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.

Simulation Training to Improve Competency and Confidence at the University of California San Diego, Women and Infants Services
Poster PresentationPurpose for the ProgramTo improve nursing and health care provider staff competence and confidence in response to emergency events using simulation training events (STE). The initial data collected between 2011 and 2012 indicated that 70% of staff felt confident in participating in STEs; 62% demonstrated poor communication and slow response time in obstetric emergencies. No STEs were performed or offered, and no resident/intern/fellow and nursing staff participated in STEs.Proposed ChangeTo increase physician/provider and nursing staff comprehension of simulation education and training along with demonst...
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Brooke A. Sturgeon Tags: Women's Health Source Type: research

A Collaborative Maternal Arrest Safety Initiative
Poster PresentationPurpose for the ProgramThe American Heart Association's (AHA) 2010 guidelines address cardiac arrest in pregnancy by providing a published algorithm and pregnancy specific modifications for management. A health care provider's ability to react prudently in an unexpected situation is one of the most critical factors in creating a positive outcome in an obstetric emergency. Researchers have shown that advanced cardiac life support (ACLS) certification may not necessarily translate to adequate performance of maternal resuscitation skills during an actual arrest. This maternal arrest pilot program prepares p...
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Mary Ann Liner, Mary Wheeler, Mildred Elaine Shafer, Joshua Croland Tags: Women's Health Source Type: research

Follow‐up Text Messages for Patients at High Risk of Postpartum Hypertension
Poster PresentationPurpose for the ProgramA subset of postpartum patients in whom hypertension was diagnosed was readmitted within 7 days of giving birth at the hospital because of advancing disease. Our current practice for providing care to these women was to have them return for reevaluation at a 1‐week follow‐up appointment at our hypertensive clinic. As a result of our readmission data, we determined that increased outreach was needed between discharge time and follow‐up time when subtle signs of advancing disease may occur.Proposed ChangeTo improve patient outcomes and decrease our 7‐day readmission rate for ...
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Laura F. Scalise, Marilyn Stringer Tags: Women's Health Source Type: research

Supporting Nurses to Navigate Critical Events
Paper PresentationPurpose for the ProgramLabor and delivery staff at Sharp Mary Birch Hospital for Women & Newborns asked for a tool to be used after critical events. Teammates expressed a variety of emotions, including grief, anxiety, uncertainty, loss of confidence, and need to “close the loop” related to previous critical events. Previous practice in our department limited access to timely debriefs. A clinical nurse specialist group partnered with the labor and delivery staff to create a standardized debrief process that could be used by charge registered nurses acting as facilitators. The goal of the project wa...
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Susan Faron, Jeanna Mora, Maureen Latham Tags: Professional Issues Source Type: research

Enhancing Communication and Response for Care of Newborns at Risk of Complications
Paper PresentationPurpose for the ProgramTo outline innovative enhancements to the communication system and processes used by health care providers across departments and disciplines to provide a rapid response and effective care for the compromised or potentially compromised newborn.Proposed ChangeThe previous system for responding to events involving a compromised newborn was an unstructured and informal process that included multiple telephone calls, alerting of nondedicated pagers, and often required business associates to relay critical clinical details. Multiple points of communication opened opportunities for handof...
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Katie E. Donohue, Theresa Hyland Tags: Newborn Care Source Type: research

Implementation of the Power Hour Campaign to Improve Early Breast Pumping Initiation Rates
Paper PresentationPurpose for the ProgramTo improve rates for early initiation of breast pumping among mothers who are separated from their newborns after giving birth at a Baby Friendly–certified hospital.Proposed ChangeTo initiate the Power Hour campaign on the labor and delivery unit using Transforming Care at the Bedside principles.Implementation, Outcomes, and EvaluationBefore this initiative, initiation of breast pumping within 6 hours of birth was a mother/infant unit expectation for mothers who were separated from their newborns. Adherence was low and practice among nurses varied. The neonatal intensive care unit...
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Becky Gams, Roxanne Rana Flynn Tags: Newborn Care Source Type: research

Reducing Pregnancy‐Related Morbidity and Mortality by Implementing a Comprehensive Quality and Patient Safety Program Beyond the Joint Commission's Perinatal Core Measures
Paper PresentationPurpose for the ProgramTo reduce pregnancy‐related morbidity and mortality in a large, academic, high‐risk obstetric service in a large, free‐standing, pediatric hospital in the southwestern United States.Proposed ChangeTo develop and implement an evidence‐based perinatal quality and patient safety program.Implementation, Outcomes, and EvaluationAn interprofessional team reviewed the literature to identify evidence‐based structures and processes that were associated with increased process reliability and improved patient safety outcomes. With support and approval from senior‐level organization...
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Frances C. Kelly Tags: Childbearing Source Type: research

Setting Body Mass Index Criteria for Obese Obstetric Patients to Reduce Nurse Injury and Improve Patient Safety
Paper PresentationPurpose for the ProgramA high body mass index (BMI) in women during pregnancy poses safety threats for the nurses who care for them related to moving, transferring, repositioning, and airway management. There are also increased risks of adverse maternal and neonatal outcomes for morbidly obese women. In June 2013, an obstetric nurse injured her shoulder while assisting a morbidly obese woman. This incident sparked a response to investigate possible practice changes to ensure the safety of nurses who care for this patient population.Proposed ChangeTo implement body mass index criteria in obstetric patients...
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Raquel Kelly Walker, Virginia Ballentine Tags: Childbearing Source Type: research

Improving Women's Readiness for Discharge Postpartum
Paper PresentationPurpose for the ProgramTo enhance the discharge experience of the postpartum woman. The program focused on improving discharge preparation, which was measured by an increase in the Hospital Consumer Assessment of Hospital Providers and Systems (HCAHPS) discharge domain question scores, particularly, “During your hospital stay, did doctors, nurses, or other hospital staff talk to you about whether you would have the help you need when you left the hospital?” Sharp Mary Birch Hospital for Women & Newborns is a free‐standing women's hospital with more than 9000 annual births. Challenges to postpart...
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Ellen Fleischman Tags: Childbearing (CB) Source Type: research

Innovative Health Promotion Program on Breast Cancer Screening for Ethnic Minority Women in Hong Kong
Paper PresentationPurpose for the ProgramHong Kong is a multiethnic society. About 72.6% of the ethnic minority population is South Asian. Lack of health insurance coverage, cultural values and beliefs, language barriers, and logistic and financial constraints are major barriers that deter the ethnic minority population from participating in cancer screening. Ethnic minority women are less educated, and most of them are housewives and submissive to their husbands. Traditional customs and cultural beliefs are major barriers for breast cancer screening. For example, touching oneself during breast self‐examination is seen a...
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Carmen WH Chan, Dorothy NS Chan, Winnie KW So, Joanne MT Chen, Janet WH Sit Tags: Women's Health Source Type: research

Mood and Anxiety Disorders in Pregnant and Postpartum Women
(Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing)
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 1, 2015 Category: Nursing Tags: AWHONN Position Statement Source Type: research

Taiwanese Women's Experiences of Lactation Suppression After Stillbirth
ConclusionPhysical pain often remains unaddressed because of the greater psychological pain following fetal death. Therefore, LS should be an essential component of follow‐up care as part of the discharge plan. Follow‐up should be for at least 14 days. More research is needed on nonpharmacological LS to address cultural differences and personal beliefs about methods of LS. (Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing)
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 1, 2015 Category: Nursing Authors: Fu‐Hsuan Chen, Shu‐Ling Chen, Wen‐Yu Hu Tags: Research Source Type: research

Effectiveness of an Obstetrics‐Based Advanced Cardiac Life Support Education Program
ConclusionsEmphasizing changes in ACLS for obstetric patients during the precourse and using patient scenarios encountered in obstetric settings improved nurses’ performance in maternal MegaCode scenarios. The course also increased self‐satisfaction and self‐confidence of obstetric nurses in their ability to perform ACLS algorithms. (Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing)
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - May 27, 2015 Category: Nursing Authors: Cheryl K. Roth, Sheryl Parfitt, Melanie Brewer Tags: Research Source Type: research

Current Resources for Evidence‐Based Practice, July/August 2015
(Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing)
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - May 27, 2015 Category: Nursing Authors: Nicole S. Carlson Tags: Special Report Source Type: research

Medications and Breastfeeding for Mothers With Chronic Illness
ABSTRACT Mothers with chronic illnesses are often discouraged from breastfeeding by health care professionals, most often because of use of medication and fear of adverse effects in the infant. Most medications taken by mothers are not contraindicated for breastfeeding. Understanding factors that affect transfer of medications into human milk can help providers give appropriate guidance to mothers with chronic illnesses who want to breastfeed. (Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing)
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - May 27, 2015 Category: Nursing Authors: Becky Spencer Tags: In Focus Source Type: research