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Biomedical subjects

K L Capitulo

Publications and source records attributed to K L Capitulo.

6 recordsLinked to original sources

Translating the short version of the Perinatal Grief Scale: process and challenges.

Non-English-speaking populations may be excluded from rigorous clinical research because of the lack of reliable and valid instrumentation to measure psychosocial variables. The purpose of this article is to describe the process and challenges when translating a research instrument. The process will be illustrated in the project of translating into Spanish the Short Version of the Perinatal Grief Scale, extensively studied in English-speaking, primarily Caucasian populations. Translation methods, errors, and tips are included. Tools cannot be used in transcultural research and practice without careful and accurate translation and subsequent psychometric evaluation, which are essential to generate credible and valid findings.

Abortion, Spontaneous↗

Improving patient satisfaction through focus group interviews.

Long used by the social science community, focus groups have been increasingly used by nursing leaders to obtain information and feedback. Use of the focus group interview (FGI), a qualitative research method, allows the nurse executive the opportunity to obtain data on a variety of topics. In order for the findings to be meaningful, however, the researcher must adhere to basic FGI design and data analysis. Like other research methodologies, the focus group offers advantages and disadvantages that must be evaluated for appropriateness and feasibility. The article illustrates the use of the FGI to spark the creation of patient-focused care and significant increases in patient satisfaction in an academic medical center.

Data Interpretation, Statistical↗

The rise, fall and rise of nurse-midwifery in America.

For most of history, the care of women, particularly childbearing women, has been delivered by healers and health care providers who were women. This article is an overview of the historical, social, political, economic, and philosophic forces that shaped the role of women, especially midwives, who care for childbearing families. As healers and health care providers, midwives (and later, nurse-midwives) have based their practice on the natural process of pregnancy and birth. Their holistic view dominated childbirth until the 18th century, when the existence of midwives began to be challenged by institutions. In the United States, the marriage of midwifery with nursing in the 1920s, followed by the consumer childbirth revolution of the 1960s, gave new strength to the profession of nurse-midwifery. Later, health economics provided additional support for nurse-midwifery practice, with demonstrated reduced costs and improved quality. At the cusp of the 21st century, internal and external political forces have now led to the inclusion of nonnurses in the profession of midwifery in the United States. Despite the ever-changing political, economic, and societal climate, midwives consistently have brought superior outcomes and family-centered caring to their practice and their patients.

Female↗

Creating patient-focused, family-centered, maternal-child and pediatric healthcare.

Healthcare's economic challenges, corporate mergers, and technological innovations marked the last decade of the 20th century. Both consumers and providers of maternity care faced dramatic changes in reimbursement, which threatened the quality and scope of care provided to childbearing women, children, and families. For nurses in some institutions, this meant decreases in the number of RNs caring for patients and challenges to meet patients' needs with the focus on a black bottom line, fiscal profitability rather than on the patient. New York's Mount Sinai Hospital adopted a philosophy of patient-focused care. This article describes the 5-year journey to redesign a traditional, provider-focused obstetric and pediatric program, into a new patient-focused, family-centered maternal-child healthcare center. The process, opportunities, challenges, and outcomes of this ongoing work demonstrate that a scholarly, data-driven, patient-focused process can result in improved quality, and increased patient and staff satisfaction, while decreasing costs.

Child↗