Mcn-The American Journal of Maternal-Child Nursing最新文献_第6页

Nurses' Perceived Effects of Visitor Restrictions in Hospital Maternity Units. 护士对医院产科探视限制影响的看法。

IF 1.8 4区医学

Mcn-The American Journal of Maternal-Child Nursing Pub Date : 2024-07-01 Epub Date: 2024-06-27 DOI: 10.1097/NMC.0000000000001020

Stacey E Iobst, Rachel Blankstein Breman, Hannah Black, Joyce K Edmonds

{"title":"Nurses' Perceived Effects of Visitor Restrictions in Hospital Maternity Units.","authors":"Stacey E Iobst, Rachel Blankstein Breman, Hannah Black, Joyce K Edmonds","doi":"10.1097/NMC.0000000000001020","DOIUrl":"10.1097/NMC.0000000000001020","url":null,"abstract":"Purpose: To explore how perinatal nurses perceive the effects of visitor restrictions on patient care within a hospital setting.Study design and methods: We distributed a cross-sectional survey online to perinatal nurses in May of 2022. Characteristics of respondents were analyzed using descriptive statistics. Responses to an open-ended question were analyzed via conventional content analysis.Results: Among our sample of 101 nurses, we identified seven codes representing positive effects and seven codes representing negative effects. The most frequently reported positive effects were ability to provide person-centered care ( n = 36, 35.6%) and less patient stress and more rest ( n = 29, 28.7%). The most frequently reported negative effects were limited patient support ( n = 22, 21.8%) and emotional distress to the patient ( n = 15, 14.9%). Fourteen percent ( n = 14) of respondents cited both positive and negative effects.Clinical implications: Nurses perceived that visitor restrictions resulted in both positive and negative patient experiences. Balancing clinical needs and safety considerations with emotional needs of the childbearing individual requires careful consideration by maternity care clinicians and health care systems. Subsequent research is needed to determine optimal visitation policies during intrapartum and postpartum with consideration to hospital context and patient preferences for optimal care.","PeriodicalId":51121,"journal":{"name":"Mcn-The American Journal of Maternal-Child Nursing","volume":" ","pages":"188-194"},"PeriodicalIF":1.8,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140177581","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

Postpartum Remote Blood Pressure Monitoring Using a Mobile App in Women with a Hypertensive Disorder of Pregnancy. 使用移动应用程序对患有妊娠高血压疾病的妇女进行产后远程血压监测。

IF 1.8 4区医学

Mcn-The American Journal of Maternal-Child Nursing Pub Date : 2024-07-01 Epub Date: 2024-06-27 DOI: 10.1097/NMC.0000000000001019

Adriane Burgess, Taylor Deannuntis, Julia Wheeling

{"title":"Postpartum Remote Blood Pressure Monitoring Using a Mobile App in Women with a Hypertensive Disorder of Pregnancy.","authors":"Adriane Burgess, Taylor Deannuntis, Julia Wheeling","doi":"10.1097/NMC.0000000000001019","DOIUrl":"10.1097/NMC.0000000000001019","url":null,"abstract":"Background: Hypertensive disorders of pregnancy affect approximately 15% of pregnancies in the United States and are a leading cause of postpartum readmissions. Morbidity due to hypertension may be higher in the first several weeks postpartum. The ability to monitor blood pressure and intervene in the postpartum period is critical to reducing morbidity and mortality.Local problem: At WellSpan Health, hypertensive disorders were increasing and a leading cause of severe maternal morbidity and readmission.Interventions: A remote blood pressure monitoring app called BabyScripts™ myBloodPressure was implemented in September 2020. Prior to discharge postpartum, all patients with a diagnosis of a hypertensive disorder of pregnancy were given an automatic blood pressure cuff and instructions on how to monitor and track their blood pressure daily in the app.Results: A total of 1,260 patients were enrolled in the BabyScripts™ myBloodPressure module between September 2020 and July 2022 across five maternity hospitals. Of those enrolled 74% ( n = 938) entered seven or more blood pressures, and of those who entered at least one blood pressure 9% ( n = 107) entered at least one critical range blood pressure ( ≥ 150 mmHg systolic and or ≥ 100 mmHg diastolic).Conclusion: Most women enrolled in the app were highly engaged and entered seven or more readings. Patients with critical blood pressures were identified; thus, the program has the potential to identify those at risk of severe complications. Barriers should be removed, and remote patient monitoring considered as a solution to improve postpartum assessment in patients with hypertensive disorders of pregnancy.","PeriodicalId":51121,"journal":{"name":"Mcn-The American Journal of Maternal-Child Nursing","volume":" ","pages":"194-203"},"PeriodicalIF":1.8,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140177582","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

Pregnant Women's Experiences of Seeking Treatment for Opioid Use. 孕妇寻求阿片类药物使用治疗的经历。

IF 1.8 4区医学

Mcn-The American Journal of Maternal-Child Nursing Pub Date : 2024-07-01 Epub Date: 2024-06-27 DOI: 10.1097/NMC.0000000000001024

Kimberly Dion, Sandra Cardaropoli, Ria Deshpande, Jennifer Kovarik

{"title":"Pregnant Women's Experiences of Seeking Treatment for Opioid Use.","authors":"Kimberly Dion, Sandra Cardaropoli, Ria Deshpande, Jennifer Kovarik","doi":"10.1097/NMC.0000000000001024","DOIUrl":"10.1097/NMC.0000000000001024","url":null,"abstract":"Purpose: The purpose of this study was to describe women's experiences seeking treatment for opioid use disorder during pregnancy.Study design and methods: This was an exploratory multi-method study to understand women's experiences seeking treatment for opioid use disorder during pregnancy using surveys and interviews. Women pregnant within the past 5 years while using opioids were recruited from a private Facebook group for mothers on medication for opioid use disorder. Members of this group assisted with the development of the survey. Descriptive statistics were used for the 18-question survey and interviews were recorded, transcribed, and analyzed for themes.Results: Twenty-one women completed an online survey, and six participated in an in-depth virtual interview about their experience. Five themes describing their experiences were identified: (1) fear of child protective services, (2) family and partner support, (3) health care providers' reactions, (4) accessing treatment centers, and (5) awareness of support services during pregnancy .Clinical implications: Participants reported an overall negative experience seeking treatment for opioid use disorder during pregnancy. Nurses can improve the outcomes for pregnant women with opioid use disorder by using a non-stigmatizing approach, promoting early identification, and providing information, including harm reduction education. Facilitation of resources for treatment, mother and child programs, and advocating for partner treatment can improve maternal and neonatal outcomes.","PeriodicalId":51121,"journal":{"name":"Mcn-The American Journal of Maternal-Child Nursing","volume":" ","pages":"225-231"},"PeriodicalIF":1.8,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140177583","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 and Midwives Must Take the Lead on Improving Maternal and Infant Outcomes. 护士和助产士必须在改善母婴结果方面发挥带头作用。

IF 1.8 4区医学

Mcn-The American Journal of Maternal-Child Nursing Pub Date : 2024-07-01 Epub Date: 2024-06-27 DOI: 10.1097/NMC.0000000000001018

Allison Shorten, Denise Côté-Arsenault, Gloria Giarratano, Catherine Ivory

引用次数: 0

Pre-Pandemic Versus Early COVID-19 Perinatal Outcomes at a Military Hospital. 一家军医院大流行前与早期 COVID-19 的围产期结果。

IF 1.8 4区医学

Mcn-The American Journal of Maternal-Child Nursing Pub Date : 2024-07-01 Epub Date: 2024-06-27 DOI: 10.1097/NMC.0000000000001023

Brandi L Gibson, Dehussa Urbieta, Sheila Sweeney, Jane A Ferguson, Dale Glaser, Abigail Yablonsky Marter

{"title":"Pre-Pandemic Versus Early COVID-19 Perinatal Outcomes at a Military Hospital.","authors":"Brandi L Gibson, Dehussa Urbieta, Sheila Sweeney, Jane A Ferguson, Dale Glaser, Abigail Yablonsky Marter","doi":"10.1097/NMC.0000000000001023","DOIUrl":"https://doi.org/10.1097/NMC.0000000000001023","url":null,"abstract":"Purpose: The purpose of this study was to examine the impact of the first year of COVID-19 pandemic on maternal and neonatal outcomes at a large military treatment facility in Southern California.Study design and methods: A retrospective review of maternal and neonatal medical records was conducted between January 1, 2019, and December 31, 2020. Outcomes measured included stillbirth rate, neonatal intensive care unit admission, neonatal death, cesarean birth, and postpartum hemorrhage.Results: A total of 4,425 records were analyzed. Rates of stillbirth between the years did not vary. The neonatal death rate decreased more than 50% in 2020 (p = .149). Cesarean births rose by 2.7% in 2020 (p = .046). Rates of postpartum hemorrhage did not vary between years.Clinical implications: The impact of COVID-19 on maternal and neonatal outcomes at a military treatment facility in the first year of the COVID-19 pandemic provides guidance for optimizing perinatal health care. Vertical transmission of COVID-19 is low and routine testing of asymptomatic neonates of positive mothers may not be necessary. COVID-19 infections should not be an indication for cesarean birth and are not associated with neonatal deaths or NICU admission.","PeriodicalId":51121,"journal":{"name":"Mcn-The American Journal of Maternal-Child Nursing","volume":"49 4","pages":"219-224"},"PeriodicalIF":1.8,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141460643","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

Centers for Disease Control and Prevention 2024 Childhood Immunization Schedules and Guidance. 美国疾病控制和预防中心 2024 年儿童免疫接种时间表和指南。

IF 1.8 4区医学

Mcn-The American Journal of Maternal-Child Nursing Pub Date : 2024-07-01 Epub Date: 2024-06-27 DOI: 10.1097/NMC.0000000000001016

Judy A Beal

引用次数: 0

Muslim Women's Experiences with Infertility: A Literature Review. 穆斯林妇女的不孕经历：文献综述。

IF 1.8 4区医学

Mcn-The American Journal of Maternal-Child Nursing Pub Date : 2024-07-01 Epub Date: 2024-06-27 DOI: 10.1097/NMC.0000000000001022

Samia Jamal Abdelnabi

{"title":"Muslim Women's Experiences with Infertility: A Literature Review.","authors":"Samia Jamal Abdelnabi","doi":"10.1097/NMC.0000000000001022","DOIUrl":"10.1097/NMC.0000000000001022","url":null,"abstract":"Objective: Infertility affects one in six women worldwide, playing a large role on an individual's psychosocial wellbeing and quality of life. The purpose of this review was to examine the experiences of Muslim women with infertility.Methods: A Prisma-guided literature review was conducted in Scopus, CINAHL, PubMed, Embase, PsychInfo, and Google Scholar. Sample inclusion criteria included research that examined the psychosocial consequences of infertility in women, used a qualitative design, were from a Muslim majority country or specified participants were Muslim, and were published in the English-language since 2013. Thematic analysis was used to synthesize the findings into themes.Results: Fourteen qualitative studies that explored the experiences of Muslim women with infertility were included for analysis. Women's responses were categorized into three focus areas: (1) emotional responses, (2) interpersonal relationships, and (3) social relationships. From these focus points, six overarching themes were identified that illustrated the challenges faced by Muslim women experiencing infertility: (1) identity crisis, (2) low self-esteem and depression, (3) abuse and harassment, (4) a weakened marital bond, (5) stigma, and (6) social exclusion and isolation .Clinical implications: Review of the literature provided an initial entrée into understanding the experiences of Muslim women with infertility. Understanding the unique role of infertility within a religious community equips nurses and other providers with the knowledge that discussions surrounding infertility must be conducted with cultural sensitivity. Further research should be conducted to explore and offer culturally tailored educational materials that align with the religious preferences of Muslim women.","PeriodicalId":51121,"journal":{"name":"Mcn-The American Journal of Maternal-Child Nursing","volume":" ","pages":"211-218"},"PeriodicalIF":1.8,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140177649","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

Improving Lactation Care and Support. 改善哺乳护理和支持。

IF 1.8 4区医学

Mcn-The American Journal of Maternal-Child Nursing Pub Date : 2024-07-01 Epub Date: 2024-06-27 DOI: 10.1097/NMC.0000000000001012

Diane L Spatz

引用次数: 0

Labor Support during the Early Months of the COVID-19 Pandemic in the United States. 美国 COVID-19 大流行初期的劳动力支持。

IF 1.8 4区医学

Mcn-The American Journal of Maternal-Child Nursing Pub Date : 2024-07-01 Epub Date: 2024-06-27 DOI: 10.1097/NMC.0000000000001021

Janet Adams Tucker, Melody Waller, Kate Fouquier, Melanie Fant, Sarah Rhoads

{"title":"Labor Support during the Early Months of the COVID-19 Pandemic in the United States.","authors":"Janet Adams Tucker, Melody Waller, Kate Fouquier, Melanie Fant, Sarah Rhoads","doi":"10.1097/NMC.0000000000001021","DOIUrl":"10.1097/NMC.0000000000001021","url":null,"abstract":"Purpose: To describe the experiences of registered nurses and certified nurse midwives who provided labor support and care in the early months of the COVID-19 pandemic.Study design and methods: A descriptive, qualitative approach was used to explore nurses' and midwives' perceptions via in-depth interviews. Data were analyzed via thematic analysis.Results: Thirteen nurses, four of whom were also midwives, participated in semi-structured interviews. All provided care during the first 9 months of the pandemic and represented seven states across the United States. The analysis revealed an overarching theme, A New World but still a Celebration. This overarching theme encompasses participants' accounts of trying to provide the same support, presence, and celebration while dealing with constant policy changes, the impact of limited family presence in labor, and their own fears and risks. Four sub-themes were identified: The Impact of Nursing during COVID-19; Challenges, Changes, and Consequences; Unexpected Benefits; and The Cost.Clinical implications: The first year of the COVID-19 pandemic saw unprecedented challenges for nurses. Practice changes due to these changing policies had negative and positive effects. Negative practices affected family support, decreased interprofessional collaboration, and caused shorter hospital stays for new mothers. Some positive aspects of practice changes included additional time for mother-newborn bonding due to restrictive visitation policies, increased initiation of breastfeeding, and focused patient education. Nurses across the United States are still coping with practice changes from the pandemic. Our study highlights the need to support nurses in adapting care in the midst of practice changes.","PeriodicalId":51121,"journal":{"name":"Mcn-The American Journal of Maternal-Child Nursing","volume":"49 4","pages":"204-210"},"PeriodicalIF":1.8,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11216393/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141460638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Nurses' Perceived Effects of Visitor Restrictions in Hospital Maternity Units. 护士对医院产科探视限制影响的看法。

IF 1.8 4区医学

Mcn-The American Journal of Maternal-Child Nursing Pub Date : 2024-07-01 Epub Date: 2024-06-27 DOI: 10.1097/NMC.0000000000001026

引用次数: 0