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1
Barbard, Penelope Jane. "Beyond the feeding relationship: mothers' descriptions of interaction within the mother-child dyad." Master's thesis, University of Cape Town, 2009. http://hdl.handle.net/11427/2965.
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The mother-child relationship is a key determinant of child health. Current evidence acknowledges that impaired mother-child interaction affects social, emotional, cognitive and behavioural development in infants. Disrupted interaction within the mother-child dyad can be caused by a variety of factors including prolonged separation, illness, abusive relationships, maternal stress and other psychosocial disturbances. Post-Partum Depression (PPD), in particular, compromises mother-child interaction. Despite the fact that recent studies have demonstrated that the prevalence of PPD in low-income communities is approximately three times that found in first world countries, mother-child interaction is seldom evaluated and facilitated in primary care. Physical growth is often the only measure of infant health and development. The objectives of this qualitative study were to explore the mother's description of mother-child interaction; the importance that the mother ascribes to this interaction; and the mother's perception of the factors which facilitated interaction within the mother-child dyad. First-time mothers were purposively sampled and semi-structured interviews were conducted. After general inductive analysis of the verbatim transcriptions of the interviews, five main themes emerged. These were: (2)"What I expected" which described expectations around the birth and the impact on mother-child interaction, (2) "Isn't one supposed to feel ... ?" explored the mothers concerns regarding interaction, emotions and adaptation, (3) "Connecting with my baby" described a process of physical connectedness which enhanced emotional connectedness, (4)"We reflect each other's feelings " illustrated how feelings are echoed between mother and baby and empathy developed, and (5) "That helped/hindered our interaction " described factors which eased the fluency of mother-child interaction. These findings are discussed in relation to neuro-scientific developmental theories; namely Porges' Polyvagal Theory of subconscious adaptation for social behaviour and security strategies, and The Mirror Neuron Theory which describes mechanisms of imitation and the development of empathy. Factors which enhanced mother-child interaction are discussed within the context of a changing society. The findings suggest the potential value of including the facilitation of mother-child interaction in the practice of health professionals, particularly midwives and other workers in maternal and child health. This may include training in non-directive counselling of mothers, the recognition of disengaged mother-child interaction, and relationship facilitation. This study emphasizes the importance of mother-child interaction and that health professionals need to be aware of the potential for maternal mental health problems after birth, and the long-term consequences of poor mother-child interaction on infant health.
2
Feeley, Nancy. "Infant, mother and contextual factors related to mothers' interactions with their very-low-birthweight infants." Thesis, McGill University, 2001. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=37888.
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While there is evidence that the interactions that occur in the early years of life between very-low-birthweight (VLBW) infants and their mothers affects later child development, little is known about the factors that are associated with responsive and sensitive mother-VLBW infant interaction. Belsky's (1984) model of the determinants of parenting proposes that multiple child, parent, and contextual factors influence parenting behaviour. This prospective study examined the combined influence of a set of infant (i.e., birthweight and perinatal illness severity), mother (i.e., state anxiety and parenting sense of competence), and contextual variables (i.e., maternal received and perceived helpfulness of support, and marital adjustment) on mother-infant interaction, and assessed which factors were associated with sensitive and responsive interaction.<br>The participants were 72 mothers and their VLBW infants (<1500 grams). Infant, mother, and contextual variables were assessed at 3- and 9-months of age (corrected). At 9 months, mother-infant teaching interactions were observed in the home and later coded using the Nursing Child Assessment Teaching Scale (NCATS).<br>Hierarchical multiple regression analyses were used to examine the relationship between mother-infant interaction and the infant, mother and contextual variables. The prospective model explained 33% of the variance in the interactive behaviour of the dyad. Dyads whose interaction was more sensitive and responsive at 9 months included mothers who were better-educated, less anxious at 3 months, and reported higher perceived support at 3 months. The concurrent model explained 29% of the variance in the interactive behaviour of the dyad. Dyads whose interaction was more sensitive and responsive included mothers who were better-educated and reported higher perceived support at 9 months. The hypothesis that the mother variables would be more important than the contextual variables in explaining mother-infant interaction was not supported. The findings highlight the importance of examining multiple infant, parent, and contextual variables to explain mother-VLBW infant interaction.
3
Mancini, Karen. "Body Image, Eating Attitudes and Breastfeeding Intention in Breastfeeding Mothers Compared to Non-Breastfeeding Mothers." Thesis, Adelphi University, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10291289.
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<p> Breastfeeding has been identified as the perfect source of infant nutrition. Improving the rates and duration of breastfeeding is a global public health concern. Even though facilitators and barriers to successful breastfeeding have been identified in the literature, rates of breastfeeding fall below desired targets. Maternal characteristics such as body image and eating attitudes have been examined with respect to pregnancy and birth outcomes, yet have been less studied with respect to infant feeding choice. Based on existing literature it is possible that poor body image and /or disordered eating may affect the intention to breastfeed. The purpose of this study was to compare body image, eating attitudes, and breastfeeding intention of breastfeeding to non-breastfeeding mothers. A secondary aim was to determine if breastfeeding intention, body image, and/or eating attitudes predicted actual behavior. A two group, comparative design was used to analyze data for first time mothers (n = 66) recruited through a large pediatric practice with multiple offices. Instruments included the 34 item self-report Multidimensional Body Self Relations Questionnaire-Appearance Scales (MBSRQ-AS), the Eating Attitudes Test (EAT-26), and items from a Demographic and History form. Data analysis revealed that there was no significant difference in the body image or eating attitudes between breastfeeding and non-breastfeeding mothers. Breastfeeding intention was a strong determinant of actual breastfeeding (p = 0.001). Neither body image and/or eating attitudes predicted infant feeding method. It has been well established that personal and contextual factors affect breastfeeding intention. As a result, body image and eating attitudes can have an impact on a woman's health during childbearing. The present study highlights the need for improved instruments designed for pregnant and lactating women that measure the cognitive and behavioral aspects of body image. Subsequently, women who display disordered eating tendencies or body image dissatisfaction during the perinatal period can be identified.</p>
4
Robson, Beverley Anne. "Breast engorgement in breastfeeding mothers." Case Western Reserve University School of Graduate Studies / OhioLINK, 1990. http://rave.ohiolink.edu/etdc/view?acc_num=case1054750626.
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Füzy, Elizabeth. "The childbirth experiences of adolescent mothers in the Western Cape." Master's thesis, University of Cape Town, 2016. http://hdl.handle.net/11427/20837.
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Objective: The objective of this study was to explore the lived childbirth experiences of middle adolescent mothers between 14 and 16 years of age. Methodology: A qualitative design was followed, using Husserl's phenomenological approach. Information was gathered by semi-structured conversations. Identified themes and sub-themes (Colaizzi's steps) were presented to participants for authentication during follow-up conversations. Study Setting: Two hospitals in the Cape Town Metropolitan area, Western Cape, South Africa. Participants: Six adolescent girls between the ages of 14 and 16 years of age who had normal vaginal births of healthy, term infants. Findings: An over-arching theme of preservation of personhood was identified. Themes and sub-themes were derived according to three Husserlian phenomenological concepts. Within these concepts three essential themes emerged from the conversations: i) essences: physically underdeveloped and emotionally unprepared for childbirth, ii) intentionality and consciousness: an unsettled state of mind during childbirth, and iii) life-world: feeling physically and emotionally overwhelmed by the experience. Conclusion: The participants highly valued the presence of a support person; they indicated that their mothers were their first choice. Friendly, helpful, respectful and non-judgmental care from nurses and midwives were associated with more positive birth experiences while humiliation, victimisation and rudeness were associated with negative birth experiences. Implications for adolescent-friendly practice: A condensed form of antenatal education is needed together with adolescent-friendly health care services to ensure better preparedness and experiences. Shared-decision making regarding certain aspects of childbirth is necessary. Continuous labour support is an important coping strategy and pain management is vital. Additional training is needed to address midwives' attitudes. Quality assessment tools are needed to address the mistreatment of maternity patients in health care facilities.
6
Peterson, Wendy E. DiCenso Alba. "Adolescent mothers' satisfaction with postpartum nursing care : quantitative and qualitative approaches /." [Hamilton, Ont.] : McMaster University, 2004.
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7
Brand, Pauline. "Birth control nursing in the Marie Stopes mothers' clinics 1921-1931." Thesis, De Montfort University, 2007. http://hdl.handle.net/2086/4190.
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The provision of contraceptive services has been identified as one of the most important developments in primary care. Although the history ofthe birth control movement is well documented, the contribution made to the provision ofservices by nurses and midwives and the actual development oftheir role, is conspicuous by its absence. Similarly, the history ofnursing has tended to ignore the work ofthose at the 'sharp' end ofpractice. This thesis addresses both lacunae by investigating the work of the J • ~ • midwife-nurses in the Marie StopeS' Mothers' Clinics; focusing on the London and the Caravan Clinics between 1921 and 1931. The aims 0 f the study were; to trace the historical development of birth control nursing within the Marie Stopes Mothers' Clinic locating it in its social, political, medical, professional and legal.contexts; to determine the lay and medical perspectives which influenced the development ofbirth control nursing within the Marie Stopes Mothers' Clinics. This historical study uses primary archival and secondary sources supplementedby a modified prosopographical technique and oral history interviews, to provide a distinctive record of the role undertaken by the midwife-nurses in the first birth control clinic in Britain. The role ofthe midwife-nurses was unique, providing what was arguably the first nurseled birth control service in this country. In exploring the expansion ofthe service, the thesis exposes previously unexplored links between Lamberts, a commercial organisation, Abertillery Hospital and the Stopes' clinics. An exploration of the planning and development of the Caravan Clinics uncovers the way in which the service operated and the difficult conditions experienced by the midwife-nurses. Three issues of relevance to the history of nursing and contemporary practice are also revealed; the way in which the role was established: how the training for nurses working in the field of contraception and sexual health evolved; and the identification ofthe roots ofsexual health outreach services. The consequences of a disagreement between Stopes and the National Birth Control Council (NBCC) produced two distinct approaches to the delivery of care and the role of the staff. The traditional handmaiden approach continued in dinics under the auspices ofthe NBCC. The use of the speculum acted as a means to maintain the dominance of the medical profession, a situation that continued well into the 1990s. The thesis argues that had Stopes and her organisation remained within the amalgamated organisation, she may have inculcated her nurse-led approach into the work of these other clinics, with a subsequent impact on the role and training of nurses and midwives throughout the ensuing decades. Studying this group of midwife-nurses provides insight into the realities of clinical practice within what was, at the time, a controversial area ofpractice. The study has contributed to a wider appreciation of the history of both nursing and birth control while also revealing the links to contemporary clinical practice in the field of sexual health.
8
Collier, Angela. "Nursing interventions to improve breastfeeding initiation and continuation among adolescent mothers." Honors in the Major Thesis, University of Central Florida, 2010. http://digital.library.ucf.edu/cdm/ref/collection/ETH/id/1388.
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This item is only available in print in the UCF Libraries. If this is your Honors Thesis, you can help us make it available online for use by researchers around the world by following the instructions on the distribution consent form at http://library.ucf.edu/Systems/DigitalInitiatives/DigitalCollections/InternetDistributionConsentAgreementForm.pdf You may also contact the project coordinator, Kerri Bottorff, at kerri.bottorff@ucf.edu for more information.<br>Bachelors<br>Nursing<br>Nursing
9
Airy, Anna May. "Infant feeding practices of Cuban mothers residing in Dade County, Florida." FIU Digital Commons, 1996. http://digitalcommons.fiu.edu/etd/1167.
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Research has shown that infant feeding practices differ between cultures. A convenience sample of 51 first generation Cuban mothers with infants birth to 12 months of age were surveyed to identify their infant feeding practices, and why they introduce foods to their infants in the manner in which they do. Data obtained from the mothers' responses to an English/Spanish Questionnaire were summarized by frequencies. Findings revealed that Cuban mothers consider a variety of foods from the major four food groups to be suitable for their infants. They introduced solids to their infants at the average age of four months and fed their infants in the manner in which they did because they thought it was healthy/nutritious. Cuban mothers may feed their infants as taught by health care professionals if their infant feeding practices are incorporated in the culture specific infant feeding programmes developed by the health team.
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Morrison, April H., Retha Gentry, and Joanna Anderson. "Mothers’ Reasons for Early Breastfeeding Cessation." Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/etsu-works/7116.
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Purpose: The purpose of this review is to assess maternal explanations for early breastfeeding cessation in economically developed countries.
Study Design and Methods: The electromic databases EBSCO, CINAHL, Child Development & Adolescent Studies, PsycInfo, Health Source: Nursing/Academic Edition, Nursing and Allied Health; ProQuest databases: Family Health Database, Health and Medical Collection, Nursing and Allied Health, Psychology Database, and Public Health Databases were searched using the terms breastfeeding, cessation, stop, discontinuation, early weaning, quit∗, early termination, and six months. Inclusion criteria included infants born at least 37 weeks gestation, single birth, and infant birthweight > 2,500 g.
Results: Initial literature search yielded 117 studies; 10 studies met inclusion criteria. The two most common reasons for early breastfeeding cessation were perceived inadequate milk supply and maternal breast or nipple pain.
Conclusion: Research on maternal reasons for early breastfeeding cessation is limited. Reasons for early breastfeeding cessation are varied; however, the most common themes were perceived inadequate supply and breast or nipple pain. Nurses should tailor assessment of each breastfeeding mother-baby couplet and associated interventions based on these findings.
11
Masciola, Randee L. "MOTHERS PERCEPTIONS ON MOTHER-DAUGHTER SEXUAL COMMUNICATION: A SUBSET OF PARENT ADOLESCENT SEXUAL COMMUNICATION." Case Western Reserve University Doctor of Nursing Practice / OhioLINK, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=casednp1457373934.
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Ncube, Rosinah Kereemang. "The lived experiences of mothers regarding care of their hospitalised preterm babies." Master's thesis, University of Cape Town, 2011. http://hdl.handle.net/11427/11437.
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Includes abstract.<br>Includes bibliographical references (leaves 106-121).<br>Trends in neonatal care aim to minimise separation of the baby from the mother in an effort to promote the well-being of both the mother and the baby, with proven positive effects on reduction of neonatal mortality and maternal health benefits, including parental sense of fulfilment and confidence in caring for the baby and reduction in breast and ovarian cancer. The findings of this study demonstrate that there is a need for adequate staff support of mothers while providing care to their preterm babies. The quality of care could be improved by ongoing communication with the mothers while in the neonatal unit, since this promotes their confidence and competence. This in turn enables positive interactions between mothers and their babies and promotes mother-infant attachment.
13
Walulu, Rosemary N. "Mothers living with HIV disease : a grounded theory study : a dissertation /." San Antonio : UTHSC, 2007. http://proquest.umi.com.libproxy.uthscsa.edu/pqdweb?did=1490071031&sid=2&Fmt=2&clientId=70986&RQT=309&VName=PQD.
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Dissertation (Ph.D.).--University of Texas Graduate School of Biomedical Sciences at San Antonio, 2007.<br>Vita. Briscoe Library received only one copy of this dissertation. It is shelved in the Archives for safekeeping. Includes bibliographical references.
14
Russell, Kendra. "Maternal confidence of first-time mothers during their child's infancy." unrestricted, 2006. http://etd.gsu.edu/theses/available/etd-04252006-182317/.
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Thesis (Ph. D.)--Georgia State University, 2006.<br>Title from title screen. Cecelia Grindel, committee chair; Carol Howell, Patsy Ruchala, committee members. Electronic text (159 p. : ill. (some col.)) : digital, PDF file. Description based on contents viewed June 13, 2007. Includes bibliographical references (p. 90-98).
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Staflin, Emma, and Jennie Lundkvist. "Nurses’ counseling to mothers to prevent mother to child transmission of HIV through breastfeeding : A qualitative study." Thesis, Linköpings universitet, Omvårdnad, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-76743.
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Introduction: HIV is a serious problem in Namibia, 13.1% of the adult population is HIV-positive or is a carrier of AIDS. This is one of the highest numbers in the world. HIV is passed from mother to child during pregnancy, during labour or through breast milk. 18.8 % of the pregnant mothers in Namibia who is in contact with the maternity welfare have HIV. Aim: The aim of the study was to describe nurses’ counseling to mothers to prevent mother to child transmission of HIV through breastfeeding. Method: Eight nurses working with PMTCT of HIV were interviewed in Namibia. The interviews were transcribed and a content analysis was made. 18 sub-categories and seven categories were found. Findings: It is important that nurses provide individual counseling, are supportive and motivate the mothers. Poverty is an obstacle for the mothers, stigmatization occurs and cultural differences can have influence on the mothers. It is also important that nurses are updated in counseling and PMTCT. Conclusion: Nurses should provide mothers with the correct information in a pedagogical way. Nurses need to be aware of obstacles for the mothers and their families to be able to meet their different demands. Men are not involved in PMTCT-counseling and nurses think that partner involvement would benefit PMTCT of HIV.
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Baker, Brenda. "Understanding Mothers of Late Preterm Infants." VCU Scholars Compass, 2011. http://scholarscompass.vcu.edu/etd/2613.
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The experience of becoming a mother is a personal and social experience influenced by individual characteristics, friends and family, and the infant. The journey to become a mother encompasses concepts of maternal competence and responsiveness. The purpose of this study was to examine maternal competence and responsiveness to the infant in mothers of late preterm infants compared to mothers of full term infants. The conceptual model for this work was based on the work of Reva Rubin describing maternal identity and role development. Maternal competence and responsiveness are components of maternal role and are influenced by social support, maternal self-esteem, well-being, stress and mood. In addition, infant temperament and perception of infant vulnerability influence development of maternal competence and responsiveness. A non-experimental repeated measures design was used to compare maternal competence and responsiveness in two groups of postpartum mothers. One group consisted of mothers of late preterm infants 34-36, 6/7 weeks gestation. The second group consisted of mothers of term infants, >/=37 weeks gestation. Both primiparas and multiparas were included in the study. Data was collected in the initial postpartum period prior to discharge from the hospital and again at six-weeks postpartum. No statistically significant differences in development of maternal competence or responsiveness between mothers of LPIs and term infants were identified. This study adds to our knowledge concerning outcomes of mothers of late preterm infants and development of competence and responsiveness.
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Burks, Katrina Marie Russo. "Mothers' Perceptions of Workplace Breastfeeding Support." ScholarWorks @ UVM, 2015. http://scholarworks.uvm.edu/graddis/371.
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Despite substantial evidence that breastfeeding is the optimal way to feed the healthy, full-term infant, data show that, although most mothers in the United States start out breastfeeding their infants, there are often barriers to continued breastfeeding beyond the first few weeks or months. Among the reasons cited are lack of support and the need to return to full or part time paid employment. As a result of the Surgeon General's 2011 Call to Action to Support Breastfeeding, many initiatives have been implemented on national, state, and local levels to improve support for breastfeeding in the workplace. The purpose of this study was to investigate mothers' perceptions of workplace breastfeeding support. The study surveyed a convenience sample of 44 women employed by a 562-bed academic and university medical center in Northern New England who had a baby less than two years ago. The Employee Perceptions of Breastfeeding Support Questionnaire was used to collect mothers' perceptions about organization support, manager support, co-worker support, time considerations, and the physical environment of the worksite breastfeeding or pumping facilities. Descriptive statistics revealed that mothers had favorable perceptions of support for breastfeeding in their workplace. Similar studies with different types of employers or with hospitals in different areas of the United States may have different results. Adapting breastfeeding accommodations and support in the workplace in ways that facilitate increased initiation and duration of breastfeeding is an important step toward achieving Healthy People 2020 goals.
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Kanhadilok, Supannee. "Breastfeeding Influencing Factors in Thai Adolescent Mothers." VCU Scholars Compass, 2013. http://scholarscompass.vcu.edu/etd/523.
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Background: Breastfeeding is well established as the optimal method for ensuring healthy infant nutrition. However, many adolescents remain unaware of the role of breastfeeding. Adolescent mothers continue to have the lowest rate of breastfeeding in many countries including Thailand, with only 17% of Thai adolescent mothers continuing to breastfed at 6 months postpartum. Objective: Examine factors influencing breastfeeding behaviors in adolescent mothers, particularly those in Thailand. Methods: This dissertation project involved two research studies focusing on breastfeeding influencing factors in adolescent mothers. The first study was an integrative review of 22 articles published in 2000-2012. The findings revealed that personal factors appear to be the most important to the decision to initiate and maintain breastfeeding for adolescent mothers. Perceptions of cultural expectations also influence breastfeeding decisions and behaviors. Additionally, infant factors seem to be considerations in breastfeeding duration for the adolescent mother. The second study used a prospective cohort design to explore personal, social, cultural, and infant factors that explain and predict breastfeeding initiation and maintenance at 4 weeks postpartum in Thai adolescent mothers. The sample of 96 adolescent mothers was recruited at two prenatal clinics in Thailand. There were three time points for data collection; the initial visit was completed in the prenatal period, the second visit was within 48 hours postpartum, and the third was at 4 weeks postpartum. Instruments were the Iowa Infant feeding Attitude Scale (IIFAS), Breastfeeding Influencing Factor Assessment (BIFA), Hughes Breast-Feeding Support Scale (HBSS), Pictorial Assessment of Temperament (PAT), Vulnerable Baby Scale (VBS), and Parenting Sense of Competence Scale (PSOC), all of which were translated into the Thai language. Results: Personal, social, and cultural factors were significantly correlated with breastfeeding initiation and were significant positive predictors of exclusive breastfeeding duration. Infant temperament was a significant negative predictor of exclusive breastfeeding duration. Maternal competence was also positively correlated with duration of exclusive breastfeeding. Conclusion: Facilitating the support mothers receive from their personal support systems is important to breastfeeding duration and maternal competence in the postpartum period. Enhancing exclusive breastfeeding and maternal competence provides a supportive environment for new adolescent mothers to develop their maternal role.
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Jones, Jackie Denise. "Postpartum Mothers' Attitudes Toward Breastfeeding." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/4639.
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Breast milk is the optimal source of nourishment for babies, providing positive nutritional and psychosocial benefits for infants' growth and development. Rates for initiation of breastfeeding and exclusive breastfeeding at 6 months in the United States are well below the target rates for the Healthy People 2020 Maternal, Infant, and Children's Health objectives. Using Ajzen's theory of planned behavior, the purpose of this project was to ascertain how knowledge and attitudes influenced a mother's intent to breastfeed during her hospital stay and the likelihood of exclusive breastfeeding continuing after discharge. A convenience sample of 68 postpartum mothers was recruited from women who delivered a viable infant between January and March 2017 at a large urban teaching hospital. Mothers completed the 17-question 5-point Likert scale instrument, the Iowa Infant Feeding Attitude Scale, and demographic information before discharge from the hospital. Mothers who planned to breastfeed and mothers who did not plan to breastfeed scored above the midpoint on the scale; however, women who intended to breastfeed after discharge scored significantly higher (p < .001). Demographic variables were not significant with the exception of education level. Women with higher education levels scored higher on the scale and were more likely to plan to breastfeed after discharge than women with lower levels of education. Findings may promote social change through development and implementation of tailored nursing interventions, such as community prenatal education and clinical reinforcement, which will support initiation of breastfeeding in the hospital setting and exclusivity of breastfeeding upon discharge.
20
Goyal, Deepika. "Postpartum depression and sleep loss in first time mothers." Diss., Search in ProQuest Dissertations & Theses. UC Only, 2007. http://gateway.proquest.com/openurl?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&res_dat=xri:pqdiss&rft_dat=xri:pqdiss:3261263.
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Ladores, Sigrid. "The Early Postpartum Experience of Previously Infertile Mothers." Doctoral diss., University of Central Florida, 2013. http://digital.library.ucf.edu/cdm/ref/collection/ETD/id/6306.
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The lived experiences of previously infertile mothers in the early postpartum period have not been previously studied. The purpose of the research was to explore the experiences of previously infertile mothers during their early postpartum period.
Colaizzi's (1978) approach to descriptive phenomenological inquiry was used to analyze the interview data obtained from twelve first-time, previously infertile mothers. These new mothers, aged 27 to 43 years, were interviewed twice. The first interview focused on eliciting descriptions of new motherhood in the early postpartum period after overcoming infertility. The second interview validated the interpretations from the first interview and provided additional information and reflection.
Two main themes emerged that described the early postpartum experience of first-time, previously infertile mothers: 1) Lingering Identity as Infertile; and 2) Gratitude for the Gift of Motherhood. Participants reported that their lingering identity as infertile and immense gratitude for the gift of motherhood propelled them to establish unrealistic expectations to be the perfect mother. When they were unable to live up to being the perfect mother, they censored their feelings of inadequacy, guilt, and shame. Findings from this study sensitize healthcare providers to the difficulties faced by previously infertile women during their transition to motherhood.<br>Ph.D.<br>Doctorate<br>Nursing<br>Nursing<br>Nursing
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Jonker, Linda. "The experiences and perceptions of mothers utilizing child health services." Thesis, Stellenbosch : Stellenbosch University, 2012. http://hdl.handle.net/10019.1/20294.
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Thesis (MCur)--Stellenbosch University, 2012.<br>ENGLISH ABSTRACT: Member states of the United Nations accepted eight Millennium Development Goals in 2000.
Millennium Development Goal number four addresses the improvement of child health. The
purpose of goal number four is to decrease the child mortality rate by 60% for the period
1990 to 2015. South Africa is one of twelve countries where the incidence of child mortality
increased during this period.
Guided by the research question “What are the experiences and perceptions of mothers
utilizing child health services”, a study was done. A qualitative, descriptive phenomenological
methodology was applied to explore the experiences and perceptions of mothers utilizing
child health services for children younger than two years.
The goal of this study was to determine the experiences and perceptions of mothers utilizing
child health services.
The objectives were to explore their experiences and perceptions, with specific reference to
the service they receive regarding:
- immunization
- nutrition assessment
- the growth of the child
- the growth chart
- other underlying illnesses
Ethical approval was obtained from Stellenbosch University and various health authorities.
Validity was assured by adhering to the principles of trustworthiness, namely credibility,
transferability, dependability, and conformability.
The population for this study was mothers who utilized ten clinics in a demarcated area of
Cape Town for child health services. Purposive sampling was utilized to consciously select
three clinics (N =10), and at each of the clinics four mothers were purposively selected to
participate. A total of seventeen mothers participated in the study.
An interview guide was used to conduct interviews with participants. The researcher
conducted and recorded the interviews after obtaining written informed consent from each
participant. A field diary was kept for notation of observations. Data analysis involved the transcribing of digitally recorded interviews, the coding of the
data, the generating of themes and sub-themes, interpretation and organization of data and
the drawing of conclusions.
The Modeling Role-Modeling Nursing theory of Erickson, Tomlin and Swain were utilized as
conceptual theoretical framework to facilitate application to the broad population.
Findings of the study indicated varied experiences. All mothers did not receive information
about the RtHB or RTHC. Not all mothers developed a relationship of trust with caregivers or
were afforded the respect of becoming part of the child’s health care team. According to the
mothers integrated child health care services were not practised.
The consequences were missed opportunities in immunization, provision of Vitamin A,
absence of growth monitoring, feeding assessment and provision of nutritional advice.
Hospitals and private practitioners equally did not provide immunization services or offered
holistic care.
Simple interventions such as oral rehydration, early recognition and treatment of diseases,
immunization, growth monitoring and appropriate nutrition are not diligently offered; that
could reduce the incidence of child morbidity and mortality.
The following recommendations are made: determine why hospitals do not immunize
children. The root causes must be addressed to change practice. Rendering of child services
must happen in an integrated approach. Staff must be empowered with skills regarding
procurement, in particular regarding vaccines.<br>AFRIKAANSE OPSOMMING: In 2000 het die lidlande van die Verenigde Volke Organisasie die Millenium
Ontwikkelingsdoelwitte aanvaar. Die Millenium Ontwikkelingsdoelwit nommer vier roer die
kwessie van kindergesondheid aan. Die strategie om die voorkoms van kindersterftes met
60% te verminder vanaf 1990 tot 2015 is die vierde millenium doelwit. Suid Afrika is een van
twaalf lande in die wêreld waar die kindersterftes vir hierdie tydperk toegeneem het.
‘n Studie is gedoen om te bepaal “Wat die ervaring en persepsies van moeders is wat van
kindergesondheidsdienste gebruik maak. ‘n Kwalitatiewe, beskrywende, fenomenologiese
studie is gedoen,om die ervaring en persepsies van moeders wat kinders jonger as twee
jaar na klinieke geneem het, te bepaal.
Die doel van die studie was om die ervaring en persepsies van moeders ten opsigte van
kindergesondheidsdienste vas te stel.
Spesifieke doelwitte was die bepaling van die ervaring en persepsies rondom:
- immunisasiedienste
- groeimonitering
- voedingsvoorligting
- die groeikaart
- behandeling van siektes
Etiese goedkeuring was verkry vanaf die Universiteit van Stellenbosch en die verskeie
gesondheidsowerhede. Geldigheid van die studie is verseker deur die beginsels van
geloofwaardigheid na te kom naamlik, aaneemlikheid, betroubaarheid, oordraagbaarheid en
inskiklikheid.
Die bevolking betreffende die studie was moeders wat kliniekdienste gebruik het vir hulle
kinders in ‘n spesieke area van Kaapstad, bestaande uit tien klinieke. Drie klinieke (N=10)
is doelgerig geselekter vir deelname. Vier moeders is doelgerig by elk van die drie klinieke
geselekteer vir deelname.
Onderhoude is met sewentien deelnemers gevoer. ‘n Onderhoudsgids is gebruik en die
navorser het rekord gehou van waarnemings. Die navorser het onderhoude gevoer en
opgeneem na skriftelike toestemming daarvoor van elke deelnemer verkry is. ’n
Veldwerkdagboek is gehou van alle waarnemings. Data-analise het behels: digitale opnames wat woordeliks beskryf , tematies ontleed en
geïnterpreteer is en volgens temas georganiseer is.
Toepassing na die breër populasie is bevorder deur die gebruik van die verpleegteorie van
Erickson, Tomlin en Swain.
Bevindinge van die studie het getoon dat moeders verskillende ervaringe gehad het. Nie alle
moeders het inligting ontvang omtrent die RtHB of RTHC nie. Nie alle moeders het vertroue
in die kliniek nie en moeders word nie erken as bepalende faktore in die sorgspan nie. .
Volgens die moeders is geïntegreerde gesondheidssorg nie beoefen nie.
Die gevolge is dat geleenthede nie benut word om te immuniseer nie, vitamien A te verskaf,
groei te kontroleer, voeding te bepaal en voedingsadvies te verskaf. Die voorraadvlakke van
entstof word nie oral doeltreffend beheer nie. Hospitale en dokters beoefen nie altyd
immunisering en holistiese kindergesondheidsdienste nie.
Eenvoudige intervensies, wat die voorkoms van kindermorbiditeit en kindermortaliteit kan
bestry, word nie verskaf nie. Voorbeelde van sulke intervensies is mondelinge rehidrasie,
vroeë diagnose en behandeling van siektes, immunisering, groeimonitering en geskikte
voedingsinligting.
Daar word aanbeveel dat daar indringend bepaal word hoekom hospitale nie kinders
immuniseer nie en dat die oorsake aangespreek word. Integrasie van dienste by klinieke
moet as prioriteit gesien en geïmplimenteer word. Personeel se vaardighede betreffende
beheer van voorraad moet verbeter word, veral t.o.v. entstof voorraad.
23
Semenic, Sonia E. "The influence of personal and contextual factors on breastfeeding duration and exclusivity among first-time mothers." Thesis, McGill University, 2005. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=115569.
Full textAbstract:
Note:<br>The significant health benefits of breastfeeding are extensively documented, and it is now recommended to breastfeed exclusively (Le., feed infants nothing but breastmilk) for the first 6 months of life. Guided by the Interactional Model (Loiselle, 2001), this prospective correlational study explored the predictive and interactive influence of potentially modifiable personal (Le., breastfeeding self-efficacy, maternal infant feeding beliefs, perceived infant satisfaction with breastfeeding) and contextual factors (i.e., paternal infant feeding beliefs, breastfeeding informational support, general postpartum support) on breastfeeding duration and exclusivity among a convenience sample of 189 primiparous breastfeeding mothers. Personal, contextual, and control factors were assessed by self-report questionnaires and/or interviews during postpartum hospitalization, at 6 weeks, and at 4 months postpartum. Breastfeeding outcomes were assessed via telephone interview at 6 weeks, 4 months, and 6 months postpartum. [...]<br>Les importants benefices de I' allaitement maternel pour la sante sont tres bien documentes, et on recommande a. l'heure actuelle d'allaiter exclusivement (c.-a.-d. de ne donner que du lait maternel au nourisson) durant les six premiers mois de vie. Guidee par Ie modele interactionnel (Loiselle, 2001), cette etude prospective corelationnelle a examine l'influence predictive et interactive de facteurs potentiellement modifiables personnels (la confiance en l'allaitement, les croyances des meres face a. I'allaitement, la perception de la satisfaction du bebe qui allaite) et contextuels (les croyances des peres face a. l'allaitement, l'information disponible sur l'allaitement, Ie soutien en matiere de post-partum) conditionnant la duree et l'exclusivite de l'allaitement maternel d'un echantillon de convenance de 189 meres primipares allaitantes. Les facteurs personnels, contextuels, et de contr6le ont ete evalues en fonction de questionnaires d'auto-evaluation remplis durant l'hospitalisation, a. 6 semaines et a. 4 mois post-partum.[...]
24
Quosdorf, Ashley. "Connecting with Adolescent Mothers: Perspectives of Hospital-Based Perinatal Nurses." Thesis, Université d'Ottawa / University of Ottawa, 2019. http://hdl.handle.net/10393/38838.
Full textAbstract:
Background: Adolescents are more likely to be dissatisfied with perinatal care than adults. Adolescents’ perspectives of their perinatal care experiences have been explored; however, there are few studies exploring adolescent-friendly inpatient care from nurses’ perspectives.
Purpose: To explore adolescent-friendly care from the perspective of hospital-based adolescent-friendly perinatal nurses.
Research Questions: (1) How and why do perinatal nurses in inpatient settings adapt their practice when caring for adolescents? (2) What are the individual nursing behaviours and organizational characteristics of adolescent-friendly care in inpatient perinatal settings, from the perspective of perinatal nurses?
Methods: I report the qualitative component of a mixed methods study. Open-ended interviews were conducted with twenty-seven purposively-sampled expert nurses. Data were analyzed using Interpretive Description.
Findings: Nurses described being mother-friendly to adolescents by being nonjudgmental, forming connections, individualizing care, and employing behavioural strategies that facilitate relationship-building.
Implications: These findings will inform the development of interventions to facilitate connections between nurses and adolescent mothers.
25
Ofoegbu, Lilian. "Creating and Establishing Content Validity of a Tool Kit to Educate Mothers of Premature Babies." Thesis, Walden University, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10245381.
Full textAbstract:
<p>Abstract
Delivering a preterm baby who is admitted to a neonatal intensive care unit can be an enormous hardship for parents and families, and especially for mothers. The consequences of prematurity alter the parental role, affect their confidence in caring for the baby, and subsequently may impact infant outcomes. Adequately educating mothers of premature babies using an evidence-based practice approach may help them gain the confidence and skills needed to care for their infants. The purpose of this project was to create a tool kit to educate mothers of premature babies about the essential components of caring for their babies, establish content validity of the tool kit among clinical experts, and make recommendations about the use of the tool kit in the neonatal intensive care unit. Polit, Beck, and Owen?s framework was used to establish content validity. Neonatal intensive care nurses who were considered ?experts? using Benner?s novice-to-expert theory (n = 7 reviewed the tools which were quantitatively computed and yielded an Item Content Validity Index value range of 0.86 to 1.00, and a Scale Content Validity Index of 0.97, reflecting that the content met the objectives of the toolbox. Positive social change can be realized through use of the tool kit in the neonatal intensive care unit to educate mothers in the care of their preterm babies, thus improving both maternal and infant outcomes.
26
Cartagena, Diana. "Factors Contributing to Infant Feeding Practices with Latina Mothers." VCU Scholars Compass, 2014. http://scholarscompass.vcu.edu/etd/3399.
Full textAbstract:
Background: An estimated 9.7% of U.S. infants and toddlers are considered overweight. Hispanic infants persistently show higher prevalence rates for being overweight compared to black and white infants. Little is known about factors promoting excessive infant weight gain in Latinos. Purpose: Primary aim of this study was to describe multidimensional factors and maternal feeding practices that may correlate with infant overfeeding in Latina mothers. A secondary aim was to determine whether there was an association between these factors and infant weight gain. Subjects: Sixty-two low-income immigrant Latina mothers and their infants ages 4-12 months receiving assistance through the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC). Design: A descriptive correlational cross-sectional study. Methods: A native Spanish-speaking investigator who guided the participants through the options administered all the measures. Measures included: acculturation indicators; maternal feeding beliefs; maternal feeding practices; maternal knowledge and self-efficacy; food availability/insecurity indicators; infant’s temperament; infant’s 24-hour dietary recall; and infant’s height and weight measures. Univariate and multiple linear regressions were used to examine relationships. Results: Over 25% of infants were at >85th percentile for weight-for-length, and 21% were at > 98th percentile. Among infants at the >85th percentile for weight-for-length, 27% of the mothers wished their infants were heavier. Three-quarters of the participants were not currently breastfeeding their infants (74.2%). Healthier maternal feeding practices were inversely correlated with maternal age and the number of people living at home. Multiple regression results showed infant’s age and maternal education as significant positive predictors of less controlling maternal feeding practices. None of the analyzed factors were significant predictors of infant’s weight gain. Conclusion: Future research is needed to further delineate the primary driving forces behind immigrant Latina mothers’ feeding decisions and practices. Given the protective benefit of breastfeeding in reducing the risk of early childhood and adult obesity, present intervention efforts should focus primarily on the promotion of healthy feeding practices that encourage and support exclusive breastfeeding among this ethnic group.
27
Bertils, Petra, and Camilla Åhlén. "Mödrars upplevelse av amning efter hemgång från sjukhus." Thesis, University of Gävle, Department of Caring Sciences and Sociology, 2008. http://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-373.
Full textAbstract:
<p>Syftet med denna studie var att beskriva kvinnors upplevelser av amning och metoden som användes i litteraturstudien var deskriptiv. Upplevelserna i 17 studier kategoriserades i fem grupper; förutsättningar, motstridiga råd, svårigheter, positiva erfarenheter och samhällssyn. Att få motstridiga råd från sjukvården var den upplevelse som beskrevs oftast och de olika känslomässiga svårigheter kvinnorna upplevde i samband med amningen var en annan tydlig upplevelse. Kvinnorna upplevde också att de hade bristfällig kunskap om amning och dess fördelar. Amning sågs som något naturligt men förväntningarna stämde inte överens med upplevelsen. Kvinnorna använde sig av olika strategier för att lyckas med amningen och många ansåg att amning är viktigt för barnet och de trivdes med att amma. I Sverige och i Västvärlden vill man främja amning pga. dess hälsomässiga och känslomässiga betydelse för mamma och barn. Amning är dock ett sammansatt fenomen som kräver en helhetssyn och framtida forskning bör sträva efter att öka förståelsen för ammande kvinnors situation för att rätt bemöta dessa kvinnor i vården. Kvinnor behöver få ökad kunskap för att upplevelserna ska överensstämma med förväntningarna. Sjukvården bör ge enhetliga råd och adekvat stöd, och även skapa medvetenhet om hur attityder påverkar amningspraktiken.</p>
28
Bromander, Madeleine, and Rebecka Petersson. "Registered nurses´ experiences of educating newly delivered mothers in breastfeeding in Yogyakarta, Indonesia : An interview study." Thesis, Högskolan i Borås, Akademin för vård, arbetsliv och välfärd, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-461.
Full textAbstract:
Background: Exclusively breastfeeding a child during the first six months of life reduces the risk of mortality by 14 times. 42 % of mothers in Indonesia breastfed their infant exclusively in 2012. It is the registered nurses´ responsibility to provide information about consequences of their decision to the patient. Aim: The aim of this study was to investigate how registered nurses describe how they provide patient education about breastfeeding to newly delivered mothers and how registered nurses experience their role as a patient educator. Method: It was an empirical, qualitative study based on a focus group interview with four registered nurses and two midwives. The interview was based on a semi-structural interview design. The focus group interview was transcribed and analyzed using a qualitative content analysis. Result: Three major themes were found in this study, “strategically using different techniques while educating”, ”patient and family centered care” and “the registered nurse as a significant source of knowledge”. The first theme describes how the registered nurses used different techniques to encourage the mothers to breastfeed. The second theme describes the importance to include the entire family in the education and to adjust the education depending on the patient. The third theme describes how the registered nurses saw themselves as significant sources of knowledge and that it was their responsibility to provide evidence-based knowledge. Discussion: All registered nurses and midwives described the importance of evaluating the education. Families had a great influence over the patient in the Indonesian culture, hence, it was crucial to involve them in the education. The registered nurses felt that they were in the right position to give crucial information and education about breastfeeding.
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Srisuthisak, Sasamon. "Relationship Among Stress of Labor, Support, and Childbirth Experience in Postpartum Mothers." VCU Scholars Compass, 2009. http://scholarscompass.vcu.edu/etd/1916.
Full textAbstract:
Background: Due to the profound and life-changing aspects of giving birth and to each woman’s individualized birthing experience, it is important to understand the myriad of factors that contribute to a positive childbirth experience. The aims of this study were to: (1) identify factors related to a positive childbirth experience; (2) to examine relationships among women’s perceptions and personal evaluations of their childbirth experience, stress associated with labor pain, support from the nursing staff, initial contact with the baby following birth, support from partners, education, age, and obstetric history; and (3) to identify predictors of a positive childbirth experience. Method: A cross-sectional correlational study was conducted using a sample of 122 new mothers recruited over a 3-month period. Data were collected using self-report questionnaires. The three questionnaires used in this study consisted of: (a) the Questionnaire Measuring Attitude About Labor and Delivery Experience (QMAALD 29 items); (b) the Questionnaire Measuring Stress Associated with Labor Pain [SLPS (version 2)]; and (c) Personal Information Questionnaire (Demographic data). The Cronbach’s alpha coefficient for the 29 item QMAALD in this study was .82 and the Cronbach’s alpha coefficient of the SLPS (version 2) in this study was .89. The SPSS statistical software version 16.0 for Windows was used for data analysis. Results: Participants reported a low degree of stress associated with labor pain and a moderate amount of support received from the nursing staff. They reported holding and touching their baby immediately after birth. A positive childbirth experience was inversely related to stress associated with labor pain. The reduction of stress due to support received from the nursing staff was found to be positively related to a positive childbirth. Education was related to a positive childbirth experience; but not a significant predictor of a positive childbirth experience. Maternal age, initial contact with the baby following birth, number of labor and delivery experiences, duration of labor, interventions during labor, attendance at prenatal classes, and support from a partner did not relate to a positive childbirth experience. The regression analysis results indicated that the stress associated with labor pain, the reduction of stress due to the support received from the nursing staff, and attendance at prenatal classes were significant predictors of a positive childbirth experience. Conclusion: Stress associated with labor pain and the reduction of stress due to support received from the nursing staff were key factors contributing to a positive childbirth experience. Further research is needed to better understand the factors influencing women’s positive perceptions of the childbirth experience.
30
Penduka, Annaloice. "The experiences of expatriate mothers regarding pregnancy, childbirth and motherhood in the host city Cape Town, South Africa." Master's thesis, University of Cape Town, 2020. http://hdl.handle.net/11427/32485.
Full textAbstract:
The study explored the experiences of expatriate mothers' pregnancy, childbirth and motherhood in a host city. This included identifying how expatriate mothers access public healthcare, and adapt to motherhood in a host country in a subsequent pregnancy. These expatriate mothers had previously experienced childbirth in their country of origin. A descriptive qualitative approach was utilised as it describes individuals' lived experiences. Purposive sampling was chosen and I had an in-depth conversation with nine expatriate mothers. Thematic analysis was used to identify themes and sub-themes. Findings: The participants established that antenatal care was easily accessible. Mothers were confronted with a lack of respectful care in labour wards. They also had personal challenges. This all led to the development of the four themes. These are: expatriate mothers' need for support; organised antenatal healthcare; high cost of living; as well as labour and childbirth challenges in Cape Town (public healthcare). These revealed mothers need support to manage motherhood in a different setting. Further, the expatriate mothers rely on their husbands as their main support in the host city. Recommendations: An emphasis on teaching of respectful maternity care in midwifery is needed, the availability of more and highly skilled and caring midwives and the need for support groups for expatriate mothers.
31
Mcnair, Chauntel Mckenzie. "Factors Influencing Vaccination Decisions in African American Mothers of Preschool Age Children." Scholar Commons, 2013. https://scholarcommons.usf.edu/etd/5073.
Full textAbstract:
Rates and coverage levels of immunizations of African-American children are reduced compared to other races. Few studies have identified factors that influence vaccination decisions of African-American mothers. This study assessed the mothers' vaccination decisions using a self-administered questionnaire and a screening instrument for determining health literacy. This instrument is called Rapid Estimate of Adult Literacy in Medicine (REALM). The sample was 92 African American mothers, recruited from a large metropolitan church in Jacksonville, Florida, who had at least one child under the age of seven. A cross-sectional research design was used to administer survey instruments to identify and interpret parental barriers and decision-making regarding childhood vaccination. The results of this study showed that the there was a decrease in scores across the levels of education which indicated that education had a significant impact on the parental perception for the vaccination of their children. Interventions can now be tailored to improve the childhood immunization rates and provide a foundation for developing effective childhood vaccination educational materials for this population.
32
Al-Azzam, Manar Mahmoud. "Arab immigrant Muslim mothers' perceptions of children's attention deficit hyperactivity disorder (ADHD)." Diss., University of Iowa, 2011. https://ir.uiowa.edu/etd/1527.
Full textAbstract:
ADHD is a common behavioral problem among children and adolescents and has been studied extensively. However, this disorder is still understudied in ethnic, immigrant minorities in the U.S. such as Arab families. Thus, this descriptive, qualitative study was important and needed because a gap exists in the literature concerning Arab immigrant mothers' perceptions of the children's behavioral problems such as ADHD and the implications of such child behavioral problems within the Arab immigrant family. The available literature has focused on other minorities in the United States and not Arab minorities. Accordingly, this study focused on and took a qualitative approach in order to gain an in-depth understanding of how Arab immigrant mothers perceive, describe and respond to children behavioral problems. The main purpose of this study was to elicit mothers' perceptions of and responses to behavioral problems in children, especially those behaviors associated with ADHD, in a purposeful sample comprised of Arab immigrant Muslim mothers.
The findings of this study indicate that generally, mothers used several terms to describe problematic behaviors in children, words like "active", "overactive", "spoiled", "concentration problems,"...etc. Also, mothers reported several strategies for how they would respond to a child's behaviors if the child exhibited behavioral problems as well as the use of many resources available for handling a child with behavioral problems. Mothers reported various issues they considered to be triggers that would cause them to seek help for a child's behaviors. Moreover, mothers emphasized the issues of social stigma, lack of knowledge, and lack of resources as problems that would hinder them from seeking professional mental health assistance for treating behavioral problems for children in the mothers' country of birth. The results indicated that the mothers' unfavorable attitudes toward seeking formal mental health services are most likely to be affected by cultural and traditional beliefs about mental health problem. Interestingly, mothers reported that their attitudes toward children's behavioral problems differ when in the U.S. than the generally accepted attitudes held in their home countries.
This study added new knowledge and also provided information to social scientists, health care providers, mental health professionals, educators, and policy makers to better understand the needs of Arab immigrant families with children who may suffer from behavioral problems/ADHD. Finally, this study provided information for future researchers who wish to study child behavioral problems/ADHD with immigrant families other than Arabs.
33
Jambert-Gray, Rosemary Anne. "The lived experience of breastfeeding methadone-treated mothers in early motherhood." Thesis, University of Brighton, 2014. https://research.brighton.ac.uk/en/studentTheses/19b756fb-59b2-4cb5-a5ba-d8338cc71759.
Full textAbstract:
Previously documented evidence suggests that motherhood is potentially an important time for change in drug-using behaviour. My research interest for this longitudinal phenomenological study stemmed from practice observations where methadone-treated women struggled to prove their trustworthiness as mothers. They consistently reported frustration in the face of continued professional suspicion of their identity as drugusers. The essence of the phenomenon is therefore described as an existential tension experienced by breastfeeding mothers in methadone maintenance treatment during the first 12 weeks of motherhood. The aim of this thesis is to reveal the previously hidden inter-subjective and social realms of their lived worlds.
34
Vaughan, Karolyn. "Mother, baby residential admission : the mother's experience." Thesis, View thesis, 2000. http://handle.uws.edu.au:8081/1959.7/340.
Full textAbstract:
Becoming a mother is a challenging time and for some women the lifestyle adjustment can be very stressful. In combination with the changes in family structure mothers are increasingly seeking professional support and assistance in the care of their infants and children. Child and family health services in NSW offer varying levels of professional support and education, including 24-hour residential care. The purpose of this study is to explore and describe the mothers' perceptions and experiences of residential admission to a Child and Family Health Unit - Karitane. This study is descriptive in nature. Sixteen English speaking mothers admitted to Karitane in 1998 took part in the study. Focus groups were the main source of data for the study. The focus groups were undirected, conversations recorded and written notes taken. Additional data were collected by a questionnaire to determine the demographic characteristics of the mothers. The mothers' indicators of depression were scored using the Edinburgh Postnatal Depression Scale (EPDS). Each mother completed the EPDS during the admission period and at the time of the focus and respective comparison was made. Data analysis revealed that the mothers' EDPS scores had decreased significantly at the time of the focus group meeting. The key concepts that emerged in the mothers' descriptions of their experiences were the importance of the development of the professional relationship, equity and access to parenting services, particularly for the partner, and the need for services to promote and provide realistic parenting education with an early intervention focus. The implications of the findings lend support to health care professionals in lobbying government for the necessary funds, in providing increased access to quality parenting services.
35
MacMillan, Deborah T. "Understanding the Health Beliefs of First Time Mothers who Request an Elective Cesarean versus Mothers who Request a Vaginal Delivery." Digital Archive @ GSU, 2010. http://digitalarchive.gsu.edu/nursing_diss/14.
Full textAbstract:
Little is known about how the decision for elective cesarean section comes about in the clinical environment. A prospective longitudinal study based on the Health Belief Model was conducted about first time mothers’ decision making processes and their health beliefs which led to their satisfaction with their decision about their mode of delivery. A convenience sample of 144 nulliparous women with singleton pregnancies and no medical indications requiring a cesarean delivery were recruited using internet based informational notices and with flyers. Women (n = 127) planning a vaginal delivery (VDMR) represented 88.2% of the sample and women (n = 17) requesting a cesarean delivery (CDMR) represented 11.8% of the sample. Data were collected during the third trimester and six weeks after the delivery using an internet-based questionnaire. Data were analyzed using t-tests and multiple linear regression to predict the effect of maternal health beliefs, maternal childbirth self efficacy, partner support, acceptance of the maternal role, and request group (VDMR vs. CDMR) on the dependent variables of maternal perception of the delivery and maternal satisfaction with her decision for the mode of delivery. Compared to women with VDMR, women with CDMR were significantly older, less educated, perceived more risk of emergent cesarean and less ability to deliver vaginally. Hypothesis testing indicated that the overall regression model did not significantly predict maternal perception of the delivery. The model accounted for a significant amount (15.1 %) of the variance in maternal satisfaction with the decision for mode of delivery. Acceptance of the maternal role and maternal request group significantly contributed to the model indicating that women with higher acceptance of the maternal role and women with CDMR had poorer satisfaction with their decision for the mode of delivery. The findings showed that factors influencing maternal perceptions of the delivery and satisfaction with the mode of delivery are different. Health beliefs had less relevance for perception of the delivery. It is possible that experiences that occur within the context of the delivery are more salient for maternal perception. Women with higher acceptance of the maternal role and who request a cesarean delivery are at risk for less satisfaction with their delivery decision and more decisional conflict and thus may need more support during decision-making processes and after delivery. Future research should examine the long-term impact of dissatisfaction with delivery decision on maternal outcomes.
36
Holness, Nola A. "The Effects of Resilience and Social Influences on Preventing Repeat Adolescent Pregnancies in Parenting Adolescent Mothers." FIU Digital Commons, 2014. http://digitalcommons.fiu.edu/etd/1120.
Full textAbstract:
Every year, 16 million women aged 15 to 19 years give birth globally. Adolescent births account for 11% of all births globally and 23% of the overall burden of disability and diseases due to pregnancy and childbirth. In the United States, 750,000 adolescents (15-19 years) become pregnant each year, making the United States the developed country with the highest rates of adolescent pregnancy. The economic burden of adolescent pregnancy in the U. S. is $7-15 billion per year.
Adolescent pregnancy brings risks associated with pregnancy induced hypertension, preterm infants, maternal and neonatal mortality. Social factors include poverty, low educational levels, alcohol, and drug use. Between 30-50% of adolescent mothers who have a first birth before age 18 years will have a second child within 12 to 24 months. Subsequent adolescent pregnancies compound fetal and maternal risks. Many vulnerable adolescent mothers succumb to external pressures and have a repeat adolescent pregnancy while others are able to overcome the challenges of an adolescent pregnancy and prevent a repeat adolescent pregnancy.
This cross sectional survey designed study investigated the effects of resilience and social influences on contraceptive use or abstinence by Black and Hispanic adolescent parenting mothers to prevent a repeat adolescent pregnancy. 140 adolescent mothers were recruited from three postpartum units of a tertiary hospital system in Miami, Florida. The Wagnild and Young Resilience Scale and the Adolescent Social Influence Scale were used to measure resilience and social influences, respectively. Demographic data, length of labor, plan for contraceptive use or
abstinence were measured by an investigator developed instrument.
Point biserial correlation showed a significant positive correlation between Black adolescent mothers’ resilience and contraceptive use (r =.366, p2(11, N=133) = 27.08, p =.004. (OR = .28). These results indicate a need for interventional strategies to maximize resilience in parenting adolescents to prevent a repeat adolescent pregnancy.
37
Lynn, Cynthia Walker. "The Lived Experience of Mothers Bereaved by the Suicide Death of a Child." Digital Commons @ East Tennessee State University, 2011. https://dc.etsu.edu/etd/1285.
Full textAbstract:
Suicide has existed throughout recorded history. It is a phenomenon that has been both culturally and morally defined across time and civilizations. It is estimated that over 34,000 Americans deliberately take their own lives annually. Moreover, according to some experts, between 6 and 28 individuals are directly affected by each completed suicide. These individuals are referred to as suicide survivors. The consequences for suicide survivors are multidimensional in part because relationships to the deceased play a vital role in bereavement. Previous research studies in the areas of suicidology and bereavement have failed to explore the experience of mothers bereaved by the suicide death of a child. The purpose of this qualitative study was to explore phenomenologically the lived experience of mothers following the suicide death of a child. One-on-one, semistructured interviews were conducted with 9 mothers. The time since the suicide ranged from 1 year and 3 months to 21 years and 6 months. Data analysis was driven by Max van Manen's descriptive-investigative process. This process involved guided reflections using van Manen's 4 existentials: spatiality, corporeality, temporality, and relationality. The interviews began with a general statement; 'Tell me about your child." General questions related to the existentials were asked during the interviews to clarify the participants' stories. Data were managed using NVivo 9.0 qualitative data management software. Three essential themes were inductively derived from the data: 1) Know My Child: Not the Act, 2) Frozen Past: Altered Future, 3) Ocean of Grief. The 3 essential themes provide a deeper understanding of the role of stigmatization in the grief process of mothers following the loss of a child to suicide. In addition, these themes contribute to an appreciation of the role of past memories and future orientation as mothers are enmeshed in the grief process and its unpredictable path. Data from this study clarify the unique circumstances and needs of mothers as they attempt to navigate life after losing a child to suicide. The findings from this study suggest areas for future research and will assist healthcare professionals including nurses, school counselors, and mental health professionals as they approach mothers who are suicide survivors.
38
Samplonius, Liona, and Velazco Janice Karen. "Perceived Breastfeeding Support during Hospitalization : A qualitative analysis of mothers' blogs." Thesis, Högskolan i Borås, Akademin för vård, arbetsliv och välfärd, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-23553.
Full textAbstract:
It has been well established that breastfeeding provides the best type of nutrition, strengthens the bond between a baby and his mother, and has both physiological and psychological benefits. However, when breastfeeding is causing difficulties, it can negatively impact the mothers’ well-being and even result in depression. When a baby or its mother is hospitalized, breastfeeding issues can arise. The support and help mothers receive during hospitalization is often seen as insufficient or even incorrect. This can cause breastfeeding disruptions and discontinuation, which in turn can cause a prolonged hospital stay and suffering of care. The goal of this thesis is therefore to describe mothers perceived breastfeeding support by the nurses that cared for them. We have made a qualitative content analysis of 15 blogs about breastfeeding for this empiric qualitative study. The blogs were published between 2009-2018, 11 blogs were from England and four were from Sweden. The results were presented in three different themes: strengthening support, feeling reduced, and being dependent on the health professionals’ knowledge and competence. The results show that breastfeeding support is perceived as strengthening and meaningful when adapted to the individual’s needs. However, mothers experience suffering related to care when they feel confused, powerless, and unseen. In the discussion we show how health care personals information and support influences the mothers breastfeeding experiences.<br>Att amning ger den bästa typen av näring, stärker anknytning och har såväl fysiologiska som psykologiska fördelar för båda mamman och barnet är välkänt sedan tidigare. När amningen strular kan det dock vara en anledning till negativa känslor och risk för depression. När ett barn eller en mamma blir sjuk och inlagd på sjukhus, kan problem med amning uppstå. Det stöd och den hjälp mammor får under sjukhusvistelsen upplevs ofta som otillräcklig eller till och med felaktig. Detta kan orsaka rubbningar i amningen och tidig avvänjning, vilket i sin tur kan leda till en längre vistelse på sjukhus och upplevt vårdlidande. Därför är syftet med denna uppsats att beskriva hur mammorna upplever amningsstödet från sjuksköterskor under sin sjukhusvistelse. För denna kvalitativa empiriska studie har vi gjort en kvalitativ innehållsanalys av 15 bloggar hämtade från Internet. Bloggarna publicerades mellan 2009-2018 varav 11 bloggar var från England och fyra var från Sverige. Resultatet presenteras i tre olika teman: stärkande stöd, att känna sig förminskad och att vara beroende av vårdpersonalens kunskap och kompetens. Det framkommer att amningsstöd upplevs som stärkande och meningsfullt när det är anpassat till individens behov, men att kvinnor upplever ett lidande när de känner sig förvirrade, maktlösa, och osedda. I diskussionen visas hur vårdpersonalens information och stöd påverkar kvinnans amningsupplevelse.
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Tirabassi-Mathis, Linda. "Hispanic mothers' narratives| Experiences of parenting a child with cystic fibrosis, health beliefs, and health care experiences related to cystic fibrosis." Thesis, University of San Diego, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=3715798.
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<p> The Hispanic population is the fastest growing minority in the United States and is also a minority in the cystic fibrosis (CF) community. Therefore, an increase in CF in the U.S. might be anticipated. This study explored stories of Hispanic mothers’ perspectives of parenting their child with CF, health beliefs, and health care experiences. The study interviewed 10 mothers of which half were English speaking. Narrative structural and thematic analyses were applied through a critical feminist lens. The major themes that emerged were mothering, growing and growth, mother talk, and connected; all informed by Ruddick’s (1995) framework on maternal thinking. Additional major themes were life disrupted and being here. Findings were consistent with existing literature of the dominant Euro-American culture of being a mother of a child with CF. Health beliefs specific to CF care were aligned with prescribed medical treatments. Language emerged as a primary barrier for Spanish-speaking mothers. Mothers acknowledged an existing lack of awareness of CF in the Hispanic community and as underrepresented within the larger CF community. They expressed a desire to see a shift of stereotyped Caucasian images of CF to represent Hispanic people to promote greater awareness in the Hispanic communities and with health care providers.</p>
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Fernandez, Maria Isabel. "Comparison of perceived needs of mothers of neonates and nurses in the neonatal intensive care unit." FIU Digital Commons, 1996. http://digitalcommons.fiu.edu/etd/3298.
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The transition to motherhood is not easy for any new parent but it is especially difficult for the mother of an infant in the Neonatal Intensive Care Unit (NICU). There may be instances in the NICU where the nurses' perception of maternal needs may be incongruent with the mother's perception. Many NICU nurses focus on the physical needs of infants such as cardiorespirartory monitoring, mechanical ventilator support, and I.V. therapy. Mothers may instead be focused on their own need for emotional and psychological support.
This study investigated the differences and similarities regarding maternal needs as perceived by the mothers and NICU nurses. A 30 item questionnaire called the Perceived Needs of Family Members of Critically Ill Patients (Norris and Grove, 1986) was given to a group of mothers and a group of NICU nurses. The instrument consists of "needs" statements which are ranked on a Likert Scale from "very important" to "not important". The rankings by mothers and the rankings by nurses were compared.
The results of this study demonstrated that the mothers' perceptions and the nurses perceptions of maternal needs were similar in most instances, althought there were some differences. Therefore, it is important that the mothers' needs are accurately identified so that nursing interventions can be developed to meet them.
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Frickberg-Middleton, Ellen June. "Without Country or Kin| How a Fragile Existence Influences Birth Trauma Perception and Responses in Mexican Immigrant Mothers." Thesis, University of California, San Francisco, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=3725522.
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<p> Traumatic birth is a term used to describe a wide-range of negative physical and mental birthing events and outcomes. An estimated one-third of women perceive mental trauma during birth. Aside from deterioration of maternal mental health, the effects of perceived traumatic birth can be observed in the entire family. Although research shows the relationship of traumatic birth to mental health, the majority has focused on European or European-American women. The profound psychological impact of birth trauma has been passed off as common to all women without considering culture, race, or context. Little is known about birth trauma experiences of Mexican immigrant women. Since Mexican immigrants comprise the largest ethnic-minority group in the United States attention to perceived traumatic birth on their health status is clear. </p><p> The purpose of this dissertation research was to describe and understand the impact of a perceived traumatic birth, the range of responses produced, and the life course context in which it occurs in Latina immigrants from Mexico. </p><p> Although recruitment took place in a low-income community-based health center in Fresno, California, most interviews were conducted in the participants’ homes. In addition to field observation and photography, twenty-one interviews were conducted with seven Mexican immigrant mothers who provided first-person accounts of their perceived traumatic births and the life course context in which it occurred. Facilitated by a certified Spanish interpreter, all interviews were recorded, transcribed verbatim and analyzed via an iterative grounded theory process. </p><p> The results suggest that, in addition to the birth event, for these Mexican immigrant mothers, the process contributing to perceived traumatic birth is embedded in the profound adversity of their unique life context. The burden of crossing a militarized border, the fear of deportation, and lack of trust, mandates a self-protective silence that obscures both the adversity they endure and the resulting maladaptive psychological responses. Consequently, for Mexican immigrant mothers, undocumented status, adversity, mistrust, and the self-mandated silence that surrounds it, may be major factors affecting not only their perceived traumatic births, but their overall health. Findings inform further research, practice, and policy related to the unique needs of Mexican immigrant mothers. </p>
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Anderson, Sue A. "Moving Children Toward a Better Life: Hispanic Mothers' Vision for Leisure Activity." Diss., The University of Arizona, 2011. http://hdl.handle.net/10150/203443.
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Background: Childhood obesity is epidemic, and Hispanic children bear a particularly high health burden because of it. Evidence suggests that obesity prevention is a better option than intervention. Because schools have decreased the amount of time spent in physical education classes, leisure time has become the time to engage in physical activity, which may prevent obesity. Social ecology theory posits that a person’s interaction with the environment has a strong influence on health promoting behavior. Further, this theory suggests that cultural values also play a role. The extant literature points to the sedentary nature of Hispanic children. However, it does not provide a description of the activities that children engage in during their leisure time, or how they are influenced by their family, culture, and community’s environment. Purpose: The purpose of this study was to describe and provide an understanding of how leisure time is viewed by Hispanic families, and how family and culture influences Hispanic children’s participation in leisure time activity. Two broad research questions were addressed: 1) How do Hispanic families describe leisure time activities? and 2) How do culture, family and the community environment influence a Hispanic child’s participation in leisure time activities? Methods: This ethnographic study incorporated photographs taken by English-speaking Hispanic mothers of children between 6 and 10 years old (n=10) as they engaged in leisure activities for one week. The participants engaged in photo-elicited interviews, describing the children’s activities and performed initial data analysis by sorting the photos in the categories of activities. Findings: Girls were more sedentary, engaging in intellectually stimulating and creative play activities inside, with family members or alone. Boys were more active, engaging in unstructured play activities outside with family members or friends. The children engaged in these activities to promote their health, prepare for their adult lives, and for fun. Cultural tensions experienced by the children’s parents had a profound influence on their leisure time choices and decisions. Activities were used to prepare the children for a better life, and to teach them to balance work and fun. Ultimately, the participants wanted their children to live a balanced life; one that is happy, healthy, and successful. Relevance: The children engaged in purposefully planned leisure activities aimed to ensure their health, happiness, and success in the U.S. The participants acknowledged that to achieve a better life, the children must become expert multicultural navigators. While many of the activities were sedentary, they had important implications for the children’s future. Health care providers must consider how patients view leisure time, and enlist their ideas in order to make children’s activities more physically active.
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Malata, Address M. "Labour and birth information needs of first time mothers in Malawi and satisfaction with information received." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 1997. https://ro.ecu.edu.au/theses/892.
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Giving labour and birth information to first time mothers is one of the challenges facing the midwives in Malawi. There are many underlying health and soeioeconomic problems facing the people of Malawi particularly mothers in the child bearing age because of inadequate human and material resources in the health sector. This thesis presents findings of a study carried out in Malawi to explore labour and birth information given to first time mothers at hospitals and in the communities. Maternal satisfaction with the information received was determined. In addition labour and birth information needs of first time mothers in Malawi were determined from the mother's perspective. A descriptive-correctional design was used in this study. One hundred and fifty first time mothers who had given birth to a live full term infant within 8 weeks of the postpartum period participated in the study. The findings of the quantitative results were analysed using SPSS for Windows. Responses to open ended questions were analysed using content analysis. The findings indicated that first time mothers believe that they are not given adequate labour and birth information in the hospital settings. The findings also indicated that labour and birth information given in the community is culturally based and mainly comprises cultural beliefs and taboos of childbirth. First time mothers in Malawi also expressed satisfaction with some of the information given during pregnancy, labour and birth but were not satisfied overall with the amount of information they received in preparing them for childbirth. The findings of the study have implications for improving how and what labour and birth information is given to first time mothers in Malawi. Recommendations are presented for nurse/midwifery practice, education, management and research.
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Bush, Christopher G. "The Perception of Latino Mothers’ Experience with the Healthcare System in East Tennessee." Digital Commons @ East Tennessee State University, 2015. https://dc.etsu.edu/honors/266.
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As the Hispanic population continues to grow in the United States, especially in the South, it is critical for healthcare workers to provide culturally competent care as required by certain laws. The Latina experience is of significant importance due to the role Latina mothers play in their families and communities. It is necessary to understand the perspective of this population and the experience of the Latina mother in regards to healthcare; specifically, how have language barriers hindered care, what perceptions of bias or discrimination have been encountered, and how do these factors influence their healthcare decisions and outcomes. Research has been conducted that identifies language and bias as barriers to access; however, further research is necessary to identify how these barriers influence a Latina mother’s perception of the healthcare system with an emphasis placed on East Tennessee. Therefore, it is critical for more studies to be conducted in order to identify what public health officials can change in order to provide equal access to this significant demographic.
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McGuire, Patricia Jean. "Determinants of health-promoting behaviors in Latino mothers of childbearing age /." Access Digital Full Text version, 1994. http://pocketknowledge.tc.columbia.edu/home.php/bybib/11626008.
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Thesis (Ed.D.)--Teachers College, Columbia University, 1994.<br>Includes tables and appendices. Typescript; issued also on microfilm. Sponsor: Nancy Lovejoy. Dissertation Committee: Marvin Sontag. Includes bibliographical references (leaves 58-71).
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Bäckström, Caroline A. "Professional and social support for first-time mothers and partners during childbearing." Doctoral thesis, Hälsohögskolan, Högskolan i Jönköping, HHJ. CHILD, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-38334.
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Background: Expecting a child and becoming a parent is one of life’s major events, during which the parents’ perspective on life and their couple relationship changes. For some parents, childbearing entails a decrease in parental couple relationship quality. The way in which parents are able to cope with childbearing may be connected with their Sense of Coherence; which is a person’s ability to perceive life as comprehensible, manageable and meaningful. For parents’ positive childbearing experiences, professional and social support have been proven to be valuable. However, far from all parents have access to social support; furthermore, professional support does not always meet the needs of expectant parents. Hence, more research is needed to increase knowledge about expectant parents’ experiences of professiona land social support. In addition, more research is needed to explore factors associated with quality of couple relationship among parents during childbearing. Aims: The overall aim of the thesis was to explore professional and social support for first-time mothers and partners during childbearing in relation toquality of couple relationship and Sense of Coherence. Methods: The study’s designs were explorative, prospective and longitudinal; both qualitative and quantitative methods were used. Specifically, explorative designs, qualitative methods and phenomenographic analysis were used to explore expectant first-time mothers’ (I) and partners’ perceptions of professional support (II). Furthermore, an explorative design, qualitative method and qualitative content analysis were used to explore expectant first-time mothers’ experiences of social support (III). Within Study IV, a prospective longitudinal design, descriptive statistics, non-parametric tests and multiple linear regression analysis were used to evaluate factors associated with quality of couple relationship among first-time mothers and partners, during pregnancy and the first six months of parenthood. Results: The overall results of the thesis revealed both similarities and differences between expectant first-time mothers’ and partners’ perceptions of professional support, effects from social support and associated factors with perceived quality of couple relationship. The similarities were; both mothers and partners perceived that professional support could facilitate partner involvement, influence their couple relationship and facilitate contacts with other expectant parents. According to first-time mothers’ experiences, their couple relationship with their partner was also strengthened by social support during pregnancy. Further, the results showed that both first-time mothers’ and partners’ higher perceived couple relationship quality six months after birth, was associated with their higher perceived social support. The results showed also that both mothers and partners perceived their quality of couple relationship to decrease and Sense of Coherence to increase six months after childbirth, compared to the pregnancy. Differences revealed were such as: higher Sense of Coherence was only associated with mothers’ higher perceived quality of couple relationship, and first-time mothers reported perceiving more social support compared to the partners both during pregnancy, first week and six months after childbirth. Conclusions: Professional and social support can strengthen first-time mothers and partners both individually and as a couple, in their abilities to cope with childbearing. On the individual basis, the expectant parents could be strengthened through professional and social support that contributed to their understanding and feeling of being prepared for childbirth and parenting, for instance. As a couple, the parents were strengthened by professional support that included the partner’s role, as well as higher perceived social support overall. In contrast, lack of support could have a negative influence on the expectant parents’ feeling of being prepared for childbirth and parenting. Besides this, the results indicates that childbearing has a positive effect on parents’ abilities to cope with life even though their quality of couple relationship decrease. Professionals can use these results in their further understanding about how to offer satisfactory support to first-time mothers and partners during childbearing.
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Bees, Fiona. "Depression, life satisfaction and perceived maternal support in adolescents of mothers with chronic pain." Thesis, McGill University, 1994. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=55478.
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The purpose of this cross-sectional, correlational comparative study was to explore the relationship between selected features of the maternal chronic pain experience and the health of the adolescent family member. Twenty-seven adolescents living with mothers who had persistent chronic pain were matched on age, gender and maternal education with 26 adolescents whose mothers had no chronic illness. The two groups of adolescents completed questionnaires measuring their levels of depression (Beck Depression Inventory), life satisfaction (Cantril Ladder) and perceived level of maternal support (Maternal Support Questionnaire). Mothers completed questionnaires measuring pain intensity (VAS), pain distress (VAS), disability (3 item questionnaire) and depression (Beck Depression Inventory).<br>The two adolescent groups did not differ in terms of depression, life satisfaction or perceived maternal support. Maternal support, however, was demonstrated to be related to the level of depression and life satisfaction for adolescents whose mothers had chronic pain. The results of this study demonstrated that the health status of the adolescent whose mothers had chronic pain was comparable to those adolescents whose mothers had no chronic illness.<br>Possible explanations for the results may be related to the sample, measurement issues or the age of the adolescents. The study extends current research findings by considering maternal support to be associated with the maternal chronic pain experience and the adolescent health status.
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Ng, W. Y. Phoebe. "The factors affecting the perceived sense of maternal competence on their babies in the special care baby unit in Hong Kong /." View the Table of Contents & Abstract, 2006. http://sunzi.lib.hku.hk/hkuto/record/B3639628X.
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Klint, Sandra, and Caroline Sigfridsson. "Lagom är bäst : Mammors erfarenhet av små barns skärmanvändning." Thesis, Högskolan i Borås, Akademin för vård, arbetsliv och välfärd, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-15862.
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Enligt forskning har skärmanvändning stor påverkan på små barn. Med små barn menar vi barn mellan 0–6 år. Mer stillasittande, dålig sömn, försämrad syn och negativ inverkan på det sociala samspelet är några av de områden som påverkas negativt. Mammor känner stor osäkerhet kring vilka gränser de ska sätta för barnens skärmanvändning och de är osäkra på hur skärmanvändningen egentligen påverkar deras barn. Många konflikter uppstår i familjen kring skärmanvändandet. Här har distriktssköterskan en viktig roll i att informera och stötta familjerna till en hälsosam livsstil. Vi vill med vår studie förstå mammornas livsvärld, vilka tankar och problem de brottas med. Syftet är att beskriva mammors erfarenheter av små barns skärmanvändning samt vilket stöd de önskar från Barnhälsovården. För att besvara syftet har en kvalitativ forsknings design med induktiv ansats använts. Intervjuer med nio mammor som har barn i åldern 0–6 år genomfördes. Studiens resultat visar att det både finns positiva och negativa sidor med skärmanvändning. Positivt är att skärmanvändningen kan vara avlastande för familjelivet, ge en mysig samvaro och att barnet lär sig mycket. Negativt är att mammorna känner oro för innehållet i skärmen. Skärmanvändningen relaterar till att det uppstår mycket konflikter i familjen och mammorna är osäkra på gränssättning samt att de önskar mer stöd och information av barnhälsovården. Vi hade från början 18 kvinnor som var intresserade av att delta i studien dessa rekryterades via Facebook och utifrån ett strategiskt urval plockades informanterna ut. Till kommande forskning hade det varit intressant att göra på pappors erfarenheter av småbarns skärmanvändning för att se om resultaten skiljer sig åt. I diskussionen belyser vi att mammorna upplever att papporna är mer tillåtande både när det gäller skärmtid och skärmanvändning. Det är viktigt att föräldrarna är eniga om vilka regler som gäller kring skärmanvändningen i hemmet. Att distriktsköterskan inom barnhälsovården bör arbeta hälsofrämjande och informera föräldrar och barn om skärmanvändningens skadliga effekter för att leda till en hållbar utveckling hos dessa familjer genom hela livet.
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Hu, Jie 1957. "A comparison of perceptions of infant health, reliance on others, and caregiving by mothers of low birth weight and normal birth weight infants." Thesis, The University of Arizona, 1994. http://hdl.handle.net/10150/291768.
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The purpose of this research was to describe the relationship between maternal perception of infant health, reliance on others and caregiving in mothers of low birth weight (LBW) (ṉ = 30) infants and mothers of normal birth weight infants (ṉ = 30). A descriptive research design was used for a secondary analysis of data. Significant relationships were found between maternal perception of: infant health and caregiver burden (R² =.29, p̱ ≤ .001); confidence in caregiving and caregiver burden (R² change =.12, p̱ ≤ .01); infant health and confidence in caregiving (R² change =.18, p̱ ≤ .001); and preparation for caregiving and confidence in caregiving (R² change =.10, p̱ ≤ .02). A significant difference was found between mothers of LBW infants and mothers of normal birth weight infants in their perception of infant health (ṯ (58) = -2.02, p̱ ≤ .05) and caregiver burden (ṯ (58) = -3.50, p̱ ≤ .001).