Biomedical subjects

Kathie Records

Publications and source records attributed to Kathie Records.

6 recordsLinked to original sources

PubMed2005

A comparative study of postpartum depression in abused and non-abused women.

Because of a rise in postpartum depression (PPD), the U.S. Department of Health and Human Services recently indicated a need for more studies of possible risk factors for PPD. PPD can continue for months or years after birth and has consequences for the family as a whole. Past research has not investigated the relationships between abuse, whether physical, sexual, or emotional, and PPD. The aim of this pilot study was to compare the prevalence of PPD among abused and non-abused women during the first 4 months after birth. Although 89 women initially enrolled in the study, only 50 participants completed the 1-week data collection. Of these 50, 30% reported previous or current physical or sexual abuse. Of these 50 participants, 22 dropped out during the 4-month-long study, resulting in a final sample size of 28. Abused women were significantly more depressed at 1 week and 2 and 3 months postpartum than the non-abused group until their depression scores at entry into the study and 1 week were statistically controlled. An unexpected finding was the prevalence of depression at 1 week after birth, indicative of unresolved prenatal depression, "baby blues," or true PPD. In addition, emotional abuse was reported by both groups and was significantly higher for the previously abused women. Although sample size and high attrition limit generalization, there was no significant difference in the prevalence of PPD between the two groups. Future research should explore the relationships between abuse and depression with larger samples and include pregnant subjects.

Adult↗

PubMed2003

Mentoring for research skill development.

The nursing shortage is significantly affecting the nursing academic environment. A self-perpetuating cycle of insufficient numbers of faculty with inadequate preparation for academia could lead to a profound decline in the nursing profession. Institutions often implement mentoring plans for new tenure track faculty, and the challenge is even greater in environments that are not research intensive. This article describes the implementation of the research arm of an institutional mentoring plan for new tenure track faculty. The plan was designed to facilitate new faculty's attainment of tenure, while expediting the development of a satisfying career in academia. Doctoral education does not necessarily provide graduates with all the tools required to be successful researchers. However, specific guidance may be provided in the developing of a research program; creating networks and selecting consultants; preparing presentations and publications; and developing grantsmanship skills, particularly for institutions without established research centers.

Career Mobility↗

PubMedDate not supplied

Nursing: profession in peril.

The number of nursing faculty experienced and skilled in research and scholarship is declining because of retirement and insufficient numbers of new scholars entering academia. This trend, alone, puts the future development of the nursing profession at risk. In addition, the increasing expectations placed upon the existing professoriate in the teaching and essential institutional service arenas necessitated by this shortage limit both the time and energy of senior faculty who are most qualified to advance the profession. The historical development of nursing as a profession is grounded in its affiliation with institutions of higher education that provided the support and opportunities for nursing scholarship. The viability of any profession is dependent upon the ongoing generation and dissemination of knowledge. In the current and predicted environments, nursing academic institutions and individual faculty must acknowledge the fundamental role of research and scholarship in the advancement of the profession and seek methods by which they can provide support. Strategies for institutional and individual action are offered so that the knowledge base of the profession will continue to develop.

Burnout, Professional↗

PubMedDate not supplied

Childbearing experiences of abused Hispanic women.

Previous research has documented that abused childbearing women have longer and more difficult labors than non-abused women. Prevalence of abuse differs depending on the ethnic group involved. Hispanic women experience higher rates of abuse and endure higher rates before reporting abuse than do Caucasian women. The purpose of this study was to explore the experience of childbearing for abused Hispanic women to provide guidance for clinical practice and further research. Cognitive dissonance theory guided the study. A sample of seven abused Hispanic women was recruited from a rural prenatal clinic. Criteria for selection of subjects included self-identification as Hispanic, less than 24 months postpartum, disclosure of abuse status, and willingness to be interviewed in English or Spanish. An acculturation scale and demographic form were completed. Interviews were conducted individually, and data were analyzed by using Van Kaam's 12-step psychophenomenologic technique. Findings indicated that subjects experienced the normal responses associated with having a baby. However, the women also demonstrated a kindled neuroendocrine trauma response that was based on, and often similar to, their prior abuse experiences. The kindled emotional response was triggered by the normative events of childbearing. Understanding of the childbearing experiences of abused Hispanic women will facilitate the development of cultural-specific interventions that may ease the difficulties associated with birth for these women.

Adult↗

PubMedDate not supplied

The relationship between abuse, sexually transmitted diseases, & group B streptococcus in childbearing women.

PURPOSE: To examine the relationship between abuse, sexually transmitted diseases (STDs) and group B (GBS) infection among childbearing women using Selye's (1978) stress response theory. DESIGN AND METHODS: Retrospective chart review (n = 205) from two different clinical sites in Washington State, using the Childbearing Health Questionnaire to guide data collection. The women in the sample had an average age of 26.4 years and represented Anglo (81.4%), Hispanic (12%), Native American (3.9%), and African American (2.5%) ethnic groups. Thirty-eight percent ( = 78) reported experiencing physical and/or sexual abuse during their lifetimes and 31% had been diagnosed with an STD. RESULTS: Abuse was significantly related to STDs, and ethnicity emerged as a significant variable for the Hispanic women participating in this study. Findings indicated that infection with group B was also related to abuse status ( r=.60, p < or =.002) and to presence of herpes simplex virus-2 (r =.468, p<or =.01). Total prevalence of STDs was positively related to abuse ( r=.78, p <or =.000). Abused Hispanic women were more likely to be positive for STDs than were their nonabused counterparts ( p <or =.03). CLINICAL IMPLICATIONS: The findings support previously published results that abuse is widespread in the United States and that abused women are at increased risk for STDs. These results highlight the need for regular screenings for abuse during healthcare, for abuse is a critical variable to consider when screening for STDs and GBS. STD screening typically occurs during the first prenatal visit and may need to be repeated for high-risk groups.

Adult↗

PubMedDate not supplied

The lived experience of postpartum depression in a psychiatric population.

PROBLEM: Studies have examined the quantitative causal factors of postpartum depression. However, the lived experience of postpartum depression has not been investigated. METHOD: Using a psychophenomenological design, the investigators examined reports from seven clients with a psychiatric diagnosis of postpartum depression and the role life experiences played in their labor, delivery, and postpartum periods. FINDINGS: Phenomenological analysis indicated that the psychological and physiological effects of abuse interact to create a cognitive frame of reference similar to the experience of abuse. CONCLUSION: The normal developmental event of childbearing contributes to the recall of abuse and sets the stage for postpartum depression.

Adaptation, Psychological↗