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Transition to Early Intervention for Infants With Very Low Birth Weight
Başlık:
Transition to Early Intervention for Infants With Very Low Birth Weight
Yazar:
Koldoff, Elizabeth, author.
ISBN:
9780438000230
Yazar Ek Girişi:
Fiziksel Tanımlama:
1 electronic resource (149 pages)
Genel Not:
Source: Dissertation Abstracts International, Volume: 79-10(E), Section: B.
Advisors: Barbara J. Holtzclaw; Thubi HA Kolobe Committee members: Mark Fisher; Kathleen Knafl; Janet Wilson.
Özet:
Introduction: Premature infants born with very low birth weight (VLBW) are over-represented among children with developmental delays. Despite recommendations for early interventions (EI), research findings show only half of parents with infants born with VLBW are enrolled in the first year of life. Central to the low participation rate is the role that parents play. The purpose of this study was to explore factors that influence parents to be involved in EI for infants with VLBW.
Methods: A descriptive approach using quantitative and qualitative methods explored parents' experiences with EI for infants with VLBW. Data were collected through a demographic questionnaire and the Parent Behavior Checklist (PBC) (n = 48). Parents also completed semi-structured interviews with participants (n = 30). The research purpose is to investigate parental factors associated with participation in EI.
Results: Analysis, performed through NVivo, generated 3 categories: parental conditions, parental barriers, and parental beliefs. Themes under parental conditions were relationships with HCP, communication/information, prior knowledge/experience, perceived risks/benefits, and support from other parents. Themes related to parental barriers were life interrupted, miscommunication, uncertainty, and resistance from the program or provider. Themes under the category of parental beliefs cited convictions about EI, collaboration, advocacy. Word cloud technology analyzed word frequency, illustrating the words that were most prominent: "get," "child," "help." Exploration of parental characteristics revealed that parents of infants with VLBW have similar childrearing practices as parents of typically developing parents.
Conclusions: The current approach to EI enrollment is sharing information at NICU discharge. Findings suggest a need to consider the timing of information and by whom it is given. Initiating NICU discharge planning earlier by a trusted health care professional may influence participation. In addition, the uncertainty of parents raises questions about focusing on a treatment plan instead of the journey of the child and anticipating the needs of the whole family. However, it should not be assumed that these parents would have maladaptive parenting behavior. When the word cloud was presented to parents, they confirmed "get child help" is at the heart of their needs.
Funding: This study was partially supported by the 2016-2018 Jonas Nurse Leaders Scholar, the 2014-2016 Women and Child Health Initiative Scholar, and the National Institute of Health grant # HD061678 and National Science Foundation /NRI #1208639; PI: Kolobe Conclusions: The current approach to EI enrollment is sharing information at NICU discharge. Findings suggest a need to consider timing of information and by whom it is given. Initiating NICU discharge planning earlier by a trusted health care professional may influence participation. In addition, uncertainty of parents raises questions about family-centered care focusing on a treatment plan, instead of the journey of the child and anticipating the needs of the whole family. When the word cloud was presented to parents, they confirmed "Get child help" is at the heart of their needs. The findings of the PBC provide evidence for NICU nurses that suggests parents of infants with VLBW and parents of typical birth weight infants have similar beliefs about childrearing. It should not be assumed that parents of infants with VLBW would have maladaptive parenting beliefs and behavior.
Notlar:
School code: 0361
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Yer Numarası | Demirbaş Numarası | Shelf Location | Lokasyon / Statüsü / İade Tarihi |
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XX(679237.1) | 679237-1001 | Proquest E-Tez Koleksiyonu | Arıyor... |
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