Predictors of Role Identity and Role Attainment in Mothers of Premature Infants
Review TypeNone: Degree-based Submission
Repository Posting Date2019-03-01T21:04:58Z
Author DetailsDr Mary O'Pray, RN, PhD
Lead Author Sigma AffliationAlpha Theta
Level of EvidenceObservational
Research ApproachQuantitative Research
CINAHL HeadingsInfant, Premature; Mothers; Mother-Infant Relations; Maternal Role; Support, Psychosocial; Maternal Age; Birth Weight; Stress, Psychological
The purpose of this study was to identify whether stress, social support, maternal age and infant birthweight contributed to role identity and role attainment in mothers of premature infants: (1) when the infant was being discharged from the hospital and maternal caretaking had been limited, and (2) when the infant had been home for four weeks and maternal caretaking had increased. Prior work implied that mothers of term infants had achieved a level of psychological preparedness. Similar information was needed about mothers of premature infants. The framework guiding this study proposed that the mother who experiences the birth of a premature infant has the normal process of maternal role development interrupted. This stressor is unwanted and unpredicted change. Maternal age and infant birthweight also interact with these stressors leading to stress in the role of parent, a role for which the mother is not yet ready. If the mother receives social support during this time, she has less stress in the role of parent and therefore, is able to achieve the transition to the role of mother. Sixty-six primiparous mothers between 18 and 37 years of age participated in this descriptive study which collected data using cross-sectional and repeated measures approaches. Demographic data were collected on mothers and infants. Study variables were measured with the Norbeck Social Support Questionnaire, Perceived Stress Scale, Myself as Mother Scale, My Baby Scale, Gratification in the Mothering Role Scale and Parenting Stress Index. The research questions were analyzed using multiple regression and repeated measures ANOVA. Results indicated that stress and social support, significantly predicted maternal role identity at infant discharge from the hospital and four weeks after discharge. Role attainment was significantly predicted by perceived stress and parenting stress four weeks after discharge. Decreases over time occurred in perceived stress, social support and maternal evaluation of baby. These decreases were not statistically significant. The primary implication of this study for nurses is that they can be instrumental in assessing stress levels and improving the support systems of these mothers.
DescriptionThis dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 9309245; ProQuest document ID: 304028024. The author still retains copyright.
Advisor(s)Penticuff, Joy Hinson
Degree GrantorThe University of Texas at Austin
NotesThis item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
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