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Biomedical subjects

Janet Bryanton

Publications and source records attributed to Janet Bryanton.

5 recordsLinked to original sources
PubMed2004

Assessing antenatal psychosocial health. Randomized controlled trial of two versions of the ALPHA form.

OBJECTIVE: To determine whether participants preferred a provider-completed or self-reported antenatal psychosocial health assessment (ALPHA) form, to evaluate the forms' effectiveness in facilitating disclosure of psychosocial issues, and to determine whether different providers gathered different information. DESIGN: Randomized controlled study. SETTING: Offices of family physicians and public health nurses (PHNs) in three health regions on Prince Edward Island. PARTICIPANTS: Physicians, PHNs, and 76 pregnant women. INTERVENTIONS: Participants completed one form and a questionnaire on theirexperience. Providers were also interviewed. MAIN OUTCOME MEASURES: Suitability and effectiveness of the forms and frequency of issues disclosed by type of form and provider. RESULTS: Most participants would recommend routine use of the ALPHA form for all pregnant women. Of the 238 psychosocial issues disclosed, significantly more were disclosed to physicians than to PHNs. CONCLUSION: Both forms were acceptable to women and providers (no clear preference emerged) and were effective at gathering information. Physicians gathered significantly more information than PHNs.

Adolescent↗
PubMed2002

Multidisciplinarity in nursing research: a challenge for today's doctoral student.

Doctorally prepared nurses entering today's research environment must be adept at transcending the research chasm that exists across disciplines and within nursing and be prepared to play leadership roles in multidisciplinary and nursing research. In order to fulfill these roles and meet the need for well-educated nurse scientists, doctoral students must be exposed to research from a multidisciplinary perspective and be able to think across disciplines so as to become familiar with the differences in design language. This paper compares research terminology across the disciplines of epidemiology, psychology, and nursing based on a sample of four research textbooks. It is apparent that although similarities exist, there is also diversity in the language used in research. Doctoral students preparing for comprehensive examinations must avoid becoming caught up in semantics and instead focus on the broad issues with each of the designs. With that knowledge, students will be not only more successful in their examinations but also more effective as leaders in nursing and multidisciplinary research.

Bias↗
PubMedDate not supplied

Tub bathing versus traditional sponge bathing for the newborn.

OBJECTIVE: To compare selected effects of tub bathing versus traditional sponge bathing in healthy, term newborns and their mothers' ratings of pleasure and confidence with the bath. DESIGN: Randomized controlled study. SETTING: The maternity unit of an eastern Canadian hospital. PARTICIPANTS: One hundred two mother-baby pairs were randomly assigned to an experimental tub bath or a sponge bath control group. INTERVENTIONS: Fifty-one newborns were tub bathed and 51 sponge bathed according to the study protocols for their initial and one additional bath. MAIN OUTCOME MEASURES: (a) Newborn temperature stability was assessed by recording axillary temperatures pre- and postbath, (b) umbilical cord healing was identified by daily observations and infection control surveillance, (c) infant contentment was quantified by applying the Brazelton Neonatal Behavioral Assessment Scale, and (d) maternal pleasure with the bath and confidence with bathing at discharge were self-rated on a 5-point scale. RESULTS: Tub-bathed babies experienced significantly less temperature loss (t = 4.79, p = .00) and were significantly more content (t = -6.48, p = .00) than were those who were sponge bathed. No differences in cord healing scores were found. Mothers of tub bathed babies rated their pleasure with the bath significantly higher than did mothers of sponge bathed babies (t = 4.15, p = .00). No differences in maternal confidence were noted. CONCLUSIONS: Tub bathing is a safe and pleasurable alternative to sponge bathing in healthy, term newborns.

Adolescent↗
PubMedDate not supplied

From research to application: the development of an antenatal psychosocial health assessment tool.

OBJECTIVE: To describe the development of an assessment tool for antenatal psychosocial risk factors associated with poor postpartum outcomes. METHODS: A survey of Ontario family physicians established a need for an antenatal psychosocial health assessment (ALPHA) form. A critical literature review identified important antenatal factors for inclusion on the form. Focus groups of obstetrical care providers indicated acceptance of the provider-completed ALPHA; their feedback led to the development of a self-report ALPHA. Satisfaction, yield and reliability of the self-report and provider-completed ALPHA forms were studied and found to be comparable. RESULTS: Physicians and patients reported good satisfaction and usefulness of the ALPHA form in identifying antenatal psychosocial risk factors. The provider ALPHA was further tested in clinical practice. ALPHA endorsement was obtained from physicians, nurses and midwives. CONCLUSION: A program planning process, which included multidisciplinary involvement, evaluation and endorsement by professional organizations, aided the development, refinement and application of the ALPHA forms as primary care tools. ALPHA topic headings are incorporated into the official 2000 Ontario Antenatal Record and the ALPHA adopted for use on Prince Edward Island.

Child Abuse↗