Marsha, M., ML. Lynn Campbell-Yeo

Marsha, M., ML. Lynn Campbell-Yeo
Dalhousie University | Dal · Faculty of Health, School of Nursing and Faculty of Medicine, Division of Neonatal Pediatrics

PhD MN NNP-BC

About

175
Publications
31,180
Reads
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2,812
Citations
Introduction
Marsha, M., ML. Lynn Campbell-Yeo currently works at the School of Nursing at Dalhousie University.
Additional affiliations
August 2012 - June 2016
Dalhousie University
Position
  • Professor (Assistant)
June 1987 - present
IWK Health Centre
Position
  • Neonatal Nurse Practitioner

Publications

Publications (175)
Article
Background: There is a dearth of knowledge regarding the specific factors associated with emotional closeness in parents with an infant in the NICU. Aim: To determine if parental presence, involvement in infant care, holding, skin-to-skin contact (SSC), perceived family-centered care, depression symptoms, and sociodemographic characteristics are as...
Article
The purpose of this research was to explore parental perspectives on the impact of parent restrictions imposed in response to the COVID-19 pandemic across Canadian Neonatal Intensive Care Units (NICUs). A co-designed online survey was conducted targeting parents ( n = 235) of infants admitted to a Canadian NICU from March 1, 2020, until March 5, 20...
Article
Full-text available
Background Strong evidence suggests that maternal-infant skin-to-skin contact (SSC) is effective in reducing behavioural responses to pain. Given the multi-sensory benefits of SSC, it is highly likely that SSC provided during pain in early life may reduce pain-induced brain activity. The aim of this study is to examine the effect of SSC compared to...
Article
Full-text available
Objectives The primary objective of this project was to evaluate the preliminary impact of Essential Coaching for Every Mother on maternal self-efficacy, social support, postpartum anxiety, and postpartum depression. The secondary objective was to explore the acceptability of the Essential Coaching for Every Mother program provided during the COVID...
Article
Full-text available
Objective To determine the effectiveness of the Essential Coaching for Every Mother program on maternal self-efficacy, perceived social support, postpartum anxiety, and postpartum depression at six-weeks postpartum. Methods Participants from Nova Scotia were randomized, stratified by parity, to receive either the Essential Coaching for Every Mothe...
Article
Objective To explore parental perspectives on the use of technology in neonatal intensive care units (NICU), and its impact during COVID-19 parental presence restrictions. Methods Co-designed online survey targeting parents of infants admitted to a Canadian NICU from March 1st, 2020 until March 5th, 2021. Results Parents (n = 117) completed the s...
Article
Objective To determine post discharge iron status and associated factors in VPIs Study design A retrospective cohort study was conducted through a provincial database on all VPIs born in Nova Scotia between 2005-2018. As a standard of care, all infants received prophylactic iron supplements starting at 2-4 weeks of chronological age and were teste...
Article
Background: Patent ductus arteriosus (PDA) is associated with significant morbidity and mortality in preterm infants. Cyclooxygenase inhibitors (COX-I) may prevent PDA-related complications. Controversy exists on which COX-I drug is the most effective and has the best safety profile in preterm infants. Objectives: To compare the effectiveness an...
Article
Full-text available
Objectives To define and validate types of pain in critically ill neonates and infants by researchers and clinicians working in the neonatal intensive care unit (NICU) and high dependency unit (HDU). Design A qualitative descriptive mixed-methods design. Procedure/s Each stage of the study was built on and confirmed the previous stages. Stage 1 w...
Article
Full-text available
Infants born preterm are at a high risk for repeated pain exposure in early life. Despite valid tools to assess pain in non-verbal infants and effective interventions to reduce pain associated with medical procedures required as part of their care, many infants receive little to no pain-relieving interventions. Moreover, parents remain significantl...
Preprint
BACKGROUND Essential Coaching for Every Mother is a Canadian text message program that sends daily messages to mothers for six-weeks after they give birth. There is a need to explore the program’s effectiveness in terms of the participant’s experience to guide refinement and modification. OBJECTIVE To describe the process evaluation of the Essenti...
Article
Background “Essential Coaching for Every Mother” is a Canadian text message–based program that sends daily messages to mothers for 6 weeks after they give birth. There is a need to explore the program’s effectiveness in terms of the participants’ experience to guide refinement and modification. Objective This study aimed to describe the process ev...
Article
Full-text available
Objectives To conduct a needs assessment with families and their healthcare team to understand the impact of restrictive family presence policies in the neonatal intensive care unit (NICU) in response to COVID-19. Background In response to the COVID-19 pandemic, significant restrictive family presence policies were instituted in most NICUs globall...
Article
Objectives: Infants born preterm are exposed to repeated painful procedures during neonatal intensive care unit admission. Particularly in preterm infants, trajectories of pain response are not well understood. The aim of this study was to classify pain response trajectories over two-minutes following medically indicated heel lances in preterm inf...
Preprint
BACKGROUND Untreated infant pain is associated with adverse health outcomes. Despite the strong evidence for accessible, effective, and low-cost parent-led pain-relieving interventions such as breast/chestfeeding and skin-to-skin contact, these interventions are not routinely used. OBJECTIVE The objective of this research is to support implementat...
Article
Background: Untreated pain in infants is associated with adverse health outcomes. Despite strong evidence for accessible, effective, and low-cost parent-led pain-relieving interventions such as breastfeeding or chestfeeding and skin-to-skin contact, these interventions are not routinely used. Objective: The objective of this study is to support...
Article
Background The postnatal period remains unstandardized in terms of care and postnatal visits with a dearth of information on the experience from Canadian women. Purpose To explore (1) with whom and how often women receive postnatal follow-up visits and (2) the postnatal care experiences of Canadian mothers. Methods Using a cross-sectional design,...
Article
Objectives of this study were to determine whether single-family room (SFR) design enhances parental presence, involvement, and maternal well-being during neonatal intensive care hospitalization. An observational cohort including mothers of infants was randomly assigned to receive care in a tertiary-level open-bay (OB) (n = 35) or SFR (n = 36). Mot...
Article
Full-text available
Introduction: PICU hospitalization can have a profound impact on child survivors and their families. There is limited research on children's long-term recovery within the context of the family following critical illness. This study aimed to explore children's and parents' perceptions of long-term psychological and behavioral responses within the co...
Article
Full-text available
Background After giving birth, women experience significant changes related to maternal self-efficacy and social support and are at risk of experiencing postpartum anxiety and depression. Problem No studies have focused on the relationship between parity and infant age and their impact on psychosocial outcomes, particularly in a Canadian context....
Article
Objective To explore the postpartum health information seeking behaviour of women, identifying the health information sources used and valued as well as topics of uncertainty in the first six-months. Methods A cross-sectional online survey of women living in Eastern Canada who had given birth to an infant within last six months between October 201...
Article
Background: Electronic health (e-health) learning is a potential avenue to educate health professionals about accurately using infant pain assessment tools, although little is known about the impact of e-health interventions on clinical competence. Purpose: To evaluate whether an e-health learning module for teaching the accurate use of the Prem...
Article
Full-text available
Background: In response to the COVID-19 pandemic, family presence restrictions in neonatal intensive care units (NICU) were enacted to limit disease transmission. This has resulted in communication challenges, negatively impacting family integrated care. Aim: To develop clinical care pathways to ensure optimal neonatal care to support families i...
Chapter
A major role of mothers is to protect their infant from harm, including pain. The aim of this chapter is to review the evidence on the effectiveness of maternal strategies that are efficacious in managing procedural pain. These strategies are naturally occurring and have been used for millenia by mothers, but only recently have been systematically...
Preprint
UNSTRUCTURED Objective: The objective of this bibliometric analysis and mapping review is to describe the characteristics and trends in published research on anxiety and perinatal depression across the perinatal period from emergence to end of 2020. Introduction: There has been significant growth in the literature around depression and anxiety acro...
Preprint
Full-text available
Objective: The objective of this bibliometric analysis and mapping review is to describe the characteristics and trends in published research on anxiety and perinatal depression across the perinatal period from emergence to end of 2020. Introduction: There has been significant growth in the literature around depression and anxiety across the perina...
Article
Background: Presence in the neonatal intensive care unit (NICU) is a vital step for caregivers initiating involvement, such as skin-to-skin contact, holding or singing/reading to their newborn. Little is known about caregiver presence and involvement in Canadian NICU's context by caregiver type (mother, father, other), and the association between...
Preprint
Background: In response to the COVID-19 pandemic, family presence restrictions in neonatal intensive care units (NICU) were enacted to limit disease transmission and protect infants, families, and healthcare providers. The effects of pandemic parental restrictions on providing optimal family integrated neonatal care is unknown. Aim: To ensure optim...
Preprint
Full-text available
Background With a decrease in in-person support and increase in perinatal mental health concerns during the coronavirus pandemic, innovative strategies, such as mHealth, are more important than ever. However, due to physical distancing recommendations, recruitments for perinatal research needs to shift. The objective of this study is to desire the...
Article
Objectives: The Premature Infant Pain Profile-revised (PIPP-R) is a well-established measure for infant pain assessment. The aim of this study was to evaluate the implementation and clinical utility of the PIPP-R electronic learning (e-Learning) module to promote standardized health care training for nurses. Materials and methods: A descriptive...
Article
Background Women experience changes both physically and psychologically during their transition to motherhood. The postnatal period is a critical time for women to develop maternal self-efficacy. Mobile health interventions may offer a way to reach women during this critical period to offer support and information. Essential Coaching for Every Moth...
Preprint
BACKGROUND Women experience changes both physically and psychologically during their transition to motherhood. This is a critical period for women to develop maternal self-efficacy. mHealth interventions may offer a way to reach women during this critical period to offer support and information. Essential Coaching for Every Mother is a text message...
Preprint
Full-text available
OBJECTIVES: To (1) compare changes in self-efficacy, social support, postpartum anxiety and postpartum depression in Canadian women collected before (Cohort 1) and during the COVID-19 pandemic (Cohort 2); (2) explore the women felt related to having a newborn during the pandemic; and (3) explore ways that women coped. METHODS: Prior to the pandemic...
Article
A user experience checklist is not a substitute for an informed expert assessment or for user studies. But what does one do when there are too many apps and not enough experts? A guideline for novice assessors can aid in assessing large numbers of apps quickly, but there are few tools assessing the quality of user experience in information-presenti...
Preprint
Full-text available
OBJECTIVES: The primary objective was to evaluate the preliminary impact of Essential Coaching for Every Mother on self-efficacy, social support, postpartum anxiety and postpartum depression. The second objective was to explore the acceptability of the Essential Coaching for Every Mother program provided during the COVID-19 pandemic. METHODS: A pro...
Article
Aims The objective of this study was to compare the influence of breastfeeding and 24% oral sucrose on pain-related electrophysiologic activity, bio-behavioural pain scores, physiologic recovery, and adverse events during heel lance. Study design Single-blind randomized controlled trial. Subjects 39 full-term infants were randomized to receive br...
Article
Full-text available
The COVID-19 pandemic has had a significant impact on the mental health of the people of Canada. Most have found it challenging to cope with social distancing, isolation, anxiety about infection, financial security and the future, and balancing demands of work and home life. For some, especially those who have had to face pre-existing challenges su...
Article
Background: Iron is an essential micronutrient, especially in infants and young children and is required for erythropoiesis and development of the central nervous system. However, iron deficiency (ID) is the most common micronutrient deficiency worldwide. ID and iron deficiency anemia (IDA) have been associated with poor neurodevelopmental and beha...
Article
Objective To determine the prevalence of symptoms of postpartum depression (PPD) and examine how fathers’ presence and involvement in the care of their newborns affect symptoms of PPD within the first 2 weeks after birth among mothers with newborns in the NICU. Design Observational cohort study. Setting Open-bay, 40-bed, tertiary level NICU in Ea...
Article
Background The transition to motherhood is an exciting yet challenging period that requires physical, emotional, and social adjustment. During the postpartum period, mothers require support and information to ensure a smooth transition and adjustment to motherhood. One innovative strategy to provide mothers with this information is mobile health (m...
Article
Full-text available
Objective Robust evidence suggests children’s catastrophizing about their own pain is a risk factor for poor child pain‐related outcomes. In children of parents with chronic pain, child catastrophizing about their parents’ pain might be a unique predictor of child pain‐related outcomes given their increased exposure to parental chronic pain and dis...
Article
Aim This paper examines the possibility of including families, particularly mothers, within the health workforce using the human resource for health planning model to improve newborn outcomes. Background In many low‐ and middle‐income countries, there is a critical shortage of healthcare providers which impacts care for the neonatal population. A...
Article
Full-text available
Background: Hospitalized infants undergo multiple painful procedures daily. Despite the significant evidence, procedural pain assessment and management continues to be suboptimal. Repetitive and untreated pain at this vital developmental juncture is associated with negative behavioral and neurodevelopmental consequences. To address this knowledge...
Article
Objective: The objective of this review was to evaluate the effectiveness of mother-targeted mobile health (mHealth) education interventions during the perinatal period on maternal psychosocial outcomes in high-income countries. Introduction: The perinatal period is an exciting yet challenging period for mothers that requires physical, emotional...
Article
All infants experience pain in early life from procedures. Parents recognize pain as a prevalent issue, reporting a strong desire for more information on infant pain. The aim of this study was to explore and map the current evidence of parent-targeted educational interventions about infant pain, delivered throughout the perinatal period. Records we...
Article
The aim of this study was to explore the learning needs of parents of infants admitted to the neonatal intensive care unit (NICU) through descriptive qualitative design. Three focus groups were conducted with thirteen parents. Three main themes were derived following content analysis: Expectations and Uncertainties, Seeking and Learning, and Desire...
Article
Objective: The primary objective of this review was to determine the impact of mother-targeted mobile health (mHealth) educational interventions available during the perinatal period in low- and middle-income countries (LMICs) on maternal and neonatal outcomes. Introduction: There has been significant growth of mHealth projects in LMICs. The use...
Article
Objective: The objective of this review is to determine if electronic health (eHealth) educational interventions for infant procedural pain and pain management impact parental outcomes (mental health outcomes, knowledge utilization outcomes, and parental involvement in care outcomes) and infant outcomes (morbidity outcomes, pain outcomes, health s...
Technical Report
Full-text available
In 2018, WHO, UNICEF, the World Bank Group, and other partners launched Nurturing Care for Early Childhood Development: A Framework for Helping Children Survive and Thrive to Transform Health and Human Potential at the 71st World Health Assembly. The new Nurturing Care Framework draws on state-of-the-art evidence regarding early childhood developme...
Article
Background: Previous studies in Tanzania have shown that mothers do not often receive the recommended number of postnatal contacts, which limits their ability to not only have health checks but also to be provided with sufficient and quality postnatal education. Educating mothers while in the hospital is important yet there remains a paucity on th...
Article
Objective: This review aims to evaluate the effectiveness of mother-targeted mobile health (mHealth) education interventions during the perinatal period on maternal psychosocial outcomes in high-income countries. Introduction: Mobile health (i.e. mHealth) is defined as the use of mobile devices to transmit health content and services. The use of...
Article
Preterm neonates hospitalized in the neonatal intensive care unit undergo frequent painful procedures daily, often without pain treatment, with associated long-term adverse effects. Maternal-infant skin-to-skin contact, or kangaroo care (KC), and sweet-tasting solutions such as sucrose are effective strategies to reduce pain during a single procedu...
Article
Children of parents with chronic pain have higher rates of pain and internalizing (e.g., anxiety, depressive) symptoms than children of parents without chronic pain. Parental modeling of pain behaviour and reinforcement of child pain have been hypothesized to underlie these relationships. These mechanisms were tested in a sample of 72 parents with...
Article
Full-text available
Background: With an increasing demand for mother's own milk to be viewed as a primary source of nutritional support in the care of very small and preterm infants, mothers of preterm infants may be at risk of expressing suboptimal amounts of milk. The use of a galactogogue is often considered when these mothers are still having challenges in breast...
Article
Background: Despite strong evidence that repeated pain exposure in neonates is associated with adverse outcomes, pain assessment and management continues to be less than optimal in most neonatal intensive care units (NICUs). Aims: To evaluate current pain assessment and management practices, and identify factors associated with optimal treatment...
Article
Background: Preverbal children are at increased risk for underassessment of pain. Pain is a social transaction involving the child in pain and the nurse assessor. However, our understanding of the nurse's part in this transaction is limited. Aims: The aim of this study was to explore nurses' assessment of pain in hospitalized preverbal children...
Article
Hospitalized newborn infants experience pain that can have negative short- and long-term consequences and thus should be prevented and treated. National and international guidelines state that adequate pain manage-ment requires valid pain assessment. Nociceptive signals cause a cascade of physical and behavioral reactions that alone or in combinati...
Article
Objectives: To identify and map existing postnatal educational interventions targeting parents in low and middle-income countries. A secondary objective is to conduct a critical analysis of the strengths and limitations of the educational strategies used for parent-targeted postnatal education. Design & data sources: Using scoping review methodolo...
Article
Background Despite the availability of high-quality evidence and clinical practice guidelines for the effective management of pediatric pain, this evidence is rarely used in practice for managing children’s pain from needle procedures such as vaccinations. Parents are generally unaware of pain management strategies they can use with their children....
Preprint
BACKGROUND Despite the availability of high-quality evidence and clinical practice guidelines for the effective management of pediatric pain, this evidence is rarely used in practice for managing children’s pain from needle procedures such as vaccinations. Parents are generally unaware of pain management strategies they can use with their children....
Article
Importance: Incidence of neonatal abstinence syndrome is rising rapidly, and optimal pharmacotherapy may meaningfully reduce length of treatment. Objective: To compare pharmacological therapies for neonatal abstinence syndrome. Data sources: Systematic review and network meta-analysis of Medline (1946-June 2018), Embase (1974-June 2018), Cochr...
Article
Background: Galactogogues are often considered when mothers of very preterm infants experience challenges in producing adequate amounts of breast milk. We conducted a per-protocol analysis of those mothers who completed a 14-day course of domperidone during the EMPOWER trial. Our primary aim was to evaluate the response to a completed course of do...
Article
Full-text available
Background: Preterm infants are especially vulnerable to pain. The intensive treatment often necessary for their survival unfortunately includes many painful interventions and procedures. Untreated pain can lead to both short- and long-term negative effects. The challenge of accurately detecting pain has been cited as a major reason for lack of pa...
Article
Full-text available
Background Preterm birth alters the normal sequence of lactogenesis. Lactogenesis I may not yet have started when mothers of very preterm infants (≤ 29 weeks gestation) have given birth. Preterm infants are too small or too ill to initiate suckling in the immediate postpartum period thus altering the normal cascade of event for lactogenesis II. Wit...