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.

Improving and Sustaining Breastfeeding Practices through a Statewide Learning Collaborative
Conclusion/Implications for Nursing PracticeMultidisciplinary teams engaged in a quality improvement learning collaborative to accelerate adaptation of recommended maternity practices across diverse hospital settings to achieve improved process‐ and outcome measures. Improvement strategies and lessons learned are transferable to other projects and settings. (Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing)
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Julie Stagg, Jennifer Ustianov Tags: Newborn Care Source Type: research

Improvement in Rates of Preterm Infant Hypothermia by the Implementation of a Best Practice Bundle
Conclusion/Implications for Nursing PracticeSuccessful implementation of this project required a commitment from the obstetric and neonatal teams. Although it is clearly our responsibility to take admission temperatures and monitor various physiologic parameters in individual neonates, it is equally incumbent on the team to analyze aggregate data indicators to monitor overall performance. Data dissemination has been a crucial factor in maintaining awareness of this problem and providing the impetus for continued use of the bundle elements. In addition, conducting a case by case analysis of outliers is essential for ensurin...
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Donna S. Bowman, Kathy LiVolsi Tags: Newborn Care Source Type: research

Incorporating Evidence‐Based Practice for Skin‐to‐Skin Care in the Operating Room to Increase in‐Hospital Exclusive Breastfeeding Rates
Conclusion/Implications for Nursing PracticeImproving the rates of exclusive breastfeeding has become a national health priority. Through an interdisciplinary collaborative model, the practice of skin‐to‐skin care in the operating room can be achieved and help to improve exclusive breastfeeding rates. (Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing)
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Melaney L. Stricklin, Kandice L. Duns Tags: Newborn Care Source Type: research

Use of Dextrose Gel Reverses Neonatal Hypoglycemia and Decreases Admissions to the NICU
Conclusion/Implications for Nursing PracticeThe utilization of dextrose gel along with oral feeding resulted in a decrease in the incidence of neonatal hypoglycemia with a corresponding decrease in the admission rates to the NICU for the primary diagnosis of neonatal hypoglycemia. This inexpensive, noninvasive intervention can be adopted by other institutions to decrease NICU admissions for the primary diagnosis of neonatal hypoglycemia. (Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing)
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Catherine Bennett, Elyse Headtke, Meg Rowe‐Telow Tags: Newborn Care Source Type: research

Nurses Improving the Health of Mothers and Infants by Dancing the 10 Steps to Successful Breastfeeding
Conclusion/Implications for Nursing PracticeThis presentation demonstrates the effect of a nurse‐led, quality initiative that improved the continuum of care for mothers and infants from the prenatal period, to delivery, and through postdischarge community care. The steps to implementation can be a model for other organizations that want to improve the quality of health care to support optimum infant feeding. (Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing)
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Marianne Allen, Deborah J. Schafer Tags: Newborn Care Source Type: research

Using Best Evidence to Reduce the Rate of Surgical Site Infection
Conclusion/Implications for Nursing PracticeDeveloping a context and population focused evidence‐based prioritized care bundle can result in improved patient outcomes. Nursing interventions based on knowing the patient can yield sustainable results. (Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing)
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Lynda A. Tyer‐Viola, Frances C. Kelly Tags: Childbearing Source Type: research

Interprofessional Participation in a Statewide Collaborative to Recognize and Treat Hypertension in Pregnancy
Conclusion/Implications for Nursing PracticeUnderstanding the potential for maternal morbidity and mortality has increased the recognition of care providers and enhanced the treatment of acute hypertension. Methodology and implementation strategies were effective in achieving the standardized identification and treatment of pregnant/postpartum women presenting with hypertension. Unanticipated challenges included providing training in the basic fundamentals of blood pressure measurement and obtaining institutional approval for intravenous hydralazine to become standard practice for postpartum nurses. Next steps in nursing p...
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Connie Kohler, Diane Beck, Cathy L. Villarreal, Janet L. Trial Tags: Childbearing Source Type: research

A Quality Improvement Project to Reduce the Incidence of Nonmedically Indicated Elective Deliveries Before 39 Weeks
Conclusion/Implications for Nursing PracticeThis quality improvement project demonstrates that strong teamwork, project champions, and a working roadmap can lead to improved patient outcomes. Continued monthly data collection with submission to the Advocate System Obstetric Safety Committee and the reporting of patient cases through the chain of command will keep us on track for continued success. (Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing)
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Nicole Chesis Tags: Childbearing Source Type: research

Increasing Initiation and Exclusivity of Breastfeeding in the Hospitalized, Postpartum Dyad
Conclusion/Implications for Nursing PracticeThe advantages of breastfeeding for mother and infant are substantial and include protecting infants from allergens to reducing rates of maternal breast and ovarian cancer. These evidence‐based practices for lactation support have the potential to improve health outcomes not only for the hospitalized maternal/infant dyad, but also for society. (Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing)
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Candace L. Rouse Tags: Childbearing Source Type: research

Meeting the 30‐Minute Decision to Incision Rule in the Community Hospital
Conclusion/Implications for Nursing PracticeSignificant progress has been made in meeting or exceeding the timeframe, however, we continue to work toward consistency in all cases. Nurses in community hospitals with limited resources can still navigate the complexities of obstetric care. (Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing)
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Jennifer Pedley, Nora C. Fortin Tags: Childbearing Source Type: research

Improving Antibiotic Prophylaxis Prior to Cesarean Birth
Conclusion/Implications for Nursing PracticeA control plan to maintain gains will need to be in place. Implications for nursing practice include the elimination of time wasted in finding tubing and antibiotics and the ability of the nursing staff to focus on laboring women without leaving the bedside. (Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing)
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Carol Spruill, Kendra Folh Tags: Childbearing Source Type: research

An Evidence‐Based Preoperative Bundle to Reduce Infection Rates Among Women with Cesarean Births
Conclusion/Implications for Nursing PracticeApplication of current evidence is needed to establish a guideline designed to improve patient care. A multidisciplinary team is needed to effect a practice change that is sustained. Further work is needed to address surgical site infection rates among obese women. (Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing)
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Paula R Brooks Tags: Childbearing Source Type: research

Team Engagement and Improvement Through Huddles
Conclusion/Implications for Nursing PracticeClinical nurse expertise is influenced by education level, experience level, nursing staff composition, and practice environment. Leveraging team talent and decreasing the power gradient via team huddles has changed the practice environment. In a recent emergent event unrelated to PPH, the team huddled to debrief, and a novice registered nurse (RN) captured all elements of the huddle including opportunities for growth, demonstrating increased team resilience in emergent situations. (Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing)
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Kerista Hansell, Erin M. Kirby Tags: Childbearing Source Type: research

Obstetric‐Based Advanced Cardiac Life Support Improves Performance and Self‐Efficacy
Conclusion/Implications for Nursing PracticeEmphasizing changes in ACLS for obstetric patients during preconference and using patient scenarios encountered in obstetric settings improved nurses’ performance in maternal MegaCode scenarios. The course also increased self‐satisfaction and self‐confidence in obstetric nurses’ abilities to perform ACLS algorithms. (Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing)
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Sheryl Parfitt, Cheryl Roth Tags: Childbearing Source Type: research

Quantifying Blood Loss at Birth Saves Lives
Conclusion/Implications for Nursing PracticeThe workshop was effective in teaching clinical skills and EMR documentation of QBL. The workshop allowed for an integrated learning experience that was well received by staff and could be implemented in an extended huddle format. This on‐the‐unit approach may have contributed to the overall increase in QBL documentation even for staff who did not attend the workshops. (Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing)
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Patricia Alvarez‐Ramirez, Janet L. Trial, Brenna Hoff, Amy Scott Tags: Childbearing Source Type: research