Ramona T Mercer1, Lorraine O Walker. 1. Department of Family Health Nursing in the University of California, San Francisco, Burlingame, USA. lpmercer@juno.com
Abstract
OBJECTIVE: To determine the current state of knowledge of nursing interventions that foster the process of becoming a mother. DATA SOURCES: A literature search was conducted using CINAHL and PubMed electronic databases and other key references. STUDY SELECTION: Reports on nursing intervention research published in English that focused on a facet of maternal behavior in the process of becoming a mother during pregnancy or during the first 4 months following birth, or both, were included. Twenty eight reports were found. DATA EXTRACTION: Studies were reviewed, categorized, and analyzed and interventions synthesized to determine the current knowledge base for fostering becoming a mother. Categories included instructions for infant caregiving, building awareness of and responsiveness to infant interactive capabilities, promoting maternal-infant attachment, maternal/social role preparation, and interactive therapeutic nurse-client relationships. DATA SYNTHESIS: Interactive therapeutic nurse-client relationships and maternal/social role preparation had greater impact on variables indicating progress in becoming a mother than formal teaching. Instructions without nurse input were ineffective. CONCLUSIONS: Interactive reciprocal nursing interventions are the most effective in enhancing mother-infant interactions and maternal knowledge about infant care. Evidence is limited on how to foster the mother's feelings about herself in becoming a mother and attachment to her infant. (c) 2006, AWHONN, the Association of Women's Health, Obstetric and Neonatal Nurses
OBJECTIVE: To determine the current state of knowledge of nursing interventions that foster the process of becoming a mother. DATA SOURCES: A literature search was conducted using CINAHL and PubMed electronic databases and other key references. STUDY SELECTION: Reports on nursing intervention research published in English that focused on a facet of maternal behavior in the process of becoming a mother during pregnancy or during the first 4 months following birth, or both, were included. Twenty eight reports were found. DATA EXTRACTION: Studies were reviewed, categorized, and analyzed and interventions synthesized to determine the current knowledge base for fostering becoming a mother. Categories included instructions for infant caregiving, building awareness of and responsiveness to infant interactive capabilities, promoting maternal-infant attachment, maternal/social role preparation, and interactive therapeutic nurse-client relationships. DATA SYNTHESIS: Interactive therapeutic nurse-client relationships and maternal/social role preparation had greater impact on variables indicating progress in becoming a mother than formal teaching. Instructions without nurse input were ineffective. CONCLUSIONS: Interactive reciprocal nursing interventions are the most effective in enhancing mother-infant interactions and maternal knowledge about infant care. Evidence is limited on how to foster the mother's feelings about herself in becoming a mother and attachment to her infant. (c) 2006, AWHONN, the Association of Women's Health, Obstetric and Neonatal Nurses
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