Browsing by Author "Hodgins, Marilyn"

Now showing 1 - 7 of 7
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    Analysis of clinical data to examine utility of quality statements for the management of patients with hip fractures in the emergency department
    (University of New Brunswick, 2019) Filiatreault, Sarah Mary Lestock; Hodgins, Marilyn
    Background. Establishment of quality statements that depict best practice is a first step in improving healthcare delivery and patient outcomes. Purpose. Examine feasibility of using quality statements to monitor and evaluate the care received by patients with hip fractures in the emergency department (ED). Method. Retrospective analysis of administrative data to determine proportion of cases attaining the quality statements and examine differences in attainment by patients' age and sex, as well as time and day of presentation. Results. Data for 191 patients were analysed. Half were over 80 years of age and spent over 7.5 hours in ED. Considerable variability was evident in the rate of attainment of the quality statements. Examined covariates did not help predict attainment. Conclusion. This investigation is unique because it focuses on quality statements that are sensitive to nursing intervention and provides a foundation for examining the impact of ED nursing care on patient outcomes.
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    Examining mothers’ mental well-being using the subscales of the Edinburgh Postnatal Depression Scale
    (University of New Brunswick, 2022-10) Jacklin, Heather; Hodgins, Marilyn
    Mothers who experience alterations in their mental well-being following childbirth are commonly labelled as having postnatal depression (PND); however, research suggests these alterations may also stem from feelings of anxiety or anhedonia. I re-examined data for 54 cases from a community-based sample of mothers who were labelled moderately depressed based on their total scores on the Edinburg Postnatal Depression Scale (EPDS). Using the EPDS subscales, analyses was conducted to determine if alterations in mental well-being reflected feelings of depression, anxiety, or anhedonia. Further analyses were conducted to examine how subscales scores were affected by mothers’ perceptions of social support and their parity. Findings suggest mothers scored higher on the anxiety subscale than the depression subscale. Using the Social Provision Scale, mothers’ mental well-being was affected by perceptions of reassurance of worth, opportunity of nurturance, and reliable alliances. Results suggest EPDS subscales offer a more detailed assessment of mothers’ mental well-being.
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    Knowledge of antimicrobial resistance and antibiotic use among students in a health occupation program
    (University of New Brunswick, 2022-08) Shittu, Surajudeen; Hodgins, Marilyn; Bulman, Donna
    The discovery of antibiotics was a revolution in history of medicine and resulted in many lives being saved. We are at risk of losing this advantage due to antimicrobial resistance (AMR). Students in health occupation programs need basic knowledge of antibiotic use and AMR if they are to be antimicrobial stewards. This study examined nursing students’ knowledge of antibiotic use and AMR and stewardship using a cross-sectional, descriptive-correlational design. Response rate to the online survey was 8% (N = 25). Associations between knowledge of antibiotic use and AMR and respondents’ perceptions of adequacy of antibiotic education as well as importance of this knowledge for their practice were examined. Findings suggest respondents’ knowledge of antibiotic use (M = 90.7%, SD = 9.4%) was higher than their knowledge of AMR (72.3%, SD = 12.4%). While all respondents reported they had heard about antibiotic resistance, none reported familiarity with the term antibiotic stewardship.
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    Nurse staffing as a predictor of exclusive breastfeeding at hospital discharge
    (University of New Brunswick, 2012) Warren, Natalie; Hodgins, Marilyn; Storr, Gail
    Exclusive breastfeeding is recommended for the first six months of life because of the known health benefits. Despite this, less than 21 % of New Brunswick mothers meet this recommendation. The focus of most investigations of exclusive breastfeeding has been on maternal and infant characteristics that influence this practice rather than factors within the healthcare organization, such as nurse staffing. A secondary analysis of administrative data was conducted to examine whether hours of nursing care per patient day help predict the likelihood of mothers' exclusively breastfeeding at time of hospital discharge after accounting for maternal and infant characteristics. Mothers who were younger, had a cesarean birth, or initiated breastfeeding more than 30 minutes post delivery were less likely to exclusively breastfeed at hospital discharge. In this study, hours of nursing care per patient day was not a statistically significant predictor of exclusive breastfeeding at hospital discharge. Possible explanations for this finding are offered.
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    The relationship between maternal pre-pregnancy weight and breastfeeding initiation
    (University of New Brunswick, 2016) Wile, Andrea K.; Hodgins, Marilyn
    In Canada, 37.2% of women of childbearing age are classified as overweight or obese. This percentage is alarming as excess body weight is not only a major risk factor for chronic diseases but it is also linked to maternal-child outcomes including breastfeeding initiation. This paper-based thesis is comprised of three sections. The first section provides a review of previous research examining the association between mothers’ pre-pregnancy weight and breastfeeding initiation. The second section is a manuscript for publication describing an analysis of administrative data for 1,079 mother and newborn dyads. Regression analysis was used to predict breastfeeding initiation based on women’s pre-pregnancy weight after adjusting for 10 variables reflecting attributes of the mothers, birth processes, and newborns. A statistically significant association was detected indicating obese mothers are less likely to initiate breastfeeding compared to normal weight mothers. The final section is a paper outlining the benefits and challenges of conducting secondary analysis of administrative data for research purposes.
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    The surgical experience: A pilot study of patients’ information needs and their internet use
    (University of New Brunswick, 2024-02) Cailes, Naomi; Hodgins, Marilyn
    Background. While many Canadians search online for information, it is unclear to what extent those having surgery access the internet to meet their information needs. Purpose. A pilot study was conducted to examine adult surgical patients’ information needs and internet use. Methods. Participant recruitment occurred on four surgical units. Sixty patients completed an online survey following discharge. Findings. Considerable variability was observed in participants’ perceptions of the extent their information needs were met. Participants whose information needs were met to a greater extent tended to be more satisfied with their surgical experience. Participants who searched the internet tended to agree their information needs were met to a greater extent than those who did not. Conclusion. Findings provide preliminary evidence of the reliability and validity of the survey and suggest it may yield useful information to advance our understanding of how the internet might be used to address patients’ information needs.