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The factors influencing the implementation of the post-natal home visit program by nurses in an urban health district, Botswana.Mouti, Omphemetse Sephala. January 2006 (has links)
The post natal home visit care program is a maternal and newborn home visit care program, designed to address the needs of the childbearing families following delivery and early discharge, irrespective of the place of delivery. The study was undertaken to determine the factors influencing the implementation of the post natal home visit care program by nurses and to make suggestions to resolve the problem in an urban health district in Botswana. A descriptive exploratory study, using both quantitative and qualitative methods guided the process. Two methods were used to collect data, namely, the developed checklist and four focus group discussions. Twelve clinics were sampled and checklists were completed for the twelve clinics by the researcher. A total of twenty eight Registered Nurses and Registered/Enrolled Nurse Midwives were recruited from the participating twelve clinics through purposive sampling. This included nursing managers and senior nursing staff. The findings reflect the post natal home visit care program deficits. Protocols and logistics such as transport and staff for the program were not in place. Furthermore, the results also reflect various factors such as lack of motivation, lack of support from management and co-workers, distance and fear of stigmatisation as reasons for not implementing the post natal home visit care program. The participants felt that there was need to implement the program and attached merit to its importance. Finally, the participants made suggestions to overcome the deficit such as team work, commitment to work, academic development and improvement of management and supervision. In conclusion, failure to implement the program represents a health delivery deficit. There is need for improved management and supervision to balance the needs of Registered/Enrolled Nurse Midwives and the needs of the organization in order to attain better results. There is also a need for the provision of logistics needed for the post natal home visit care program such as transport and manpower. Finally, there is need for the coordination of the post natal home visit program by the District Health Team to aid implementation so as to provide the essential service. / Thesis (M.N.)-University of KwaZulu-Natal, 2006.
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Enhancing coping in mothers of preterm infants黃香君, Wong, Heung-kwan. January 2008 (has links)
published_or_final_version / Nursing Studies / Master / Master of Nursing
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Family support and postnatal emotional adjustmentLeung, Yeuk-sin, Eugenie January 1983 (has links)
published_or_final_version / abstract / toc / Clinical Psychology / Master / Master of Social Sciences
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Enhancing coping in mothers of preterm infantsWong, Heung-kwan. January 2008 (has links)
Thesis (M.Nurs.)--University of Hong Kong, 2008. / Includes bibliographical references (p. 70-75)
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A comparative evaluation of postnatal care for migrant and UK-born womenAlmalik, Mona M. A. January 2011 (has links)
The aim of this research was to explore perinatal clinical indicators and experiences of postnatal care among European and Middle Eastern migrant women, and to compare them with those of British women, at one tertiary hospital in the North East of Scotland. The numbers of non-British maternity service users increased over the period 2004 to 2008. This increase was not only in numbers but also in diversity of the countries of origins, religions, languages and specific cultural needs, which form new demands on the health services. European women were more likely to be younger, and primigravida and Middle Eastern women were more likely to be married, than British women. Both these migrant groups were more likely to breastfeed at birth and at discharge than British women. However, there was no significant difference in maternal postnatal length of stay in hospital between the study groups. The data do not suggest poorer processes of care or birth outcomes for the new migrant groups. Both migrant and British women reported positive experiences of postnatal care when their needs, those considered basic and essential for each woman after giving birth, were met. Negative postnatal experiences were explored among women from both groups when there were shortcomings in meeting those essential needs. The acceptance of and the expectations about the postnatal care provided differed between migrant and British women, due to their previous experiences in different countries. Although both migrant groups were first generation in Aberdeen and shared some needs and preferences, each migrant group had its own specific needs and beliefs that reflected the women’s culture, religion and country of origin.
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Determinants of postnatal care non-utilization among women in Nigeria.Oluwaseyi, Somefun Dolapo 22 August 2014 (has links)
Although, there are several programs in place in Nigeria to ensure maternal and child health,
maternal and neonatal mortality rates remain high with maternal mortality rates being
560/100,000 and neonatal mortality rates at 40/1,000 live births. While there are many studies
on the utilization of maternal health services such as antenatal care and skilled delivery at
birth, studies on postnatal care are rare. While efficient utilisation of postnatal care services
has been proven to reduce morbidity and mortality among mothers and their newborns, the
uptake of this service is low in Nigeria. Thus, identification of the factors that are associated
with non-utilization of postnatal care services could shed light on what needs to be done to
improve the uptake of the services in Nigeria and assist the country in achieving the MDG4
and MDG 5 targets of bringing down the levels of child and maternal mortality. Therefore,
the aim of this study is to examine the factors associated with the non-utilization of postnatal
care among mothers in Nigeria.
Methods:
Population-based cross-sectional data from 2008 Nigeria Demographic and Health Survey
(NDHS) were used in this study. For analysis, the postnatal care uptake for 28,647 children
born in the five years preceding the survey was considered. The dependent variable was a
composite variable derived from a list of questions on postnatal care. Mothers who received
postnatal care were coded as (0) while mothers who did not receive postnatal care were coded
as (1). Child’s characteristics and mother's characteristics were used as the explanatory
variables. Descriptive statistics were used to examine the patterns of postnatal care nonutilization
by selected characteristics of mothers and children in the country. Binary logistic
regression was used to identify factors associated with postnatal care non-utilization in
Nigeria at bivariate and multivariate levels.
Results:
Results showed that 96% of the mothers of the 28,647 children did not utilize postnatal care
services in the period examined. About 50% of the study population between 25-34 years did
not utilize postnatal care and 46% of the women who did not utilize postnatal care had no
education. Results from multivariate logistic regression show that accessibility, antenatal
care use, birth size, education, place of delivery and region are significantly associated with
the non-utilization of postnatal care services. Women who received antenatal care had lower
odds (OR=0.23, 95% CI=1.09-1.87) of not utilizing postnatal care services. Also mothers of
children who were smaller than average at birth had higher odds (OR=1.43, 95% CI=1.09-
1.87) of not utilizing postnatal care services.
Conclusions:
This study revealed the low uptake of postnatal care service in Nigeria. To increase mothers’
utilization of postnatal care services and improve maternal and child health in Nigeria,
interventions should be targeted at mothers who deliver children that have low birth weight
and great attention should be given to the women outside the South West region especially
the Northern region of the country. In addition, it is crucial that steps should be taken on
educating women. This would have a significant influence on their perceptions about the use
of postnatal care services in Nigeria.
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Postnatal experiences of North Shore womenErickson, Debra Lynn 11 1900 (has links)
This study explores and identifies the needs of North Shore
women during their postpartum period (0-3 months). In order to
compare the perspective of the service users and the professional
care givers, data were collected from three groups: new mothers,
community health nurses and hospital maternity nurses.
Discussions resulting from eight focus group interviews were
the primary source of information for this exploratory study.
Six groups of mothers, one group of community health nurses and
one group of hospital nurses participated in the focus group
discussions. The total number of participants were thirty-three
mothers, eight community health nurses and six hospital
nurses.
Content analysis of the qualitative data identified three
themes: 1) lack of knowledge, 2) role confusion and/or role
redefinition, and 3) lifestyle adjustments. Each theme was
examined within the context of three developmental time periods:
the first week, 1 week to 6 weeks, and 6 weeks to three months.
The data indicated that women were concerned with six tasks
during their postnatal period: breast-feeding, infant care,
maternal care, maintaining their spousal relationship, sibling
care and household care. The relationship of each task to each
theme was considered in each time period.
In addition to the themes and tasks identified, the focus
groups revealed that assistance and emotional support from
spouses, other family members and friends is one of the most
important components in the maternal recovery and adjustment
process.
The overall findings of the study indicate that during their
postnatal period the mothers needed information, support and
validation to assist them in adapting to their role as parents.
The results of this study have implications for health care
service providers, agencies and organizations providing services
and resources to women and their families, and for the family and
friends of new mothers.
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Postnatal experiences of North Shore womenErickson, Debra Lynn 11 1900 (has links)
This study explores and identifies the needs of North Shore
women during their postpartum period (0-3 months). In order to
compare the perspective of the service users and the professional
care givers, data were collected from three groups: new mothers,
community health nurses and hospital maternity nurses.
Discussions resulting from eight focus group interviews were
the primary source of information for this exploratory study.
Six groups of mothers, one group of community health nurses and
one group of hospital nurses participated in the focus group
discussions. The total number of participants were thirty-three
mothers, eight community health nurses and six hospital
nurses.
Content analysis of the qualitative data identified three
themes: 1) lack of knowledge, 2) role confusion and/or role
redefinition, and 3) lifestyle adjustments. Each theme was
examined within the context of three developmental time periods:
the first week, 1 week to 6 weeks, and 6 weeks to three months.
The data indicated that women were concerned with six tasks
during their postnatal period: breast-feeding, infant care,
maternal care, maintaining their spousal relationship, sibling
care and household care. The relationship of each task to each
theme was considered in each time period.
In addition to the themes and tasks identified, the focus
groups revealed that assistance and emotional support from
spouses, other family members and friends is one of the most
important components in the maternal recovery and adjustment
process.
The overall findings of the study indicate that during their
postnatal period the mothers needed information, support and
validation to assist them in adapting to their role as parents.
The results of this study have implications for health care
service providers, agencies and organizations providing services
and resources to women and their families, and for the family and
friends of new mothers. / Arts, Faculty of / Social Work, School of / Graduate
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Postpartum mothers' perception of their competency for infant careRutledge, Dorothy Louise. January 1984 (has links)
Thesis (M.S.)--University of Wisconsin--Madison, 1984. / Typescript. eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references (leaves 80-83).
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Strategies to improve postnatal services in Lesotho / Malisema Marcelina Nthalala QhekuQheku, Malisema Marcelina Nthalala January 2015 (has links)
Background: The study described the perspectives and experiences of women and health
care providers with regard to use of postnatal care and reasons why some women do not
attend postnatal care in order to identify strategies for improving postnatal care services.
Methods: An explorative, descriptive, and contextual research design was used. In step one
data was collected with semi-structured interviews with seventeen (17) women who attended
postnatal care. The second sample consisted of ten (10) women who did not attend
postnatal care but brought their babies for well-baby clinic. Focus groups were conducted
with midwives who offered postnatal care to women. The midwives of the first focus group
worked in the hospital while the second focus group worked at a filter clinic.
Results: In step one, some women indicated positive experiences but most women had
negative experiences about postnatal care. The positive experiences were related to the
satisfaction of the women with good services received and not encountering problems with
staff's care. Common concerns mentioned in step one and two about postnatal care were
shortage of skilled midwives, need for staff to be trained on postnatal care services, lack of
confidentiality, poor infrastructure and non-integration of maternal and child services.
Reasons for not attending postnatal care that were mentioned by women in step three were
inaccessibility of the health care facilities, poor roads infrastructure, lack of knowledge about
postnatal services and socio-cultural factors.
Conclusion: Based on the findings, strategies to improve postnatal care were developed:
Firstly, the midwives need to be trained on postnatal care and highlighted on current
postnatal policies and guidelines. Secondly, woman and baby should attend the postnatal
care at the health facility. Thirdly, community health nurses and trained community health
workers should visit the women at home soon after birth of the babies. Fourthly, postnatal
care should be provided at the family and community level by a trained and skilled midwife
during the early postnatal period. Fifthly, combination of care facility and home visit - when
the woman and baby are discharged from the hospital, follow- up need to be done at home
by the midwife. Lastly, a comprehensive integration of postnatal services with other
programmes needs to be enforced and supported by the programme management and
policy makers. / MCur, North-West University, Potchefstroom Campus, 2015
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