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Biomedical subjects

K E Barnard

Publications and source records attributed to K E Barnard.

18 recordsLinked to original sources

Failure to thrive: a parent-infant interaction perspective.

The purpose of this study was to prospectively study inpatients admitted for failure to thrive during their first year of life. Twelve infants with failure to thrive were studied and compared with 17 healthy controls. Mothers and infants with nonorganic failure to thrive scored lower on the Nursing Child Assessment Feeding Scale, reported more change in their lives, and less social support. The need for further research is discussed and suggestions for beginning level interventions are made.

Failure to Thrive

Prevention of parenting alterations for women with low social support.

Parenting is a demanding role. Traditionally societies provide mechanisms for supporting major caregivers. For most parents the partner relationship is a source of refueling energy. In addition, often the extended family members provide support for the parent(s). In a prior research study dealing with early intervention where the family demonstrated double vulnerability, defined by pregnancy complications and social problems, we found the mothers most resistant to help were women who both had a lot of situational problems and few if any friends or family supporting them (Barnard et al. 1985). This finding prompted us to think about parents who did not have the supportive mechanisms cultures generally provide.

Affective Symptoms

The impact of parental life change on the early development of children.

The effect of parental life change on children's mental and social development was explored in a longitudinal study of 193 families. Data on life changes, social supports, home environment, child development and interactions were obtained in a series of nine interviews from before the child's birth to 48 months after birth. For the sample as a whole, significant negative correlations were obtained between maternal life change in the first year of the child's life, and the child's IQ and receptive language at 4 years. An examination of subgroups revealed, however, that this relationship was strongest for mothers low in both personal coping resources and in social support. Findings suggest that both direct and indirect effects of maternal life change on the child contribute to the observed relationship.

Adult

Maternal--child nursing research: review of the past and strategies for the future.

Major subdivisions of research in maternal--child nursing (MCN) include childbearing, childrearing, care of the sick or hospitalized child, and a strong emerging emphasis on the special needs of the child in infancy and in special populations, such as mental retardation and chronic illnesses. An example of MCN research is presented--the Nursing Child Assessment Project, funded by the Division of Nursing, which provides a conceptual basis and methodologies to look at inputs and outputs of expressions of child health and illness. Strategies to assist maternal-child nurse scholars to add to their data base--particularly a focus on infancy, childrearing, and specific populations, including an extension into what now is becoming a major concern of American families, care of their aging members--are defined. Needed are additional mechanisms for providing research training for nurses in MCN, as is a network for collaboration and cooperation in the form of systematic input into literature retrieval systems supportive of concepts and which would further the ability to communicate for the exchange of validation of ideas. Although a knowledge base in MCN is emerging, nurses should move onward in a more systematic manner and develop more successful intraprofessional communication.

Child