Journal of Obstetric, Gynecologic, and Neonatal Nursing This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

A Retrospective Analysis on the Effectiveness of a Maternal Hemorrhage Plan
Conclusion/Implications for Nursing PracticeEarly identification and treatment of hemorrhage with implementation of a MHP protocol resulted in improved maternal outcomes. (Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing)
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Tammy J. Sincore Tags: Childbearing Source Type: research

Implementation of an Evidence‐Based Practice Project to Increase Hospital‐Based Compliance Related to Cervical Cancer Screening
Conclusion/Implications for Nursing PracticeThese findings suggest that an educational intervention for registration staff can increase cervical cancer screening compliance and positively improve the ability of staff to screen inpatient women. (Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing)
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Lynn Anita Richards McDonald Tags: Women's Health Source Type: research

A Successful Quality Improvement Project to Improve Infant Safe Sleep Practice
Conclusion/Implications for Nursing PracticeThrough implementation of Safe Sleep protocols on a nursing unit and education of medical and nursing staff, safe sleep education can easily be delivered in the hospital prior to discharge and modeling of safe sleep environments can occur. Comprehensive education and role modeling for all parents of newborns has the potential to reduce the number of sleep‐related deaths that occur. (Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing)
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Sue Ellen Abney‐Roberts Tags: Childbearing Source Type: research

Interpretation of Critical Congenital Heart Disease Screening Algorithms
Conclusion/Implications for Nursing PracticeVDH is now disseminating this new visual chart among all birth hospitals throughout the Commonwealth to ensure the CCHD screening process is safe, accurate, and error free. Replicating this effort on a national scale would add to the evidence base surrounding the efficacy of CCHD screening and improve patient safety in other state‐sponsored newborn screening programs aimed at reducing neonatal infant morbidity and mortality rates. (Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing)
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Elizabeth B. Mikula, Christen Strickler, Kathleen Moline, Michelle R. Morris Tags: Newborn Care Source Type: research

Quantitative Measurement of Blood Loss During Delivery
Conclusion/Implications for Nursing PracticeAccurate assessment and recognition of postpartum hemorrhage is an essential skill. Researchers indicate that quantitative measurement of blood loss is an accurate method and visual assessment should be eliminated from practice. Knowing the accurate, objective amount of blood lost will enable the health care team to recognize and respond faster to an obstetric hemorrhage. (Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing)
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Renee' Jones Tags: Childbearing Source Type: research

Development of a Nurse Staffing Model to Accurately Reflect Complexity and Intensity of Patient Care Needs in an Urban Academic Medical Center
Poster PresentationPurpose for the ProgramOur current staffing model, based on nursing hours per birth, does not accurately forecast registered nurse (RN) staffing needs during a 24‐hour period. Researchers have shown that the number of nurses may influence perinatal outcomes, which highlights the need to accurately project appropriate staffing. Perinatal outcomes are influenced by adequate staffing.Proposed ChangeTo identify a staffing model for our labor and delivery area that more accurately matched actual patient care needs. Academic medical centers (AMC) pose a unique staffing challenge because of the larger percent...
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Joan L. Torbet, Marleen Mulkeen, Lynn Stringer, Kate Fitzpatrick Tags: Professional Issues Source Type: research

An Interdisciplinary Approach to Creating a Culture of Safety
Poster PresentationPurpose for the ProgramAt New York Presbyterian Weill Cornell Medical Center, potentially unsafe behaviors or conditions have been observed on the labor and delivery unit. We demonstrate the successful implementation of an innovative program to improve the culture of safety within the obstetric unit with a goal to improve outcomes.Proposed ChangeTo use TeamSTEPPS as a basis and transform a less safe working environment into a safer, more collaborative, working environment.Implementation, Outcomes, and EvaluationA formalized plan for a culture of safety was gradually introduced to the obstetric department...
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Sara Pasciolla, Barbara Alba Tags: Professional Issues Source Type: research

Improving the Delivery of Care to Limited English Proficiency Patients
Poster PresentationPurpose for the ProgramLimited English proficiency (LEP) creates challenges for effective communication, affects health outcomes, and exacerbates health disparities. A survey of postpartum women at this facility indicated that 41% of LEP patients reported an unmet need for an interpreter and wide use of unqualified interpreters during their stays.Proposed ChangeBy October 2013, to achieve a 50% reduction in the number of postpartum LEP women who reported an unmet need for a qualified medical interpreter (MI) during their hospital stay.Implementation, Outcomes, and EvaluationA Lean Six Sigma (LSS) project...
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Linda Daniel Tags: Professional Issues Source Type: research

Preparing the Next Generation of Perinatal Nurses at Hawai'i Pacific Health Perinatal Nursing Academy
Poster PresentationPurpose for the ProgramPerinatal nursing positions are among the most critical to fill. Nationally, there exists an overall nursing shortage, whereas locally, we have a surplus of new graduate nurses. This presentation explores the innovative approaches that our organization used to enhance our ability to bridge experienced and new graduate nurses into perinatal nursing.Proposed ChangeTo create a flow of nurses to fill the most critical nursing area positions, an extensive initiative called the nursing pipeline was established throughout Hawai‘i Pacific Health. The goals of the initiative included deli...
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Bridget Lai Tags: Professional Issues Source Type: research

Implementation of a Formal Charge Nurse Leadership Development Program
Poster PresentationPurpose for the ProgramWhat happens to a unit within a hospital setting that has no formal leaders? The unit becomes stuck in survival mode. This was the history of the women's care unit in a 105‐bed hospital, where fewer than 800 neonates are born annually. With many obstacles and traditional thinking hardwired into everyday practice, developing a formal training program for charge nurses was a new way of thinking for the unit staff and the rest of the hospital. Our program has turned into a pilot project for the rest of the hospital.There were many years during which the women's care unit was without...
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Jenny L. Graves, Gail A Reichert Tags: Professional Issues Source Type: research

Social Media and Professional Boundaries in the NICU Setting
Poster PresentationPurpose for the ProgramA search of online databases provided evidence that nurses are not sure about how to maintain professional boundaries when using social media sites. Concerns about how to protect staff members from potential social media violations led to the development of an evidence‐based practice project to address the issue.Proposed ChangeTo determine if the implementation of a structured social media education program would increase neonatal intensive care unit (NICU) nurses’ understanding of professional boundaries when using social media networks.Implementation, Outcomes, and Evaluation...
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Shanita D. Lofton Tags: Professional Issues Source Type: research

A Comprehensive Leadership Response to an Unexpected Maternal Death
Poster PresentationPurpose for the ProgramThe purpose of this presentation is to describe the successful development and implementation of a leadership pathway for response to an unanticipated, maternal death during pregnancy. The pathway is comprehensive and addresses family support, staff support, risk management, regulatory notification, and media response planning for short term and long term periods and may be individualized to a specific institution and area of practice.Proposed ChangeDevelopment of a leadership pathway that can be tailored to a variety of settings. Responses of leadership can vary after a catastroph...
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Faye J. Weir Tags: Professional Issues Source Type: research

Enhancing Clinical Support and Collaboration through Creation of a Standardized Critical Event Debrief Process
Poster PresentationPurpose for the ProgramObstetric‐related critical events are self‐defined, often unexpected, traumatic events with the potential to involve multiple staff members that result in strong emotional responses for which usual coping mechanisms may be ineffective. Health care professionals are trained to clinically respond to patient‐related events; however, they may not have the resources to adequately respond to emotions triggered by these events. Health care providers in these situations may have feelings of worry or grief after the event. If these feelings are not addressed, they may lead to increase...
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Susan Faron, Jacqueline B. Hiner, Jacqueline B. Hiner Tags: Professional Issues Source Type: research

Improving Retention through Implementation of a Nurse Externship
Poster PresentationPurpose for the ProgramThis program was designed as a collaboration between a local university, nursing students, and a community hospital. All shared a common desire to promote 1st‐year retention for new graduates. Resumes and brief interviews with unit leadership are often the only information available for hiring decisions. Leaders express concern over the ability to choose appropriate candidates from limited interaction in the interview process. A primary program goal was to allow nurse leaders to better determine the success of potential employees through sustained interaction. For student nurse e...
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Kristi J. Wilkerson, Shelley Faber Tags: Professional Issues Source Type: research

Using an Acuity Tool to Maintain Productivity While Adhering to AWHONN's Perinatal Nurse Staffing Guidelines
Poster PresentationPurpose for the ProgramThe art of scheduling perinatal nursing staff in a small community hospital is challenging in a specialty where census and acuity are highly unpredictable. This challenge on a women and children's (WMCH) unit is particularly complex because of five specialties: labor and delivery, postpartum/newborn, pediatrics, Level‐II nursery, and cesarean birth operating room. The hospital was facing decreasing revenue, increased cost because of health care reform, fluctuations in volume, and uncompensated costs. The hospital took this opportunity to reevaluate productivity and used a health ...
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Dana St Laurent, Holly Santovasi, Karen MacDonald Tags: Professional Issues Source Type: research