Jordan University of Science & Technology s3

Jordan University of Science and Technology Faculty of Nursing Department of Maternal-Child Nursing Semester 2006-07 Advanced Maternal-Newborn Nursing Theory (2) Course Syllabus Course Information Course Title Advanced Maternal-Newborn Nursing Theory (2) Course Code Nur. 743 Prerequisites Nur. 740 Course Website NA Instructor Lubna Abushaikha, RN, MSN, PhD Salwa Al-Obeisat, RN, MSN, DNSc Office Location Office Phone # 23709 23720 Office Hours Wed 1-3pm E-mail [email protected]

[email protected]

Teaching NA Assistant(s) Course Description This course builds on previous knowledge gained in Nur. 740 & 741 and focuses on advanced theory and knowledge base related to high-risk women, newborns and their families. Health problems related to high-risk antenatal, intrapartal and postnatal periods will be discussed. Advanced concepts and roles of the clinical nurse specialist pertaining to holistic care of high-risk women, newborns and their families will be discussed.

Textbook Title Maternal-Newborn Nursing: theory and practice Author(s) Nichols, F. & Zwelling, E. Publisher W.B. Saunders Year 1997 Edition - Book Website - Other references Lowdermilk, D. & Perry, S I. (2004). Maternity & women’s health care, (8th ed.). St. Louis: Mosby

Assessment Assessment Expected Due Date Percentage Term paper 30% Presentation 20% Final Exam 30% Participation 20% Course Objectives Percentage 1. Analyze the effects of pathophysiological and psychological processes of 15% high-risk pregnancy, labor and birth, postpartum and newborn on the utilization of innovative nursing care.

2. Analyze the impact of ethical, political, social, and technological dimensions 10% on the health of the high-risk women, newborns and their families. 3. Design advanced nursing care strategies based on theoretical model and 15% current research for high-risk women, newborns and their families. 4. Utilize a family-centered approach when providing care for high-risk women, 20% newborns and their families. 5. Integrate critical thinking and problem-solving skills when dealing with high- 10% risk women, newborns and their families... 6. Critically discuss the assessment and decision-making skills that are 10% required to make differential diagnosis pertaining to high-risk pregnancy, labor and birth, postpartum and newborns 7. Discuss the effects of psychological and physiological changes of high-risk 10% pregnancy, labor and birth, and the postpartum periods on the utilization of specific innovative nursing interventions. 8. Discuss the indications for high-risk antenatal, labor and birth, postpartum, 10% and newborn procedures and their impact on women. fetuses and newborns.

Teaching & Learning Methods

- Lecture discussion - Presentations - Audio-visual materials.

Useful Resources Textbooks:

Clements, S (1998) Psychological Perspectives on Pregnancy and Childbirth Churchill Livingstone.

Jordan, B. (1993) Birth in four cultures: a cross cultural investigation of childbirth in Yuca, 4th Edition, Prospect Heights: Waveland Press.

Palmer, A., Burns, S. & Bulman, C. (1994) Reflection in Nursing Blackwell Scientific Oxford

Schott, J. & Henley, A. (1996) Culture, Religion and High-risk in a Multiracial Society Oxford Butterworth-Heinemann

Tew, M. (1998) Safer Childbirth? A critical history of maternity care London: Free Association Books.

WHO (1994). Maternal health and Safe Motherhood Mother -Baby Package: Implementing safe motherhood in countries. WHO: Geneva

Articles: Davidson MR. Outcomes of high-risk women cared for by certified nurse-midwives. J Midwifery Women’s Health. 2002, 47(1):46-9.

Mottola CA, Murphy P. Antidote Dilemma--an activity to promote critical thinking. J Contin Educ Nurs. 2001, 32(4):161-4.

Beauman SS. Identifying high-risk pregnancies and deliveries. Neonatal Netw. 2000, 19(1):37, 42- 3.

Harrison MJ, Kushner KE, Benzies K, Kimak C, Jacobs P, Mitchell BF. In-home nursing care for women with high-risk pregnancies: outcomes and cost. Obstet Gynecol. 2001,97(6): 982-7.

Gupton A, Heaman M, Cheung LW. Complicated and uncomplicated pregnancies: women's perception of risk. J Obstet Gynecol Neonatal Nurs. 2001, 30(2): 192-201.

James DC, Simpson KR, Knox GE. How do expert labor nurses view their role? J Obstet Gynecol Neonatal Nurs. 2003,32(6):814-23.

Martin-Arafeh JM, Watson CL, Baird SM. Promoting family-centered care in high risk pregnancy. J Perinat Neonatal Nurs. 1999 13(1):27-42, quiz 94-5.

Fleschler RG, Knight SA, Ray G. Severity and risk adjusting relating to obstetric outcomes, DRG assignment, and reimbursement. J Obstet Gynecol Neonatal Nurs. 2001,30(1):98-109.

Koniak-Griffin D, Turner-Pluta C. Health risks and psychosocial outcomes of early childbearing: a review of the literature. J Perinat Neonatal Nurs. 2001,15(2):1-17.

Chervenak FA, McCullough LB. Neglected ethical dimensions of the professional liability crisis. Am J Obstet Gynecol. 2004, 190(5):1198-200.

Eisenberg VH, Schenker JG. Pregnancy in the older woman: scientific and ethical aspects. Int J Gynaecol Obstet. 1997,56(2):163-9.

Newberger DS. Down syndrome: prenatal risk assessment and diagnosis. Am Fam Physician. 2000 15,62(4):825-32, 837-8.

Rosendorff J, Evan P. Amniocentesis--too dangerous and too late? S Afr Med J. 1999,89(11):1120.

Kuppermann M, Goldberg JD, Nease RF Jr, Washington AE. Who should be offered prenatal diagnosis? The 35-year-old question. Am J Public Health. 1999,89(2):160-3.

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Neumann M, Graf C. Pregnancy after age 35. Are these women at high risk? AWHONN Lifelines. 2003, 7(5):422-30.

Barber D. The extended role of the nurse: practical realities. Hum Fertil (Camb). 2002 , 5(1):13-6.

Kidner MC, Flanders-Stepans MB. A model for the HELLP syndrome: the maternal experience. J Obstet Gynecol Neonatal Nurs. 2004,33(1):44-53.

Bridges EJ, Womble S, Wallace M, McCartney J. Hemodynamic monitoring in high-risk obstetrics patients, II. Pregnancy-induced hypertension and preeclampsia. Crit Care Nurse. 2003, 23(5):52-7.

Smith S. The lost children. Contemp Nurse. 1999,8(1):245-51.

Salvador A, Davies B, Fung KF, Clinch J, Coyle D, Sweetman A. Program evaluation of hospital- based antenatal home care for high-risk women. Hosp Q. 2003,6(3):67-73, 4

Velez LL, Toal K, Goodwin SA. Two lives on the line: a case study in obstetric critical care. Crit Care Nurse. 2002, 22(6):20-6, quiz 27-8.

Little M, Saul GD, Testa K, Gaziano C. Improving pregnancy outcome and reducing avoidable clinical resource utilization through telephonic perinatal care coordination. Lippincotts Case Manag. 2002,7(3):103-12.

Zampieri MF Experiencing the educational process in nursing with high risk pregnant women and their companions. Rev Gaucha Enferm. 2001,22(1):140-66. Portuguese.

Scott L. First-rate care for women with problems in pregnancy. Nurs Times. 2001,97(24):38-9.

Peters RM, Flack JM. Hypertensive disorders of pregnancy. J Obstet Gynecol Neonatal Nurs. 2004, 33(2):209-20

Beauman SS. Identifying high-risk pregnancies and deliveries. Neonatal Netw. 2000, 19(1):37, 42- 3.

Harrison MJ, Kushner KE, Benzies K, Kimak C, Jacobs P, Mitchell BF. In-home nursing care for women with high-risk pregnancies: outcomes and cost. Obstet Gynecol. 2001,97(6):982-7.

Annells MF. The role of the midwife when the pathology report states your pregnant client has bacterial vaginosis. Aust J Midwifery. 2001,14(2):18-20.

Walsh AM. Management of a pregnant woman dependent on haemodialysis. EDTNA ERCA J. 2002,28(2):91-4.

Miesnik SR, Stringer M. Technology in the birthing room. Nurs Clin North Am. 2002,37(4):781-93.

Nystedt A, Edvardsson D, Willman A. Epidural analgesia for pain relief in labour and childbirth : a review with a systematic approach. J Clin Nurs. 2004,13(4):455-66.

Dauphinee JD. VBAC: safety for the patient and the nurse. J Obstet Gynecol Neonatal Nurs. 2004,33(1):105-15.

Morrison JC, Chauhan SP. Current status of home uterine activity monitoring. Clin Perinatol. 2003,30(4):757-801.

James DC, Simpson KR, Knox GE. How do expert labor nurses view their role? J Obstet Gynecol Neonatal Nurs. 2003, 32(6):814-23.

Simpson KR, Atterbury J. Trends and issues in labor induction in the United States: implications for clinical practice. J Obstet Gynecol Neonatal Nurs. 2003,32(6):767-79.

Moore ML. Preterm labor and birth: what have we learned in the past two decades ? J Obstet Gynecol Neonatal Nurs. 2003,32(5):638-49. Rana TG, Rajopadhyaya R, Bajracharya B, Karmacharya M, Osrin D. Comparison of midwifery-led and consultant-led maternity care for low risk deliveries in Nepal. Health Policy Plan. 2003,18(3):330-7.

Creedy DK, Shochet IM, Horsfall J. Childbirth and the development of acute trauma symptoms: incidence and contributing factors. Birth. 2000,27(2):104-11.

Aikins Murphy P, Feinland JB. Perineal outcomes in a home birth setting. Birth, 1998, 25(4):226- 34.

Ellings JM, Newman RB, Bowers NA. Intrapartum care for women with multiple pregnancies. J Obstet Gynecol Neonatal Nurs. 1998, 27(4):466-72.

Harrington LC, Miller DA, McClain CJ, Paul RH. Vaginal birth after cesarean in a hospital-based birth center staffed by certified nurse-midwives. J Nurse Midwifery. 1997 ,42(4):304-7.

Miesnik SR, Stringer M. Technology in the birthing room. Nurs Clin North Am. 2002,37(4):781-93.

Nystedt A, Edvardsson D, Willman A. Epidural analgesia for pain relief in labour and childbirth : a review with a systematic approach. J Clin Nurs. 2004,13(4):455-66.

Dauphinee JD. VBAC: safety for the patient and the nurse. J Obstet Gynecol Neonatal Nurs. 2004,33(1):105-15.

Morrison JC, Chauhan SP. Current status of home uterine activity monitoring. Clin Perinatol. 2003,30(4):757-801.

James DC, Simpson KR, Knox GE. How do expert labor nurses view their role? J Obstet Gynecol Neonatal Nurs. 2003, 32(6):814-23.

Simpson KR, Atterbury J. Trends and issues in labor induction in the United States: implications for clinical practice. J Obstet Gynecol Neonatal Nurs. 2003,32(6):767-79.

Moore ML. Preterm labor and birth: what have we learned in the past two decades ? J Obstet Gynecol Neonatal Nurs. 2003,32(5):638-49.

Rana TG, Rajopadhyaya R, Bajracharya B, Karmacharya M, Osrin D. Comparison of midwifery-led and consultant-led maternity care for low risk deliveries in Nepal. Health Policy Plan. 2003,18(3):330-7.

Creedy DK, Shochet IM, Horsfall J. Childbirth and the development of acute trauma symptoms: incidence and contributing factors. Birth. 2000,27(2):104-11.

Aikins Murphy P, Feinland JB. Perineal outcomes in a home birth setting. Birth, 1998, 25(4):226- 34.

Ellings JM, Newman RB, Bowers NA. Intrapartum care for women with multiple pregnancies. J Obstet Gynecol Neonatal Nurs. 1998, 27(4):466-72.

Harrington LC, Miller DA, McClain CJ, Paul RH. Vaginal birth after cesarean in a hospital-based birth center staffed by certified nurse-midwives. J Nurse Midwifery. 1997 ,42(4):304-7.

Wilder MA. Surfactant protein B deficiency in infants with respiratory failure. J Perinat Neonatal Nurs. 2004,18(1):61-7. McMurray JL. The high-risk infant is going home: what now? Neonatal Netw. 2004, 23(1):43-7.

Verklan MT. Malpractice and the neonatal intensive-care nurse. J Obstet Gynecol Neonatal Nurs. 2004, 33(1):116-23.

Pinheiro JM, Clark DA, Benjamin KG. A critical analysis of the routine testing of newborn stools for occult blood and reducing substances. Adv Neonatal Care. 2003,3(3):133-8.

Docherty SL, Miles MS, Holditch-Davis D. Worry about child health in mothers of hospitalized medically fragile infants. Adv Neonatal Care. 2002,2(2):84-92.

Schiffman RF, Omar MA, McKelvey LM. Mother-infant interaction in low-income and their families. MCN Am J Matern Child Nurs. 2003,28(4):246-51.

Turrill S. A focus of care for neonatal nursing: the relationship between neonatal nursing practice and outcomes. Part 2. Paediatr Nurs. 2003, 15(5):30-4.

Dulin JD, Akers MC. Pelvic inflammatory disease and sepsis. Crit Care Nurs Clin North Am. 2003,15(1):63-70.

Freda MC, Devine KS, Semelsberger C. The lived experience of miscarriage after infertility. MCN Am J Matern Child Nurs. 2003, 28(1):16-23.

Sidebotham M. Focus on infertility. RCM Midwives J. 2002,5(4):124-5.

Amerine E. Getting ready for certification: male infertility. Urol Nurs. 2000,20(1):58.

Markle ME. Polycystic ovary syndrome: implications for the advanced practice nurse in primary care. J Am Acad Nurse Pract. 2001 (4):160-3.

Sherrod RA. Give me children or I'll die. Easing the spiritual pain of infertility. J Christ Nurs. 1999,16(3):30-3.

Allan H. A 'good enough' nurse: supporting patients in a fertility unit. Nurs Inq. 2001,8(1):51-60.

Busch S. Chasing a miracle: why infertile women continue to stay in treatment. ABNF J. 2001,12(6):116-20.

Allen D. Reading the signs. Nurs Older People. 2004,16(4):6.

Wit K, Davis K. Nurses' knowledge and learning experiences in relation to the effects of domestic abuse on the mental health of children and adolescents. Contemp Nurse. 2004,16(3):214-27.

Protheroe L, Green J, Spiby H. An interview study of the impact of domestic violence training on midwives. Midwifery. 2004,20(1):94-103.

Ryan BA. Do you suspect child abuse? RN. 2003,66(9):73-7.

Williams GB, Dou M, Leal CC. Violence against pregnant women. These two screening tools may prove valuable in identifying women at risk. AWHONN Lifelines. 2003 Aug-Sep, 7(4):348-54. Carney DM, McKibbin L. Screening for domestic violence. Nurs Manage. 2003 Sep,34(9):35-6.

Lemmey D, Malecha A, McFarlane J, Willson P, Watson K, Gist JH, Fredland N, Schultz P. Severity of violence against women correlates with behavioral problems in their children. Pediatr Nurs. 2001 May-Jun,27(3):265-70.

Monsen RB. Drawing the pain. J Pediatr Nurs. 2003 Aug,18(4):284-5.

Malecha A. Screening for and treating intimate partner violence in the workplace. AAOHN J. 2003 Jul,51(7):310-6, quiz 317-8.

Barron ML. Proactive management of menstrual cycle abnormalities in young women. J Perinat Neonatal Nurs. 2004 Apr-Jun,18(2):81-92.

Church-Balin C. Miscarriage after infertility. MCN Am J Matern Child Nurs. 2003 Mar- Apr,28(2):125.

Barber F. Contraceptive choices that work. Prof Nurse. 2004 Jan,19(5):255-6.

Tufts KA, Chung C. Prescribing oral contraceptives. Focusing on each woman as an individual case. AWHONN Lifelines. 2003 Aug-Sep,7(4):332-8.

Dearling R, Hudson P . The midwife and postnatal contraceptive advice. Pract Midwife. 2003 Apr,6(4):20-2.

Hutti MH. New & emerging contraceptive methods. AWHONN Lifelines. 2003 Feb-Mar,7(1):32-9.

Gould D. Contraception: the changing needs of women throughout the reproductive years. Nurs Stand. 2000 Jun 7-13, 14(38):37-43, quiz 44-5.

Noone J. Cultural perspectives on contraception: a literature review. Clin Excell Nurse Pract. 2000 Nov,4(6):336-40.

Kridli SA, Libbus K. Contraception in Jordan: a cultural and religious perspective. Int Nurs Rev. 2001 Sep,48(3):144-51.

Kass-Wolff JH. Bone loss in adolescents using Depo-Provera. J Soc Pediatr Nurs. 2001 Jan- Mar,6(1):21-31.

Course Content Week Chapter in Textbook Topics (handouts) W1 Orientation to course syllabus and requirements W2  Major concepts of high-risk maternal-newborn nursing  Maternal psychological adaptation to high-risk pregnancy  Grief and loss in high risk pregnancy, labor and postpartum Assigned Reading  Ethical considerations of high-risk pregnancy, labor and postpartum  Screening for high-risk pregnancy, labor and postpartum  National and International high-risk indicators W3  Selected hemorrhagic disorders  Anemia and nutritional abnormalities  Metabolic disorders Assigned Reading  Hypertensive disorders  Gastrointestinal disorders

W4  Renal disorders  Traumas  Infectious diseases  Multiple gestation Assigned Reading  Maternal-fetal blood incompatibility  Intrauterine growth retardation (IUGR)

W5  Congenital anomalies of the fetus  Abnormalities of the amniotic fluid  Postdate pregnancy  Contemporary research regarding the high-risk antenatal Assigned Reading period  Advanced nursing roles in the high-risk antenatal period

W6  Dystocias of labor  Cephalopelvic disproportions  Abnormal fetal presentation Assigned Reading  Inductions/augmentations of labor  Analgesia/anesthesia for high-risk clients  Fetal distress W7  Complications of delivery  Preterm labor  Cesarean section Assigned Reading  Advanced nursing roles in high-risk labor and birth  Contemporary research in high-risk labor and birth W8  Mastitis; breast engorgement  Postpartum depression Assigned Reading  Advanced nursing roles in high-risk postpartum  Contemporary research in high-risk postpartum W9 Preterm newborn Assigned Reading  Post term newborn Small and large for gestational age  Special clinical concerns of the high-risk newborn such as jaundice, infant of diabetic mother Congenital abnormalities of the newborn W10  Parenting and cultural influences of the high-risk newborn  Advanced nursing roles related to the high-risk newborn Assigned Reading  Contemporary research relating to the high-risk newborn

W11  Infertility  Domestic violence Assigned Reading  Contraceptive complications

W12  Neoplastic disorders  Menstrual disorders Assigned Reading  Menopause

W13 Rapping up and course evaluation

Additional Notes Participation and Growth (20%)  Students will be evaluated on this area based on the following criteria:  Attendance and time punctuality.  Discuss at least on current article related to the topic of the class (published within the past 5 years).  Extent of preparation as demonstrated in the class (knows basic case or reading facts, shows evidence of trying to interpret or analyze issues).  Extent of interpreting and analyzing reading materials (more than just facts) to class.  Use of appropriate ways of communication (clarity, fluency and conciseness).  Foster a positive learning climate, and is an effective team member (Extent of respect to class manners, does not cause any disruption to class activities and discussions).  Usefulness of contributions (valuable suggestions, appropriate clarification, constructive criticism).  Use of appropriate logical interpretation of issues and critical thinking (focus on significant aspects of issue or problem).

Evaluation criteria for term paper (30%)  Discussion of the relevancy and significance of the topic 15 %  Review, critique and synthesize current and relevant literature. 25 %  Discuss the implications and applications to advance maternal newborn nursing care in Jordan. 20 %  Clarity of thoughts and expressions 15 %  Ideas and concepts are logical and organized 15 %  Format, spelling, grammar and documentation according to Vancouver guidelines. 10 %

Presentations Guidelines:

 Each student will make one-hour presentation in the class including 15 minute for questions and answers session.  Objectives and suggested readings are to be handed to students one week before the presentation date.  All students should participate in giving constructive feedback to each presenter, so that students will have the opportunity to develop their presentation skills as well as adding new prospective of the issue.  Evaluation of the presentation will be based on depth of insight, creativity, originality, organization, comprehensiveness, and clarity of thoughts.

Evaluation criteria for oral presentations (20%)

 Demonstrates breadth of reading and depth of understanding of the topic 10%  Critiques and analyses, not just summarizes, ideas and arguments 10%  Presents background information for ideas 10%  Paces presentation appropriately 10%  Appears well-prepared 10%  Speaks audibly and clearly 10%  Encourages and involves class members’ thought and participation 10%  Summarizes main points at end of presentation/discussion 10%  Solicits and responds constructively to class members opinions 10%  Utilizes appropriate audiovisual material and teaching strategies. 10%