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Determinants of nurse-midwifery scre...

Murphy, Maureen L.

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Determinants of nurse-midwifery screening and intervention practices related to postpartum onset depressive mood disorders: A national survey.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	Determinants of nurse-midwifery screening and intervention practices related to postpartum onset depressive mood disorders: A national survey./
作者:	Murphy, Maureen L.
面頁冊數:	220 p.
附註:	Source: Dissertation Abstracts International, Volume: 66-12, Section: B, page: 6529.
Contained By:	Dissertation Abstracts International66-12B.
標題:	Health Sciences, Nursing. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3199258
ISBN:	9780542445767

Determinants of nurse-midwifery screening and intervention practices related to postpartum onset depressive mood disorders: A national survey.
Murphy, Maureen L.

Determinants of nurse-midwifery screening and intervention practices related to postpartum onset depressive mood disorders: A national survey. - 220 p.

Source: Dissertation Abstracts International, Volume: 66-12, Section: B, page: 6529.

Thesis (Ph.D.)--University of Massachusetts Lowell, 2005.

Postpartum onset major depression is a disabling and often unanticipated major depressive mood disorder with a substantial risk for protracted maternal and familial morbidity. Conceptual, methodological, and social barriers to early recognition, diagnosis, and treatment of maternal postpartum depressive illness compound the unlikely detection of depression during the traditionally singular postpartum follow-up visit. Severe depression warrants intervention; however, widespread controversy exists regarding optimal management of postpartum onset depressive mood disorders.

ISBN: 9780542445767Subjects--Topical Terms:

1017798
Health Sciences, Nursing.

Determinants of nurse-midwifery screening and intervention practices related to postpartum onset depressive mood disorders: A national survey.
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245 1 0 $a Determinants of nurse-midwifery screening and intervention practices related to postpartum onset depressive mood disorders: A national survey.
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500 $a Source: Dissertation Abstracts International, Volume: 66-12, Section: B, page: 6529.
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520 $a Postpartum onset major depression is a disabling and often unanticipated major depressive mood disorder with a substantial risk for protracted maternal and familial morbidity. Conceptual, methodological, and social barriers to early recognition, diagnosis, and treatment of maternal postpartum depressive illness compound the unlikely detection of depression during the traditionally singular postpartum follow-up visit. Severe depression warrants intervention; however, widespread controversy exists regarding optimal management of postpartum onset depressive mood disorders.
520 $a To date, there is no information on how certified nurse-midwives (CNMs) implicitly or explicitly negotiate management decisions for postpartum onset depressive mood disorders. This study is an important first step in directing a systematic inquiry to explore factors that may be associated with their recognition, intervention, and/or referral patterns of management for women with these disorders. This exploratory, cross-sectional, anonymous, self-administered survey targeted a sample of randomly selected certified nurse-midwives (n=369) for the purpose of identifying patterns of CNM management of postpartum depressive illness across the national collective American College of Nurse-Midwives membership. The Competing Demands in Psychosocial Care Model (CDPCM) (Klinkman, 1997) guided this inquiry to examine a number of factors (beliefs, attitudes, knowledge, and characteristics of practice and provider) that determine nurse-midwifery screening and intervention decisions related to postpartum onset depressive disorders.
520 $a Study results indicated that each factor contributed to patterns of midwifery management of postpartum depressive mood disorders. The strengths of the study rest in its ability to: (1) operationalize eight theoretical models of intervention specific to postpartum onset depression, and (2) identify statistically significant associations between a number of factors and specific intervention models of care. Profiles of significant factors illustrated which variables, singularly or in combination, are related to nurse-midwifery patterns of management (screening and intervention) for postpartum onset depressive mood disorders. Results from this study have implications for education, health promotion, public policy, practice, and future research.
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