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

{"title":"Associations between TeamBirth Huddles and Trust and Autonomy Among Patients Reporting Complicated Births: A Secondary Analysis of the Oklahoma TeamBirth Study.","authors":"Harini Somanchi, Isabel Griffith, Vanessa Neergheen, Joyce K Edmonds, Amber Weiseth","doi":"10.1097/NMC.0000000000001191","DOIUrl":"10.1097/NMC.0000000000001191","url":null,"abstract":"<p><strong>Purpose: </strong>To examine whether complications during childbirth moderates the relationship between exposure to a TeamBirth huddle during labor and patient trust and autonomy.</p><p><strong>Study design and methods: </strong>Secondary analysis of patient experience surveys from 31 birthing hospitals in Oklahoma implementing TeamBirth between March 2022 and June 2024. Sample included 6,528 patients ≥15 years, of whom 774 reported childbirth complications. Patients were asked about demographic and clinical characteristics, experience with TeamBirth huddles, and responses to the Health Care Relationship Trust Scale (HCRTS-R) and My Autonomy in Decision-Making (MADM) scale. We used multivariable regression with interaction terms, adjusting for key demographic and clinical factors, to explore the role of complications in the relationship between TeamBirth exposure and patient trust and autonomy levels.</p><p><strong>Results: </strong>Reported childbirth complications significantly strengthened the positive association between TeamBirth exposure and patient trust and autonomy (HCRTS-R: b = 2.86, p < .001; MADM: b = 3.77, p < .001).</p><p><strong>Clinical implications: </strong>Experiencing a TeamBirth huddle during labor is positively associated with improved patient-reported trust and autonomy across groups, with the strongest effects observed among patients with childbirth complications. Nurses play a key role in implementing the TeamBirth model to enhance patient-centered care and mitigate the potential negative effects of complications on childbirth experiences.</p>","PeriodicalId":51121,"journal":{"name":"Mcn-The American Journal of Maternal-Child Nursing","volume":" ","pages":"141-147"},"PeriodicalIF":2.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147345046","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}

{"title":"Maternity Care Team Members' Perspectives on Barriers and Facilitators to Integrating Doulas into the Hospital Setting.","authors":"Pearl A McElfish, Amy Ayala, William Greenfield, Hannah McHardy, Sarah Moore, Sara Sorrell, Nicole Thornton, Nirvana Manning, Jennifer Callaghan-Koru, Anna Strong, Jodiane Tritt, Nicolle Fletcher, Britni L Ayers, Krista Langston","doi":"10.1097/NMC.0000000000001186","DOIUrl":"https://doi.org/10.1097/NMC.0000000000001186","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to gather information that can be used to help inform doula integration into the clinical care setting.</p><p><strong>Study design and methods: </strong>We conducted a convergent (parallel) mixed-methods online survey study to understand maternity care team members' perceptions of doulas and their integration into the clinical setting.</p><p><strong>Results: </strong>One hundred and ten maternity care team members responded to the survey with both open-ended questions. The majority (90.0%) of respondents were nurses, female (94.5%), and White (90.0%). Three quarters (75.5%) reported prior experience working with a doula. Four primary themes related to barriers and facilitators were identified through thematic content analysis: Doula Support and Its Benefits; Uncertainty about Doulas' Qualifications; Interference with the Maternity Care Team Member; and Integration into the Health Care System. Respondents discussed the benefits of doulas and the valuable support that doulas offered to patients, including: 1a) emotional, physical, and educational support and 1b) advocacy and communication. They expressed concerns about the potential interference with the maternity team, including: 3a) role confusion and influence on clinical decision-making and 3b) disrupting the patient-maternity care team member relationship. Recommendations for successful integration of doulas into the health care system included 4a) clear roles and boundaries, 4b) building relationships of trust and respect, 4c) collaborative communication, and 4d) education of maternity care team members.</p><p><strong>Clinical implications: </strong>The study will be used to develop a doula integration tool kit. Doulas and maternity care team members should work together to create clear guidelines about the role of doulas within the hospital. Collaborative development of doula-supportive hospital policies and formalized hospital-doula partnership agreements can help reduce role ambiguity and create a more supportive hospital environment.</p>","PeriodicalId":51121,"journal":{"name":"Mcn-The American Journal of Maternal-Child Nursing","volume":"51 3","pages":"154-161"},"PeriodicalIF":2.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147823263","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}

{"title":"Transitioning a Dissertation or Quality Improvement Project to a Journal Manuscript.","authors":"Karen H Morin","doi":"10.1097/NMC.0000000000001189","DOIUrl":"https://doi.org/10.1097/NMC.0000000000001189","url":null,"abstract":"","PeriodicalId":51121,"journal":{"name":"Mcn-The American Journal of Maternal-Child Nursing","volume":"51 3","pages":"170-171"},"PeriodicalIF":2.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147823273","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}

{"title":"Measles Elimination Status in the United States.","authors":"Judy A Beal","doi":"10.1097/NMC.0000000000001190","DOIUrl":"https://doi.org/10.1097/NMC.0000000000001190","url":null,"abstract":"","PeriodicalId":51121,"journal":{"name":"Mcn-The American Journal of Maternal-Child Nursing","volume":"51 3","pages":"173"},"PeriodicalIF":2.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147823280","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}

{"title":"Improving Nurses' Management of Uterine Tachysystole.","authors":"Carol Lawrence, Sharon Cusanza, Leigh Collins, Karen Kolega, Nancy Travis, Carol A Curran, Roseann K Civil, Sara Harris, Joyce Richelle Arand","doi":"10.1097/NMC.0000000000001195","DOIUrl":"10.1097/NMC.0000000000001195","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the incidence of uterine tachysystole and determine if nurses' management of tachysystole using an artificial intelligence-enabled clinical decision support (cEFM-aiCDS) alert system alone and in combination with an education module about tachysystole could be improved.</p><p><strong>Study design methods: </strong>Phase I involved a pre-post study design comparing the incidence and management of tachysystole in patients having labor induction after implementation of the cEFM-aiCDS alert system. Phase II involved a one-group pre-post quasi-experimental design to evaluate the effect of offering a comprehensive educational module about tachysystole to nurses using the alert system. Outcomes measured included nurses' knowledge, management, and incidence of tachysystole, and duration of the alerts. Data collection used system reporting and medical record reviews that occurred between January 2020 and August 2024.</p><p><strong>Results: </strong>Phase I found no significant difference in the number of tachysystole events ( p = .626) or management of tachysystole with the decrease or discontinuance of oxytocin after implementation ( p = .603). In phase II, of the 210 labor nurses, 66 participants, representing 31.4% of the potential sample completed the educational module on tachysystole. Phase II found no change in the incidence of tachysystole among all births ( p = .945) and in those patients who experienced a Category II/III fetal heart rate pattern after implementing an educational intervention ( p = .070). The number of prolonged alerts also did not change ( p = .377). Phase II found a significant improvement in the timely management of tachysystole with evidence-based intervention in the presence of Category II/III fetal heart rate pattern ( p < .001). However, Phase II found no change in the incidence of tachysystole among all births ( p = .945) and in those patients who experienced a Category II/III fetal heart rate pattern after implementing an educational intervention ( p = .070). The number of prolonged alerts also did not change ( p = .377).</p><p><strong>Clinical implications: </strong>Offering a comprehensive educational module about tachysystole combined with a cEFM-aiCDS alert system was associated with an improvement in nurses' management of tachysystole; however, these results should be interpreted with caution as only about one-third of the labor nurses participated in the education module.</p>","PeriodicalId":51121,"journal":{"name":"Mcn-The American Journal of Maternal-Child Nursing","volume":" ","pages":"131-140"},"PeriodicalIF":2.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147344988","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}

{"title":"Risk Factors for Newborn Falls or Drops During the Birth Hospitalization: Analysis of 88 Reports.","authors":"Rose Mary Ainsworth, Maria Caceres, Bonnie Mullen, Richard E Gilder, Ellise D Adams","doi":"10.1097/NMC.0000000000001212","DOIUrl":"https://doi.org/10.1097/NMC.0000000000001212","url":null,"abstract":"<p><strong>Purpose: </strong>To determine factors that increase the risk of newborn falls or drops during the birth hospitalization.</p><p><strong>Study design and methods: </strong>Using evidence from a review of the literature and newborn falls and drops at our hospital, a data collection instrument was developed and a retrospective, cross-sectional, exploratory review of a convenience sample from hospitals that had experienced at least one newborn fall was conducted. Data were collected from September 2016-June 2025.</p><p><strong>Results: </strong>Information on 88 newborn falls or drops was collected from 15 hospitals. Eleven potential risk factors were identified: nighttime, cesarean birth, second and third night after birth, maternal anemia/excessive blood loss, use of prescribed opioids within 4 hours of fall, comorbidities, maternal attachments, high-risk fall behaviors, breastfeeding, in-hospital use of prescribed sedating medications, and history of illegal substance use within the last 2 years.</p><p><strong>Clinical implications: </strong>All newborns are at risk of falling or being dropped by a parent or support person, and some are at higher risk than others. Knowing the risk factors can help nurses and other members of the maternity care team to identify those at greater risk of falling or being dropped and implement preventative measures.</p>","PeriodicalId":51121,"journal":{"name":"Mcn-The American Journal of Maternal-Child Nursing","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147788375","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}

{"title":"Childbirth after Gender-Based Violence: A Scoping Review.","authors":"Madison L Broadbent, Sherry Morrell, Jamie Crawley, Natalie Giannotti, Adam Mulcaster","doi":"10.1097/NMC.0000000000001204","DOIUrl":"https://doi.org/10.1097/NMC.0000000000001204","url":null,"abstract":"<p><strong>Background: </strong>Gender-based violence (GBV) encompasses physical, emotional, verbal, coercive, and discriminatory forms of violence. Previous experiences of GBV have been shown to influence the childbirth experience negatively.</p><p><strong>Purpose: </strong>Examine subjective childbirth experiences of women with a history of GBV.</p><p><strong>Inclusion criteria: </strong>(1) Studies including qualitative content that discusses GBV; (2) participants identified as women; (3) aged 18 years or older; (4) focused on women's subjective childbirth experiences; (5) written in English; and (6) available as full-text sources.</p><p><strong>Study design and methods: </strong>The qualitative scoping review followed the Joanna Briggs Institute (JBI) methodology. Databases searched included CINAHL (EBSCO), MEDLINE (Ovid), ProQuest Nursing and Allied Health, Scopus, OVID Emcare, ProQuest Dissertations and Theses, PsycINFO, and grey literature. No publication date restrictions were applied. Two reviewers independently screened titles and abstracts, with full texts retrieved for eligible sources. Discrepancies were resolved through consensus discussion or adjudicated by a third reviewer. Data were extracted using a standardized data extraction tool.</p><p><strong>Results: </strong>Thirty-one articles were extracted. Six major themes were identified: (1) maintaining control; (2) triggers, flashbacks, and dissociations; (3) impact of support; (4) physical vulnerability; (5) desire to disclose; and (6) childbirth as healing.</p><p><strong>Clinical implications: </strong>This review revealed novel findings regarding childbirth as a healing experience after GBV and emphasized women's desire to disclose GBV histories during the birthing process. Further research is needed to explore the childbirth experiences of individuals with diverse forms of GBV.</p>","PeriodicalId":51121,"journal":{"name":"Mcn-The American Journal of Maternal-Child Nursing","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147788407","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}

{"title":"Perinatal Missed Nursing Care: An Integrative Review.","authors":"Jie Zhong, Veronica Pasha, Brynne Campbell Rice, Kathleen Rice Simpson, Joanne Spetz, Gay Landstrom, Audrey Lyndon","doi":"10.1097/NMC.0000000000001206","DOIUrl":"https://doi.org/10.1097/NMC.0000000000001206","url":null,"abstract":"<p><strong>Purpose: </strong>To identify the prevalence and patterns of perinatal missed nursing care, potential factors contributing to perinatal missed care, and understand the impact of perinatal missed nursing care on patient outcomes.</p><p><strong>Study design methods: </strong>Integrative review following the methodology of Whittemore and Knafl. Data were sourced from PubMed, CINAHL, EMBASE, Web of Science, and Scopus and appraised using the Mixed Methods Appraisal Tool. Data were extracted and iteratively compared to identify patterns, themes, and relationships.</p><p><strong>Results: </strong>Seventeen studies from eight countries met inclusion criteria. Use of different adapted instruments covering diverse aspects of perinatal care made comparison across studies challenging. The prevalence of perinatal missed nursing care was 21.9% to 78.9% depending on the aspect of care assessed and measure used. Inadequate staffing, competing demands, and lack of material resources were commonly reported antecedents to perinatal missed nursing care. Limited maternal and neonatal outcomes have been explored; however, missed nursing care during labor and birth was significantly associated with lower hospital-level rates of initiation and exclusivity of breast milk feeding.</p><p><strong>Clinical implications: </strong>Missed nursing care is a recognized indicator of quality of care across hospital settings. The prevalence of missed perinatal nursing care was driven by inadequate staffing and other structural factors which may also contribute to nurse burnout and job dissatisfaction. National standards for registered nurse staffing in perinatal units should be budgeted for and followed to ensure safe, high-quality perinatal care. A universal measure for the perinatal context could advance understanding of perinatal missed care.</p>","PeriodicalId":51121,"journal":{"name":"Mcn-The American Journal of Maternal-Child Nursing","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147788370","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}

{"title":"Research Brief: Trends in Cesarean Birth in the United States 1965 to 2025.","authors":"Kathleen Rice Simpson","doi":"10.1097/NMC.0000000000001211","DOIUrl":"https://doi.org/10.1097/NMC.0000000000001211","url":null,"abstract":"","PeriodicalId":51121,"journal":{"name":"Mcn-The American Journal of Maternal-Child Nursing","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147634751","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}

{"title":"Baby-Friendly Hospital Initiative and Breastfeeding Across Social Determinants of Health: A Scoping Review.","authors":"Ingrid R Wilhelm, Emily J Jones, Mark J Fisher, Julie A Gordon, Anitra C Frederick","doi":"10.1097/NMC.0000000000001205","DOIUrl":"https://doi.org/10.1097/NMC.0000000000001205","url":null,"abstract":"<p><strong>Background: </strong>Breastfeeding provides significant short- and long-term health benefits for mothers and infants. Despite national efforts, breastfeeding rates in the United States remain below target levels, particularly among underserved populations.</p><p><strong>Objective: </strong>We used a scoping review to examine the influence of the Baby-Friendly Hospital Initiative (BFHI) on breastfeeding rates (initiation, exclusivity, duration) across five Centers for Disease Control and Prevention categories: age, race and ethnicity, education, income, and geographic location, and interpreted findings using the Kaiser Family Foundation framework to provide social context. Due to the limited evidence available, the review encompassed all BFHI-related articles published from 1996 onward.</p><p><strong>Results: </strong>Twenty articles were included in the review. BFHI practices improve breastfeeding rates overall. However, the impact is not consistent across all social determinants of health. Evidence suggests BFHI may positively influence rates for mothers of varying income levels and racial/ethnic backgrounds, though findings are mixed. The influence of BFHI on maternal education and age was less conclusive.</p><p><strong>Conclusions: </strong>Although BFHI is associated with improved breastfeeding rates, its ability to reduce disparities linked to social determinants of health remains unclear. Further research is needed to explore how BFHI interacts with intersecting social and structural factors to promote equitable breastfeeding rates.</p>","PeriodicalId":51121,"journal":{"name":"Mcn-The American Journal of Maternal-Child Nursing","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147634733","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}