1 / 5

Providing the Premature Infant Breast Milk Neuman Systems Model (NSM)

Providing the Premature Infant Breast Milk Neuman Systems Model (NSM). 1. Phillips, L. R. (1986). Critique of the conceptual aspects of a research report. A clinician's guide to the critique and utilization of nursing research (pp. 110-123). Norwalk, CT. Appleton-Century-Crofts.

blaine
Download Presentation

Providing the Premature Infant Breast Milk Neuman Systems Model (NSM)

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Providing the Premature Infant Breast Milk Neuman Systems Model (NSM) 1. Phillips, L. R. (1986). Critique of the conceptual aspects of a research report. A clinician's guide to the critique and utilization of nursing research (pp. 110-123). Norwalk, CT. Appleton-Century-Crofts. 2. Neuman, B. (1995) as cited in Fawcett, J. & Gigliotti, E. (2001) Using models of nursing to guide nursing research: the case of the Neuman systems model. Nursing Science Quarterly. 14(4). pp. 339-346 3. Miles, M. S. (1991) The neonatal intensive care unit environment: source of stress for parents. AACN Clinical Issues In Critical Care Nursing. 2(2). pp. 346-354. 4. Groh-Wargo, S. Toth, A. Mahoney, K, Simonian, S., Wasser, T., Rose, S. (1995) The utility of a bilateral breast pumping system for mothers of premature infants. Neonatal. Network. 14(8) pp. 31-36. 5. Dewey, K.G. (2001) Maternal and fetal stress are associated with impaired lactogenesis in humans. Journal of Nutrition. 131(11). pp. 3012-3015. 6. Gigliotti, E. (2001) Empirical tests of the Neuman systems model: relational analysis. Nursing Science Quarterly. 14(2). pp. 149-164. 7. Walker, L. & Avant, K. (1995) Strategies for theory construction in nursing. (3rd ed.) Appleton & Lange. Norwalk, CT. pp. 81-92 Lauren Spilsbury, RN MSN 510-08 Dr. Judith Chodil, RN, PhD

  2. NSM Constructs - Concepts Axiom1 = constructs + stated relationships • NSM Constructs: • Construct A: Intrapersonal Stressors2 – internal environmental forces occurring within a client system • Concept A: Anxiety R/T infant’s prematurity3 • Construct B: Central Core2 – basic structure of the client system “consists of common survival factors, as well as unique individual characteristics”2 • Concept B: Breast Milk Production Propositions1 = concepts + stated relationships 1. Phillips, L. R. (1986). pp. 110-123. 2. Neuman, B. (1995) as cited in Fawcett, J. & Gigliotti, E. (2001) pp. 339-346. 3. Miles, M. S. (1991) pp. 346-354.

  3. NSM Referentials Referential1 – formula used to test or measure • #1: Spielberger State Trait Inventory (STAI)3 • definitive instrument for measuring anxiety in adults • Higher scores indicate higher anxiety levels • Used extensively in psychological & health research • #2: Measurement of Breast Milk Volume (BMVE)4,5 • Use of breast pump to measure actual breast milk volume expressed 3. Miles, M. S. (1991) pp. 346-354. 4. Groh-Wargo, S. Toth, A. Mahoney, K, Simonian, S., Wasser, T., Rose, S. (1995) pp. 31-36. 5. Dewey, K.G. (2001) pp. 3012-3015.

  4. Neuman Systems Model AXIOM Intrapersonal6 Stressors Central6 Core Individuals exposed to stressors will show a greater core response than those not exposed to the stressors.6 Basic structure of the postpartum woman includes physiological variable of breast milk production STRICT INCLUSION Infant’s presence in the NICU creates stress within the mother. STRICT INCLUSION PROPOSITION Anxiety R/T Infant’s Prematurity Breast Milk Production Mothers with high levels of anxiety are less able to produce breast milk for their premature infants. RELATIONAL STATEMENT7 Causal-Negative-Asymmetrical7 6. Gigliotti, E. (2001) pp. 149-164. 7. Walker, L. & Avant, K. (1995) pp. 81-92

  5. Guided assessment using questions containing statements of feelings regarding anxiety.3 Stress can impair the milk ejection reflex by reducing the release of oxytocin during feeding.5 HYPOTHESIS STAI BMVE With an increase in STAI scores there is a decrease in volume of breast milk. STAI = BMV 3. Miles, M. S. (1991) pp. 346-354. 5. Dewey, K.G. (2001) pp. 3012-3015.

More Related