Single, Medicaid Eligible Mothers' Perceptions of Multiple System Effectiveness in Meeting Their Needs

2.50
Hdl Handle:
http://hdl.handle.net/10755/158532
Type:
Presentation
Title:
Single, Medicaid Eligible Mothers' Perceptions of Multiple System Effectiveness in Meeting Their Needs
Abstract:
Single, Medicaid Eligible Mothers' Perceptions of Multiple System Effectiveness in Meeting Their Needs
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2007
Author:Keating-Lefler, Rebecca, PhD, RN
P.I. Institution Name:University of Nebraska Medical Center College of Nursing
Contact Address:, Omaha, NE, 68102, USA
Co-Authors:D. Brage-Hudson and C. Campbell-Grossman, University of Nebraska Medical Center College of Nursing, Omaha, NE
Purpose: The purpose of this grounded theory study was to explore and describe single, unpartnered, Medicaid eligible mothers' perceptions of the effectiveness of the healthcare system, the welfare system and their own personal support systems in meeting their needs prior to and after the birth of their baby. Design: Grounded theory. Methods: Semi structured interviews were conducted and audiotaped with 35 single, unpartnered, Medicaid-eligible mothers. One interview lasting 1 to 1.5 hours was conducted with twenty-four women before their child's first birthday. Two women completed two interviews at 1 and 2 months postpartum and nine women participated in three interviews at 1, 2, and 3 months postpartum. Data analysis was completed using the constant comparative method of data analysis. Findings: The women used the basic social psychological process of 'Climbing back one day at a time' to manage their basic social psychological problem of 'Falling through the cracks.' 'Falling through the cracks' included three themes titled, disappointments in the healthcare system, barriers to the welfare system, and unstable personal support systems. 'Climbing back one day at a time' included three themes titled, never giving up, positive persistence, and love that empowers. Conclusions: The participants shared multiple experiences that described their perceptions of effectiveness of the systems. The thoughtful and constructive criticism that was shared provides direction for critical evaluation and thoughtful modification of the present prenatal and postpartum care of women and evaluation of the welfare system's effectiveness in meeting the needs of the women and children living in poverty in our country. Critical assessment of the personal social support available for women and children needs to be a strong focus of the assessment completed by nurses prior to the discharge of women after the birth of their infant to help insure healthy and safe home environments for the family.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleSingle, Medicaid Eligible Mothers' Perceptions of Multiple System Effectiveness in Meeting Their Needsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/158532-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Single, Medicaid Eligible Mothers' Perceptions of Multiple System Effectiveness in Meeting Their Needs</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2007</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Keating-Lefler, Rebecca, PhD, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Nebraska Medical Center College of Nursing</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">, Omaha, NE, 68102, USA</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">rkeating@unmc.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">D. Brage-Hudson and C. Campbell-Grossman, University of Nebraska Medical Center College of Nursing, Omaha, NE</td></tr><tr><td colspan="2" class="item-abstract">Purpose: The purpose of this grounded theory study was to explore and describe single, unpartnered, Medicaid eligible mothers' perceptions of the effectiveness of the healthcare system, the welfare system and their own personal support systems in meeting their needs prior to and after the birth of their baby. Design: Grounded theory. Methods: Semi structured interviews were conducted and audiotaped with 35 single, unpartnered, Medicaid-eligible mothers. One interview lasting 1 to 1.5 hours was conducted with twenty-four women before their child's first birthday. Two women completed two interviews at 1 and 2 months postpartum and nine women participated in three interviews at 1, 2, and 3 months postpartum. Data analysis was completed using the constant comparative method of data analysis. Findings: The women used the basic social psychological process of 'Climbing back one day at a time' to manage their basic social psychological problem of 'Falling through the cracks.' 'Falling through the cracks' included three themes titled, disappointments in the healthcare system, barriers to the welfare system, and unstable personal support systems. 'Climbing back one day at a time' included three themes titled, never giving up, positive persistence, and love that empowers. Conclusions: The participants shared multiple experiences that described their perceptions of effectiveness of the systems. The thoughtful and constructive criticism that was shared provides direction for critical evaluation and thoughtful modification of the present prenatal and postpartum care of women and evaluation of the welfare system's effectiveness in meeting the needs of the women and children living in poverty in our country. Critical assessment of the personal social support available for women and children needs to be a strong focus of the assessment completed by nurses prior to the discharge of women after the birth of their infant to help insure healthy and safe home environments for the family.</td></tr></table>en_GB
dc.date.available2011-10-26T21:09:00Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T21:09:00Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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