자료유형  

 학위논문

Control Number  

0016935734

International Standard Book Number  

9798380417754

Dewey Decimal Classification Number  

610.73

Main Entry-Personal Name  

Erbe, Katherine.

Publication, Distribution, etc. (Imprint  

[S.l.] : University of Illinois at Chicago., 2023

Publication, Distribution, etc. (Imprint  

Ann Arbor : ProQuest Dissertations & Theses, 2023

Physical Description  

1 online resource(85 p.)

General Note  

Source: Dissertations Abstracts International, Volume: 85-04, Section: B.

General Note  

Advisor: Koenig, Mary Dawn.

Dissertation Note  

Thesis (Ph.D.)--University of Illinois at Chicago, 2023.

Restrictions on Access Note  

This item must not be sold to any third party vendors.

Summary, Etc.  

요약Introduction: Pregnancy people may be uniquely motivated to make positive lifestyle choices, and obstetric providers are positioned to offer support and information. Multiple contextual factors impact prenatal nutrition counseling, yet little is known about the provider-pregnant person interactions during prenatal nutrition counseling. The field of human factors (HF) considers people's abilities, characteristics, and limitations with the equipment they use, environments in which they function, and jobs they perform. Using a HF approach, this study examined in real-time patient-provider interactions related to prenatal nutrition counseling at the initial prenatal visit.Methods: A convergent mixed methods longitudinal study using a HF framework was conducted. Initial pregnancy visits among a sample of obstetric providers at two large urban university clinics were observed and audio recorded from January to April 2023. Observed providers were interviewed and surveyed to evaluate their knowledge and practices related to pregnancy nutrition counseling; additional providers completed surveys. Patients were interviewed immediately after the visit to capture their comprehension, understanding, and perspectives related to prenatal nutrition.Results: Sixteen providers participated in the observations, including seven nurse-midwives (n=7), attending physicians (n=5), and resident physicians (n=4), and a diverse group of pregnant people (n=20) was recruited. Forty-five providers completed surveys. Themes of communication, content, and inconsistencies were identified in how pregnancy nutrition counseling was completed. Providers made efforts to provide patient-centered pregnancy nutrition counseling, but most discussions were brief, generic, and provider-centered. While patients reported satisfaction with their providers and the information received, there were multiple knowledge gaps and missed patient contextual factors.Discussion: Inadequate provider training and limited time in visits left many gaps in the provision of pregnancy nutrition counseling. A HF framework is a novel approach to investigating how providers approach pregnancy nutrition counseling and may be useful in researching patient-centered approaches to dietary habits that include contextual factors.

Subject Added Entry-Topical Term  

Nursing.

Subject Added Entry-Topical Term  

Obstetrics.

Subject Added Entry-Topical Term  

Nutrition.

Index Term-Uncontrolled  

Pregnancy

Index Term-Uncontrolled  

Patient-centered care

Index Term-Uncontrolled  

Human factors

Index Term-Uncontrolled  

Contextual factors

Added Entry-Corporate Name  

University of Illinois at Chicago Nursing

Host Item Entry  

Dissertations Abstracts International. 85-04B.

Host Item Entry  

Dissertation Abstract International

Electronic Location and Access  

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Control Number  

joongbu:643518