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Biomedical subjects

C Kenner

Publications and source records attributed to C Kenner.

At least 19 recordsLinked to original sources

Revision of a parent satisfaction survey based on the parent perspective.

Parent surveys typically ask about aspects of care nurses think are important. The Parent Satisfaction Survey at a 250-bed children's hospital was revised based on what parents thought was most important for a nurse to do for themselves and their children. This report is based on a retrospective review of 1,405 self-reported parent surveys collected as a performance improvement activity over a 12-month time period. Surveys were distributed to parents of hospitalized children and were returned anonymously to mailboxes on the units. Using content analysis, a group of pediatric nurses reviewed the parents' comments to determine major themes. The themes were caring, communication, safety, environment, and appreciation. The parent survey was revised to include the themes parents identified as important.

Adult↗

Prenatal and neonatal testing and screening: a double-edged sword.

This article describes some of the more commonly requested prenatal and neonatal screenings and diagnostic tests. Additionally, it outlines the incidence and etiology of specific conditions followed by treatment and counseling options. Finally, issues regarding the ethics involved in testing are discussed. Practical recommendations and responsibilities for the nurse are interwoven throughout the article.

Embryonic and Fetal Development↗

Neonatal nursing and the genetics revolution!

Discoveries from the Human Genome Project are having a significant impact on the way we look at genetic makeup, health, and disease. As a result of this new knowledge, changes will be made in how diseases are treated and how nurses work with patients and their families. The National Coalition for Health Professionals Education in Genetics was formed to strengthen baseline knowledge in genetics of nurses and other health professionals. For neonatal nurses, this is an extremely important area that will become more and more critical to care as genetics knowledge continues to rapidly expand. Neonatal nurses must be knowledgeable about genetics, genetic testing, and the use and possible misuse of genetic information. This article describes the impact of genetics on neonatal care.

Genetic Linkage↗

Neonatal thermoregulation: bed surface transfers.

PURPOSE: To describe temperature changes that occur in preterm infants following bed surface transfers. DESIGN: The design was descriptive. SAMPLE: The convenience sample was comprised of 20 preterm infants (< 1,500 gm birth weight). MAIN OUTCOME VARIABLE: Temperature stability after a bed transfer (i.e., radiant warmer to incubator) was the main outcome variable. RESULTS: There were no significant differences in temperatures after bed surface transfer. However, the temperatures one hour after bed surface transfer were lower than baseline temperature before bed surface transfer.

Body Temperature Regulation↗

Newborn genetic screening: blessing or curse?

Newly discovered genes and advances in genetic screening programs prompt many questions reflecting the kinds of ethical dilemmas that go hand in hand with life-changing discoveries. Neonatal genetic screening has been a standard of care for some time, but as our knowledge in the field of genetics expands, should we continue with the same approach? What newborn genetic screening tests should be mandatory, and what are the long-range consequences associated with testing? This article reviews genetic modes of inheritance, outlines and explains the most common newborn screening tests, and enumerates the ethical issues associated with these screening procedures. The role of the neonatal nurse in the newborn genetic screening process is discussed.

Ethics, Nursing↗

Early discharge from the NICU.

Early discharge from the NICU has created much controversy and concern among health care professions and parents. It sparked legislative discussions at the state and federal levels spawned from the legislative mandates for mother/baby discharges of not less than 48 hour for uncomplicated vaginal deliveries. However, unlike the term, healthy newborn and the mother, there are no uniform criteria for NICU discharges. Much of the health care once given in the confines of the NICU has moved into the home. Parents are being expected to provide "high-tech" care with little or no professional help. This article discusses the rationale for the health care delivery changes and the need for guidelines for safe, early NICU discharges. Developmental care and community resources within the context of early intervention programs are discussed and individualized family service plans explained.

Aftercare↗

Career opportunities for neonatal nurses.

This article will outline career opportunities now available for neonatal nurses in acute care and community settings. Healthcare reform has increased the emphasis on health promotion, holistic care, and patient teaching, vital aspects of all nursing education and practice. Nurses choosing to capitalize on these strengths have opportunities to develop and shape their future nursing careers.

Career Mobility↗

Families caring for children with fetal alcohol syndrome: the nurse's role in early identification and intervention.

Alcohol is a teratogenic substance that, when ingested during pregnancy, may cause the fetus to be born with a condition known as fetal alcohol syndrome (FAS). FAS is a life-long condition that leads to serious primary and secondary disabilities. Holistic early identification and intervention for children with FAS and their families may ameliorate the secondary disabilities associated with FAS. Nurses working with families and young children could play a key role in early identification and intervention for children with FAS.

Child↗

Fibromyalgia and chronic fatigue: the holistic perspective.

Fibromyalgia syndrome (FMS) and chronic fatigue syndrome (CFS) are not new conditions, but they are receiving more attention as more research is conducted. These two conditions are primarily women's health problems. In some instances, there may be a genetic predisposition for these conditions. The impact of FMS and CFS can be devastating both physically and emotionally. The treatment plan must be interdisciplinary and holistic and include alternative therapies if the client and family are to be truly supported and helped in coping with these chronic conditions.

Fatigue Syndrome, Chronic↗

National coalition for health professional education in genetics.

With the explosion of genetic information, there has been a recognized need for more genetic knowledge among health care professionals. The National Coalition for Health Professional Education in Genetics (NCHPEG) was established in 1996 to address this need. This article briefly outlines the mission of this Coalition and gives an overview of its relationship to acute and critical care nurses.

Critical Care↗

The transition to home for mothers of healthy and initially ill newborn babies.

Mothers' difficulties with the transition of their baby from hospital to home have been studied for several years. An examination of a number of studies from the USA, Canada, and the UK has shown a remarkable similarity in the findings despite the demographic and cultural differences in the sample characteristics. It appears, then, that maternal responses to the transition to home are more tied to the experience than to the setting. The purpose of this paper is to place these findings within a framework that would provide a means for midwives and nurses to help mothers make this transition more comfortably and confidently than in the past. The framework chosen is the Transition Model as developed by Kenner (1988). This model suggests the problems with transition to home can be addressed under the following categories: 1. information needs; 2. grief; 3. parent-child development; 4. stress and coping; 5. social support.

Adaptation, Psychological↗

Fetal alcohol syndrome from infancy through childhood: a review of the literature.

Because fetal alcohol syndrome (FAS), or fetal alcohol effects (FAE), is being diagnosed in growing numbers of children, there is more interest in their common characteristics and how they change throughout childhood. Few longitudinal studies that describe the common childhood course of FAS address appropriate interventions. Some literature exists that describes follow-up and support services needed by these children and their families. This article examines the common childhood course of FAS/FAE and the interventions and services needed to promote positive child and family health.

Abnormalities, Multiple↗

Use of professional associations for political action.

Health care reform has generated a new excitement, energy, and movement within nursing. New opportunities abound for perinatal and neonatal nurses in these changing times as nurses realize that health care is a business intimately tied to legislation and government regulations. To achieve a voice in nursing's future, one must be politically aware and active, not a passive recipient of change. One of the easiest ways to become politically active is to work with professional associations in the best interest of nursing. This article outlines how nurses can use their professional organizations to survive the new health care systems.

Humans↗