Abstract

Perinatal opioid use and neonatal withdrawal continue to rise rapidly in the face of the growing epidemic of opioid addiction in the United States, with rural areas more severely impacted. Despite several decades of research and development of practice guidelines, maternal and neonatal outcomes have not improved substantially. This focused ethnography aimed to address that gap by exploring rural women's experiences and perceptions of care to inform development of efficacious, holistic models of care to improve outcomes for these women and their children. Participant observations, oral accounts and formal interviews, and artifact review (i.e., health records, any print and electronic resources provided to the women to support direct care, and media documentation of the sociopolitical environment influencing the women's care) were used to seek answers to the following questions: a) What are the experiences and perceptions of women with substance use disorder regarding the care they received during their pregnancy and through their infants' hospitalization? and b) How have their experiences supported or inhibited their ability to bond with their baby?

Description

This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 10276681; ProQuest document ID: 1954047283. The author still retains copyright.

Author Details

Debra L. Kramlich, PhD, RN, CCRN-K, CNE

Sigma Membership

Kappa Zeta at-Large

Type

Dissertation

Format Type

Text-based Document

Study Design/Type

Ethnography

Research Approach

Qualitative Research

Keywords:

Perinatal Addiction, Neonatal Abstinence Syndrome, Vulnerable Populations

Advisor

Rebecca Kronk

Second Advisor

Alison Colbert

Third Advisor

Karen Jakub

Fourth Advisor

Lenora Marcellus

Degree

PhD

Degree Grantor

Duquesne University

Degree Year

2017

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

None: Degree-based Submission

Acquisition

Proxy-submission

Date of Issue

2023-08-22

Full Text of Presentation

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