Integrating The Cope Program Is The Work Of Mccubbin And Mccubbin's Resiliency Model Of Family Stress, Adjustment

As an aspiring Neonatal Nurse Practitioner, I will graduate from UNCG with my BSN, work for a year as an RN, and eventually attend a graduate school to accomplish my ultimate goal of obtaining my DNP. As a neonatal nurse practitioner, it is imperative to exude compassion, while demonstrating critical thinking skills when faced with arduous circumstances. I understand that working with distressed families in the NICU will be a challenging task, both emotionally and physically. I am aware that it is my responsibility as a nurse to not only know how to provide physical care to my patient's, but to also attend to their emotional needs and the needs of their loved ones. Nurses are expected to be the liaison between families and doctors. So, in the

mother and the baby share everything, if the mother becomes depressed the baby can feel

Historically perinatal loss such as stillborn is rarely a topic of discussion. (Avelin, Erlandsson, Hildingsson, & Rådestad, 2011). Stillborn loss was not viewed as an problem, and was expected for mothers to forget about the baby, and have another one, while siblings were told to forget about the baby and not talk about the loss (Avelin et al., 2011). Perinatal loss responses can be vary widely as it covers variety of loss from pregnancy to birth within a few weeks, but most often it is an unexpected loss for many families who typically do not know what to do, what to expect and how to handle grief (O’leary & Warland, 2013). Furthermore, there is very little information on Stillbirth experiences especially about men who lose their child(Bonnette & Broom, 2012). Experiencing the loss of a child can be very difficult and often complicate grief which can affect parents social well being (Kersting & Wagner, 2012). In pregnancies that follows a loss such as perinatal loss, it has been found that parents experience high levels of psychological distress, anxiety, depression and post-traumatic stress. (O’leary & Warland, 2013; Kersting & Wagner, 2012)

Group members are struggling with the many facets of having a NICU baby. This session will deal with some of the very common issues. Parents of NICU babies are often worried about how slowly their child may be progressing in comparison to other babies. This session the group will work through some of those progressions and regressions and help the parents to cope with this. Parents are sitting in the NICU for hours, watching other babies do things that their baby is not doing. However, this session will help show the parents that they are all doing this. Every parent in the group has likely been the parent on either end of that frustration/joy. Regression can be hard for parents and does happen often during a NICU stay. Group members may show some reluctant to talk about their child’s set-backs. They may be discouraged by them. Parents have a strong desire to know when their child will be discharged from the hospital. This can cause them to become upset when that does not happen (Pepler et. Al, 2012).

When my daughter was in the Neonatal Intensive Care Unit (NICU) 11 years ago, I was I was blissfully ignorant of patient-to-nurse ratios and budget constraints. I had confidence in the competence of the nurses and believed that they had the time and the tools necessary to care for my child. Now that I'm a nurse myself and I see my support staff numbers cut and my patient load rise, I wonder what my patients and their families think of me.

Wellington serves a community that has a majority of White Non-Hispanic population. The outlying communities that utilize our services compromise a majority of Hispanic, Latino, Haitian, African American population. Currently, our staff is compromised to meet the majority of the population; we lack in the services in clientele that have recently migrated to the country or have limited understanding of the English language. We offer a language line and certain staff members that are utilized to facilitate in translation. Unfortunately, they are not always available. The author is employed as the Manager of the Neonatal intensive care unit. The unit uses a primary nursing care model and an all registered nurse staff. The group is headed by a nurse manager who reports to the Director of women's services. Currently, the unit achieves a daily census of 12; our breastfeeding rate is 90 percent, and our focus is on family-centered care.

National Association of Neonatal Nurses (NANN) is a nonprofit organization comprising of a community of over 8,000 registered nursing professionals at all stages of their careers who provide care for high-risk neonatal patients. NANN’s mission is “to be the professional voice that shapes neonatal nursing through excellence in practice, education, research, and professional development” with the goal “to enable neonatal nurses to alleviate suffering and protect, promote and restore health to infants and their families”

On arrival, Joe’s mother Catherine was distressed and throughout every stage of Joe’s care it was important Catherine was provided with clear information in order to empower her to make informed choices regarding Joe’s care (Glasper et al. 2010). Parental involvement was introduced after the Platt Report in 1959 which recommended that parents should be allowed to stay with their hospitalised child. The report has led to significant improvements in interactions between parents of hospitalised children and the staff who care for them (Priddis and Sheilds 2011). Sousa et al (2013) carried out a study that found communication between parents and children’s nurses is vital. Sousa et al (2013) found that almost all parents who participated in the questionnaire agreed it was a priority to get information on their child’s health condition. This indicates that is important for nurses to manage the child and family as a whole holistically (NMC 2015). Catherine

1d.) The researcher is seeking information regarding the process of maternal development in four domains in this research study. They include: focus, ownership, caregiving, and voice. The results in the focus domain showed that initially a mother with an infant in the NICU is focused on the technology that abounds in the NICU, not her infant. The expertise of the nurses and the language and culture of the surrounding staff also gained most of her attention while the care of her infant was forced into the background. Progression along the focus continuum allowed the fading of technology over time, which allowed the mother to focus fully on her infant. The ownership domain results were in regard to the mother’s view of her relationship with her infant. Overall, the results showed that most mothers considered the infant as belonging to the nurse. The actuality

“Only within the past few decades have the sophisticated medical establishment realized that pediatric patients, including neonates, also feel pain and require medical intervention to alleviate unnecessary suffering” (Havidich 2015). Everyday there are neonates across the globe who are not only suffering through the pain but also fighting for their lives. “Unlike adults or children, neonates cannot tell us when they are in pain and it is therefore our responsibility as caregivers to recognize when they are and act upon it using evidence based principles” (Cooper 2012). Implementing a decrease in overstimulation in the healthcare environment will help to alleviate some of the pain and

Research by Cosimano and Sandhurst (2011) shows that many nurses that work in the neonatal unit do not know how to help mothers with breastfeeding. This is

Baby Blues: A Concept Analysis It is a common observation that women are often weepy and irrational in the days after delivering a new baby. It is obvious to most mothers and perinatal nurses that few mothers escape the transition with no scars from the early days of parenting. This paper aims to clearly define the concept of “baby blues” and differentiate the condition from other postnatal mood disorders, specifically postpartum depression. Baby blues is defined as the feelings of sadness a new mother might have in the few days following giving birth (March of Dimes, 2017). Using the Walker and Avant model for concept analysis (McEwan & Will, 2014), the phenomenon of baby blues will be explored.

The concept of infant-mother attachment is as important to the child as the birth itself. The effect this relationship has on a child shall affect that child for its entire life. A secure attachment to the mother or a primary caregiver is imperative for a child’s development. Ainsworth’s study shows that a mother is responsive to her infant’s behavioral cues which will develop into a strong infant-mother attachment. This will result in a child who can easily, without stress, be separated from his mother and without any anxiety. Of course the study shows a child with a weak infant-mother relationship will lead to mistrust, anxiety, and will never really be that close with the mother. Without the

Education should be provided at a level easy for patient comprehension. Education needs to be provided in a manner where the patient can trust what they are being told (AACN, 2013).New mothers are given numerous sources of unsolicited advice. It is essential postpartum nurse follow hospital directed education materials.

In the medical community even the hospitals reflect the varying opinions through their practices of how often the mother and infant are allowed to interact. Parental Bonding After Birth Parental bonding with their infant immediately after childbirth would seem to be a needed response from the mother and infant. There are varying opinions as to how the bonding affects the development of the newborn.