Facilitating Prenatal Care Utilization With Orem's Theory of Self-Care Deficits for Women on St. Thomas, United States Virgin Islands

2.50
Hdl Handle:
http://hdl.handle.net/10755/159185
Type:
Presentation
Title:
Facilitating Prenatal Care Utilization With Orem's Theory of Self-Care Deficits for Women on St. Thomas, United States Virgin Islands
Abstract:
Facilitating Prenatal Care Utilization With Orem's Theory of Self-Care Deficits for Women on St. Thomas, United States Virgin Islands
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2007
Author:Cooksey-James, Tawna, PhD, RN
P.I. Institution Name:University of Iowa
Contact Address:College of Nursing, Iowa City, IA, 52245, USA
Early utilization of prenatal care positively affects pregnancy outcomes by reducing low birth weight, the greatest contributor to infant mortality. The purpose of this study was to describe the utilization of prenatal care for women on the island of St. Thomas in the United States Virgin Islands (USVI). In this qualitative study, forty-two women in the immediate postpartum period signed letters of consent and answered interview questions that elicited their perceived barriers to prenatal care. Descriptive statistics of the demographic data from this sample of women indicated that the primary ethnicity was Caribbean (83.3%) and Black (88.1%), and that the primary citizenship was outside of the United States (64.3%). While prenatal histories indicated that all of the women but one had used prenatal care at some point during their pregnancy, only 53.7% had begun early prenatal care in the first trimester. Using Orem's Theory of Self-Care Deficits, interview data of the perceived barriers to prenatal care were analyzed using content analysis and placed into mutually exclusive categories of patient, system, and financial. Exemplars from the women for each of these categories are shared. Using this nursing model, prenatal care barriers were identified, categorized, and now could be addressed with specific interventions that could decrease and/or eliminate barriers to prenatal care for this group of women. Recommendations from this study include using Orem's nursing model as an alternative to the medical model for improvement in the utilization of prenatal care. This study was partially funded by the Edward A. Dauer Scholarship Award and the U.S. Department of Health and Human Services, Public Health Service, Federal Nurse Traineeship Fund as implemented by the University of Miami, School of Nursing, Coral Gables, Florida.
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.titleFacilitating Prenatal Care Utilization With Orem's Theory of Self-Care Deficits for Women on St. Thomas, United States Virgin Islandsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/159185-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Facilitating Prenatal Care Utilization With Orem's Theory of Self-Care Deficits for Women on St. Thomas, United States Virgin Islands</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">Cooksey-James, Tawna, PhD, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Iowa</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">College of Nursing, Iowa City, IA, 52245, USA</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">tawna-cooksey-james@uiowa.edu</td></tr><tr><td colspan="2" class="item-abstract">Early utilization of prenatal care positively affects pregnancy outcomes by reducing low birth weight, the greatest contributor to infant mortality. The purpose of this study was to describe the utilization of prenatal care for women on the island of St. Thomas in the United States Virgin Islands (USVI). In this qualitative study, forty-two women in the immediate postpartum period signed letters of consent and answered interview questions that elicited their perceived barriers to prenatal care. Descriptive statistics of the demographic data from this sample of women indicated that the primary ethnicity was Caribbean (83.3%) and Black (88.1%), and that the primary citizenship was outside of the United States (64.3%). While prenatal histories indicated that all of the women but one had used prenatal care at some point during their pregnancy, only 53.7% had begun early prenatal care in the first trimester. Using Orem's Theory of Self-Care Deficits, interview data of the perceived barriers to prenatal care were analyzed using content analysis and placed into mutually exclusive categories of patient, system, and financial. Exemplars from the women for each of these categories are shared. Using this nursing model, prenatal care barriers were identified, categorized, and now could be addressed with specific interventions that could decrease and/or eliminate barriers to prenatal care for this group of women. Recommendations from this study include using Orem's nursing model as an alternative to the medical model for improvement in the utilization of prenatal care. This study was partially funded by the Edward A. Dauer Scholarship Award and the U.S. Department of Health and Human Services, Public Health Service, Federal Nurse Traineeship Fund as implemented by the University of Miami, School of Nursing, Coral Gables, Florida.</td></tr></table>en_GB
dc.date.available2011-10-26T21:47:09Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T21:47:09Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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