PubMed Health⌕ Search

Biomedical subjects

Kathleen F Gaffney

Publications and source records attributed to Kathleen F Gaffney.

6 recordsLinked to original sources

Postpartum tobacco use: developing evidence for practice.

Most women who quit smoking during pregnancy return to tobacco use within 6 months after delivery. Findings demonstrate that minimal intervention effectiveness exists with strategies to prevent postpartum smoking relapse. This article provides a synthesis of current research on postpartum tobacco use. Whether in the labor and delivery suite, the postpartum floor, or the neonatal ICU, acute and critical care nurses have a valuable role to help reduce the incidence of tobacco-related maternal and child outcomes.

Acute Disease↗

Postpartum smoking relapse and becoming a mother.

PURPOSE: To propose an innovative, theoretically-derived conceptual framework for studies of postpartum smoking relapse including concepts of smoking abstinence self-efficacy and becoming a mother. METHODS: Presentation of an existing research paradigm followed by evidence from intervention research and studies of factors associated with postpartum smoking behavior, leading to a new approach to postpartum smoking relapse. FINDINGS: Effectiveness of current interventions to prevent relapse is limited. Variables associated with becoming a mother are missing from studies of postpartum smoking relapse. CONCLUSIONS: Context-specific variables that influence a woman's progression through the stages of becoming a mother might include protective or risk factors that should be incorporated into the design of postpartum smoking relapse studies.

Adaptation, Psychological↗

Questionnaires for the measurement of infant environmental tobacco smoke exposure: a systematic review.

A necessary prerequisite for reducing infant morbidity associated with passive smoking is effective measurement of this health risk factor. The purpose of this review was to evaluate questionnaires currently used in research to measure infant environmental tobacco smoke (ETS) exposure. Systematic searches were conducted using MEDLINE and CINAHL databases to identify current studies of infant ETS exposure. Sixty research reports published between 1996 and 2002 met the selection criteria. All of these investigations used brief investigator-developed, parental self-reports; no two studies used the same questionnaire. Reliability testing for questionnaires was lacking. Preliminary support for concurrent and construct validity is presented. Nursing studies are needed that lead to the development of ETS exposure questionnaires with established reliability and validity that measure both risk and protective mechanisms that occur in the infant environment.

Biomarkers↗

Early clinical assessment for harsh child discipline strategies.

PURPOSE: To examine the relationships among four maternal variables: 1) prenatal report of discipline expectant mothers received when they were children, 2) prenatal intentions for disciplining one's own child, 3) report of intended child discipline strategies when infant is 8 months old, and 4) observed maternal role sufficiency behaviors. DESIGN: Replication and extension study; 3-wave prospective longitudinal design. METHODS: The procedure consisted of prenatal clinic interviews in which women (N = 185) reported how their mothers handled specific child behaviors and how they intended to handle the same behaviors with their children. During a home visit when their babies were 8 months old, the mothers (n = 126) were again asked how they intended to handle these behaviors, and observations were made of maternal role sufficiency behaviors. Correlation and regression analyses were performed with data generated from an adaptation of the Ways of Handling Irritating Behavior scale, the NCAST Teaching Scale, and the HOME scale. RESULTS: A significant relationship was found between mothers' prenatal reports of discipline received as a child and prenatal reports of intentions for disciplining their own children. For mothers of infants, reported intentions for future child discipline strategies were predicted by their prenatal reports. Mothers with clinically at-risk scores on the NCAST Teaching Scale and HOME scale reported more intended harsh child discipline strategies than those not at-risk. CLINICAL IMPLICATIONS: Assessment for harsh, nonnurturing child discipline strategies during prenatal and well-baby health maintenance checks may assist in uncovering "red flags" for early intervention to reduce the risk of later child abuse and neglect.

Adult↗

Smoking among female college students: a time for change.

The transition from high school to college begins a time of personal growth accompanied by normal developmental stressors. Some young women use smoking as a coping mechanism. The immediate danger for these students is nicotine dependence, with subsequent maternal and child morbidities. College provides an optimal time to break this devastating trajectory. With an understanding of psychosocial development, nurses who care for college-age women can effect changes in smoking behavior.

Adaptation, Psychological↗