Download or read book Psychological Responses and Treatment Among Mothers in the Neonatal Intensive Care Unit written by Alexa Bonacquisti and published by . This book was released on 2016 with total page 264 pages. Available in PDF, EPUB and Kindle. Book excerpt: Perinatal psychiatric disorders are a leading cause of maternal morbidity and mortality, with significant adverse consequences for mothers and infants, including negative effects on maternal health and well-being, maternal-infant interactions and attachment, and infant and child development. Accumulating evidence suggests that stressful reproductive events, such as adverse birth outcomes resulting in admission to a neonatal intensive care unit (NICU), may trigger the onset of or exacerbate pre-existing psychiatric symptoms. Currently, in the United States, approximately 10-15% of infants born each year are treated in a NICU, and mothers of NICU infants have been found to have high levels of distress when compared to other postpartum mothers. Maternal-infant attachment, maternal attitudes and adjustment, perceived social support, and healthpromoting behaviors have been shown to predict postpartum depressive and anxiety symptoms, but these constructs have not been well documented in mothers with NICU infants. Additionally, many mothers of NICU infants do not pursue mental health treatment, even when it is indicated, and it remains unclear what barriers or facilitators to engagement in mental health care exist for mothers during this time. The current study examined the relationships between depression, anxiety, maternal-infant attachment and attitudes, perceived social support, and health-promoting behaviors in mothers of NICU infants. Additionally, the current study assessed the attitudes of NICU mothers toward psychological treatment, and explored which of these variables may be associated with barriers or facilitators to engagement in mental health treatment during the postpartum period. One hundred twenty-seven women were recruited from their infants’ NICU bedside at three hospitals in the Philadelphia area and completed self-report measures at enrollment and 8-12 weeks later. Findings revealed that depressive, anxiety, and stress symptoms were negatively correlated with maternalinfant attachment, maternal attitudes and adjustment, perceived social support, and health-promoting behaviors, while depressive, anxiety, and stress symptoms were positively correlated. Results indicated a significant decrease in depressive and anxiety symptoms from initial assessment to follow-up. Moreover, depressive symptoms during NICU admission significantly predicted depressive symptoms at follow-up. Barriers to psychological treatment and attitudes towards treatment were negatively correlated, such that as favorable attitudes towards psychological treatment increased, perceived barriers to treatment decreased. Implications for future research and clinical applications, such as identifying specific targets for intervention within the NICU environment, are discussed.

Download or read book Treatment of Psychological Distress in Parents of Premature Infants written by Richard J. Shaw, M.D. and published by American Psychiatric Pub. This book was released on 2020-10-07 with total page 368 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Although the benefits of psychological consultation in the pediatric setting are well established, a gap often exists between the demand for these services and funding. We have embarked on our longstanding goal to develop a group-based intervention model for parents of premature infants, adapting our manual of individual trauma-focused cognitive behavioral therapy to help reduce feelings of parental isolation. This book describes a more global approach to psychological consultation in the NICU integrating interventions that begin prior to the infant's conception and extend well beyond the NICU hospitalization. Chapter 1 provides a context and review of the medical aspects of the NICU environment and the neurodevelopmental consequences of prematurity. In Chapter 2 reviews the common psychological reactions of mothers of premature infants, including specific risk factors associated with maternal psychological distress. It also discusses the relationship between parental posttraumatic stress and infant outcomes as it relates to such issues as breastfeeding, maternal-infant interaction, attachment, and infant development. Chapter 3 describes the form and prevalence of symptoms of paternal psychological distress and outline a curriculum for a group-based intervention specifically designed to address fathers' concerns. Chapter 4 addresses developmental care interventions that overlap with interventions more narrowly focused on parental psychological distress. Chapters 5 and 6 describe our intervention model in both the individualand group therapy formats. Chapter 7 addresses vulnerable child syndrome, which is associated with adverse developmental outcomes in children as well as overutilization of health care resources. Application of the trauma model to the concept provides a framework to understand how parental behavior is altered in the context of trauma. Finally, Chapter 8 discusses how to implement a psychological intervention program in the NICU that includes screening the parents of premature infants for symptoms of psychological distress"--

Download or read book Behavioral Health Services with High Risk Infants and Families written by Allison G. Dempsey and published by Oxford University Press. This book was released on 2022-08-30 with total page 489 pages. Available in PDF, EPUB and Kindle. Book excerpt: There are relatively high rates of complications in the fetal and neonatal periods (1 in 33 fetuses born with birth defects and 1 in 10 preterm births in the US). With advances in maternal-fetal care and growing services and life-extending medical innovations in the neonatal period, more families are presenting to Neonatal Intensive Care Units (NICUs) and often for longer lengths of time. The growing recognition of mental health needs of families and providers in fetal care centers, NICUs, and neonatal follow-up programs has led to a quickly increasing presence of behavioral health providers in these settings. Behavioral Health Services with High-Risk Infants & Families is a practical guide for mental health clinicians working in fetal care, NICU, and neonatal follow-up care. The book provides a broad overview of common medical conditions in fetal and NICU settings (e.g., congenital anomalies, premature birth, hypoxic injury in the perinatal period), prevalence, and symptoms of behavioral health challenges, specific considerations for assessment and intervention, and cross-cutting issues to assist the clinician with optimizing behavioral health care integration with mothers, partners, babies, and families. Additionally, information about the provision of psychosocial support and education to staff is also included. The text represents a comprehensive, practical resource for behavioral health clinicians working with pregnant women, partners, infants, families, and providers in perinatal and neonatal intensive care settings. The book features de-identified case examples, trauma-informed care prompts/scripts, specific questions for assessment and intakes, key medical terms, resource guides, and reference lists.

Download or read book Trauma Informed Care in the NICU written by Mary Coughlin, RN, MS, NNP and published by Springer Publishing Company. This book was released on 2016-08-28 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This innovative book for Neonatal Nurses and NICU clinicians provides evidence-based clinical guidelines proven to mitigate and reduce the often profound trauma experience and subsequent developmental challenges for vulnerable hospitalized infants and their families. Each in-depth guideline includes the latest scientific research explaining the clinical rationale for the recommended practices, associated short-term and long-term outcomes, and implementation strategies to support practice improvement. The text reflects a trend —the provision of trauma-informed care in the neonatal intensive care unit--that has recently gained increasing momentum. With endorsements by respected transdisciplinary neonatal clinicians, it provides guidelines that encompass the five core measures for age-appropriate care, including the Healing Environment, Pain and Stress, Protected Sleep, Activities for Daily Living, Age-Appropriate Infant Guided Feeding, and Family-Integrated Care. The book also features downloadable sample competencies and parent teaching guides, along with additional eLearning modules with Nursing CE. A self-assessment checklist and teaching sheets, sample competencies, and sample algorithms add to the book’s utility. Key Features: Provides clinically relevant, evidence-based practice guidelines for minimizing trauma in neonates Encompasses the five core measures for age-appropriate care Includes proven implementation strategies to facilitate practice transformation Offers downloadable sample competencies and parent teaching guides and eLearning modules with Nursing CE Reviewed and endorsed by transdisciplinary neonatal clinicians [EN1] Not sure I like this word – maybe a development, awareness, etc.?

Download or read book Mixed Methods Socio cultural Study of the Process of Maternal Stress Response in the Neonatal Intensive Care Unit NICU in South Korea written by Jungeun Kim and published by . This book was released on 2017 with total page 93 pages. Available in PDF, EPUB and Kindle. Book excerpt: Despite the significant comorbidity of high-level stress and maternal postpartum psychological problems with regard to the neonatal intensive care unit (NICU), and an increasing rate of preterm births in South Korea, there is a paucity of research on the fundamental reasons why stress response occurs and how it occurs among mothers of infants in the NICU in South Korea. In particular, the influences of interpersonal and socio-cultural factors on the process of stress responses of mothers who have infants in the NICU have not been identified clearly. Hence, to explore the stress response process among mothers of infants in NICUs, relevant to their social and cultural context, three studies were conducted using a multiphase mixed methods design study, in two level IV NICUs in two tertiary hospitals in South Korea. First, a cross-sectional exploratory study (N=31) showed that the perceived stress level and stress symptoms of NICU mothers were elevated, based on the perceived stress scale (PSS 10) and ten subscales of the Symptoms of Stress (SOS) Inventory, respectively. The four most frequently reported stress symptoms were depression (especially loneliness), emotional irritability, muscle tension, and peripheral manifestations. There was a significant positive association between the stress level and the symptoms of stress. Second, a grounded theory study (N=32) sought the process of stress response among NICU mothers in South Korea. The results from the analyses of open coding, axial coding, and selective coding were used to formulate a theoretical model and to reveal a central phenomenon contributing to the process of stress response among mothers of infants in the NICUs in South Korea. The causal condition was giving birth to a child with problems, the contextual condition was leaving my baby in the NICU, and continuous comparisons and high sensitivity to hierarchy (‘Gahp-Eul’ relation) emerged as the socio-cultural intervening conditions. The NICU mothers used two strategies, seeking safe support and adapting, to manage their stress. The two categories of having mother’s role and various stress levels and symptoms were identified as the consequences of the strategies. Struggling with stigma emerged as the central phenomenon in the stress response process among the NICU mothers in South Korea. Third, a sequential qualitative descriptive study (N=30), was conducted to explain the NICU maternal stress response process relevant to the South Korean social and cultural context, in particular. Uneven/unfair power balance (‘Gahp-Eul’ relation), and ranking the roles appeared as common ideas in the maternal perceptions of different roles in the NICU, both of which seemed to hinder mothers’ capacity to relieve their stress. Despite study limitations, the results of this multiphase mixed methods research improve our understanding of maternal stress and identify remediable factors that influence this stress response process for mothers in the NICU. The findings reveal how interpersonal and socio-cultural factors, such as continuous comparisons and being sensitive to uneven/unfair power balance, widely affect the stress response process among NICU mothers in South Korea. Therefore, the findings from this dissertation support the need for more effective nursing care, the development of new nursing interventions, and new family-centered NICU policies that promote management of stress as well as the prevention of postpartum psychological problems among NICU mothers.

Download or read book Neonatal Intensive Care Unit Infants Parental Stress Couple and Family Impact written by Victoria A. Grunberg and published by . This book was released on 2016 with total page 72 pages. Available in PDF, EPUB and Kindle. Book excerpt: The birth of a child is an exciting and challenging time for parents. The first few years following birth involve an adjustment period as parents work together to balance work, family, infant care, and self-care. Approximately 7 - 15% of parents will have an infant who will spend some amount of time in a Neonatal Intensive Care Unit (NICU). These parents experience the typical stressors associated with parenthood plus the additional stress of worrying about their infant’s survival, development, and/or long-term health. After NICU discharge, parents are sent home to care for an ill and/or preterm infant and often continue to worry about rehospitalizations, ongoing health issues, and the long-term consequences of the experience. The impact of the NICU experience and subsequent infant health issues on parental and family outcomes is an understudied area that merits research attention. The current study examined how the NICU experience and subsequent infant health problems that may follow during the first three years after discharge affects parental stress, couple functioning, and family dynamics. A variable known to attenuate stress and family outcomes (i.e., family resources) was included to study the contribution of this factor. Parents with infants who had been discharged from the NICU six months to three years ago were recruited via the Internet and posted flyers (N = 199). Parents reported objective indicators of their infants’ health during the NICU admission and at the present time, parenting stress, family burden, couple functioning, and access to family resources. Both parents were invited to participate to gain a more comprehensive picture of perspectives and experiences, and to compare responses of mothers and fathers. However, women (n = 182; 91.5%) greatly outnumbered men (n = 17; 8.5%) almost eleven to one in the sample making comparisons of mothers and fathers statistically underpowered. Multivariate regression analyses revealed that a shorter length of stay in the NICU, less infant rehospitalizations, and additional infant diagnoses following discharge were significant positive predictors of increased parental stress. Moreover, a higher number of medical devices used by the infant at discharge and fewer infant rehospitalizations were associated with poorer couple functioning. Infant use of extracorporeal membrane oxygenation (ECMO) during the NICU stay, a greater number of medical devices used by the infant during the NICU stay, the more specialists seen in the first year post-discharge, and the more medications currently prescribed, were all associated with greater family burden. Family resources did not significantly moderate (i.e., change or strengthen) the relationships between infant health and each outcome; however, fewer family resources was associated with increased parental stress, poorer couple functioning, and greater family burden. Analysis of covariance (ANCOVA) was used to examine sex differences and although no differences were found, analyses were greatly underpowered and should be interpreted with caution. Results suggest that infant health severity, the associated burden of care, and family resources are important contributors for parental and family adjustment. Family-focused interventions that incorporate information and skills on managing their child’s health issues, communication between medical providers and parents, transitioning home from the NICU, ways to adaptively coping strategies, and ways to overcome barriers to resources and treatment may be effective mechanisms to prevent negative psychosocial sequelae among NICU parents and families following discharge. Additional implications and future directions are discussed.

Download or read book Motherhood in the Face of Trauma written by Maria Muzik and published by Springer. This book was released on 2017-11-22 with total page 249 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume offers an overview of the latest research on perinatal adaptation among women who have faced trauma, loss and/or adversity, both in childhood and/or as an adult, and describes the varied trajectories of adaptive and maladaptive coping that follow. The range of outcomes considered span from health-limiting (e.g. mental illness, substance use, unhealthy life style behaviours) to health-promoting (e.g. resilience and posttraumatic growth). These outcomes are examined both in relation to mothers’ experience of motherhood and parenting, and with regard to their children’s lives. Interpersonal trauma, experienced in childhood and/or or adulthood, can have a profound effect on how women experience the transition into motherhood – from pregnancy, to childbirth, and postpartum caregiving. Women across the globe are exposed to high rates of interpersonal violence, and face the physical and emotional consequences of such events. The shift into motherhood is an emotionally evocative period in a woman’s life, entailing not only challenges, but also the potential for healing and growth. Individual chapters will present state-of-the-art research, and will also highlight the voices of women who have personally experienced trauma, illustrating the effects on their experiences as mothers. Throughout the book, the consistent emphasis is on clinical implications and on ways that providers can create a context for healing and growth with the help of current evidence-based and promising treatment methods.

Download or read book Core Curriculum for Neonatal Intensive Care Nursing E Book written by AWHONN and published by Elsevier Health Sciences. This book was released on 2014-04-22 with total page 944 pages. Available in PDF, EPUB and Kindle. Book excerpt: Perfect as a resource in the field or for exam preparation, this authoritative reference from the Association of Women’s Health, Obstetric, and Neonatal Nurses (AWHONN) includes in-depth coverage of the most common neonatal disorders and their management. The concise outline format highlights the essentials of each condition including definition, etiology, pathophysiology, signs and symptoms, diagnostic tests, treatments, and outcomes to help you find important information quickly. This new edition also features an increased focus on evidence-based practice, new CAMTS and AAMS guidelines, new techniques for PICC placement, and changes to the Neonatal Resuscitation Program. All necessary information to prepare for the neonatal intensive care nursing certification examination is included. Concise outline format provides access to important nursing considerations associated with the management of the most common conditions in the neonate. Text provides a collaborative effort between the three most authoritative associations in neonatal intensive care nursing - AWHONN, AACN, and NANN. Information on families, ethics, legal issues, research, case management, and the transition to home acknowledge the full scope of neonatal nursing practice. NEW! CAMTS and AAMS guidelines, techniques for PICC placement, and changes to the Neonatal Resuscitation Program are just a few of the updates that reveal the importance the new edition places on safety practices and procedures. NEW! Updated chapter on Patient Safety includes selected improvement strategies and resources for neonatal nurses to build a patient safety toolkit, discusses TeamSTEPPS (Team Strategies and Tools to Enhance Performance and Patient Safety), and recognizes human issues, such as shift work and fatigue. NEW! Increased focus on evidence-based practice for preterm infants, medications, and antepartum-intrapartum complications sets the standard for neonatal nursing practice. NEW! Strategies to promote inclusionary care better reflect nursing care today by focusing on family-centered care, comprehensive perinatal records, health care teams in the NICU, and best practices in the care of the late preterm infant. NEW! Comprehensively revised chapter on Immunology identifies risk factors for infection associated with term and preterm infants, distinguishes clinical symptoms and therapies associated with TORCHES CLAP spectrum infections, and includes prevention strategies for hospital-acquired infections. NEW! Thoroughly updated content and references reflect currency and technologic advances. NEW! Refocused chapter on Developmental Care guides the nurse to use assessment within the context of the environment and situation to initiate interventions in the moment or use patterns of responses for developing plans of care and presents core measures on evaluating developmental care practices in the NICU.

Download or read book Depression in Parents Parenting and Children written by Institute of Medicine and published by National Academies Press. This book was released on 2009-10-28 with total page 488 pages. Available in PDF, EPUB and Kindle. Book excerpt: Depression is a widespread condition affecting approximately 7.5 million parents in the U.S. each year and may be putting at least 15 million children at risk for adverse health outcomes. Based on evidentiary studies, major depression in either parent can interfere with parenting quality and increase the risk of children developing mental, behavioral and social problems. Depression in Parents, Parenting, and Children highlights disparities in the prevalence, identification, treatment, and prevention of parental depression among different sociodemographic populations. It also outlines strategies for effective intervention and identifies the need for a more interdisciplinary approach that takes biological, psychological, behavioral, interpersonal, and social contexts into consideration. A major challenge to the effective management of parental depression is developing a treatment and prevention strategy that can be introduced within a two-generation framework, conducive for parents and their children. Thus far, both the federal and state response to the problem has been fragmented, poorly funded, and lacking proper oversight. This study examines options for widespread implementation of best practices as well as strategies that can be effective in diverse service settings for diverse populations of children and their families. The delivery of adequate screening and successful detection and treatment of a depressive illness and prevention of its effects on parenting and the health of children is a formidable challenge to modern health care systems. This study offers seven solid recommendations designed to increase awareness about and remove barriers to care for both the depressed adult and prevention of effects in the child. The report will be of particular interest to federal health officers, mental and behavioral health providers in diverse parts of health care delivery systems, health policy staff, state legislators, and the general public.

Download or read book The Earliest Relationship written by T. Berry Brazelton and published by Routledge. This book was released on 2018-05-08 with total page 144 pages. Available in PDF, EPUB and Kindle. Book excerpt: Never before has research on newborn behavior and parent-infant interaction been fully integrated with psychoanalytic insight into parents' emotions and fantasies. This book provide a vivid glimpse of the parents' daydreams and narcissistic wishes which grow into a desire for a child, and they show how these feelings develop into important attachments to the unborn infant during pregnancy. The "power and competence" of the newborn born then challenges parental fantasies, desires, wishes and expectations, creating the beginnings of the bond between parent and child. Using the latest research, the authors clarify all the ways the infant participates in the dawning relationship and the ingredients of very early communication and interaction. They then unveil the "imaginary interactions" which lend meaning and drama to each gesture and expression. We see the baby as Tyrant, as Savior, or as the reincarnation of lost relationships. Everyone who cares for mothers and babies-pediatricians, developmental and clinical psychologists, psychiatrists, early childhood specialists, nurses and social workers-as well as interested parents, will find this book of immediate value.

Download or read book Qualitative Secondary Analysis written by Kahryn Hughes and published by SAGE. This book was released on 2019-12-02 with total page 244 pages. Available in PDF, EPUB and Kindle. Book excerpt: A comprehensive guide to carrying out Qualitative Secondary Analysis (QSA) that brings together expert advice and professional insight from leading researchers who have developed innovative theories and methods of QSA. Exploring crucial components of research and analysis—such as where to find resources, how to search within a resource, and working with both paper archives and non-textual data—each chapter offers insightful case studies, links to further reading and applied helpful hints and tips to help effectively apply these innovations to further the reader’s own research. A must read for Social Science students, early career researchers and researchers new to the field of QSA, this text will help readers through every aspect of a research process using QSA, from application to implications.

Download or read book Qualitative Research in Nursing written by Helen Streubert Speziale and published by Lippincott Williams & Wilkins. This book was released on 2011 with total page 496 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Qualitative Research in Nursing is a user-friendly text that systematically provides a sound foundation for understanding a wide range of qualitative research methodologies, including triangulation. It approaches nursing education, administration, and practice and gives step-by-step details to instruct students on how to implement each approach. Features include emphasis on ethical considerations and methodological triangulation, instrument development and software usage; critiquing guidelines and questions to ask when evaluating aspects of published research; and tables of published research that offer resources for further reading"--Provided by publisher.

Download or read book The Oxford Handbook of Music Therapy written by Jane Edwards and published by Oxford University Press. This book was released on 2017 with total page 1009 pages. Available in PDF, EPUB and Kindle. Book excerpt: Music therapy is growing internationally to be one of the leading evidence-based psychosocial allied health professions to meet needs across the lifespan.The Oxford Handbook of Music Therapy is the most comprehensive text on this topic in its history. It presents exhaustive coverage of the topic from international leaders in the field.

Download or read book Music Therapy in the Neonatal Intensive Care Unit written by Joanne Loewy and published by . This book was released on 2003 with total page 140 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Assessment of Psychological Functioning and Risk in Healthcare Settings written by Silvia Salcuni and published by Frontiers Media SA. This book was released on 2021-02-25 with total page 105 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Transformative Nursing in the NICU written by Mary Coughlin, RN, MS, NNP and published by Springer Publishing Company. This book was released on 2014-02-13 with total page 199 pages. Available in PDF, EPUB and Kindle. Book excerpt: Print+CourseSmart

Download or read book The Infant and Family in the Twenty first Century written by João Gomes-Pedro and published by Psychology Press. This book was released on 2002 with total page 364 pages. Available in PDF, EPUB and Kindle. Book excerpt: First Published in 2003. Routledge is an imprint of Taylor & Francis, an informa company.