Browsing by Subject "Continuum of care"

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    Art Therapy through a Continuum of Care in Women's Health
    (2020) Lugo, Hannah; Leigh, Heather
    The present study used an integrative literature review methodology to identify the art therapy treatment needs of mothers and families experiencing a high-risk pregnancy within a women's health facility, in order to propose an art therapy treatment model for this population that spans a continuum of care. Three identified stages of a continuum of care included: high-risk hospitalization, neonatal intensive care, and postpartum outpatient services. The results indicated that there are differentiated treatment issues for each stage of care that art therapists can address through individual and group art therapy programming. The present study used these findings to create an integrated program for art therapy across a continuum of care in the woman's hospital. The program's action plan followed the patient and their family through six steps across the care continuum: (1) recruitment and referral, (2) intake evaluations, (3) assessment of needs, (4) treatment planning and recommendations, (5) transitional care, and (6) termination. The researcher developed individual and group art therapy programming to address the treatment issues identified in the literature for each stage of care, with examples of interventions provided for each. Recommendations for future research include implementation of art therapy continuum of care programming in a women's health facility and evaluation of its effectiveness.
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    Including ultrasound scans in antenatal care in low-resource settings: Considering the complementarity of obstetric ultrasound screening and maternity waiting homes in strengthening referral systems in low-resource, rural settings
    (Elsevier, 2019) Swanson, David L.; Franklin, Holly L.; Swanson, Jonathan O.; Goldenberg, Robert L.; McClure, Elizabeth M.; Mirza, Waseem; Muyodi, David; Figueroa, Lester; Goldsmith, Nicole; Kanaiza, Nancy; Naqvi, Farnaz; Pineda, Irma Sayury; López-Gomez, Walter; Hamsumonde, Dorothy; Bolamba, Victor Lokomba; Newman, Jamie E.; Fogleman, Elizabeth V.; Saleem, Sarah; Esamai, Fabian; Bucher, Sherri; Liechty, Edward A.; Garces, Ana L.; Krebs, Nancy F.; Hambidge, K. Michael; Chomba, Elwyn; Bauserman, Melissa; Mwenechanya, Musaku; Carlo, Waldemar A.; Tshefu, Antoinette; Lokangaka, Adrien; Bose, Carl L.; Nathan, Robert O.; Pediatrics, School of Medicine
    Recent World Health Organization (WHO) antenatal care recommendations include an ultrasound scan as a part of routine antenatal care. The First Look Study, referenced in the WHO recommendation, subsequently shows that the routine use of ultrasound during antenatal care in rural, low-income settings did not improve maternal, fetal or neonatal mortality, nor did it increase women's use of antenatal care or the rate of hospital births. This article reviews the First Look Study, reconsidering the assumptions upon which it was built in light of these results, a supplemental descriptive study of interviews with patients and sonographers that participated in the First Look study intervention, and a review of the literature. Two themes surface from this review. The first is that focused emphasis on building the pregnancy risk screening skills of rural primary health care personnel may not lead to adaptations in referral hospital processes that could benefit the patient accordingly. The second is that agency to improve the quality of patient reception at referral hospitals may need to be manufactured for obstetric ultrasound screening, or remote pregnancy risk screening more generally, to have the desired impact. Stemming from the literature, this article goes on to examine the potential for complementarity between obstetric ultrasound screening and another approach encouraged by the WHO, the maternity waiting home. Each approach may address existing shortcomings in how the other is currently understood. This paper concludes by proposing a path toward developing and testing such a hybrid approach.