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Biomedical subjects

M Roncoli

Publications and source records attributed to M Roncoli.

17 recordsLinked to original sources

Thermoregulation in low-birth-weight infants.

Thermoregulation is a critical component of neonatal nursing care, particularly with regard to preterm infants. To provide appropriate care, nurses must be aware of the energy balance equation, mechanisms of heat loss, and specific factors related to preterm infants. In addition to the standard care measures implemented from birth through intensive care, nurses need to be aware of principles related to weaning an infant to an open crib.

Body Temperature Regulation

Maternal confidence during toddlerhood: comparing preterm and fullterm groups.

The purposes of this study were to explore predictors of maternal confidence during toddlerhood among mothers of children born preterm and fullterm and to determine if mothers of toddlers born preterm were less confident in parenting than mothers of toddlers born fullterm. Mothers of children born preterm (n = 62) and fullterm (n = 70) aged 12 months through 36 months (postnatal age) completed a measure of maternal confidence during toddlerhood, the Toddler Care Questionnaire (TCQ), and a family background form. Major predictor variables included the extent of the mother's prior childcare experience, toddler birth order, and maternal report of toddler handicaps and major health problems. Data on neonatal condition were collected from hospital records. There was no difference in mean TCQ score between the preterm and fullterm groups. In the preterm group, prior childcare experience, birth order, and maternal report of the toddler having cerebral palsy explained 33% of the variance. In the fullterm group, prior childcare experience, maternal age and toddler's birthweight explained 38% of the variance. The findings are discussed in light of Bandura's theory of self-efficacy (1982).

Adaptation, Psychological

Developing a program grant for use in model testing.

Early discharge is becoming a practice as well as a goal for the acute care institution. It is essential that nursing investigate the effects of this shift in the care delivery site from the acute care institution to the home and community. Brooten et al. describe a research model designed to do just that. Transitional care, as this team calls it, may soon become familiar jargon in community health care.

Clinical Nursing Research

A computerized system for measuring the effect of nursing care activities on the clinical indices of energy expenditure.

A computerized system for measuring clinical indices of energy expenditure (heart rate, temperature and activity) was pilot tested on three low-birth-weight infants over a period of 24 hours. The mean heart rate was 163 beats/min and the following mean temperatures were recorded: heel, 34.7 degrees C; abdominal skin, 35.1 degrees C; incubator wall, 29 degrees C; and air, 25.5 degrees C. Activity, determined as the number of baseline crossings of the processed signal from a pressure mattress, was calculated to be 8-9 crossings/min. When compared with an established activity scale based on behavioral observation, a correlation of 0.84 was found. The system described is valid, reliable and interferes minimally with normal nursing activities.

Computers

Turning clinical problems into research.

The nursing process is well known by practicing nurses. The model for approaching the development of nursing research using this process has been presented. The clinical arena is rich in data and problems worthy of detailed research work. The models provide structure and methods that are familiar to practicing nurses so that they may begin to work with colleagues and other researchers in the clinical setting. A nurse who wants to use this model to begin research efforts needs interested colleagues in nursing, friends with patient ears, superiors who value this type of work, and affable determination.

Data Collection