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Biomedical subjects

M W Byrne

Publications and source records attributed to M W Byrne.

16 recordsLinked to original sources
PubMed2003

Culture-derived strategies of a paediatric home-care nursing specialty team.

This is an ethnographic study of one paediatric home-care nursing specialty team that cares for children and their families affected by perinatal human immunodeficiency virus (HIV) disease. Observations made by the investigator as part of a larger study suggested that the intricacy and breadth of nursing knowledge and actions that were actually used far exceeded what the standard documentation recorded. Spradley's Developmental Research Sequence, combining methods of participant observation and interviewing, was used to answer the question: What nursing strategies are used in managing the health needs of HIV-exposed infants in a home-care programme? Thematic analyses revealed that the visit process had four essential elements, as perceived and lived by the nurses: the pursuit; the connection; the work; and the disengagement. This full scope of nursing strategies for assisting and empowering these families remains largely invisible, limited to verbal transmission to family caregivers and among nurses. It needs to be documented, claimed and further studied by nursing.

Caregivers↗
PubMed2001

Continuing nursing care needs of children at time of discharge from one regional medical center in Sweden.

Hospital nurses used an investigator designed survey instrument to record demographics and anticipated nursing needs of 29 children discharged from 7 units during a 1 month period. The median age of the children was 18 months and 77% of the sick children had one or more siblings. Parental leave enabled most parents to participate in the child's hospital care. Over three quarters of the families reported no support person available to assist them at home. At time of discharge 42% of the children required long-term nursing interventions related to chronic illness. Nurses trained parents visiting in the hospital for an average of 3 hours and 40 minutes per family before discharge. Nurses also arranged an informal system of follow-up telephone contact but few community referrals. With decreasing length of hospital stay, parents need a formal system of nursing support before and after the discharge of their child from a hospital.

Adolescent↗
PubMed1998

Productive international faculty exchange: one Columbia University to Gothenburg University example.

This article describes the preparation, implementation and outcomes of a visiting professor exchange experience from the United States to Sweden, and provides recommendations for other faculty who may be asked to enact a similar international role. The major goals of the visit were to coalesce the themes of the earlier administrative contacts into specific projects, and to model a scholarly faculty role consistent with the Columbia University School of Nursing mission as a World Health Organization Collaborating Centre for International Nursing Development. Professional nursing activities during the exchange visit were comprised of three main categories: teaching, consultation, and socialization. Strategies are described that enhanced the bilingual lectures for the Swedish students. The relationships that developed from consulting at the college and on site at various clinical locations culminated in the mutual identification of collaborative research projects and plans for the cross-cultural adaptation of the author's parent education model. Recommendations are made concerning the range of philosophical, institutional, professional and personal resources needed for international exchanges.

Education, Nursing, Graduate↗
PubMed1998

Feeding interactions in a cross section of HIV-exposed infants.

In a purposive sample of HIV-exposed infants, Nursing Child Assessment Satellite Training (NCAST) Feeding Scale measurements of caregiver-infant interaction during one feeding occasion in a clinic demonstrated both strengths and weaknesses in the interaction. Twelve dyads included 6 birth mothers, 2 biological fathers, 3 foster mothers, and 1 kinship guardian, who were primary caregivers for 4 Hispanic, 1 Vietnamese, and 7 African American infants, ranging in age from 2 weeks to 12 months. Caregivers were sensitive to infants' cues and responsive to their distress, and infants were clear in conveying cues and responsive to their caregivers. The use of the feeding interaction to foster social-emotional growth was less than expected. Contingency of behavior between caregivers and infants was also deficient. Four dyads had caregiver scores at or below the risk cutoff point.

Adult↗
PubMed1997

Room-to-grow: responding to community cultural needs to support positive parenting.

Preventive services to assist parents to understand their children's developmental needs and to devise positive, culturally appropriate strategies for managing them are not recognized as important by most third party health service payers, especially managed care programs. Room-To-Grow is an intervention designed to meet identified community needs in a culturally appropriate and sensitive way. This article discusses the evolution of this intervention and the problems encountered in finding appropriate reimbursement streams.

Community Health Nursing↗