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Antenatal Interventions To Improve Breastfeeding in High-Risk Pregnancies: An Outpatient Clinic Perspective.
No full textHigh-risk pregnancies often face unique challenges when it comes to breastfeeding, yet few antenatal interventions specifically target this population. This quality improvement project aimed to improve breastfeeding knowledge, confidence, and attitudes among high-risk pregnant individuals through a brief educational intervention. Ten participants between 33 and 36 weeks gestation with diagnoses including GDM, gestational hypertension, multiple gestations and IVF pregnancies were recruited from an outpatient maternal-fetal medicine clinic. A printed educational brochure and a brief in-person teaching session were provided. Participants completed pre- and post-intervention surveys assessing their knowledge, perceived support, and attitudes toward breastfeeding. Post-intervention survey responses revealed statistically significant improvements across all three domains: knowledge, support, and beliefs (p \u3c 0.05). All participants reported increased confidence in initiating and sustaining breastfeeding. A short, targeted antenatal education session can significantly enhance breastfeeding preparedness among high-risk populations Integrating breastfeeding education into prenatal care for high-risk populations may contribute to improved breastfeeding initiation and duration rates
Reducing Perinatal Mood and Anxiety Disorder (PMAD) amongst Latina Women through a Nurse-Led Intervention in a Clinic Setting
No full textThe purpose of this study was to evaluate the impact of the implementation of the Reach Out, Stay Strong, Essentials for mothers of newborns (ROSE) curriculum amongst pregnant Latina’s in their third trimester, and to determine if participation in these classes increases patient awareness and management of perinatal mood and anxiety disorders. Using a nurse-led prenatal group setting, pregnant Latinas who are 18 years of age or older, are Spanish speakers, and at least 28 weeks gestation in pregnancy were presented with information about the intervention by their provider. Following informed consent, patients were to be asked to participate in an optional entrance and exit questionnaire as well as a pre and post intervention Multidimensional Perception of Social Support (MSPSS) assessment tool. Patient participation was not achieved during this project. After the intervention, semi-structured interviews were conducted with midwifery leadership as a transformative assessment to gauge interest in future implementation of nurse-led group prenatal classes focusing on perinatal mood disorders in the Latinx pregnant population. A thematic analysis of the transcripts revealed that program sustainability, clinic prosperity, logistical awareness, steps for success, and patient centering were the five overarching themes that emerged when considering offering this service. Despite the lack of patient attendance, clinical staff recognize the potential value of implementing The ROSE curriculum for their obstetric patients. Overall midwifery leadership believe that this type of programing can bring improvement to the clinic environment, can be effective in increasing patient awareness, and can bringing community members together when patient needs are centered at this structure. Funding sources, staff capacity, and clear administrative support would be necessary to ensure the future implementation of the ROSE Program in this community clinic setting.
This project underlines the unique challenges of recruitment and program piloting at this particular clinic organization. Group classes have the potential to hold great value but adequate preparation is needed in order to be efficient with limited funding and staff availability. Future utilization of programming like ROSE will require a shift from providers to practice structural competency to understand how best to meet their patients needs
Exploring barriers and opportunities for formally integrating a compensated community health worker program to manage hypertension into the healthcare system in Puno, Peru.
No full textHypertension is the leading cause of preventable mortality worldwide. Community health workers (CHWs) can be potential aids in managing hypertension in Peru. CHWs in Peru are currently not formally practicing or compensated for chronic disease management. Effectiveness of CHWs for hypertension care is being assessed in the The Addressing Hypertension and Diabetes through Community-Engaged Systems (ANDES) Trial. Through semi-structured interviews with healthcare providers and healthcare administrators, this study aims to understand scalability and feasibility integrating CHWs into hypertension management into Peru’s national healthcare system. Following transcription of interviews, inductive and deductive analysis identified key themes and subthemes. Participants described a lack of formal recognition of CHWs by senior management, funding for CHW programs, and training of CHWs as key barriers. They identified policies from upper management that support CHWs through training, supervision and fair compensation for CHWs as potential ways to facilitate sustainable integration of CHWs for hypertension management into Peru’s healthcare system. These findings illustrate potential solutions to scaling up a CHW intervention for managing hypertension
White Spaces, White Tears
Get PDFThis piece reflects the author’s authentic thoughts, feelings, and personal reflections as they relate to navigating spaces historically not meant for her
Reflections
Get PDFThis reflection explores the lived experiences of a first-generation, Pakistani Muslim woman navigating higher education in the U.S. Tasmia Moosani shares her journey of overcoming cultural, religious, and systemic barriers, balancing intersecting identities, and breaking generational norms
Theoretical Interpretations n pop Culture: Student Development Theories Applied to the Social Network and High Maintenance
Get PDFPop culture is a lens through which practitioners can reflect on diverse student experiences in higher education to deepen our understanding of student\u27s identities. By applying student development theories to film and television, student affairs practitioners can examine case studies and narrative examples of the ways that theory applies to the student experience. This paper will analyze Aaron Sorkin’s Oscar-winning 2010 film The Social Network and an episode of the HBO series High Maintenance, to investigate the portrayal of gender, race, class, and religious identities in college students
Integrating Student Care with Technology
Get PDFThis paper addresses the challenge that student affairs professionals face in adopting technology and assessment in the highly personalized and individualized work of campus Care Teams tasked with case management for students at their institutions. Through review of the current literature on technology’s impact on case management and interviews with student affairs professionals at five small, private, four-year institutions, this paper explores the ways that practitioners navigate the seemingly contradictory forces of technology and intentional care. Finally, the paper presents brief recommendations for practitioners who are seeking to maximize the strengths of case management guided and supported by technology
