4 research outputs found
Development of the Obstetric Nursing Self-Efficacy Scale Instrument
No full textBackground: The objective of this study is the development of the Obstetric Nursing Self-Efficacy (ONSE) Scale instrument and the reporting of psychometric data gathered from a pilot completed in fall 2009 at 2 major universities. Method: The ONSE is an 18-item instrument designed with the use of Bandura\u27s social-cognitive theory. Instrument development consisted of 2 rounds of expert review. The average content validity index of the scale was .91. Results: For preliminary reliability testing, students (N = 20) completed the ONSE survey after participating in a 45-hour clinical rotation in obstetric nursing. A range of split-half reliability scores was calculated at .85 to .96. For preliminary validity testing, students (N = 46) completed the ONSE pre- and postsimulation. Paired t tests revealed a statistically significant improvement in self-efficacy scores for both pre- and posttest scores. Conclusion: The findings were encouraging for initial validity and reliability testing of the ONSE as an instrument to measure self-efficacy of students caring for obstetric patients. © 2012
Cluster subtypes appropriate for preventing postpartum smoking relapse
Get PDFObjective: While the majority of women quit smoking either before or during pregnancy, 60 to 80% relapse in the postpartum period. The objective of this research was to examine postpartum women who quit smoking during their pregnancies and to determine the predictive factors for relapse in the postpartum period by identifying different subgroups that predict risk of relapse.
Method: One hundred forty four postpartum women who were abstinent at the time of delivery were recruited. Data regarding the Acquisition Stage of Change, Decisional Balance and Situational Temptations to Smoke were assessed in the immediate postpartum period. Based on their intention to remain abstinent, 121 women identified in the acquisition-Precontemplation (aPC) group comprised the study sample. Smoking status was assessed again at 2 months postpartum.
Results: A cluster analysis was performed to idenitfy subgroups of the acquisition-Precontemplation (aPC) group. Four subgroups were identified and were labeled Most Protected, Ambivalent, Risk Denial, and High Risk. Logistic regression was performed to establish external validity of the clusters. The clusters and exclusive breastfeeding were the only statistically significant variables associated with relapse at 2 months postpartum.
Conclusions: The results confirmed the clusters identified in previous prevention research with both adolescents and postpartum women, The cluster profiles can serve to guide the development of a tailored intervention program
A randomized trial evaluating connective tissue massage on pain in post-cesarean section primiparous women
Get PDFPurpose: Pain creates physiological responses that can prolong the body s recovery after surgery including cesarean surgery which may impact a woman s ability to establish a maternal-newborn bond and effective breastfeeding. In the United States 77% of current heroin users claim to have used opioid pain medications prior to their heroin initiation (Jones, 2013).With today s opioid crisis, it is imperative that nurses find alternative strategies to the current administration of opioids to manage postoperative pain. The purpose of this study was to evaluate the efficacy of connective tissue massage on reducing postoperative pain in primiparous patients on their first postoperative day after cesarean section.
Methods: In this research sixty women were randomized into three groups; Massage, Standard Care and Birth Story. The study sample was comprised of primiparous women aged 17-44 who underwent an unplanned cesarean birth in the previous 24-48-hour time period. A retrospective chart review was conducted to gather data on pain score, opioid and NSAID use for entire postoperative hospitalization.
Results: Data were analyzed using analysis of variance and post hoc Tukey tests. One-way ANOVA revealed a significant difference between groups for Pain, Stress and Relaxation scores at time 2 (p=.017, .004, .000 respectively). Additionally, opioid and NSAID use day 2 were significantly different (p=.032, .022 respectively). Post hoc Tukey s evaluating the interaction between Massage and Standard Care groups were approaching significance for Total opioid use/BMI and Total NSAID use/BMI during the hospitalization (p=.09,.06 respectively).
Conclusion: Using massage therapy during postoperative hospitalization decreased pain, stress and improved relaxation and had the potential to decrease overall pain medication use in this sample of childbearing women. Nurses using massage therapy for post-surgical patients can decrease the pain, stress, and increase relaxation associated with unplanned cesarean birth and impact their overall opioid use. Further research Is needed to determine the dose of alternative therapies that would sustain this Impact
