Katarina Patriksson, Ola Andersson, Filippa Stierna, Kristina Haglund, Li Thies-Lagergren
{"title":"Midwives’ Experiences of Intact Cord Resuscitation in Nonvigorous Neonates After Vaginal Birth in Sweden","authors":"Katarina Patriksson, Ola Andersson, Filippa Stierna, Kristina Haglund, Li Thies-Lagergren","doi":"10.1016/j.jogn.2023.12.003","DOIUrl":"10.1016/j.jogn.2023.12.003","url":null,"abstract":"<div><h3>Objective</h3><p>To describe midwives’ experiences of intact cord resuscitation close to the mother for nonvigorous neonates after vaginal birth.</p></div><div><h3>Design</h3><p>Descriptive qualitative.</p></div><div><h3>Setting</h3><p>Four labor wards in Sweden.</p></div><div><h3>Participants</h3><p>Midwives (<em>N</em> = 13) currently or previously employed in labor wards where the Sustained Cord Circulation and Ventilation (SAVE) study was conducted.</p></div><div><h3>Methods</h3><p>We analyzed semistructured interviews using reflexive thematic analysis.</p></div><div><h3>Results</h3><p>Participants’ experiences are presented in an overarching theme: <em>Midwives balance knowledge with doing the right thing in a challenging work environment during intact cord resuscitation.</em> Three primary themes emerged: <em>A New Workflow, Zero Separation: The Big Advantage,</em> and <em>The Midwife: Guardian of Childbirth.</em></p></div><div><h3>Conclusion</h3><p>The participants were keen to keep the umbilical cord intact even for nonvigorous neonates. They wanted to work with the neonate close to the mother to facilitate zero separation and family participation. Ventilation with an intact umbilical cord was considered a routine to be implemented in the future, but the participants identified certain difficulties with the design of the SAVE study.</p></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"53 3","pages":"Pages 255-263"},"PeriodicalIF":1.8,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0884217523002939/pdfft?md5=fba22bf650ca5791d1a71c14a33bd199&pid=1-s2.0-S0884217523002939-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139458930","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}
{"title":"Relationships Among Individual and Hospital Characteristics and Self-Efficacy in Labor Support Among Intrapartum Nurses in Texas","authors":"Lisette Saleh","doi":"10.1016/j.jogn.2023.12.006","DOIUrl":"10.1016/j.jogn.2023.12.006","url":null,"abstract":"<div><h3>Objective</h3><p>To explore the relationships among individual and workplace characteristics and self-efficacy in labor support among intrapartum nurses.</p></div><div><h3>Design</h3><p>Cross-sectional survey.</p></div><div><h3>Setting</h3><p>Online distribution from April to August 2020.</p></div><div><h3>Participants</h3><p>Members of the Texas section of the Association for Women's Health, Obstetric, and Neonatal Nurses (<em>N</em> = 106).</p></div><div><h3>Methods</h3><p>I conducted descriptive analysis on individual and workplace characteristics, including scores on the Self-Efficacy Labor Support Scale. I conducted backward stepwise multivariate linear regression to assess the factors associated with self-efficacy in providing labor support.</p></div><div><h3>Results</h3><p>Years as an intrapartum nurse had a positive association with self-efficacy in labor support. Experience with open-glottis pushing, the overall cesarean birth rate, and the use of upright positioning during labor and birth were also positively associated with self-efficacy in labor support. Conversely, lack of recognition by providers was negatively associated with self-efficacy in labor support.</p></div><div><h3>Conclusion</h3><p>Findings suggest that modifiable factors at the individual and hospital levels are associated with nurses’ self-efficacy in labor support. Hospitals must work to engage in obstetric practices that are congruent with providing labor support, including the use of experienced nurses to mentor new nurses and the creation of a unit culture to reinforce the intent of individual nurses to provide labor support.</p></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"53 3","pages":"Pages 272-284"},"PeriodicalIF":1.8,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139414358","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":"Educating Obstetric Care Teams in the Care of the Exceptional Patient and Family","authors":"Rebecca Ashbeck MAN, RN, Becky Walkes MSN, RN, C-EFM, Erin Henderson MHA, BSN, RN","doi":"10.1016/j.jogn.2024.05.017","DOIUrl":"https://doi.org/10.1016/j.jogn.2024.05.017","url":null,"abstract":"","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"53 4","pages":"Pages S10-S11"},"PeriodicalIF":1.8,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141429039","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}