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In the mind of beholder: Cognitive ...

Regan, Mary Jess.

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In the mind of beholder: Cognitive framing and obstetrical nursing practice.

Record Type:	Electronic resources : Monograph/item
Title/Author:	In the mind of beholder: Cognitive framing and obstetrical nursing practice./
Author:	Regan, Mary Jess.
Description:	196 p.
Notes:	Source: Dissertation Abstracts International, Volume: 66-03, Section: B, page: 1400.
Contained By:	Dissertation Abstracts International66-03B.
Subject:	Health Sciences, Nursing. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3167709
ISBN:	9780542036156

In the mind of beholder: Cognitive framing and obstetrical nursing practice.
Regan, Mary Jess.

In the mind of beholder: Cognitive framing and obstetrical nursing practice. - 196 p.

Source: Dissertation Abstracts International, Volume: 66-03, Section: B, page: 1400.

Thesis (Ph.D.)--University of Minnesota, 2005.

Concern continues to rise over consistently escalating cesarean section (CS) rates because of the association with increased maternal and neonatal morbidity and mortality. In recognition of this professional organizations governing obstetrical practice have called for research into the problem. Many variables are known to influence CS rates, including nursing care which until recently was assumed to reduce utilization of the procedure. However, new research linking nursing care with CS reported that in spite of specific education, there was no reduction in CS rates between continuous (nursing) care versus usual (intermittent nursing) care groups. The researchers concluded that the finding may be attributed to the "powerful influence...[of]...organizational culture, characterized by high rates of routine medical interventions" on nursing care. This identified a gap in the literature about what is known about obstetrical nursing since no research has addressed nurses cognitive orientations toward childbirth or the influence that these might have on practice. This study investigated how nurses think about childbirth in order to recognize cognitive frames that could influence nursing practice and in certain circumstances lead to CS. Specifically it (1) Identified and documented the cognitive frames or orientations used by practicing labor and delivery nurses to structure intrapartum care (2) Generated hypotheses that explained how or why nurses influence the utilization of CS. The study used a projective method administered to nurses who volunteered to participate who worked in the birthing units of two urban hospitals in the Midwestern United States. Three cognitive frames were identified that were implicated in utilization of CS and other birth technologies.

ISBN: 9780542036156Subjects--Topical Terms:

1017798
Health Sciences, Nursing.

In the mind of beholder: Cognitive framing and obstetrical nursing practice.
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520 $a Concern continues to rise over consistently escalating cesarean section (CS) rates because of the association with increased maternal and neonatal morbidity and mortality. In recognition of this professional organizations governing obstetrical practice have called for research into the problem. Many variables are known to influence CS rates, including nursing care which until recently was assumed to reduce utilization of the procedure. However, new research linking nursing care with CS reported that in spite of specific education, there was no reduction in CS rates between continuous (nursing) care versus usual (intermittent nursing) care groups. The researchers concluded that the finding may be attributed to the "powerful influence...[of]...organizational culture, characterized by high rates of routine medical interventions" on nursing care. This identified a gap in the literature about what is known about obstetrical nursing since no research has addressed nurses cognitive orientations toward childbirth or the influence that these might have on practice. This study investigated how nurses think about childbirth in order to recognize cognitive frames that could influence nursing practice and in certain circumstances lead to CS. Specifically it (1) Identified and documented the cognitive frames or orientations used by practicing labor and delivery nurses to structure intrapartum care (2) Generated hypotheses that explained how or why nurses influence the utilization of CS. The study used a projective method administered to nurses who volunteered to participate who worked in the birthing units of two urban hospitals in the Midwestern United States. Three cognitive frames were identified that were implicated in utilization of CS and other birth technologies.
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