Evidence map›Paper›PMID 18021136›Full record

ArticleJournal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing2007

Women with high-risk pregnancies, problems, and APN interventions.

Dorothy Brooten, JoAnne M Youngblut, Deborah Donahue, Margaret Hamilton, Jean Hannan, Donna Felber Neff

Abstract read
In one paragraph

Article in Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. The Omaha System: a systematic review of the recent literature.Journal of the American Medical Informatics Association : JAMIA
    Pooled it
  2. Comparing mothers' postpartum concerns in two clinical trials 18 years apart.Journal of the American Association of Nurse Practitioners · 2016
    Trial
  3. Trial
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Dorothy BrootenFlorida International University, Miami, FL 33199, USA. brooten@fiu.edu
JoAnne M Youngblut
Deborah Donahue
Margaret Hamilton
Jean Hannan
Donna Felber Neff
Alpha-1 Foundation · USFlorida International University · USUniversity of Massachusetts Donahue Institute · US

Funding

Theaflavins and Gallic Acid in TeaS06GM008205 · NIGMS · FLORIDA INTERNATIONAL UNIVERSITY · PI BIGGER, CHARLES H · 1989 to 2008
$17.6M
NURSE HOME CARE-HIGH RISK PREGNANT WOMENR01NR002867 · NINR · UNIVERSITY OF PENNSYLVANIA · PI BROOTEN, DOROTHY · 1991 to 1995
–
NURSE PRACTICE FUNCTIONS--PATIENT PROBLEMS AND OUTCOMESR01NR004102 · NINR · CASE WESTERN RESERVE UNIVERSITY · PI BROOTEN, DOROTHY · 1997 to 1999
–
NIGMS NIH HHS S06 GM008205NIGMS NIH HHS S06-GM008205-210029NINR NIH HHS R01 NR002867NINR NIH HHS R01 NR004102
6 · The paper itself

Abstract

purposeTo (a) describe women's prenatal and postpartum problems and advanced practice nurses (APN) interventions; and (b) determine if problems and APN interventions differed by women's medical diagnosis (diabetes, hypertension, preterm labor). DESIGN AND

methodsContent analysis of 85 interaction logs created by APNs during a randomized clinical trial in which half of physician-provided prenatal care was substituted with APN-provided prenatal care in the women's homes. Patients' problems and APN interventions were classified with the Omaha Classification System.

findingsA total of 212,835 health problems and 212,835 APN interventions were identified. The dominant antenatal problems were physiologic (59.2%) and health-related behaviors (33.3%); postpartum were physiologic (44.0%) and psychosocial problems (31.6%). Antenatally, women with diabetes had significantly more health-related behavior problems; women with preterm labor had more physiologic problems. APN surveillance interventions predominated antenatally (65.6%) and postpartum (66.0%), followed by health teaching, guidance, and counseling both antenatally (25.4%) and postpartum (28.1%). Women with chronic hypertension required significantly more case-management interventions.

conclusionsThe categories of women's problems were largely similar across medical diagnostic groups. Interventions to address women's problems ranged from assessing maternal and fetal physiologic states to teaching interpersonal relationships and self-care management to assisting with transportation and housing. Data show the range of APN knowledge and skills needed to improve maternal and infant outcomes and ultimately reduce healthcare costs in women with high-risk pregnancies.

Indexed as

Nurse's RolePregnancy, High-RiskAdultCase ManagementChi-Square DistributionClinical CompetenceCounselingFemaleHealth Knowledge, Attitudes, PracticeHumansNurse CliniciansNurse-Patient RelationsNursing AssessmentNursing DiagnosisNursing Evaluation ResearchPatient Education as Topic

Identifiers

PMID18021136
PMCPMC3532049
OpenAlexW2081773492

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.