Development of antepartal data set elements for nurse-midwifery care / Amy Jo Levi.

Format:

Book

Manuscript

Microformat

Thesis/Dissertation

Author/Creator:

Levi, Amy Jo.

Contributor:

Thompson, Joyce Beebe, advisor.

University of Pennsylvania.

Language:

English

Subjects (All):

Penn dissertations--Nursing.

Nursing--Penn dissertations.

Nursing.

Academic Dissertations as Topic.

Medical Subjects:

Nursing.

Academic Dissertations as Topic.

Local Subjects:

Penn dissertations--Nursing.

Nursing--Penn dissertations.

Physical Description:

viii, 86 pages ; 29 cm

Production:

2000.

Summary:

The use of minimum data sets (MDS) has become integral to managing information in health care. The American College of Nurse-Midwives is redesigning the Nurse-Midwifery Clinical Data Set to function as a MDS to improve efficiency of data management and aggregation of data for all types of nurse-midwifery practices. The purpose of this study was to identify the processes of care used by certified nurse-midwives (CNM) providing antenatal care to assist with the construction of the antepartal portion of the Midwifery MDS. Donabedian's (1980) conceptual model for quality in health care guided the study. A content analysis was conducted of 15 videotaped antepartal visits performed by CNMs, using an instrument based on the nurse-midwifery care process described by Thompson, Oakley, Burke, Jay, and Conklin (1989). In addition, the CNMs who were videotaped reviewed their visits and provided commentary to further describe their behaviors. A total of 442 recording units from the videotapes were analyzed. Analysis of the videotapes and the CNMs' descriptions elucidated five processes of care in addition to those described by Thompson et at.: use of self/therapeutic personal presence, use of touch, use of humor, use of intuition, and the experience of joy in their work. The identification of these five additional processes of care indicate that the processes of care described by Thompson et al. are not inclusive of all of the behaviors used by CNMs in the course of their care. Further investigation is needed to assist in the application of these processes of care to the development of discreet and descriptive behaviors that can be quantified as the antepartal data set elements.

Notes:

Supervisor: Joyce E. Thompson.

Thesis (Ph.D. in Nursing) -- University of Pennsylvania, 2000.

Includes bibliographical references.

Local Notes:

University Microfilms order no.: 99-65515.

OCLC:

244971304