrate the program's efficacy at reducing the incidence of TDV among teen mothers. © 2014 AWHONN, the Association of Women's Health, Obstetric and Neonatal Nurses.

  13. Nursing staff induced repositionings and immobile patients' spontaneous movements in nursing care. (United States)

    Källman, Ulrika; Bergstrand, Sara; Ek, Anna-Christina; Engström, Maria; Lindgren, Margareta


    The aim of this study was to investigate nursing staff induced repositionings and the patients' spontaneous movements during the day and night among older immobile patients in nursing care. Furthermore, the aim was to identify factors associated with the nursing staff induced repositionings and the patients' spontaneous movement frequency. An observational cross-sectional design was used. Spontaneous movements among patients (n = 52) were registered continuously using the MovinSense monitoring system. The nursing staff documented each time they repositioned the patient. Patients spontaneous movements were compared with nursing staff induced repositionings. There were large variations in the patients' spontaneous repositioning frequency during both days and nights, which shows that, although immobilised, some patients frequently reposition themselves. Analgesics were positively related to the movement frequency and psycholeptics were negatively related. The nursing staff more often repositioned the patients who were assessed as high risk than those assessed as low risk, but the patients' spontaneous movement frequency was not correlated to the risk score. This may be important when planning repositioning schedules. A monitoring system may be useful in decision making with regard to planning repositioning and positions used in the prevention of pressure ulcers among elderly immobile patients.

  14. Hispanic Mothers' Perceptions of Self-Determination (United States)

    Shogren, Karrie


    Limited research has explored the perceptions of self-determination held by diverse families. In this study, seven mothers of transition-age youth with severe disabilities who were Hispanic were interviewed. Each mother was actively engaged in advocacy related to diverse children with disabilities in their local schools and communities. Mothers…

  15. Looking Mother Tongue Instruction through Different Perspectives (United States)

    Regmi, Kapil Dev


    Mother Tongue Instruction has been a debatable issue since long. There may be two options in the medium of instruction: either to teach especially primary and preprimary schoolchildren in their own mother tongue or continue using second or foreign language as the medium of instruction. Both of the approaches bear some pros and cons. This article…

  16. Postpartum Mental State of Mothers of Twins (United States)

    Brantmüller, Éva; Gyúró, Mónika; Galgán, Kitti; Pakai, Annamária


    Twin birth is a relevant risk factor for postnatal depression (PND). The primary objective of our study is to reveal the prevalence of suspected cases of depression and to identify some background factors among mothers of twins. We applied convenience sampling method within a retrospective, quantitative study among mothers given birth to twins for…

  17. Mothers' Perceptions of Female Genital Mutilation (United States)

    Ahanonu, E. L.; Victor, O.


    The practice of female genital mutilation (FGM) is widespread in Nigeria. This study was conducted to assess the perceptions of FGM among mothers at a primary healthcare centre in Lagos, Nigeria. A convenience sample of 95 mothers completed the pre-tested, semi-structured questionnaires. Data analysis was carried out using descriptive statistics…

  18. Today's Unmarried Mothers: The Choices Have Changed. (United States)

    Grow, Lucille J.


    A mid-1970s study of the characteristics of pregnant unmarried mothers who keep their children and those who surrender them for adoption discloses some differences from the characteristics of such mothers in the late 1960s and early 1970s. (CM)

  19. Follow-up of Unmarried Adolescent Mothers (United States)

    Clapp, Douglas F.; Raab, Rebecca Staude


    As more adolescent unmarried mothers decide to keep their babies, social service agencies need to reevaluate their programs to meet changing needs. This study examines the living situations, educational and employment status, and interpersonal relationships of 30 adolescent unmarried mothers to determine the services they themselves thought they…

  20. How Mothers Perceive Their Own Sexuality (United States)

    Trice-Black, Shannon


    For women, the transition to motherhood is often a time period filled with excitement, changes, and challenges. Mothers often face changes in their own sexuality in their adjustment to motherhood. The majority of research on the sexual changes during motherhood has focused on the first year postpartum of mothers and has emphasized biological,…