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

Syphilis During Pregnancy.

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.

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.

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.

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.

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.

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

Nurses' Role in the Birth Experience: An Integrative Review.

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.0000000000001080

Nicholas M Raposo, Corrine Y Jurgens

{"title":"Nurses' Role in the Birth Experience: An Integrative Review.","authors":"Nicholas M Raposo, Corrine Y Jurgens","doi":"10.1097/NMC.0000000000001080","DOIUrl":"https://doi.org/10.1097/NMC.0000000000001080","url":null,"abstract":"Background: Intrapartum nurses are integral to the birth experience, yet their unique influence on this patient-reported outcome is not clear. The purpose of this review is to synthesize and highlight characteristics and practices of intrapartum nursing care associated with the birth experience.Methods: A search was conducted in February and March 2024 in CINAHL, PubMed, and Scopus with keywords birth experience, birth satisfaction, and nurse. Publication date was unrestricted, as no similar review was identified. Original, peer-reviewed publications in English were included. Publications that explored mediators of the birth experience, made unclear associations, or validated instruments were excluded. The Johns Hopkins Research Evidence Appraisal Tool was used for quality assessment. Findings were presented through Maslow's hierarchy of needs.Results: Twenty-five publications were included. They were published between 1989 and 2021 and present national and international data on a range of birth experience outcomes. Most publications were good or high quality. Characteristics and practices of intrapartum nursing care associated with the birth experience were those that fulfilled patients' physiological, safety, love, esteem, and self-actualization needs throughout labor and birth.Discussion: Fulfilled needs set the stage for positive birth experiences, whereas unfulfilled needs were associated with negative birth experiences. Findings can be used to support intrapartum nurses in optimizing birth experience outcomes.","PeriodicalId":51121,"journal":{"name":"Mcn-The American Journal of Maternal-Child Nursing","volume":"50 2","pages":"99-106"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494775","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

Application of Predictive Analytics in Pregnancy, Birth, and Postpartum Nursing Care.

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.0000000000001086

引用次数: 0

Labor and Delivery Nurses' Perceptions of Their Colleagues' Attitudes and Behaviors Toward Pregnant Patients with Substance Use. 产科护士对同事对待吸毒孕妇的态度和行为的看法。

IF 1.8 4区医学

Mcn-The American Journal of Maternal-Child Nursing Pub Date : 2025-03-01 DOI: 10.1097/NMC.0000000000001091

Karli Swenson, Amber Johnson, Gretchen Schulz, Katie Breen

{"title":"Labor and Delivery Nurses' Perceptions of Their Colleagues' Attitudes and Behaviors Toward Pregnant Patients with Substance Use.","authors":"Karli Swenson, Amber Johnson, Gretchen Schulz, Katie Breen","doi":"10.1097/NMC.0000000000001091","DOIUrl":"https://doi.org/10.1097/NMC.0000000000001091","url":null,"abstract":"Objective: To understand labor and delivery nurses' attitudes and behaviors toward pregnant patients with substance use disorders or mental health concerns. Suicide and overdose are among the leading causes of preventable maternal deaths nationwide, underscoring the urgency of addressing issues related to supporting pregnant patients with behavioral health concerns.Design: We surveyed a subpopulation of nurses in Colorado to understand attitudes and behaviors toward patients with substance use disorders and mental health concerns.Results: Survey respondents were 154 nurses from 14 Colorado hospitals that represented 45% of the state's 2022 births: Half of the nurses reported their colleagues have negative attitudes and nearly one-third reported negative behaviors toward patients who disclose substance use. Qualitative data revealed instances of positive behaviors, with examples of supportive clinical care and resource provision for patients disclosing substance use. Negative examples described mistrust, negative attitudes, and lack of compassion toward patients, as well as instances of substandard clinical care.Conclusions: In this study, negative attitudes and behaviors were noted by some labor and delivery nurses by their colleagues toward pregnant patients with substance use disorders. Positive behaviors were also reported. Comprehensive processes to decrease negative behaviors are necessary to improve care for pregnant patients and to decrease maternal mortality from suicide and accidental overdose.","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":"143544406","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

Pelvic Floor Injuries during Childbirth. 分娩时骨盆底损伤。

IF 1.8 4区医学

Mcn-The American Journal of Maternal-Child Nursing Pub Date : 2025-01-01 Epub Date: 2024-12-03 DOI: 10.1097/NMC.0000000000001068

Kathleen Rice Simpson

引用次数: 0