The relationship between the birth of a preterm infant and the vulnerable child syndrome using Lessick's Vulnerability Model as a theoretical framework
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Dr. Jean T. Martin, PhD, RN, CPNP
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- Kappa Epsilon at-Large
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Abstract
The primary purpose of this study was to explore the relationship between the birth of a preterm infant and the vulnerable child syndrome. The theoretical framework for the study was Lessick's Vulnerability Model for Nursing Practice. This model is based upon a person's individual factors interacting/correlating with environmental factors and the effects of these on health-illness behavior across the lifespan.
A convenience sample of 57 parents of preterm infants, now three years of age, and 55 parents of full term infants, now three years of age, was drawn from a previous study of families' response to the birth of a preterm infant. A descriptive correlational design was used. Data for the study were collected by mailed questionnaire.
Results of Chi square tests indicated the preterm and full term groups differed on maternal age (p =.006) and family income (p =.032). Student's t-tests indicated the groups differed on the mental scale of the Bayley Scales of Infant Development (BSID) (p =.003). The groups did not differ on the remaining independent variables (family demographics, neonatal morbidity, motor scale of the (BSID), health status of the child, health care use). Student's t-tests indicated the groups did not differ on parental perception of the child's vulnerability, measured using the Vulnerable Child Scale (VCS) (p =.350); or child behavior, the dependent variable, measured using the Child Behavior Checklist/2-3 (p =.243). Multiple regressions indicated the strongest predictor of parental perception of vulnerability is health care use, and the strongest indicator of child behavior problems is perceived vulnerability. Factor analysis of the VCS yielded a 2-factor structure. The two factors appear to represent (a) concerns about physical health, and (b) psychological concerns.
The outcome of this study adds to the understanding of the long term effect of the birth of a preterm infant on parents, and better equips health care providers to address the present and future concerns of this population.
Description
This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 9311251; ProQuest document ID: 303999564. The author still retains copyright.
Repository Posting Date
2020-06-12T18:11:29Z
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This 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.
Type Information
Type | Dissertation |
Acquisition | Proxy-submission |
Review Type | None: Degree-based Submission |
Format | Text-based Document |
Category Information
Evidence Level | Descriptive/Correlational |
Research Approach | Quantitative Research |
Keywords | Vulnerable Child Syndrome; Health/Illness Behavior; Outcomes of Prematurity |
CINAHL Subject(s) | Infant, Premature; Parental Attitudes; Gestational Age; Attitude to Health; Infant, Newborn; Child Health |
Degree Information
Grantor | Rush University |
Advisor | Slack, Jeanne L. |
Level | Doctoral-Other |
Year | 1992 |
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