Denise Côté-Arsenault

Denise Côté-Arsenault
University of North Carolina at Greensboro | UNCG · Family & Community Nursing

About

48
Publications
8,292
Reads
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1,795
Citations
Citations since 2016
16 Research Items
866 Citations
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2016201720182019202020212022050100150
2016201720182019202020212022050100150
2016201720182019202020212022050100150

Publications

Publications (48)
Article
Nurses who care for childbearing families facilitate the family’s adaptation to the arrival of a newborn through assessment of physical, emotional, and psychological needs. After experiencing a perinatal loss, such as miscarriage, stillbirth, or neonatal death, a woman’s perception of pregnancy and of her sense of control in becoming a mother can i...
Article
Purpose: To describe first-time mothers' experiences with online social networking sites in the early postpartum period, explore how mothers use them to gain support, and to evaluate how their use can aid or hinder maternal role transition. Study design: Qualitative descriptive study. Methods: This qualitative descriptive study, using convenie...
Article
Outcomes 1. Describe 2 components of evidence-based clinical approaches to caring for parents facing life-limiting fetal conditions 2. List 3 roles and responsibilities of the expert perinatal palliative care coordinator within the healthcare system and with the family 3. Explain 2 barriers and strategies for perinatal palliative care advancement w...
Article
Background Families who learn that their unborn baby has a life-limiting fetal condition are often overwhelmed by this news, alongside navigating an unfamiliar healthcare system. A skilled perinatal palliative care coordinator (PPCC) can help these families, yet little is known about their function and roles. Aims This study sought to describe the...
Article
Objectives When parents are facing a life-limiting fetal condition (LLFC), decision making about prenatal and neonatal care is very stressful. To participate in successful shared decision making, interdisciplinary care teams need to understand factors that parents consider and the process by which they make decisions about care of their baby. Meth...
Chapter
Perinatal palliative care is a growing field that emerged out of the need to provide better care for families facing the devastating experience of a life-limiting fetal condition. Like other palliative care, it requires an interdisciplinary team approach, connecting all the providers who care for these families from obstetrics, genetic counseling,...
Chapter
Perinatal palliative care (PPC) as a field is young and rapidly developing to serve the needs of families who have received the diagnosis of serious fetal conditions in the prenatal period. PPC honors the parent/child relationship while supporting the unique psychosocial needs of pregnant women and their families. More patients and clinicians are e...
Chapter
Theories are useful for practitioners to guide their thinking when providing perinatal palliative care to families with multiple needs. This chapter presents several theories, from sociocultural, grief and bereavement, and developmental perspectives. After describing theories under these broad headings, they are applied to a case of a couple contin...
Book
This unique book is a first-of-its-kind resource that comprehensively covers each facet and challenge of providing optimal perinatal palliative care. Designed for a wide and multi-disciplinary audience, the subjects covered range from theoretical to the clinical and the practically relevant, and all chapters include case studies that provide real-w...
Article
Background: Death of one's infant is devastating to parents, negatively impacting couple relationships and their own health. The impact of a prenatally diagnosed life-limiting fetal condition (LLFC) on parents of minority status is unclear. Aim: This comparative mixed methods case study examined the person characteristics, quality of perinatal p...
Article
Objective: To examine the impact of past perinatal loss on mothers and children in a community sample and to consider maternal race and adult attachment status as moderators. Background: Prior perinatal loss has been shown to impact subsequent maternal parenting and child outcomes, but findings have been inconsistent particularly in minority mother...
Article
While it is known that couples experience pregnancy differently from one another, the circumstance of continuing pregnancy after learning of a lethal fetal diagnosis has received little attention. This longitudinal, naturalistic study of 16 mothers and 14 spouses/partners aimed to describe pregnant couples’ responses and relationships in continued...
Article
The purpose of this qualitative data analysis was to gain insights into women's experiences over the course of pregnancy subsequent to prior perinatal loss. Diaries from 19 pregnant women with a history of miscarriage, stillbirth, or neonatal death who participated in an intervention study were the data source. The participants were primarily Cauca...
Article
Significance: Lethal fetal diagnoses are made in 2% of all pregnancies. The pregnancy experience is certainly changed for the parents who choose to continue the pregnancy with a known fetal diagnosis but little is known about how the psychological and developmental processes are altered. Methods: This longitudinal phenomenological study of 16 mo...
Article
Aim: To explore nurses' experiences of horizontal violence (HV) in three diverse non-affiliated organisations within a single city in the USA. Background: Horizontal violence, also called workplace bullying or lateral violence, is a long-standing nursing issue. Method: Content analysis was used to analyse open-format textual responses from 126...
Article
Background: Congenital anomalies account for 20% of neonatal and infant deaths in the United States. Perinatal palliative care is a recent addition to palliative care and is meant to meet the needs of families who choose to continue a pregnancy affected by a life-limiting diagnosis. Objective: To examine characteristics of programs and services...
Article
This article reports on qualitative research into the experience of couples who chose to continue their pregnancies after receiving a lethal fetal diagnosis, and to embrace the parenting of their baby in the shortened time they have. This analysis of interview data is part of a larger research project describing parents' experiences of continuing p...
Article
Purpose: Schwartz Center Rounds (SCRs) bring multidisciplinary caregivers together to discuss authentic patient cases from the social and emotional perspective. The monthly sessions provide a forum to share personal thoughts and feelings. The purpose of this paper is to learn why people attend SCR, understand what is gained from the experience, an...
Article
Purpose: To test the feasibility and acceptability of a caring-based nurse home visit intervention for women pregnant after perinatal loss (PAL), the goal of which was to provide a safe, supportive environment, normalize the pregnancy after loss, reduce anxiety and depression through stress reduction skills, and facilitate prenatal attachment. St...
Article
Background: Breastfeeding assessment in the hospital to determine adequacy of feeds remains controversial. Swallow evaluation is integral to current assessment tools, but the literature is not clear about whether the number of swallows is an accurate indicator of breast milk intake in early postpartum. Objectives: To determine the reliability an...
Article
Full-text available
Diagnosis of a lethal fetal diagnosis (LFD) early in pregnancy is devastating for parents. Those who choose to continue with the pregnancy report intense emotional reactions and inconsistent, often insensitive treatment by health care providers. This qualitative descriptive study sought to clarify the experiences and needs of families in order to d...
Article
Full-text available
Prenatal loss, the death of a fetus/child through miscarriage or stillbirth, is associated with significant depression and anxiety, particularly in a subsequent pregnancy. This study examined the degree to which symptoms of depression and anxiety associated with a previous loss persisted following a subsequent successful pregnancy. Data were derive...
Article
Women pregnant again after prior perinatal loss fear another loss and thus protect their emotions and avoid prenatal bonding. This phenomenon, emotional cushioning, appears to be a complex self‐protective mechanism and is proposed here as a unique combination of circumstances and responses used by women to cope with the anxiety, uncertainty, and se...
Article
End-of-life issues affect everyone at some time. Individuals with chronic illness need to face these issues earlier to ensure their wishes are carried out. Patients with chronic kidney disease (CKD) Stage 5 have only three options: dialysis in its various forms, renal transplant, or death. In some cases, nurses who care for these patients feel they...
Article
In increasing numbers, nurses as members of intradisciplinary and transdisciplinary teams are implementing evidence-based practice (EBP) changes. These variations result in demonstrated improvement in outcomes for the patient and family, staff, organization, and community. Many of these EBP activities remain an untapped resource; however, they have...
Article
To gain insight into the context of sexual abstinence and identify potential determinants of abstinence in this population. Four focus groups. Twenty-four, predominantly African American (88%) girls aged 14 to 19 years were recruited from urban health centers and youth development programs in Rochester, New York, between September and December 2006...
Article
To describe women's late pregnancy after loss experiences (from 25 weeks gestation to birth), document the timing and frequency of their common discomforts and events, and explore changes in these experiences over time. A longitudinal, qualitative study of pregnancy calendar entries and field notes. Prenatal care providers and community canvassing...
Article
Pregnancies after perinatal loss are known to be anxiety-filled. Stress in pregnancy and the response to it, often seen as anxiety and depression, have known negative consequences for obstetric outcomes, parenting, and infant behaviors. Women have reported fluctuating emotions in response to events in their subsequent pregnancies, but these pregnan...
Article
To describe women's early pregnancy after loss experiences (up to 25 weeks gestation), to document the timing and frequency of their common discomforts and events, and to explore changes in these over time. Longitudinal, qualitative descriptive, and triangulated (data, methods, analyses). Qualitative data were collected from 82 women pregnant after...
Article
Infants requiring neonatal intensive care are often placed prone during their acute illness. After hospital discharge the American Academy of Pediatrics (AAP) recommends supine sleep position to reduce the risk of Sudden Infant Death Syndrome (SIDS). Little is known about nursing knowledge and practice regarding best sleep positions for infants as...
Article
Focus groups are used frequently in nursing research as a method for collecting qualitative data. However, due to inadequate planning or execution, the results can be of poor quality or even worthless. A well-defined purpose, carefully planned environment, and well trained personnel are discussed as the cornerstones to focus group success. This art...
Article
Full-text available
Health care is more diverse than it has ever been. The point of care can be rural or urban, inpatient or outpatient, individual or community-focused. In this challenging, ever-changing environment, it is critical for nurses to have access to nursing research on the best way to provide care. The New York State Nursing Research Agenda was launched in...
Article
Pregnancies following perinatal loss are full of fears and anxieties. Standards of care or interventions are not generally available, however support groups exist across the country. This study explored several pregnancy-after-loss support groups. Data were collected through participant observation of meetings, individual interviews, questionnaires...
Article
To compare multigravid women with and without a history of perinatal loss on state anxiety, pregnancy anxiety, and optimism. Comparative descriptive; cross-sectional. Private obstetric offices in a small northeastern city in the United States. The sample included 160 women who were between 17 and 28 weeks gestation: 96 multigravidas with no history...
Article
During four qualitative research studies on pregnancy after perinatal loss, parents spoke of their dead babies and various ways they remembered them. Thus, they were a continued part of their lives. A secondary analysis was done of all relevant data and is reported here. The overall finding was that parents weave remembered babies into the fabric o...
Article
To determine the specific emotions and concerns of women who are pregnant following a perinatal loss. Data were collected through a mailed questionnaire using an open response format. The sample consisted of 73 women on the membership mailing lists from two pregnancy-after-loss support groups. A content analysis was conducted on women's self-report...
Article
Focus groups can be used to gather rich, detailed descriptions of shared individual experiences and beliefs. Group process enhances the richness of the data obtained via this method. Nurses are skilled in gathering detailed and often sensitive information and applying therapeutic communication and interviewing techniques within groups. They can tak...
Article
To describe women's experiences of pregnancy after loss and their long-term effects of perinatal loss. Phenomenology. Three focus groups were conducted in fall 1996 with a total of 21 women. These women varied in their obstetrical and loss histories. The time since their losses ranged from 34 years ago to the previous year. Data analysis was guided...
Article
Pregnancies after perinatal loss are oftentimes anxiety-laden and lacking in joy. This may lead to potential negative obstetrical and parenting outcomes. The purpose of this qualitative inquiry was to gain insights into women's pregnancy after perinatal loss experiences, including major features and helpful provider responses. Thirteen women, at va...
Article
Full-text available
Nurse educators face the ongoing challenge of presenting increasingly complex nursing research methods to undergraduate and graduate students. The cookie experiment, a unique teaching strategy developed more than a decade ago by Thiel, has been refined and expanded to include hands-on quantitative and qualitative components while also serving as a...
Article
Focus groups, originally called focused interviews, have been used as a data collection method since World War II and are commonly used in social science research. Krueger (1994) describes a focus group as "a carefully planned discussion designed to obtain perceptions on a defined area of interest in a permissive, nonthreatening environment" (p. 6)...
Article
To describe the experience of a pregnancy after perinatal loss. Descriptive, open-ended responses to a self-completed questionnaire. Questionnaires were distributed at a prenatal visit and completed in the office or at home. Seventy-two women who were 17 to 28 weeks pregnant, with a history of one or two perinatal losses. Themes that emerged from t...
Article
Each year, one out of five women suffers the loss of a pregnancy. Such losses are more than statistics: to many mothers, they represent the death of a longed-for child. While increasing attention has been directed toward meeting the needs of these women, the services provided are often fragmented. The use of a comprehensive checklist for providing...

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