Download or read book The Experiences of Nurses Engaging in Therapeutic Relationships with Mothers of Newborns Diagnosed with Neonatal Abstinence Syndrome written by Brett Aston and published by . This book was released on 2021 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: The therapeutic nurse-client relationship is at the core of nursing practice and is meant to benefit the health and wellbeing of clients (CNA, 2017; CNO, 2006; RNAO 2002). Mothers of newborns diagnosed with neonatal abstinence syndrome (NAS), however, have reported negative relationships with their newborns' nurses (Cleveland & Gill, 2013; Cleveland & Bonugli, 2014). Likewise, neonatal nurses have also discussed their challenges working with this population of mothers (Demirci et al., 2015; Murphy-Oikonen et al., 2010; Raeside, 2003; Romisher et al., 2018). The purpose of this study was to explore neonatal nurses' experiences of engaging in therapeutic relationships with mothers of newborns diagnosed with NAS. This qualitative study follows the methods of interpretive description (Thorne, 2016). Eligible participants were recruited using purposeful and convenience sampling. Data was collected by semi-structured telephone interviews. Interviews were audio-recorded and transcribed verbatim, and a thematic analysis was conducted following Thorne's (2016) alternative sorting technique. Two major themes were identified by researchers. The first theme, building the relationship, is broken down into subthemes assessing the mother and choosing an approach, caring for and involving the mother, making a connection, and getting to know mom and her needs. The second theme, the competing pressures of working with NAS, is further categorized into the subthemes working with baby and mother, collaborating with the Children's Aid Society, and struggling with stigma. The findings from this study have implications for nursing practice, education, policy, and research that promotes the success of establishing therapeutic relationships with mothers of newborns diagnosed with NAS.
Download or read book Implications of Early Education of Mothers with Infants Born with Neonatal Abstinence Syndrome NAS written by Noreen Kearney Beckett and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The number of infants being admitted to neonatal intensive care units (NICU) for treatment for Neonatal Abstinence Syndrome (NAS) has increased over the last 10 years(Alcoholism and Drug Abuse Weekly, 2012). There is evidence to support maternal involvement in the infants care, improves outcomes during the NICU admissions. Current models used in NICU's miss opportunities to improve the care of NAS infants. The purpose of this intervention is to improve the care of NAS infants (Jones, 2012) in NICU's, by educating at risk mothers early in pregnancy and supporting their involvement during the NICU admission (Armstrong, 2012). Development and dissemination of educational material would initiate the process. Evaluation of this intervention would look at length of stay to make predictions, whether early education of mothers decreased length of stay (Pritham, 2012). Next NICU's would have to consider the ability to change current practice models and environments and look for ways to increase mothers' involvement during the infants' admission (Mundy, 2010) (Young, 2013). The circumstances creating the NAS admission are often complicated, with many variables to consider in determining the success of the intervention. Having a child is a life changing moment, and may provide an opportunity to improve not only the life of the infants but also the life of the infant's opiate dependent mother. Changing current model could provide and environment that will increase attachment between mother and infant, decreasing days of treatment, and improving longer-term outcome for child (Marie-Mitchell, 2013).
Download or read book Developing Training to Address Neonatal Nurse Knowledge Practice and Perceived Attitude for Neonatal Abstinence Syndrome written by and published by . This book was released on 2020 with total page 60 pages. Available in PDF, EPUB and Kindle. Book excerpt: Abstract Background: Neonatal abstinence syndrome (NAS) is increasing in the United States as a result of increased opioid-use disorder among women of childbearing age. NAS affects three out of four babies who are exposed to chronic use of opioids during the mother's pregnancy. Caring for infants with NAS is challenging. Researchers have identified a deficit of knowledge and skills, and have discovered judgmental attitude of nurses caring for babies with NAS. Globally, nurses caring for infants with NAS need education on current evidence-based practice to improve quality of care. The purpose of this project was to create an educational intervention based on assessed, localized, educational needs for NICU staff nurses caring for babies experiencing NAS. Methods: This project used the design thinking implementation framework and IHI Psychology of Change framework to assess the needs of NICU nurses caring for infants experiencing NAS and develop related education. A baseline survey of the nurses' knowledge, attitudes, and practices was done. Similarly, nurse stakeholder interviews were completed and themes were analyzed using thematic content analysis to further specify localized needs. Educational materials were prototyped in subsequent interviews with the nurses until the materials were found useful. Findings/Results: RNs correctly identified symptoms and treatment for NAS. RNs overall felt empathy for infants with NAS, but less empathetic towards the infant's mothers and blamed them for the infant's health problems. The RNs were confident in their knowledge to provide adequate care for the infants but self-identified a need for improvement in knowledge, care, and documentation. RNs appropriately use nonpharmacological treatment, but desire more education in the interventions. Other areas for needed improvement were medication treatment, in-home and outpatient care, and parameters for breastfeeding. RNs identified educational needs through interviews and provided feedback on the two prototypes created using empathy mapping. Conclusions: The proposed next step is to implement the designed educational intervention and study related outcomes. The IHI Psychology of Change Framework and the design thinking process, when combined, offer a strong method for participant engagement. The design thinking process may be important to timely and effective care in-so-much that it allows flexibility to change as the context changes.
Download or read book Parenting Matters written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2016-11-21 with total page 525 pages. Available in PDF, EPUB and Kindle. Book excerpt: Decades of research have demonstrated that the parent-child dyad and the environment of the familyâ€"which includes all primary caregiversâ€"are at the foundation of children's well- being and healthy development. From birth, children are learning and rely on parents and the other caregivers in their lives to protect and care for them. The impact of parents may never be greater than during the earliest years of life, when a child's brain is rapidly developing and when nearly all of her or his experiences are created and shaped by parents and the family environment. Parents help children build and refine their knowledge and skills, charting a trajectory for their health and well-being during childhood and beyond. The experience of parenting also impacts parents themselves. For instance, parenting can enrich and give focus to parents' lives; generate stress or calm; and create any number of emotions, including feelings of happiness, sadness, fulfillment, and anger. Parenting of young children today takes place in the context of significant ongoing developments. These include: a rapidly growing body of science on early childhood, increases in funding for programs and services for families, changing demographics of the U.S. population, and greater diversity of family structure. Additionally, parenting is increasingly being shaped by technology and increased access to information about parenting. Parenting Matters identifies parenting knowledge, attitudes, and practices associated with positive developmental outcomes in children ages 0-8; universal/preventive and targeted strategies used in a variety of settings that have been effective with parents of young children and that support the identified knowledge, attitudes, and practices; and barriers to and facilitators for parents' use of practices that lead to healthy child outcomes as well as their participation in effective programs and services. This report makes recommendations directed at an array of stakeholders, for promoting the wide-scale adoption of effective programs and services for parents and on areas that warrant further research to inform policy and practice. It is meant to serve as a roadmap for the future of parenting policy, research, and practice in the United States.
Download or read book Neonatal Opioid Withdrawal Syndrome written by Brenda Louw and published by Taylor & Francis. This book was released on 2024-08-29 with total page 238 pages. Available in PDF, EPUB and Kindle. Book excerpt: This collection synthesizes perspectives on Neonatal Opioid Withdrawal Syndrome (NOWS), providing a comprehensive resource for those in speech-language pathology and healthcare providers working within an interprofessional approach to treat and support infants, children, parents, caregivers, and families impacted by NOWS. The volume responds to the growing challenge faced by SLPs and healthcare providers to develop new, evidence- based strategies to meet the needs of the emerging population of infants with NOWS, children prenatally exposed to opioids, their mothers, families and caregivers, in light of the growing opioid crisis in the US. Through a holistic approach, the book features contributions from researcher-clinicians across healthcare professions and from different countries. It brings together research on the impact of NOWS on child neurodevelopment, causes of neurodevelopmental alterations due to NOWS, interprofessional team care to optimize outcomes for this population, feeding, communication, sensory and motor issues, long- term outcomes into adolescence and adulthood, as well as best practices for addressing these. The volume also explores the impact of NOWS on families and effective strategies for supporting them. The Trauma Informed Care approach features throughout. The collection looks ahead to address research gaps toward enhancing evidence-based strategies from a strength- based perspective. This book will be of interest to students and researchers in speech-language pathology, occupational therapy, physical therapy, nursing, pediatric medicine, and other related fields, as well as clinicians and instructors in these same disciplines.
Download or read book The Stigma of Disease and Disability written by Patrick W. Corrigan and published by Amer Psychological Assn. This book was released on 2013-12-01 with total page 319 pages. Available in PDF, EPUB and Kindle. Book excerpt: The two main sections of the book comprise chapters on 10 specific illnesses and conditions and chapters relating to broader issues (stigma and family, overcoming stigma, stigma across cultures and future directions). The book concludes with observations on what has not worked in overcoming stigma as well as possible future directions. (Psychology)
Download or read book Exploring the Experience and Meaning of Therapeutic Relationships for Mothers in a Parent Infant Mental Health Service with Infants who Have Been at the Edge of Care written by Kiera Fitzsimons and published by . This book was released on 2019 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Breastfeeding Neonatal Abstinence Syndrome Newborns Improves Infant Outcomes written by Amber Barry and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Neonatal Abstinence Syndrome (NAS) is a current and increasing problem many neonatal intensive care units (NICU) are facing. Controversial to NAS is whether the opioid dependent mother should breastfeed. Research proves that breastfeeding the NAS infant is very beneficial and safe. Breastfeeding provides a decrease in the severity of symptoms caused by NAS, is linked to a decreased hospitalization, and aids in health and bonding. The proposal for research is to allow for breastfeeding as an option at Banner Good Samaritan Medical Center where the current policy in place does not support it. As infants are admitted to the NICU for NAS, breast milk along with pharmacotherapy treatment is shown through evidence-based practice that the infant's length of stay is shorter compared to infants that receive formula. Family-centered care theory is greatly affected when opioid dependent mothers are denied support services and education regarding breastfeeding and their withdrawing infant. To gauge for change and effectiveness nursing staff, neonatologist, neonatal nurse practitioners, LAMB committee, and policyholders will be given new researched information on the benefits of breastfeeding NAS babies and their outcomes.
Download or read book Maternity and Women s Health Care E Book written by Deitra Leonard Lowdermilk and published by Elsevier Health Sciences. This book was released on 2014-12-18 with total page 1003 pages. Available in PDF, EPUB and Kindle. Book excerpt: The #1 maternity book in the market is getting even better. Maternity and Women's Health Care, 11th Edition provides evidence-based coverage of everything you need to know about caring for women of childbearing age. Not only does this text emphasize childbearing concerns like newborn care, it also addresses wellness promotion and management of women's health problems. In describing the continuum of care, it integrates the importance of understanding family, culture, and community-based care. Boasting new medication alerts and updated content throughout, this edition covers the new maternal levels of care, and the revised AAP policy on breastfeeding and infant sleep. Expert authors of the market-leading maternity nursing textbook deliver the most accurate, up-to-date content. Clinical reasoning case studies provide you with opportunities to test and develop your analytical skills and to apply knowledge in various settings. Community Activity boxes focus on maternal and newborn activities that can be pursued in local community settings and illustrate nursing care in a variety of settings. Cultural Considerations stress the importance of considering the beliefs and health practices of patients from various cultures when providing care. Emergency boxes provide information about various emergency situations and offer a quick reference in critical situations. Family-Centered Care boxes highlight the needs and concerns of families that you should consider to provide family-centered care. Medication guides provide an important reference of drugs and their interactions. Nursing care plans include rationales for interventions and provide you with an overview of, and specific guidelines for, delivering effective nursing care. Safety alerts highlighted and integrated within the content draw attention to developing competencies related to safe nursing practice. Signs of potential complications highlight vital concerns, alerting you to signs and symptoms of complications and the immediate interventions to provide. Teaching for Self-Management boxes highlight important information that nurses need to communicate to patients and families for follow-up care.
Download or read book Case Studies in Infant Mental Health written by Joan J. Shirilla and published by . This book was released on 2002 with total page 228 pages. Available in PDF, EPUB and Kindle. Book excerpt: Offers 12 real-life stories written by infant mental health specialists about their work with young children and families. Each case study also reveals the supervision and consultation that supported the specialist, and the specialist's interaction with the larger service system.
Download or read book A Program Evaluation of the Nurse family Partnership written by Brenda Galvez and published by . This book was released on 2022 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Teenage pregnancy, planned or unplanned, can result in increased stressors for adolescent mothers. Such experiences can include but are not limited to lack of support, exclusion from social environments, and lack of access to resources. Programs such as the Nurse-Family Partnership provides first-time mothers with services that positively influence their families' lives and promotes resiliency. The purpose of this project was to evaluate the Nurse-Family Partnership program utilizing the logic model. The objective of the evaluation was to examine the program's in-home visiting practice by analyzing reports of the mothers and NFP nurses to explore the relationship between them. The methodology consisted of a literature review of existing research, public testimonials from nurses and mothers, and a program evaluation of the NFP program using the logic model. The results found that activities of the NFP are consistent with the activities that promote a therapeutic relationship and foster resiliency in first-time mothers.
Download or read book Clinical Case Studies for the Family Nurse Practitioner written by Leslie Neal-Boylan and published by John Wiley & Sons. This book was released on 2011-11-28 with total page 432 pages. Available in PDF, EPUB and Kindle. Book excerpt: Clinical Case Studies for the Family Nurse Practitioner is a key resource for advanced practice nurses and graduate students seeking to test their skills in assessing, diagnosing, and managing cases in family and primary care. Composed of more than 70 cases ranging from common to unique, the book compiles years of experience from experts in the field. It is organized chronologically, presenting cases from neonatal to geriatric care in a standard approach built on the SOAP format. This includes differential diagnosis and a series of critical thinking questions ideal for self-assessment or classroom use.
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 Working with Parents and Infants written by Antonella Sansone and published by Routledge. This book was released on 2018-04-24 with total page 197 pages. Available in PDF, EPUB and Kindle. Book excerpt: Working with Parents and Infants is aimed at understanding the process of psychosomatic illness, exploring the embodiment of psychosomatic health and illness, and the inseparability of psyche and soma. Within this book, the author highlights the beneficial function of psychosomatic symptoms, such as mastitis, in signalling to the counsellor or therapist as well as the patient the need for change and the path through which it may occur. Research and clinical literature have often overlooked the relationship between the woman's attitude to her bodyself, thus her mind-body integration, breastfeeding and the quality of interactions with her baby. A psychosomatic disturbance is in this book conceived as an impaired sense of bodyself, or in other words, a lack of psycho-soma integration. The author presents a new approach to health and the healing relationship emerging from a meeting between Eastern meditative disciplines and Western psychological practise.
Download or read book Medications for Opioid Use Disorder Save Lives written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2019-06-16 with total page 175 pages. Available in PDF, EPUB and Kindle. Book excerpt: The opioid crisis in the United States has come about because of excessive use of these drugs for both legal and illicit purposes and unprecedented levels of consequent opioid use disorder (OUD). More than 2 million people in the United States are estimated to have OUD, which is caused by prolonged use of prescription opioids, heroin, or other illicit opioids. OUD is a life-threatening condition associated with a 20-fold greater risk of early death due to overdose, infectious diseases, trauma, and suicide. Mortality related to OUD continues to escalate as this public health crisis gathers momentum across the country, with opioid overdoses killing more than 47,000 people in 2017 in the United States. Efforts to date have made no real headway in stemming this crisis, in large part because tools that already existâ€"like evidence-based medicationsâ€"are not being deployed to maximum impact. To support the dissemination of accurate patient-focused information about treatments for addiction, and to help provide scientific solutions to the current opioid crisis, this report studies the evidence base on medication assisted treatment (MAT) for OUD. It examines available evidence on the range of parameters and circumstances in which MAT can be effectively delivered and identifies additional research needed.
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 Preterm Birth written by Institute of Medicine and published by National Academies Press. This book was released on 2007-05-23 with total page 791 pages. Available in PDF, EPUB and Kindle. Book excerpt: The increasing prevalence of preterm birth in the United States is a complex public health problem that requires multifaceted solutions. Preterm birth is a cluster of problems with a set of overlapping factors of influence. Its causes may include individual-level behavioral and psychosocial factors, sociodemographic and neighborhood characteristics, environmental exposure, medical conditions, infertility treatments, and biological factors. Many of these factors co-occur, particularly in those who are socioeconomically disadvantaged or who are members of racial and ethnic minority groups. While advances in perinatal and neonatal care have improved survival for preterm infants, those infants who do survive have a greater risk than infants born at term for developmental disabilities, health problems, and poor growth. The birth of a preterm infant can also bring considerable emotional and economic costs to families and have implications for public-sector services, such as health insurance, educational, and other social support systems. Preterm Birth assesses the problem with respect to both its causes and outcomes. This book addresses the need for research involving clinical, basic, behavioral, and social science disciplines. By defining and addressing the health and economic consequences of premature birth, this book will be of particular interest to health care professionals, public health officials, policy makers, professional associations and clinical, basic, behavioral, and social science researchers.
