Biomedical subjects

V Jirapaet

Publications and source records attributed to V Jirapaet.

3 recordsLinked to original sources

PubMed2001

Factors affecting maternal role attainment among low-income, Thai, HIV-positive mothers.

This phenomenological study used content analysis of interview data to explore factors affecting maternal role attainment in a convenience sample of 39 low-income, Thai, HIV-positive mothers selected for their successful adaptation. All mothers reported feeling comfortable in their maternal roles and achieved greater than 80% of the total score on the Maternal Behavioral Questionnaire. In-depth interviews were conducted regarding the life experience of the mothers. The results revealed the mothers' uses of internal and external resources to attain their maternal roles. Six factors were identified: (a) setting a purpose for life, that is, to raise the infant; (b) keeping secrets from others; (c) a feeling of normalization; (d) having good quality of support from others; (e) having hope for an HIV cure; and (f) receiving accessible, pleasant health services that protect anonymity regarding HIV status. The results suggest that nurses can promote maternal role attainment by supporting the mothers' management style.

Adaptation, Psychological↗

PubMedDate not supplied

Effects of an empowerment program on coping, quality of life, and the maternal role adaptation of Thai HIV-infected mothers.

The objective of this study was to explore strategies for improving the appropriateness of a health care delivery model to meet HIV-infected mothers' complex needs. A participatory action research paradigm was used as a process for an empowerment program (EP) and to elucidate the essential components of the program identified by these mothers. To test the EP's effectiveness, a nonequivalent control group pretest-posttest, quasi-experimental design was used. The participants included 94 Thai HIV-infected mothers rearing their own infants, with 46 in the 6-week experimental group and 48 in the control group. Study findings showed that the mothers in the EP group significantly increased levels of coping ability, quality of life, and maternal role adaptation when compared to mothers in the control group. In addition, data analysis revealed five components of the EP that were identified by mothers as essential for HIV-infected mothers' psychological well-being and their maternal role adaptation. These interventions included peer group meetings, professional support on infant rearing and maternal self-care, stress management, access to available social support, and alternative medicine. The mothers reported greater autonomy, accountability, collegiality, and more effective communication by the implication process of the EP.

Adaptation, Psychological↗

PubMedDate not supplied

A computer expert system prototype for mechanically ventilated neonates development and impact on clinical judgment and information access capability of nurses.

A computer expert system is an alternative method of training and providing real-time clinical decision support for nurses to advance their practices from a novice to a proficient level. The purpose of this study was twofold: (1) to develop a prototype of a computer expert system for mechanically ventilated neonates (ES-MVN) and (2) to assess the impact of the ES-MVN on the clinical judgment and information access capability of nurses. Five steps used in developing the prototype are described in this article. The ES-MVN is a multimedia interactive consultation-based program that contains 2 major parts: the nursing diagnosis and the knowledge base on nursing care of mechanically ventilated neonates. A rule-based (Boolean frame) was chosen for the nursing diagnosis decision model. The prototype was developed on the Web server and a combination of computer applications operated in a Microsoft Windows environment. A quasi-experimental, 1-group pretest-posttest design was used to measure the efficacy of the ES-MVN in 16 neonatal intensive care unit registered nurses. Case simulations were used to test the nurses' clinical judgment performance. The results showed a significant increase in the nurses' performance scores of diagnoses and managed care after using the ES-MVN (t[15] = 17.21, P = .0001). The nurses' scores for perceptions of their information access capability and clinical judgment ability after receiving the ES-MVN were significantly higher than before installing the ES-MVN in the neonatal intensive care unit (ts[15] = 6.91 and = 17.53, Ps = .0001, respectively). The findings suggest the usefulness of the computer expert system as an effective tool to support nurses' clinical judgment in critical care situations and to provide access to information at the practice site.

Adult↗