First Advisor

Lisa Letcher-Glembo

Date of Publication


Document Type


Degree Name

Master of Science (M.S.) in Speech Communication


Speech Communication




Newborn infants -- Hospital care -- Oregon, Hospital patients -- Services for -- Oregon, Parenting -- Study and teaching -- Oregon, Cleft lip, Cleft palate



Physical Description

1 online resource (2, vi, 85 p.)


This study investigated the current status of initial nursing services provided by Oregon hospitals to families of newborns with cleft lip ± palate. The research questions asked were: (a) Do hospitals provide assistance to parents of newborns with cleft lip ± palate? (b) Do hospitals identify and refer to craniofacial specialists? ( c) Is level of associated services provided to families of newborns with cleft lip ± palate correlated to the number of births that occur at the hospital in which the infant was delivered? (d) Do hospitals provide inservice education programs in cleft lip and palate? (e) Do hospital staff perceive a need for inservice education programs? (f) Is the perceived need for inservices related to the number of births that occur at the subject's hospital? Self-report surveys were mailed to the directors of nursing and directors of inservice education at 50 American Hospital Association registered Oregon hospitals. Twenty-six hospitals responded. Findings indicate that almost 70 3 of Oregon hospitals fail to provide trained professionals to counsel parents of newborns with clefts, 503 of the hospitals fail to provide pertinent reading materials, nearly 603 of the hospitals fail to offer training programs for new parents, 193 of the hospitals fail to provide adaptive feedirig equipment, and 503 fail to refer to craniofacial specialists. Less than 27% of hospitals train their postnatal staff in management of cleft lip ± palate; only 15 % offer inservice education programs about cleft management. Spearman Rho and Chi Square analyses indicate the level of associated services provided to families of infants with cleft lip ± palate is related to delivery rate at the hospital. A lower level of associated services are provided at hospitals in which fewer infants are delivered. Eighty-four percent of the respondents indicated inservice education programs regarding cleft lip ± palate would be beneficial for nursing staff and other professionals. This perceived need for inservice education is found to be related to the delivery rate at the hospital, that is, the fewer the deliveries, the lower the perceived need is for inservice education.


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