The Updated, Annual, Gynecologic Examination
ConclusionThe wellness examination should be based on evidence‐based recommendations. In addition to breast and cervical cancer screening, this includes risk assessment for sexually transmitted infections, assessment of sexual wellness, screening for intimate partner violence, immunization review, and assessment of overall health and wellness. Preventive services should include pregnancy prevention with a focus on preconception care or options counseling if indicated. The prevention of chronic diseases through modifiable risks factors is stressed.The nursing profession has a long history of incorporating evidence‐based...
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Joyce Cappiello, Amy J. Levi, Julie Gorwodo Tags: Women's Health Source Type: research

Exploring a Strategy to Enhance Quality and Patient Safety in U.S. Hospitals through Nurse and Physician Coleadership
Conclusion/Implications for Nursing PracticeColeadership is different than interprofessional collaboration or teamwork. Clinicians and administrators are offered a toolkit to help ensure successful development of the nurse/physician coleadership model in hospitals. This plural leadership model is a strategy worth exploring to address the challenges of successfully implementing quality and patient safety innovations in hospitals. (Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing)
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Laura Senn Tags: Professional Issues Source Type: research

Strategies to Recruit and Retain Expert Nurses who Provide Abortion Care
Conclusion/Implications for Nursing PracticeData from this study can inform succession planning for abortion clinics and their affiliated workforce and provide clinicians and administrators with crucial information to determine staffing and workforce profiles for nurses engaged in abortion care provision. The findings from this study can inform the development of job descriptions, interview guides, and training programs for nurses recruited to provide abortion care. Additionally these data provide recommendations for staff retention and career development for nurse experts in abortion care. (Source: Journal of Obstetric, G...
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Monica McLemore, Amy J. Levi, Evelyn Angel James Tags: Professional Issues Source Type: research

Nurses’ Perception of the Facilitators and Barriers to the Implementation of Safe Sleep Recommendations in the Hospital Inpatient Setting
Conclusion/Implications for Nursing PracticeWe identified key themes that are important to consider when developing a program to educate nursing staff to teach and model safe sleep messages that included overcoming families’ cultural beliefs about infant care practices, the importance of uniform messages, and the influence of external regulations and contradictory media images. (Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing)
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Emily Drake, Eve Colson, Fern Hauck Tags: Newborn Care Source Type: research

Delaying the First Bath Decreases the Incidence of Neonatal Hypoglycemia
Conclusion/Implications for Nursing PracticeThis study shows that delaying the initial bath for the newborn may decrease rates of hypoglycemia by 50% in high‐risk infants and can result in a similar reduction in hypoglycemia for low‐risk infants. The prior practice was to give the infant a bath of 98 degrees Fahrenheit within 2 hours of life. The 12‐hour guideline eliminates the concern that nurses may leave tasks unfinished at the end of their shift. The results promote nursing practice that prioritizes safe outcomes for patients over task completion. (Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing)
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Cheryl M McInerney, Anita Gupta Tags: Newborn Care Source Type: research

What Does Infant Feeding Mean to African American Women and Their Support Persons
Conclusion/Implications for Nursing PracticeThese data suggest African American women want to breastfeed and that future interventions geared toward this population should include messaging related to combination feeding and increased support for all mothers regardless of their infant feeding methods. Public health measures aimed at reducing the current infant feeding disparities would benefit by incorporating a more culturally inclusive messages related to breastfeeding. (Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing)
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Ifeyinwa V. Asiodu Tags: Newborn Care Source Type: research

Oral or Vaginal Misoprostol for Cervical Ripening
Conclusion/Implications for Nursing PracticeStudy results suggested that the two routes of administration for misoprostol have comparable outcomes. Other research has been based on greater doses of misoprostol for oral administration and has not shown a significant difference between delivery routes. Consideration should be given to the adequacy of dosing. Given that oral misoprostol is the preferred route of administration for nursing, further studies should be done to validate this finding. (Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing)
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Suzan Burns Tags: Childbearing Source Type: research

The Decision Making of Adolescent Mothers during Labor and Birth
Conclusion/Implications for Nursing PracticeAdolescent mothers' experiences of decision making during labor may have lasting effects. Empowering decision making during labor for adolescent mothers may support optimal transition to motherhood and postpartum health in this vulnerable population. (Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing)
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Carrie H. Jacobson Tags: Childbearing Source Type: research

Promoting Professional Labor Support through Education
Conclusion/Implications for Nursing PracticeThe PLS course was highly effective in leading to increased self‐efficacy for PLS and high levels of perceived value of content information and learner satisfaction. Although nurses reported plans to implement PLS, it is unknown if there will be actual knowledge translation into practice. Therefore, it would be beneficial to measure frequency of PLS following attendance. The overall study assumption is that nurses who are knowledgeable and place value on PLS will embrace PLS as best practice and ultimately lead to improved patient outcomes. (Source: Journal of Obstetric, Gyneco...
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Cozetta S. Bagley Tags: Childbearing Source Type: research

Assessment of Efficiency of the Use of Transcutaneous Electrical Nerve Stimulation in Labor Pain Relief
Conclusion/Implications for Nursing PracticeThe low level electrical stimulation TENS unit reduces the VAS scores relating to labor pain, shortens the period of delivery, has no adverse effects, and its efficiency is independent from other variables. With these features, TENS application may reduce negative effects of severe labor pain on the health of the mother and infant and help pregnant women have satisfactory birth experiences. (Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing)
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Nese Sever, Aygül Akyüz Tags: Childbearing Source Type: research

Late Pregnancy Sleep: Does Altitude Effect Length of Labor and Cesarean Rates?
Conclusion/Implications for Nursing PracticeThis is the first research conducted at moderate altitude focused on late pregnancy sleep to explore relationships with perinatal outcomes. Because greater sleep disturbance and sleep onset latency were related to poor quality of sleep, obstetric care providers should advise women in late pregnancy to practice healthy sleep hygiene measures. (Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing)
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Gayle J. Kipnis, Kathryn Lee Tags: Childbearing Source Type: research

A Comparison of the Caring Processes Used By Obstetric, Surgical, and Emergency Nurses When Caring for the Woman with a Fetal Loss
Conclusion/Implications for Nursing PracticeNurses try very hard to give the best care they can to women after fetal loss. Opportunities for nurses to share expertise across specialties on common problems could help increase collegiality and comfort with high intensity clinical situations. (Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing)
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Marianne H. Hutti Tags: Childbearing Source Type: research

Influences of Perinatal Team Counseling on Women's Perceptions and Coping after Fetal Diagnosis
Conclusion/Implications for Nursing PracticeCounseling strategies used prenatally influence women's perceptions, help establish trust, and ultimately facilitate coping. Understanding how women perceive provider interactions during pregnancy offers a unique opportunity to facilitate coping for the remainder of pregnancy and into the postpartum period. (Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing)
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Maria R. Reyes Tags: Childbearing Source Type: research

Postpartum Services Redesigned
Conclusion/Implications for Nursing PracticeThe need for professional support through community‐based interventions after hospital discharge was the prominent need identified. Professional postpartum follow‐up was found lacking primarily related to women's postpartum mental health and breastfeeding support needs. Multiple implications for nursing practice, education, and research are discussed. (Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing)
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Suzanne F. Foley Tags: Childbearing Source Type: research

Are Postpartum Women with Gestational Diabetes Mellitus Aware of Their Risk?
Conclusion/Implications for Nursing PracticeFindings were similar to previous reports, and perceived risk for future Type 2 DM was minimized. Although risk perceptions were low, women felt they could control their risk (diet, exercise, and weight control) suggesting that programs focused on increasing risk awareness could affect prevention efforts. The diagnosis of GDM provides an ideal opportunity to convey messages about DM risk reduction. Educational forums incorporating one‐on‐one discussion and lifestyle changes using print materials and cooking and exercise demonstrations may have potential for optimum effect. (S...
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Jocelyn Oliveros, Donna Yukihiro, Pamela M. Segura, Linda M. Lillington Tags: Childbearing Source Type: research