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Relationship is a central concept to the delivery of quality perinatal bereavement care. This article explores relevant bereavement research and clinically based writings about relationship in the care of families experiencing perinatal loss. Focusing on relationship provides a framework to guide interventions that will be perceived as meaningful and(More)
It is a well-established fact that nutrition is central to the growth and development of all infants. Yet it has been observed that health care professionals are frequently unfamiliar with the most typical infant feeding practices of the clients within the communities they attempt to serve. This observation was apparent during the development of a program(More)
PURPOSE To extend understanding of women's experience of miscarriage by exploring their approach to decisions about what to do after learning a miscarriage was likely. STUDY DESIGN AND METHODS Using dimensional analysis, a technique generic to grounded theory, we analyzed interview transcripts of 23 women who experienced miscarriage (before 14 weeks(More)
The effect of guided participation (GP) on premature infant and maternal feeding competencies was examined, controlling for infant, maternal, and family conditions. Competencies were examined longitudinally and within age (1, 4, 8, and 12 months post-term age) for 42 mother-infant pairs randomly assigned to either GP or Standard Care (SC) groups. The(More)
Rituals provide meaning and order to transitions, and symbolically connect people and events. Despite the prevalence of perinatal loss (miscarriage, stillbirth, and newborn death) and pediatric deaths, little has been written about the use of rituals surrounding these losses. The purpose of this article is to define the dimensions of a ritual as each(More)
OBJECTIVE Explore the feasibility, usefulness, and outcomes of a pilot program to support mothers in developing competencies for managing health problems of their very low birth-weight (VLBW) infants in partnership with the primary care clinician (PCC). DESIGN In a randomized study, mothers who received guided participation (GP) and printed guidelines for(More)
Adequate feeding is an area of concern for both clinicians and parents of very low-birth-weight, premature infants while in the special-care nursery and through at least the first postterm year. How feeding issues are labeled or described may make a difference in the effectiveness with which they are addressed by families and professionals. Internal working(More)
Parenting transition is a process prompted by infant developmental changes and may be defined by motivations for caregiving and the goals they indicate. Qualitative exploration of neonatal and 1-year feeding experience of 22 mothers of very-low-birth-weight infants revealed 3 types of caregiving-related motivations-nurturing, relating, and shaping quality(More)
Exploration of mothers' understanding of their infants was guided by the concept of internal working model of caregiving, which includes relationship-relevant expectations and intentions. Twenty-nine mothers of healthy, term infants participated in semistructured interviews concerning actual and hypothetical caregiving episodes. Expectations and intentions(More)
Nurses have a critical role in family development of competencies for giving care to very low birth-weight infants, However, current information-based methods of preparation may be inadequate for competency development. This article describes a continuing education program designed to strengthen nurses' support of families in developing caregiving(More)