Mcn-The American Journal of Maternal-Child Nursing最新文献

Huddles in Hospital Maternity Settings: A Scoping Review. 医院产科环境中的会议：范围审查。

IF 1.8 4区医学

Mcn-The American Journal of Maternal-Child Nursing Pub Date : 2025-03-01 Epub Date: 2025-02-25 DOI: 10.1097/NMC.0000000000001077

Samantha L Bernstein, Jessica G Bell, Rebecca Broadhurst

{"title":"Huddles in Hospital Maternity Settings: A Scoping Review.","authors":"Samantha L Bernstein, Jessica G Bell, Rebecca Broadhurst","doi":"10.1097/NMC.0000000000001077","DOIUrl":"10.1097/NMC.0000000000001077","url":null,"abstract":"Background: The Agency for Healthcare Research and Quality recommends the use of safety huddles, in which clinicians are briefly gathered to review a patient's condition, including new or developing changes in acuity or stability. The Joint Commission describes huddles as a \"hallmark\" of high-reliability organizations. Previous reviews have confirmed the general utility of huddles, including positive regard by clinicians, but there has not been work specifically looking at huddle use in hospital maternity care settings. Our objective was to identify the ways that huddles have been studied or reported in inpatient maternity settings and synthesize this information with recommendations from professional organizations to identify gaps in the literature published in the United States since 1999.Methods: We used Arksey and O'Malley's framework to guide our scoping review. Using the time frame from 1999 to 2024, we searched the following databases: PubMed, CINAHL, SCOPUS, Embase, as well as gray literature and the reference lists and citing articles of the included manuscripts.Results: We found 160 documents, of which 47 met inclusion criteria, including 11 care bundles, 10 quality improvement projects, and 4 research studies. The remaining 22 were a variety of editorials, position papers, and other gray literature.Discussion: There is scant research on the use of huddles in hospital maternity care settings, and most literature does not define the participants, timing, or agenda of the huddle. Further research is needed to understand how huddles affect outcomes in maternity settings. Researchers should explicitly define the huddles they are studying. The review protocol was registered at Open Science Framework Registries.","PeriodicalId":51121,"journal":{"name":"Mcn-The American Journal of Maternal-Child Nursing","volume":" ","pages":"92-98"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142900275","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

White Noise Exposure During Sleep in Infants and Children: How Much is too Much?

IF 1.8 4区医学

Mcn-The American Journal of Maternal-Child Nursing Pub Date : 2025-03-01 Epub Date: 2025-02-25 DOI: 10.1097/NMC.0000000000001076

Judy A Beal

引用次数: 0

Application of Three-Dimensional Printing in Maternity and Pediatric Nursing Care.

IF 1.8 4区医学

Mcn-The American Journal of Maternal-Child Nursing Pub Date : 2025-03-01 Epub Date: 2024-10-15 DOI: 10.1097/NMC.0000000000001084

Suzan Ahmad, Caitlin Dreisbach

引用次数: 0

Critical Role of Nighttime Breast Emptying.

IF 1.8 4区医学

Mcn-The American Journal of Maternal-Child Nursing Pub Date : 2025-03-01 Epub Date: 2024-02-25 DOI: 10.1097/NMC.0000000000001078

Diane L Spatz

引用次数: 0

Application of Predictive Analytics in Pregnancy, Birth, and Postpartum Nursing Care. 预测分析在妊娠、分娩和产后护理中的应用。

IF 1.8 4区医学

Mcn-The American Journal of Maternal-Child Nursing Pub Date : 2025-03-01 Epub Date: 2025-02-25 DOI: 10.1097/NMC.0000000000001082

Caitlin Dreisbach, Veronica Barcelona, Meghan Reading Turchioe, Samantha Bernstein, Elise Erickson

{"title":"Application of Predictive Analytics in Pregnancy, Birth, and Postpartum Nursing Care.","authors":"Caitlin Dreisbach, Veronica Barcelona, Meghan Reading Turchioe, Samantha Bernstein, Elise Erickson","doi":"10.1097/NMC.0000000000001082","DOIUrl":"10.1097/NMC.0000000000001082","url":null,"abstract":"Abstract: Predictive analytics has emerged as a promising approach for improving reproductive health care and patient outcomes. During pregnancy and birth, the ability to accurately predict risks and complications could enable earlier interventions and reduce adverse events. However, there are challenges and ethical considerations for implementing predictive models in perinatal care settings. We introduce major concepts in predictive analytics and describe application of predictive modeling to perinatal care topics such as fertility, preeclampsia, labor onset, vaginal birth after cesarean, uterine rupture, induction outcomes, postpartum hemorrhage, and postpartum mood disorders. Although some predictive models have achieved adequate accuracy (AUC 0.7-0.9), most require additional external validation across diverse populations and practice settings. Bias, particularly racial bias, remains a key limitation of current models. Nurses and advanced practice nurses, including nurse practitioners certified registered nurse anesthetists, and nurse-midwives, play a vital role in ensuring high-quality data collection and communicating predictive model outputs to clinicians and users of the health care system. Addressing the ethical challenges and limitations of predictive analytics is imperative to equitably translate these tools to support patient-centered perinatal care.","PeriodicalId":51121,"journal":{"name":"Mcn-The American Journal of Maternal-Child Nursing","volume":" ","pages":"66-77"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142900269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Trends in Characteristics of Births in the United States 2020 to 2023. 2020 - 2023年美国人口出生特征趋势

IF 1.8 4区医学

Mcn-The American Journal of Maternal-Child Nursing Pub Date : 2025-03-01 Epub Date: 2025-02-25 DOI: 10.1097/NMC.0000000000001073

Kathleen Rice Simpson

引用次数: 0

Fostering Informed Consent and Shared Decision-Making in Maternity Nursing With the Advancement of Artificial Intelligence. 在人工智能的推动下促进产妇护理中的知情同意和共同决策。

IF 1.8 4区医学

Mcn-The American Journal of Maternal-Child Nursing Pub Date : 2025-03-01 Epub Date: 2025-02-25 DOI: 10.1097/NMC.0000000000001083

Sara Bickweat Penner, Nicholas R Mercado, Samantha Bernstein, Elise Erickson, Melissa Anne DuBois, Caitlin Dreisbach

{"title":"Fostering Informed Consent and Shared Decision-Making in Maternity Nursing With the Advancement of Artificial Intelligence.","authors":"Sara Bickweat Penner, Nicholas R Mercado, Samantha Bernstein, Elise Erickson, Melissa Anne DuBois, Caitlin Dreisbach","doi":"10.1097/NMC.0000000000001083","DOIUrl":"10.1097/NMC.0000000000001083","url":null,"abstract":"Abstract: Artificial intelligence (AI), defined as algorithms built to reproduce human behavior, has various applications in health care such as risk prediction, medical image classification, text analysis, and complex disease diagnosis. Due to the increasing availability and volume of data, especially from electronic health records, AI technology is expanding into all fields of nursing and medicine. As the health care system moves toward automation and computationally driven clinical decision-making, nurses play a vital role in bridging the gap between the technological output, the patient, and the health care team. We explore the nurses' role in translating AI-generated output to patients and identify considerations for ensuring informed consent and shared decision-making throughout the process. A brief review of AI technology and informed consent, an identification of power dynamics that underly informed consent, and descriptions of the role of the nurse in various relationships such as nurse-AI, nurse-patient, and patient-AI are covered. Ultimately, nurses and physicians bear the responsibility of upholding and safeguarding the right to informed choice, as it is a fundamental aspect of safe and ethical patient-centered health care.","PeriodicalId":51121,"journal":{"name":"Mcn-The American Journal of Maternal-Child Nursing","volume":" ","pages":"78-85"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142900272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Amniotic Fluid Embolism.

IF 1.8 4区医学

Mcn-The American Journal of Maternal-Child Nursing Pub Date : 2025-03-01 Epub Date: 2025-02-25 DOI: 10.1097/NMC.0000000000001075

Samantha L Bernstein

引用次数: 0

Forever Chemicals (PFAS): An Overview for Maternity and Pediatric Health Care Professionals.

IF 1.8 4区医学

Mcn-The American Journal of Maternal-Child Nursing Pub Date : 2025-03-01 DOI: 10.1097/NMC.0000000000001090

Laura Anderko, Emma Pennea, Mary Kathryn Cardon, Ruth McDermott-Levy, Abby Mutic

{"title":"Forever Chemicals (PFAS): An Overview for Maternity and Pediatric Health Care Professionals.","authors":"Laura Anderko, Emma Pennea, Mary Kathryn Cardon, Ruth McDermott-Levy, Abby Mutic","doi":"10.1097/NMC.0000000000001090","DOIUrl":"https://doi.org/10.1097/NMC.0000000000001090","url":null,"abstract":"Abstract: Per- and polyfluoroalkyl substances (PFAS) constitute a large class of chemicals with widespread exposure in the United States. They are commonly used in products because they repel water, stain, and grease. Concerns about the health impacts from PFAS exposures continue to grow as science has linked this chemical family with a wide range of health effects. A recent report by the Agency for Toxic Substances and Disease Registry (ATSDR, 2024), along with findings from the National Academies of Sciences, Engineering, and Medicine (NASEM, 2022), found sufficient evidence for the following health effects in children: decreased antibody response, dyslipidemia, and decreases in birthweight. For pregnant patients, health effects include gestational hypertension and preeclampsia. Some of these chemicals can pass through human breastmilk and when tested, are routinely found in umbilical cord blood and fetal organs (ATSDR, 2021). Concerns for human health prompted the U.S. Environmental Protection Agency (EPA) to recently regulate five different PFAS and combinations of them. We offer clinical perspectives based on the most current literature to reduce health effects including methods to reduce exposure, implications of lab testing, and clinical management considerations. This topic is important because of widespread human exposure. PFAS may bioaccumulate in humans; may increase cancer risk; have long half-lives in humans; and may affect the developing fetus and child. PFAS levels exceed EPA's Lifetime Health Advisory (LTHA) in drinking water in most states. An overview of this issue and related health concerns is presented in the context of implications for maternity and pediatric patients.","PeriodicalId":51121,"journal":{"name":"Mcn-The American Journal of Maternal-Child Nursing","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544325","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Mentoring and Sponsorship for Early Career Nursing Scholars.

IF 1.8 4区医学

Mcn-The American Journal of Maternal-Child Nursing Pub Date : 2025-03-01 Epub Date: 2024-02-25 DOI: 10.1097/NMC.0000000000001085

Kathleen Rice Simpson

引用次数: 0