scholarly journals Vulnerable mothers’ experience of feeding their preterm infant in neonatal care

2021 ◽  
Vol 68 (1) ◽  
Author(s):  
Elanie A. Van Schalkwyk ◽  
Berna Gerber
Keyword(s):  
Preterm Infant ◽  
Preterm Infants ◽  
Maternal Mental Health ◽  
Hospital Setting ◽  
Extended Period ◽  
Neonatal Care ◽  
Research Literature ◽  
Healthcare Team ◽  
Structured Interviews ◽  
Cross Sectional

Background: Worldwide, preterm birth is a rising threat to maternal and child health. The universal challenges of being the mother of a preterm infant, combined with context-specific challenges such as poverty and poor linguistic and cultural representation, bring about risks for both mother and infant. This includes poor maternal mental health; poor mother–infant bonding and attachment and potential suboptimal developmental outcomes for the infant.Objective: This article describes how Afrikaans-speaking mothers living in poverty experienced feeding their preterm infants in neonatal care.Method: The study implemented a cross-sectional, qualitative design. Mothers of preterm infants (chronological ages between 3 and 6 months) were selected through a purposive sampling method and participated in individual semi-structured interviews. Nine interviews were thematically analysed. The participants were a vulnerable group, about whom little research literature was available.Results: Feeding was perceived as a progressive task that worked towards the goal of discharge from the hospital. It was stressful because of various factors, but insufficient breastmilk supply was a significant contributor. The hospital setting was perceived as something that added to the participants’ anxiety surrounding feeding, but at the same time, it had the potential to decrease their anxiety. When the mother–infant dyad was able to breastfeed successfully, it made the participants feel like mothers at last after an extended period of anticipation.Conclusion: Feeding their preterm infant was a prominent experience for the mothers, especially whilst in neonatal care. Increased feeding support is required from the healthcare team providing neonatal care in order to optimally use the neonatal period.

Significados de Morte: o Discurso do Sujeito Coletivo da Enfermagem / Meaning of Death: the collective subject speech of the nursing staff

1970 ◽  
Vol 6 (1) ◽  
pp. 52-58
Author(s):  
Fellipe Afonso de Azevedo ◽  
Noé D’jalma Araújo ◽  
Néliton Célio de Novais ◽  
José Vítor da Silva ◽  
Renato Augusto Passos
Keyword(s):  
Nursing Staff ◽  
Hospital Setting ◽  
Field Research ◽  
Structured Interview ◽  
Minas Gerais ◽  
Structured Interviews ◽  
Cross Sectional ◽  
Emergency Units ◽  
Methodological Guidelines

RESUMOObjetivo: o presente trabalho teve como objetivo identificar os significados de morte emergentes das equipes de enfermagem que atuam nas unidades de Pronto Socorro e Unidade de Terapia Intensiva (UTI) em uma entidade de médio porte situada no Sul de Minas Gerais. Materiais e métodos: estudo de abordagem qualitativa, do tipo descritivo, de campo e transversal. A amostra estudada foi composta de oito enfermeiros, 22 técnicos e quatro auxiliares de enfermagem, totalizando 34 profissionais, sendo utilizado o instrumento de caracterização pessoal e profissional da equipe de enfermagem e o roteiro de entrevista semiestruturada. A amostragem foi proposital. A coleta de dados foi realizada através de entrevista semiestruturada, gravada e transcrita. As diretrizes metodológicas do Discurso do Sujeito Coletivo foram utilizadas para a seleção das ideias centrais e expressões-chave correspondentes, a partir das quais foram extraídos os discursos dos sujeitos, no cenário da instituição hospitalar. Resultados e Discussão: ao analisar o tema “significados de morte”, obtiveram-se as seguintes ideias centrais: “passagem”, “diversos significados”, “fim da vida” e “fim e começo de outra vida”. Conclusão: As concepções acerca do tema morte para os profissionais participantes deste trabalho reforça a necessidade de estudos sobre o tema durante a formação acadêmica. Certos de que irão vivenciar este tipo de situação no dia-a-dia profissional, é preciso prepará-los psicologicamente para isso.Palavras-chave: Morte, Equipe de enfermagem, Assistência ao paciente.ABSTRACTObjective: This study aimed to identify the meanings of emerging death of the nursing staff working in the Emergency Units and Intensive Care Unit (ICU) in a medium-sized entity located in southern Minas Gerais. Materials and methods: A cross-sectional qualitative field research. The sample was composed of 8 nurses, 22 technicians and 4 nursing assistants, totaling 34 professionals. It was used a tool of personal and professional characterization of the nursing team and a semi-structured interview. Sampling was intentional. Data collection was conducted through semi-structured interviews, that were recorded and transcribed. The methodological guidelines of the Collective Subject Speech were used for the selection of the central ideas and corresponding key expressions, from which the speeches of the subjects were taken, in the hospital setting. Results and discussion: to examine the topic "death meanings" yielded the following core ideas: "pass", "different meanings", "end of life" and "end and beginning of another life." Conclusion: The conceptions about the death theme for the professional participants of this study reinforces the need for studies on the subject during their academic training. It is certain that they will experience this type of situation on their daily professional routine, therefore there is a need to prepare them psychologically for this.Keywords: Death, Nursing staff, Patient care.

scholarly journals Knowledge and Practice on Neonatal Care Among Postnatal Mothers in A Selected Teaching Hospital, Kaski District, Nepal

2021 ◽  
Vol 8 (1) ◽  
pp. 279-284
Author(s):  
Muna Bhattarai ◽  
Rajmi Gurung ◽  
Sunita Gurung ◽  
Sharmila Poudel ◽  
Janaki Mahato ◽  
...  
Keyword(s):  
Care Delivery ◽  
Newborn Care ◽  
Sampling Technique ◽  
Neonatal Care ◽  
Good Knowledge ◽  
Structured Interviews ◽  
Cross Sectional ◽  
Mortality And Morbidity ◽  
Postnatal Mothers ◽  
Knowledge And Practice

Newborn care is an essential component of the health care delivery system to maintain the optimal health of the newborn and reduce mortality and morbidity in newborn. Neonatal care refers to the services which are provided by the mother to their neonates such as maintaining thermoregulation, breastfeeding, hygiene, immunization, and care of umbilical cord. The objective of the study was to assess the knowledge and practice of neonatal care among postnatal mothers. A descriptive cross-sectional study design was adopted and 150 postnatal mothers were selected using a non-probability, convenient sampling technique. Data were collected by using semi-structured interviews with a Likert scale and analyzed by using descriptive and inferential statistics. The study result revealed that 60.7 percent of the postnatal mother was aged between more than 25 years. The majority of the postnatal mother (60.7%) of had good knowledge and majority of the respondent (80.7%) of had adequate practice regarding neonatal care. Among multigravida mothers, the majority (61.9%) had good knowledge of neonatal care. Where among primigravida mothers, majority (54.2%) had good knowledge. Among multigravida mothers, the majority (78.6%) had adequate practices on neonatal care.Wheres among primigravida mothers; majority (91.7%) had adequate practices. There is a significant association between the level of knowledge and age (P=0.020), occupational status (P= 0.027), and type of family (p= 0.004). It is concluded that multigravida mothers had good knowledge and adequate practices compared to primigravida mothers. Hence, there is a need for awareness programs by government and non-government organizations, especially among first-time pregnant mothers. Int. J. Soc. Sc. Manage. Vol. 8, Issue-1: 279-284

scholarly journals Awareness of combined oral contraceptives use among Jordanian women: A cross-sectional study

2020 ◽  
Vol 19 (10) ◽  
pp. 2187-2195
Author(s):  
Deema Jaber ◽  
Linda Tahaineh ◽  
Amal Akour ◽  
Abla Albsoul-Younes
Keyword(s):  
Oral Contraceptives ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Healthcare Team ◽  
Sources Of Information ◽  
Sectional Study ◽  
Structured Interviews ◽  
Cross Sectional ◽  
Combined Oral Contraceptives ◽  
Healthcare Professions

Purpose: To investigate Jordanian women’s knowledge, attitude, awareness and practice regarding combined oral contraceptives (COCs) benefits and risks.Methods: A cross-sectional study was conducted on 300 Jordanian women attending the Obstetrics and Gynecology clinics at Jordan University Hospital, Amman, Jordan. A closed- and open-ended questionnaire was used to explore Jordanian participants' knowledge, attitude and practice regarding COCs use, effect and side effects. Structured interviews were conducted by a trained research team. Thus, it was a pharmacist-assisted survey, and lay language was used to explain difficult medical terminologyResults: Most of participants were prescribed COCs by their physicians (77.1 %), half of them depend on others' experiences and media as sources of information rather than consulting their healthcare team. Half of participants have an idea of non-contraception uses of COCs (50.3 %). One fourth of women (26.0 %) believed that using COCs decreases fertility or even causes infertility, especially if used before their first pregnancy (43.3 %). Women in their middle age were more uncertain about the relation between COCs use and anemia (p = 0.014) or dysmenorrhea pain (p = 0.005). While women who used COCs believed more that the pills regulate menstruation (p < 0.001) and decrease dysmenorrhea pain (p < 0.001) compare with women who had never used COCs pills. Women in general are uncertain if COCs use has negative or positive relation with some types of cancer such as ovarian, cervical and breast. Women who are not affiliated to the healthcare professions were more uncertain about the relation between COCs use and atherosclerosis risk (p = 0.002), MI (p = 0.025) and stroke risk (p = 0.035).Conclusion: There is insufficient awareness and knowledge of the beneficial and non-contraceptive uses of COCs. Educational programs are needed to improve women’s awareness of the benefits and risks of COCs. Keywords: Combined oral contraceptives, COCs, Knowledge, Attitude, Practice, Beliefs, Benefits, Risks

scholarly journals Safe intra-hospital care in context of vulnerability to socio-environmental disasters: implications for nursing

2021 ◽  
Vol 74 (1) ◽  
Author(s):  
Mayra Wilbert Rocha ◽  
Alexandre Barbosa de Oliveira ◽  
Diego Freitas de Araújo ◽  
Ana Beatriz Azevedo Queiroz ◽  
Graciele Oroski Paes
Keyword(s):  
Hospital Care ◽  
Hospital Setting ◽  
Hierarchical Classification ◽  
Cross Sectional Study ◽  
Structured Interviews ◽  
Environmental Disaster ◽  
Cross Sectional ◽  
Environmental Disasters ◽  
Disaster Assistance ◽  
Human Material

ABSTRACT Objectives: to analyze the factors involved in safe intra-hospital care, in a context of vulnerability to socio-environmental disasters and their implications for nursing. Methods: a cross-sectional study of a descriptive and exploratory nature. Semi-structured interviews were conducted with 49 nursing professionals from a hospital in the mountainous region of the state of Rio de Janeiro (Brazil), which suffered a significant impact from a socio-environmental disaster in January 2011. Data were processed by software IRaMuTeQ. Results: aspects related to disaster assistance were presented through a thematic chunk with four classes, through descending hierarchical classification. Conclusions: for better nursing response in socio-environmental disasters, in an intra-hospital setting, investments for training and continuing education should be prioritized; adequate provision and provision of human, material and technological resources; psychological support for professionals after such events; appropriation of nursing competencies for the development of advanced practices in disasters and effective risk management.

A cross sectional study on assessment of risk of diabetes mellitus using Indian diabetic risk score in a medical college teaching hospital

2020 ◽  
Vol 5 (2) ◽  
pp. 32-40
Author(s):  
Singam Sivasankar Reddy ◽  
Syeda Rahath ◽  
Rakshitha H N ◽  
Godson K Lal ◽  
Swathy S ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
High Risk ◽  
Risk Score ◽  
Hospital Setting ◽  
College Teaching ◽  
Cross Sectional Study ◽  
Diabetic Patients ◽  
Cross Sectional ◽  
Patient Counselling ◽  
Related Quality

The objective of the study was to evaluate the risk of diabetes mellitus in elderlywith age above 20 years in a hospital setting using Indian Diabetes risk score and to provide patient counselling regarding their life style modifications and health related quality of life among participants with high risk of developing diabetes.A total of 125 non diabetic patients were interviewed with a pre designed selfstructured questionnaire (IDRS). Participants were chosen voluntarily and a written consent was obtained before the administration of the questionnaire from individual patients. In our study we observed that out of 125 patients,males 26[59%]and 18[41%] females were at high risk, males 39[58.2%] and 28[41.8%] females were at moderate risk, males 5[35.7%] and 9[64.3%] females were at low risk of developing diabetes mellitus.

Procurement Analytics: Enabling Data Architectures in the Age of Big Data

2020 ◽  
Author(s):  
Michael Goul ◽  
T. S. Raghu ◽  
Ziru Li
Keyword(s):  
Big Data ◽  
Academic Research ◽  
Research Literature ◽  
Structured Interviews ◽  
Data Space ◽  
Prescriptive Analytics ◽  
Data Architecture ◽  
The Future ◽  
High Level ◽  
Area Data

As procurement organizations increasingly move from a cost-and-efficiency emphasis to a profit-and-growth emphasis, flexible data architecture will become an integral part of a procurement analytics strategy. It is therefore imperative for procurement leaders to understand and address digitization trends in supply chains and to develop strategies to create robust data architecture and analytics strategies for the future. This chapter assesses and examines the ways companies can organize their procurement data architectures in the big data space to mitigate current limitations and to lay foundations for the discovery of new insights. It sets out to understand and define the levels of maturity in procurement organizations as they pertain to the capture, curation, exploitation, and management of procurement data. The chapter then develops a framework for articulating the value proposition of moving between maturity levels and examines what the future entails for companies with mature data architectures. In addition to surveying the practitioner and academic research literature on procurement data analytics, the chapter presents detailed and structured interviews with over fifteen procurement experts from companies around the globe. The chapter finds several important and useful strategies that have helped procurement organizations design strategic roadmaps for the development of robust data architectures. It then further identifies four archetype procurement area data architecture contexts. In addition, this chapter details exemplary high-level mature data architecture for each archetype and examines the critical assumptions underlying each one. Data architectures built for the future need a design approach that supports both descriptive and real-time, prescriptive analytics.

scholarly journals Necrotizing enterocolitis and the microbiome: Current status and future directions

2020 ◽  
Author(s):  
Robert Thänert ◽  
Eric C Keen ◽  
Gautam Dantas ◽  
Barbara B Warner ◽  
Phillip I Tarr
Keyword(s):  
Risk Factors ◽  
Preterm Infant ◽  
Preterm Infants ◽  
Necrotizing Enterocolitis ◽  
Clinical Characteristics ◽  
Gastrointestinal Disorder ◽  
Current Status ◽  
Future Directions ◽  
Barrier Integrity ◽  
Microbial Dysbiosis

Abstract Decades of research have failed to define the pathophysiology of necrotizing enterocolitis (NEC), a devastating pediatric gastrointestinal disorder of preterm infants. However, recent evidence suggests that host-microbiota interactions, in which microbial dysbiosis is followed by loss of barrier integrity, inflammation, and necrosis, are central to NEC development. Thus, greater knowledge of the preterm infant microbiome could accelerate attempts to diagnose, treat, and prevent NEC. Here, we summarize clinical characteristics of and risk factors for NEC, the structure of the pre-event NEC microbiome, how this community interfaces with host immunology, and microbiome-based approaches that might prevent or lessen the severity of NEC in this very vulnerable population.

scholarly journals The PROMISES study: a mixed methods approach to explore the acceptability of salivary progesterone testing for preterm birth risk among pregnant women and trained frontline healthcare workers in rural India

BMJ Open ◽  
2021 ◽  
Vol 11 (1) ◽  
pp. e040268
Author(s):  
Danielle Ashworth ◽  
Pankhuri Sharma ◽  
Sergio A Silverio ◽  
Simi Khan ◽  
Nishtha Kathuria ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Preterm Birth ◽  
Pregnant Women ◽  
Barriers And Facilitators ◽  
Rural India ◽  
Structured Interviews ◽  
Framework Analysis ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Thematic Framework

IntroductionIndia has an overall neonatal mortality rate of 28/1000 live births, with higher rates in rural India. Approximately 3.5 million pregnancies in India are affected by preterm birth (PTB) annually and contribute to approximately a quarter of PTBs globally. Embedded within the PROMISES study (which aims to validate a low-cost salivary progesterone test for early detection of PTB risk), we present a mixed methods explanatory sequential feasibility substudy of the salivary progesterone test.MethodsA pretraining and post-training questionnaire to assess Accredited Social Health Activists (ASHAs) (n=201) knowledge and experience of PTB and salivary progesterone sampling was analysed using the McNemar test. Descriptive statistics for a cross-sectional survey of pregnant women (n=400) are presented in which the acceptability of this test for pregnant women is assessed. Structured interviews were undertaken with ASHAs (n=10) and pregnant women (n=9), and were analysed using thematic framework analysis to explore the barriers and facilitators influencing the use of this test in rural India.ResultsBefore training, ASHAs’ knowledge of PTB (including risk factors, causes, postnatal support and testing) was very limited. After the training programme, there was a significant improvement in the ASHAs’ knowledge of PTB. All 400 women reported the salivary test was acceptable with the majority finding it easy but not quick or better than drawing blood. For the qualitative aspects of the study, analysis of interview data with ASHAs and women, our thematic framework comprised of three main areas: implementation of intervention; networks of influence and access to healthcare. Qualitative data were stratified and presented as barriers and facilitators.ConclusionThis study suggests support for ongoing investigations validating PTB testing using salivary progesterone in rural settings.

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