Prenatal Psychosocial Risk Assessment using Event History Calendars with Black Women

Abstract

Objective To explore the clinical acceptability and perceptions of use of a prenatal event history calendar (Prenatal EHC) for prenatal psychosocial risk assessment in Black pregnant women. Design A qualitative descriptive study focused on interviews and Prenatal EHCs completed by Black pregnant women. Setting Inner city hospital prenatal care clinic in Southeastern Michigan. Participants Thirty 18–35 year old pregnant Black women receiving prenatal care at the participating clinic. Methods Women completed the prenatal EHCs and their perceptions of its use were obtained through face to face interviews. The constant comparative method of analysis (Glaser, 1978, 1992) revealed themes from participants’ descriptions about use of a Prenatal EHC for prenatal psychosocial risk assessment. Results Three main themes emerged describing how the Prenatal EHC enhanced communication. The Prenatal EHC provided “an opening” for disclosure, “an understanding with you,” and a way for providers to “know you, your life, and future plans.” The participants’ completed Prenatal EHCs included information regarding their pre-pregnancies, trimester histories, and future plans. These completed Prenatal EHCs showed patterns of change in life events and behaviors that included worries, stressors, and risk behaviors. The participants perceived the Prenatal EHC as an easy to use tool that should be used to improve communication with health care providers. Conclusions The Prenatal EHC allows the patient and provider to “start on the same page” and provides an additional avenue for discussion of sensitive psychosocial issues with Black pregnant women. As a clinical tool, the Prenatal EHC facilitated patient-provider communication for pregnant women often marked by health disparities. The Prenatal EHC is a clinically acceptable tool to assess for psychosocial risk factors of Black women in a prenatal clinical setting.

Exploring Eating and Activity Behaviors with Parent–Child Dyads Using Event History Calendars

“…Consistent with prior research (Martyn, 2009; Martyn et al, 2012; Munroe et al, 2012) the EHC facilitated documentation of significant events and discussion of potentially sensitive issues and life event connections. The accompanying interview discussion helped with “telling each story,” emphasizing individual and family needs and identifying barriers to change.…”

“…Additionally, due to its reflective nature and efficiency for data collection the EHC has documented effectiveness for its use not only in research (Freedman et al, 1988; Furstenberg, Brooks-Gunn, & Morgan, 1987; Yoshihama, Clum, Crampton, & Gillespie, 2002; Youngblut & Brooten, 1999; Youngblut et al, 2001) but also for clinical assessment (Caspi et al, 1996). In both research and clinical settings the EHC has been adapted according to the focus or the need demonstrating its versatility (Martyn, 2009; Martyn & Belli, 2002; Martyn, Darling-Fisher, Smrtka, Fernandez, & Martyn, 2006; Martyn et al, 2012; Martyn & Hutchinson, 2001; Martyn & Martin, 2003; Munroe, Yi, Lori, & Martyn, 2012).…”

A Consulta De Enfermagem No Pré-Natal Sob a Ótica Da Teoria Do Cuidado De Kristen

“…A singularidade do cuidado do enfermeiro se mostra durante o pré-natal perante os significados das mulheres amazônidas, evidenciando uma relação de estar com ela que está pautada na própria relação com a gestação; são ribeirinhas, quilombolas, indígenas e têm permitido vivenciar essa gestação para a garantia de melhores indicadores e necessidades dessa população [10][11]21 pois a carência de estabelecimento de um cuidado para esse olhar, uma atenção integral, de todos os aspectos biopsicosociocultural constitui uma pauta para entender as particularidades dessas mulheres e como se articulam com os profissionais e serviços de saúde. Neste momento, oportuniza-se conhecer a sua vida e suas demandas que repercutem diretamente do modo de cuidar, e que somente é estabelecido nesta relação 25 . Assim, esses significados devem proporcionar à mulher ser o centro das atenções com o enfermeiro nesta relação, e um cuidado singular se torna real, mútuo e na troca efetiva para uma efetividade do pré-natal.…”

The Prenatal Nursing Consultation From the Perspective of Kristen Swanson's Theory of Care

“…The singularity of the nurse's care is shown during prenatal care before the meanings of Amazonian women, evidencing a relationship of being with her that is based on her own relationship with pregnancy; They are from the riverside, quilombo, and indigenous communities, and have allowed the experience of this pregnancy for the guarantee of better indicators and needs of this population [10][11]21 because the lack of establishing a care for this look, an integral attention, of all the biopsychosociocultural aspects constitutes an agenda for understanding the particularities of these women and how they articulate with health professionals and services. At this moment, it is possible to get to know their lives and their demands that have a direct impact on the way of caring, which is only established in this relationship 25 . Thus, these meanings must allow the woman to be the center of attention with the nurse in this relationship, and a singular care becomes real, mutual, and in the effective exchange for an effective prenatal care.…”