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.

An Innovative Longitudinal Educational Approach to Maternal‐Child Community Health
Poster PresentationPurpose for the ProgramThe health care environment is rapidly changing. Nurse educators must develop innovative curricula to prepare future nurses to respond to the community maternal/child health needs of an evolving health care system.Proposed ChangeStarting in 2012, University of New Mexico (UNM) graduate and undergraduate faculty partnered to provide bachelor of science in nursing (BSN) students with a longitudinal community clinical experience through the Family Health Partnership (FHP). The FHP, a faculty practice located in rural Sandoval County, NM, is a federally funded, nurse‐managed practice...
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Mary Wright Tags: Professional Issues Source Type: research

Imparting Knowledge, Skill, and Confidence to Rural Nurses
Poster PresentationPurpose for the ProgramThe labor and delivery (L&D) nurse manager of a small community hospital contacted our academic medical center and requested assistance to train two medical/surgical nurses who float to the hospital's L&D unit for the occasional birth. Located in a remote area of Northern California with a low volume of births, the hospital setting is not conducive to providing adequate L&D experience for the nurses. A partnership was proposed to better prepare these nurses to care for L&D patients.Proposed ChangeInformation provided by the community hospital indicated an extreme la...
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Carolyn A. Cook Tags: Professional Issues Source Type: research

Daily Rounding for Patient Safety and Nursing Satisfaction
Poster PresentationPurpose for the ProgramGaps noted in knowledge regarding patients on the unit increased the number of safe staffing surveys submitted, which reported concern about assignments. Frustrations were expressed about missing or broken equipment, which resulted in increased time spent by registered nurses (RNs) searching for equipment; key patient information failing to be relayed during daily huddles; and increased length of stay in labor room due to concerns about plans of care that were not addressed. We proposed to institute daily rounding between the bedside nurse, charge RN, unit manager, and the patient....
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Nan Ybarra Tags: Professional Issues Source Type: research

Development of a Collaborative Partnership to Improve Communication and Access to Obstetric and Pediatric Patient Care Information for High‐Risk Referrals
Poster PresentationPurpose for the ProgramIn a multihospital, high‐risk obstetric (OB) service with 3600 births annually, coordinating high‐risk consultations and having those consults available for review by more than 150 OB and pediatric providers in a semicomputerized system has presented many challenges. This program was developed to surmount the challenges of identifying high‐risk mothers and newborns, making patient care information available to OB and pediatric providers in a timely manner, and spanning the gaps created by two different health care organizations caring for obstetric and neonatal patients.Propo...
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Deborah A. Gingras Tags: Newborn Care Source Type: research

Changing Breastfeeding Culture through Staff Training
Poster PresentationPurpose for the ProgramBreastfeeding provides protection against a multitude of illnesses for the mother and infant. Implementation of the World Health Organization's Ten Steps to Successful Breastfeeding has been proved to increase breastfeeding rates. The purpose of this program was to develop a comprehensive curriculum to provide knowledge and skills to assist staff in implementing practices to support breastfeedingProposed ChangeWomen & Infants Hospital (WIH) is known as a premier hospital for women and newborns with approximately 8400 births per year. The Centers for Disease Control and Preventi...
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Melissa A. Moreau Tags: Newborn Care Source Type: research

Implementation of Delayed Cord Clamping
Poster PresentationPurpose for the ProgramTo disseminate information that was learned at the national AWHONN Conference in June 2014.Proposed ChangeTo overcome barriers by educating staff and health care providers with evidence‐based research and implementing delayed cord clamping.Implementation, Outcomes, and EvaluationTo provide support with the implementation, which started in August 2014, staff, obstetric providers, and pediatric providers were educated about the benefits of delayed cord clamping.Implications for Nursing PracticeThe change in practice pattern to allow delayed cord clamping allowed for placental trans...
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Elizabeth Zehner Tags: Newborn Care Source Type: research

The Use of Pasteurized Donor Human Milk for Late Preterm Infant Supplementation
Poster PresentationPurpose for the ProgramLate preterm infants (LPIs) are born between 34 and 36 6/7 weeks of gestation. They comprise a unique population requiring enhanced awareness of transition, infection, nutrition, discharge readiness, and parent education that needs to begin shortly after birth. At Sharp Mary Birch Hospital for Women and Newborns we have on average of 60 to 80 late preterm births per month. Approximately 50% of those newborns go to the NICU, whereas the other half are cared for in the postpartum unit. Caring for LPIs in a postpartum setting comes with its own set of challenges. Although we had speci...
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Monika Lanciers, Mary Ann Jones Tags: Newborn Care Source Type: research

Accurate Weight Measurement for Neonates
Poster PresentationPurpose for the ProgramTo improve patient outcomes and quality of care by assessing accurate weight loss of newborns who are predominantly breastfed.Proposed ChangeTo change practice to have all newborns weighed every 24 hours from time of birth at the hospital until discharge.Implementation, Outcomes, and EvaluationExcess weight loss is common in term breastfed newborns. There are several modifiable risk factors that can affect the amount of weight loss that can occur in the first 24 to 48 hours of life in newborns. This makes it extremely important for health care professionals to have an accurate weig...
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Mary Otero, Michelle Mayton Tags: Newborn Care Source Type: research

Education Program Improves Knowledge of Maternity Staff Regarding Breastfeeding
Poster PresentationPurpose for the ProgramLouisiana (LA) breastfeeding rates are among the lowest in the United States, and associated infant mortality and morbidity rates are among the highest. To increase the knowledge of maternity nursing staff regarding breastfeeding and improve attitudes towards implementing evidence‐based maternity practices that facilitate breastfeeding, a six contact‐hour program promoting LA's breastfeeding initiative, The Guided Infant Feeding Techniques (GIFT) was developed. The 10 steps of GIFT are based on the Baby Friendly USA Ten Steps to Successful Breastfeeding with maternity nursing s...
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Marjorie S. (Susie) Amick Tags: Newborn Care Source Type: research

Postpartum Unit Modifies Delivery of Care to Enhance Readiness
Poster PresentationPurpose for the ProgramNew mothers and their families have multiple learning needs, starting in the prenatal period and progressing through labor into the postpartum phase. Nurses are accountable for facilitating the necessary learning by identifying and addressing the specific needs of the family unit. Before discharge it is the responsibility of the nurse and health care team to ensure that the patient and family receive consistent and reliable information. Recognizing an opportunity to improve patient perception of readiness for discharge, our mother/infant unit decided to revise our care delivery mod...
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Dona L. Meringer, Beth McGovern, Kate Amin Tags: Newborn Care Source Type: research

Transitioning to Couplet Care
Poster PresentationPurpose for the ProgramBy sharing our challenges, adjustments, and successes, at St. Francis Hospital in Charleston, South Carolina, we hope to encourage other hospitals to implement the evidence‐based practice of couplet care.Proposed ChangeTo utilize best practice in the nursing care of mothers and newborns while increasing staff teamwork, nurse satisfaction, and patient satisfaction.Implementation, Outcomes, and EvaluationTo transition from traditional maternity care to couplet care, a Family Centered Care Committee (FCC) of staff nurses, physicians, and nursing leaders was created in March 2013. Th...
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Cindy S. Baker, Stephanie T. Naumann Tags: Newborn Care Source Type: research

Best Practices for Transitioning from the Birthing Unit to the Mother–Infant Unit
Poster PresentationPurpose for the ProgramAs we sought to obtain Baby Friendly Hospital designation, we had the opportunity to evaluate our practices in transitioning women from the birthing unit to the mother/infant unit. We discovered two critical practices that were suboptimal and lacked supporting evidence for best patient outcomes: nurse‐to‐nurse hand‐off and the mother/infant admission process. To improve patient outcomes and satisfaction, our team recognized that these two practices were interdependent and required a synergistic problem solving approach for change.Proposed ChangeThe traditional practice of tel...
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Marianne D. Bittle, Christie Forward, Maggie Power Tags: Newborn Care Source Type: research

Improving the Quality of a Newborn Screening Program at an Academic Medical Center
Poster PresentationPurpose for the ProgramTo describe a program to improve compliance rates for completion of mandatory newborn screening at a large academic medical center.Proposed ChangeA comprehensive newborn screening program, including elements for metabolic, hearing, and critical congenital heart disease, was implemented. Program improvement efforts focused on a transition from a decentralized process to a centralized process focused on a designated team of testers under the leadership of a newborn screening coordinator (NSC).Implementation, Outcomes, and EvaluationImplementation of this program coincided with commen...
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Elizabeth O'Mara, Cheryl Raab Tags: Newborn Care Source Type: research

Implementing Routing Skin‐to‐Skin Contact in the Operating Room
Discussion and planning with the pediatricians, obstetric (OB) physicians, anesthesiologists, and the rest of the nursery staff took place. The mothers were educated on the benefits of STS and how this would take place in the OR. Soon we implemented the procedure and brought the first newborn from delivery to the warmer (to be quickly dried off) and then to the mother's chest for STS. The goal was to keep the newborn STS for 30 minutes if the mother was able. Documentation of the length of STS was recorded in the newborn's record. Many mothers who experienced prior cesareans without STS stated how much more meaningful the ...
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Kim Kenyon‐Berry, Cory Seymour Tags: Newborn Care Source Type: research

Decreasing Newborn Readmissions for Hyperbilirubinemia
Poster PresentationPurpose for the ProgramHyperbilirubinemia is the most common indication for hospital readmission of term and late preterm infants. In reviewing our performance, we identified a 12‐month rolling readmission rate of 2.43%, which was greater than the 1.50% benchmark of other large teaching hospitals. Analysis of our data revealed that 25% of newborn readmissions were for hyperbilirubinemia. In an effort to reduce readmission rates, we identified opportunities to update and standardize assessment and management of hyperbilirubinemia.Proposed ChangeOur previous practice was to perform a transcutaneous bilir...
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Beverly VanderWal, Charmaine L. Kyle Tags: Newborn Care Source Type: research