DOI QR코드

DOI QR Code

A concept analysis of high-risk pregnant nursing: Using hybrid model

하이브리드 모형을 이용한 고위험 임부 간호의 개념 분석

  • Chae, Miyoung (Department of Nursing, Kwangju Women's University) ;
  • Kim, Hyunjin (Department of Nursing, Suwon Women's University)
  • 채미영 (광주여자대학교 간호학과) ;
  • 김현진 (수원여자대학교 간호학과)
  • Received : 2021.06.30
  • Accepted : 2021.09.20
  • Published : 2021.09.28

Abstract

The purpose of this study is to identify and clarify the concept of high-risk pregnant nursing. This study used Schwartz-Barcott & Kim's hybrid model to identify the main attributes and indicators. In the fieldwork stage, data were collected in Seoul. The participants were 10 nurses working in the who performed direct nursing care for high risk pregnant women in the high risk ward for more than 5 years. The concept of high-risk pregnant nursing was found to have 5 attributes and 37 indicators in 3 dimensions. The concept analysis high-risk pregnant nursing in this study could provide guidelines for high-risk pregnant nursing and lay a theoretical foundation.support' nursing practice and be useful for research in the women's health field..

본 연구의 목적은 고위험 임부 간호의 개념 정의 및 분석을 하기 위함이다. 이 연구는 Schwartz - Barcott & Hesook Suzie Kim의 하이브리드 모형을 사용하여 분석하였다. 하이브리드 모델을 사용하여 주요 속성과 지표를 식별하고, 현장 실사 고위험 임부 병실에서 고위험 임부를 직접 간호를 수행한 5년 이상 수행한 간호사 10을 면담하여 자료를 수집하였다. 그 결과 3가지 차원, 5가지 속성, 37개의 지표로 도출되었다. 본 연구로 고위험 임부 간호의 개념 분석은 고위험 임부 간호에 대한 지침을 제공할 수 있으며 이론적 초석을 마련할 수 있다.

Keywords

Acknowledgement

This paper was supported by Research Funds of Kwangju Women's University in KWUI21-058

References

  1. D. K., James, P. J., C. P., Weiner & B. Gonik, (2010). High risk pregnancy e-book: management options-expert consult. Riverport Lane:Elsevier Health Sciences Publishing.
  2. National Institute for Health and Care Excellence (2015). NICE guideline NG 25 preteterm labour and birth. https://www.nice.org.uk/guidance/ng25
  3. L. L. Chuang, L. C. Lin, P. J. Cheng, C. H. Chen, S. C., Wu & C. L.Chang. (2012). Effects of a relaxation training programme on immediate and prolonged stress responses in women with preterm labour. Journal of Advanced Nursing, 68(1), 170-180. DOI : 10.1111/j.1365-2648.2011.05765.x
  4. L. B. Rubarth, A. M. Schoening, A. Cosimano & H. Sandhurst. (2012). Women's experience of hospitalized bed rest during high-risk pregnancy. Journal of Obstetric, Gynecologic & Neonatal Nursing, 41(3), 398-407. DOI : 10.1111/j.1552-6909.2012.01349.x
  5. R. D. Leichtentritt, N. Blumenthal, A. Elyassi & S. Rotmensch. (2005). High-risk pregnancy and hospitalization the women's voices. Health & Social Work, 30(1), 39-47. DOI : 10.1093/hsw/30.1.39
  6. R. P. Lederman, E. Boyd, K. Pitts, C. Roberts-Gray, M. Hutchinson & S. Blackwell. (2013). Maternal development experiences of women hospitalized to prevent preterm birth. Sexual & Reproductive Healthcare, 4(4), 133-138. DOI : 10.1016/j.srhc.2013.10.004
  7. J. F. M. Van Den Heuvel, C. J. Teunis, A. Franx, N. M. T. H. Crombag & M. N. Bekker. (2020). Home-based telemonitoring versus hospital admission in high risk pregnancies: a qualitative study on women's experiences. BMC Pregnancy and Childbirth, 20(1), 1-9. DOI : 10.1186/s12884-020-2779-4
  8. H. J. Kim & N. M. Chun. (2020). Effects of a supportive program on uncertainty, anxiety, and maternal-fetal attachment in women with high-risk pregnancy. Korean Journal of Women Health Nursing, 26(2), 180-190. DOI : 10.4069/kjwhn.2020.06.17
  9. H. J. Kim et al. (2018). Job analysis of maternal fetal intensive care unit nurses using DACUM technique. Journal of Korean Clinical Nursing Research, 24(1), 10-22. DOI : 10.22650/JKCNR.2018.24.1.10
  10. M. Y. Kim (2017). Development and evaluation of an interaction program for pregnant women with preterm labor: based on cox's interaction model of client health behavior model. Doctoral dissertation. Yon-Sei University, Seoul.
  11. G. Y. Go & H. J. Park. (2017). Effects of aroma ihalation therapy on stress, anxiety, depression, and the autonomic nervous system in high-risk pregnant women. Korean Journal of Women Health Nursing, 23(1), 33-41. DOI : 10.4069/kjwhn.2017.23.1.33
  12. R. H. Hwang. (2013). Relationship between maternal fetal attachment and state anxiety of pregnant women in the preterm labor. Korean Journal of Women Health Nursing, 19(3), 142-152. DOI : 10.4069/kjwhn.2013.19.3.142
  13. E. M, Kim & S. Hong. (2018). Impact of uncertainty on the anxiety of hospitalized pregnant women diagnosed with preterm labor focusing on mediating effect of uncertainty appraisal and coping style. Journal of Korean Academy of Nursing, 48(4), 485-496. DOI : 10.4040/jkan.2018.48.4.485
  14. M. Janighorban, M. Allahdadian, F. Mohamadi, A. Dadkhah & A. A. Eslami. (2016). Need for consultation and training during bed rest in women with high risk pregnancy experience : a qualitative study. International Journal of Pediatrics, 4(5), 1705-1714. DOI : 10.22038/IJP.2016.6700
  15. Y. Kim, J. I. Kim, G. H. Jeong, H. S. Kang, M. Kim, S. H. Moon & M. Kim. (2019). A survey on the educational needs and competence of nurses in maternal fetal intensive care unit. Korean Journal of Women Health Nursing, 25(2), 194-206. DOI : 10.4069/kjwhn.2019.25.2.194
  16. H. Y. Kim & C. S. Moon. (2014). Integrated care center for high risk pregnancy and neonate: an analysis of process and problems in obstetrics. Korean Journal of Perinatology, 25(3), 140-152. DOI: 10.14734/kjp.2014.25.3.140
  17. D. Schwartz-Barcott & H. S Kim. (2000). An expansion and elaboration of the hybrid model of concept development. In: Rogers BL, Knafl KA, editors. Concept development in nursing: foundations, techniques, and applications. 2nd ed. Philadelphia: W.B. Sauders Company Publshing.
  18. Standard language dictionary. (2015). The National Institute of the Korea Language. http://stdweb2.korean.go.kr.
  19. L. R. Van Otterloo & C. D. Connelly. (2016). Maternal risk during pregnancy: a concept analysis. Journal of Clinical Nursing, 25(17), 2393-2401. DOI : 10.1111/jocn.13294
  20. L. Woodhart, J. Goldstone & D. Hatz. (2018). The stories of women who are transferred due to threat of preterm birth. Women and Birth, 31(4), 307-312. DOI : 10.1016/j.wombi.2017.10.015
  21. R. A. Kent, M. Yazbek, T. Heyns & I. Coetzee. (2015). The support needs of high-risk antenatal patients in prolonged hospitalisation. Midwifery, 31(1), 164-169. DOI: 10.1016/j.midw.2014.08.003
  22. L. E. Lynam & M. A. Miller. (1992). Mothers' and nurses' perceptions of the needs of women experiencing preterm labor. Journal of Obstetric, Gynecologic & Neonatal Nursing, 21(2), 126-136. DOI : 10.1111/j.1552-6909.1992.tb01731.x
  23. H. J. Kim & H. R. Park. (2018). Health-care needs of high-risk pregnant women hospitalized in maternal-fetal intensive care units: a mixed-methods design. Korean Journal of Women Health Nursing, 24(2), 196-208. DOI : 10.4069/kjwhn.2018.24.2.196
  24. J. C. Morrison, W. E. Roberts, J. S. Jones, N. Istwan, D. Rhea & G. Stanziano. (2004). Frequency of nursing, physician and hospital interventions in women at risk for preterm delivery. The Journal of Maternal-Fetal & Neonatal Medicine, 16(2), 102-105. DOI : 10.1080/jmf.16.2.102.105
  25. M. K. Kim, Y. W. Lee, I. S. Cho & J. Y. Lim. (2009). Change of stress and nursing needs after hospitalization in preterm labor women. Korean Journal of Women Health Nursing, 15(1), 24-31. DOI : 10.4069/kjwhn.2009.15.1.24
  26. H. J. Park & M. H. Sung. (2017). Effects of music therapy on stress of preterm labor and uterine contraction in pregnant women with preterm labor. Korean Journal of Women Health Nursing, 23(2), 109-120. DOI : 10.4069/kjwhn.2017.23.2.109
  27. R. H. Hwang. (2021). Effects of pregnant women's pregnancy stress and self-esteem on their depression. Journal of Digital Convergence, 19(5), 469-477. DOI : 10.14400/JDC.2021.19.5.469
  28. R. H. Hwang.. (2019). Effects of state-anxiety and dyadic adjustment on pregnant women's pregnancy stress. Journal of Digital Convergence, 17(5), 225-233. DOI : 10.14400/JDC.2019.17.5.225