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Biomedical subjects

K F Pridham

Publications and source records attributed to K F Pridham.

53 records · Page 3Linked to original sources

Preparation of parents for birthing and infant care.

The responses to a survey questionnaire of families who used three family practice residency model clinics for obstetric care were examined to determine their perceptions of the usefulness and adequacy of the preparation they received for childbearing and infant care. In this study, variables that often are assumed to be related to adequacy of information, such as parity, attendance at prenatal and in-hospital classes, rooming in, rest, privacy, visitors, and opportunity to ask questions, were also assessed. The educational resource that was rated highest by parents was prenatal discussion with the physician. Ninety-four percent of the respondents reported that clinicians answered their questions adequately. However, for 5 of the 11 issues pertaining to an aspect of family functioning, preparation was rated as inadequate by 40 to 50 percent of the mothers. The only variables that were significantly related to the mean adequacy-of-preparation score were amounts of rest and privacy as well as the opportunity as perceived by the mother to ask questions of clinicians. Furthermore, multiparous and primiparous parents did not differ significantly in the extent to which they perceived themselves to be prepared for infant care.

Adult↗

An observation methodology for the study of interactive clinical problem-solving behavior in primary care settings.

A methodology that is adequate for a generalized description of the interactive problem-solving behavior of client and clinician must accommodate all potential types of clinical issues and client-clinician relationships. It must also be applicable to the behavior of the client as well as that of the clinician. Furthermore, behavior must be analyzable in terms of the phase of problem-solving logic that applies at the time the behavior is observed. The development, specifications, structural factors and procedures of administration of an observational methodology that is based on a 7-phase paradigm of verbal problem-solving behavior are described. Acceptable levels of consistency of coding are achievable using the methodology. Coder agreement over all phase categories was 84.8 per cent. Results of 2-way ANOVA procedures showed that the type of clinical encounter observed affected the proportion of data coded in each of the problem-solving phase categories whereas, on the whole, the identity of the coder did not. The methodology may be articulated with other methods for the study of primary care and has both research and instructional applications.

Adult↗

Parental goals and the birthing experience.

In order to assess the extent to which the obstetric care they were providing was oriented to the family's goals, health-care professionals at a midwestern university hospital planned and conducted an evaluation study of patient services. A mailed questionnaire survey of 91 families who used three family practice residency program model clinics for obstetric care focused on the goals, plans, and experiences that parents has regarding the labor, delivery, and postpartum periods. Parents reported wanting opportunities to be close to the infant immediately postpartum, more time with the infant in the recovery room, earlier rooming-in, more time spent with the infant at night for feeding, and sibling visitation as well as opportunities for siblings to hold the new infant.

Adult↗

Postpartum mothers' perceptions of competence for infant care.

A descriptive study was undertaken to examine the relationship between mothers' early postpartum experiences and their perceptions of competence for infant feeding and care. A sample of 140 primiparous and multiparous mothers completed a 68-item, self-administered questionnaire before discharge from a midwestern hospital's family-centered unit. The mothers' perceptions of competence for infant feeding and care were associated with in-hospital preparation for bottle-feeding mothers and amount of perceived rest for breastfeeding mothers. The findings suggest the need for early assessment of bottle-feeding mothers' perceived competence for infant feeding and care, and adequate provision of rest during the postpartum period for breastfeeding mothers.

Adult↗

Nipple feeding for preterm infants with bronchopulmonary dysplasia.

OBJECTIVE: To examine the influence of an infant's physical condition on nipple-feeding practices and the contribution of the infant's age at complete nipple feeding to dietary intake and somatic growth outcomes. DESIGN: A retrospective, correlational study. SETTING: Two Level III nurseries. PARTICIPANTS: Records of 55 preterm infants with bronchopulmonary dysplasia. MAIN OUTCOME MEASURES: The infant's intake of kcal/kg on Day 1 of complete nipple feeding and the weight gain per day between complete nipple feeding and discharge. RESULTS: Gestational age and days on mechanical ventilation, continuous positive airway pressure, or supplementary oxygen influenced age at start and at completion of nipple feeding (p < .05). The infant's weight when nipple feeding was introduced was the primary determinant of age at introduction of nipple feeding (B = .50, p < .001). The physical condition variables did not influence the transition time from introduction of nipple feeding to complete nipple feeding. Neither the physical condition variables nor the feeding practice variables contributed to caloric intake. Weight gain between the time of complete nipple feeding and hospital discharge was less for infants who were on supplementary oxygen longer and who were older when completely nipple fed (p < .01).

Age Factors↗

Why clinical field study?

Although the intellectual base of nursing is believed to be patient care, the role of clinical field studies in master of nursing programs is unstructured and undeveloped.

Clinical Competence↗

A computerized method of describing phase-related interactive events: infant feeding as an example.

A generalizable, computerized method has been designed to describe in detail interactive events that occur within phases of a process involving two or more interactants. The objectives of the method are: (A) visual discernment of patterns of events within and across phases through graphically displayed data and (B) summarization of events within phases for comparison of events across phases. Stages of the implementation of these objectives are illustrated with data obtained from observations of mother-infant feeding interaction. The method provides a means for an investigator to structure the exploration of patterns of behaviors in the context of the social activity in which the behaviors occur and to develop hypotheses about the data.

Arousal↗