Mcn-The American Journal of Maternal-Child Nursing最新文献_第2页

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. 羊水栓塞。

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. 永久化学品（PFAS）：妇幼保健专业人员概述。

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. 辅导和赞助早期职业护理学者。

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

Syphilis During Pregnancy. 妊娠期梅毒。

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.0000000000001079

Jillian Pintye

引用次数: 0

Keeping Mothers Together With Their Babies Requiring Neonatal Intensive Care During the Birth Hospitalization: An Innovative Model of Care. 分娩住院期间需要新生儿重症监护的母亲与婴儿在一起：一种创新的护理模式。

IF 1.8 4区医学

Mcn-The American Journal of Maternal-Child Nursing Pub Date : 2025-03-01 DOI: 10.1097/NMC.0000000000001093

Amy Dagestad

{"title":"Keeping Mothers Together With Their Babies Requiring Neonatal Intensive Care During the Birth Hospitalization: An Innovative Model of Care.","authors":"Amy Dagestad","doi":"10.1097/NMC.0000000000001093","DOIUrl":"https://doi.org/10.1097/NMC.0000000000001093","url":null,"abstract":"Background: Keeping mothers and babies together after birth has long been described as best practice; however, most organizations in the United States move newborns requiring a higher level of care to a different unit in the hospital. The leadership team at a level II, four-bed neonatal intensive care unit in a community hospital averaging 1,400 births per year recognized an opportunity to potentially improve the care for maternity patients and their families.Intervention: Instead of high-risk newborns being cared for in the neonatal intensive care unit while their mothers were on the postpartum unit, an innovative model applied the concepts of rooming-in and couplet care in a new way, keeping mothers and their babies that need a higher level of care together. Mothers and babies remain together in a Labor-Delivery-Recovery-Postpartum/Neonatal Intensive Care (LDRP/NICU suite).Methods: The purpose of the new model of care was to improve patient and family experiences. Data were collected for 2 years prior and for 2 years after implementation of the new model of care. Participants included birth mothers of NICU babies on their day of discharge.Results: Results include improved employee and provider engagement. Birth volumes have increased since this practice change. This model of care has been successful in our facility and offers the opportunity for families to stay together throughout both mother and newborn's hospital stays.","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":"143544261","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

In a Flash: A Qualitative Descriptive Study of Amniotic Fluid Embolism Survivors. 瞬间：羊水栓塞幸存者的定性描述性研究

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.0000000000001081

Cheryl Tatano Beck

{"title":"In a Flash: A Qualitative Descriptive Study of Amniotic Fluid Embolism Survivors.","authors":"Cheryl Tatano Beck","doi":"10.1097/NMC.0000000000001081","DOIUrl":"https://doi.org/10.1097/NMC.0000000000001081","url":null,"abstract":"Purpose: To describe women's experiences of surviving an amniotic fluid embolism (AFE) as written in their online stories.Study design and methods: In this qualitative descriptive study, 50 stories of AFE that women posted on the AFE Foundation website were analyzed using Braun and Clarke's thematic analysis.Results: In this sample, 35 women had emergency cesarean births, 12 had vaginal births, and 3 did not mention the type of birth. In 35 of the stories, women's ethnicity could be determined. Thirty-three women were White and one each were Black and Asian. Twenty-eight mothers were primiparas and 22 were multiparas. Five themes were identified: In a Flash, Heartbreaking Loss of Memory, Arduous Trek Towards Physical Recovery, Struggling Mentally with the Aftermath of a Traumatic Birth, and It Takes a Village and Then Some.Clinical implications: The five themes identified from survivors' stories of AFE provide a firsthand account of surviving this catastrophic complication of childbirth and its prolonged aftermath. Nursing interventions based on these findings can be designed to help women heal from AFE.","PeriodicalId":51121,"journal":{"name":"Mcn-The American Journal of Maternal-Child Nursing","volume":"50 2","pages":"107-113"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494827","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

Toward Evidence-Based Practice. 走向循证实践。

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.0000000000001074

Annie Rohan, Kathryn M L Konrad, Annie J Rohan, Timothea T Vo

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.0000000000001087

引用次数: 0

Bedsharing Perspectives among Latino Caregivers. 拉丁裔看护者的同床共枕观点。

IF 1.8 4区医学

Mcn-The American Journal of Maternal-Child Nursing Pub Date : 2025-03-01 DOI: 10.1097/NMC.0000000000001094

Rachel Barbon, Jennifer J Doering

{"title":"Bedsharing Perspectives among Latino Caregivers.","authors":"Rachel Barbon, Jennifer J Doering","doi":"10.1097/NMC.0000000000001094","DOIUrl":"https://doi.org/10.1097/NMC.0000000000001094","url":null,"abstract":"Objective: In this study, we sought to explain how Latino family caregivers make decisions about where infants sleep using grounded theory methodology.Setting: Latino family caregivers were recruited from the Midwest using purposive theoretical sampling via social media and word-of-mouth.Methods: Participants were interviewed virtually via Zoom. Interviews were audio recorded and transcribed. Open coding, selective coding, and theoretical coding were used to create themes and categories.Results: Forty-five Latino family caregivers participated. The basic social process of Latino family infant sleep decision-making was Caregiver Vigilance. There were three outcomes of the process (placement in a crib, intentional bedsharing, or unintentional bedsharing). Six factors (pediatrician recommendations, family caregivers' beliefs about infant sleeping behaviors, grandmother's advice, postpartum fatigue, breastfeeding, and bonding) influenced each outcome in patterned ways.Conclusion: Safe infant sleep decisions among caregivers in the Latino community are complex. Our findings can help nurses assess the needs of the Latino population and address intentional and unintentional bedsharing.","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":"143544248","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