Mcn-The American Journal of Maternal-Child Nursing最新文献_第3页

Pediatric Readiness in US Emergency Departments. 美国急诊科的儿科准备情况

IF 1.8 4区医学

Mcn-The American Journal of Maternal-Child Nursing Pub Date : 2025-05-01 Epub Date: 2025-04-29 DOI: 10.1097/NMC.0000000000001088

Judy A Beal

引用次数: 0

Maternity Care Access in Rural United States is in Crisis. 美国农村的产妇保健服务处于危机之中。

IF 1.8 4区医学

Mcn-The American Journal of Maternal-Child Nursing Pub Date : 2025-05-01 Epub Date: 2025-04-29 DOI: 10.1097/NMC.0000000000001097

Kathleen Rice Simpson

引用次数: 0

Managing Pain During Breastfeeding Initiation. 母乳喂养开始时疼痛的处理。

IF 1.8 4区医学

Mcn-The American Journal of Maternal-Child Nursing Pub Date : 2025-05-01 Epub Date: 2025-04-29 DOI: 10.1097/NMC.0000000000001099

Diane L Spatz

引用次数: 0

Perinatal Mood Disorders Require Research. 围产期情绪障碍需要研究。

IF 1.8 4区医学

Mcn-The American Journal of Maternal-Child Nursing Pub Date : 2025-05-01 Epub Date: 2025-04-29 DOI: 10.1097/NMC.0000000000001096

Marliese Dion Nist

引用次数: 0

Emergency Preparedness for Perinatal Patients. 围产期病人的应急准备。

IF 1.8 4区医学

Mcn-The American Journal of Maternal-Child Nursing Pub Date : 2025-05-01 Epub Date: 2025-04-29 DOI: 10.1097/NMC.0000000000001100

Kirsten Wisner

引用次数: 0

Education and Evaluation of Electronic Fetal Monitor Interpretation: A Scoping Review. 电子胎儿监护仪的教育与评价解读：范围综述。

IF 1.8 4区医学

Mcn-The American Journal of Maternal-Child Nursing Pub Date : 2025-05-01 Epub Date: 2025-04-29 DOI: 10.1097/NMC.0000000000001095

Susan H Hébert, Joel G Anderson, Tami H Wyatt, Suzan Kardong-Edgren

{"title":"Education and Evaluation of Electronic Fetal Monitor Interpretation: A Scoping Review.","authors":"Susan H Hébert, Joel G Anderson, Tami H Wyatt, Suzan Kardong-Edgren","doi":"10.1097/NMC.0000000000001095","DOIUrl":"https://doi.org/10.1097/NMC.0000000000001095","url":null,"abstract":"Background: Current education and evaluation methods to support safe monitoring and interpretation of electronic fetal monitoring (EFM) tracings lack rigor. The purpose of this scoping review was to assess the state of EFM education and competence evaluation.Methods: A systematic search was conducted of peer-reviewed articles between January 2011 and December 2023 using CINAHL, PubMed, and Web of Science. The publications reviewed included findings on EFM education and competence evaluation. Data were synthesized into identified themes.Results: The search produced 192 initial publications, and after review and analysis, nine were included in the final analysis. The themes identified included educational and evaluation methods and the curricular design. The type of competence evaluation used and the inclusion of essential EFM interpretation components were noted. Processes for the development of curricula and the use of an educational theory were also highlighted. The definition of competence, the effectiveness of educational interventions and evaluation measures, and the inclusion of intra- and interrater consistencies of interpretations were identified as key themes. Of the interventional studies, most used e-learning or a hybrid method including e-learning. An evaluation tool measured effectiveness in most studies; however, many did not set a passing standard. Some operationalized rigorous tools, but few measured the essential components of EFM interpretations or considered interrater consistencies of participants' EFM interpretations.Clinical implications: There is need to improve education and evaluation of EFM tracing interpretation skills after participating in initial fetal monitoring courses, including integrating evidence-based educational design practices and rigorous learner evaluation to ensure safe and accurate EFM interpretations.","PeriodicalId":51121,"journal":{"name":"Mcn-The American Journal of Maternal-Child Nursing","volume":"50 3","pages":"168-175"},"PeriodicalIF":1.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144040005","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

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 : 2025-05-01 Epub Date: 2025-04-29 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":"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":"133-140"},"PeriodicalIF":1.8,"publicationDate":"2025-05-01","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

Implications of Ongoing Policy Changes at the Federal and State Levels in the United States on the Wellbeing of Women and Children: What Can Nurses Do? 美国联邦和州一级正在进行的政策变化对妇女和儿童福祉的影响：护士能做些什么？

IF 1.8 4区医学

Mcn-The American Journal of Maternal-Child Nursing Pub Date : 2025-05-01 Epub Date: 2025-04-29 DOI: 10.1097/NMC.0000000000001117

Kathleen Rice Simpson, Annie J Rohan

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 : 2025-05-01 Epub Date: 2025-04-29 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":"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":"162-167"},"PeriodicalIF":1.8,"publicationDate":"2025-05-01","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

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 : 2025-05-01 Epub Date: 2025-04-29 DOI: 10.1097/NMC.0000000000001089

Laura L Hayman, Mary Dawn Koenig, Annie Rohan

引用次数: 0