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https://www.readbyqxmd.com/read/29787034/critical-preparation-and-readiness-to-support-future-change
#1
Elizabeth Curtis, Emma Duffy, Frank O'Rourke, Sylvia Huntley-Moore, Annabel Walsh, Ken Coogan, Catherine Comiskey
The challenging nature of change is well documented and adequate preparation before implementing a change initiative is critical to reducing resistance and increasing its chances of success. This article describes a service review conducted in preparation for possible change and improvement at an internationally ranked school of nursing and midwifery in an Irish tertiary education institution. The purpose of the review was to examine organisational structures and work activities, including pressures facing the administrative team that supports the school, and to establish whether operations were fit for purpose and capable of continuing to support the international ranking...
May 22, 2018: Nursing Management (Harrow)
https://www.readbyqxmd.com/read/29781504/epidural-versus-non-epidural-or-no-analgesia-for-pain-management-in-labour
#2
REVIEW
Millicent Anim-Somuah, Rebecca Md Smyth, Allan M Cyna, Anna Cuthbert
BACKGROUND: Epidural analgesia is a central nerve block technique achieved by injection of a local anaesthetic close to the nerves that transmit pain, and is widely used as a form of pain relief in labour. However, there are concerns about unintended adverse effects on the mother and infant. This is an update of an existing Cochrane Review (Epidural versus non-epidural or no analgesia in labour), last published in 2011. OBJECTIVES: To assess the effectiveness and safety of all types of epidural analgesia, including combined-spinal-epidural (CSE) on the mother and the baby, when compared with non-epidural or no pain relief during labour...
May 21, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29778717/first-time-mothers-expectations-of-the-unknown-territory-of-childbirth-uncertainties-coping-strategies-and-going-with-the-flow
#3
Sara E Borrelli, Denis Walsh, Helen Spiby
OBJECTIVE: To explore first-time mothers' expectations of labour and birth, coping strategies they adopt during pregnancy towards childbirth and coping strategies they expect to use during labour and birth. DESIGN: A qualitative Straussian grounded theory methodology was adopted, with data collected through semi-structured interviews in the third trimester of pregnancy. Ethical approval was gained. Data analysis included the processes of coding and conceptualising data, with constant comparison between data, literature and memos...
May 7, 2018: Midwifery
https://www.readbyqxmd.com/read/29778087/midwifery-management-of-pregnant-women-who-are-obese
#4
Margi Reither, Elaine Germano, Michele DeGrazia
INTRODUCTION: Obesity is associated with increased risks for adverse health outcomes during and after pregnancy in both the woman with obesity and her infant. This study was designed to investigate midwifery management of pregnant women with obesity. METHODS: Certified midwives and certified nurse-midwives who were members of the American College of Nurse-Midwives were sent a survey. The survey instrument was divided into 4 sections: demographic characteristics; practice guidelines and protocols; the role of the 2015 Levels of Maternal Care guidelines for referral, including transfer to a higher level of care; and factors that influence management of pregnant women with obesity...
May 19, 2018: Journal of Midwifery & Women's Health
https://www.readbyqxmd.com/read/29777965/what-do-we-know-about-sibling-attended-birth-an-integrative-literature-review
#5
REVIEW
Nora L Naber, Suzanne Miller, Sally A Baddock
OBJECTIVE: to consolidate existing research in the field of sibling attended birth (SAB) into a body of knowledge to inform decision-making processes and guide midwifery practice throughout the sibling attended birth experience. DESIGN: An integrative literature review. DATA SOURCES: CINAHL Complete, Cochrane Library, PubMed, Index New Zealand, Australia/New Zealand Reference Centre, grey literature databases REVIEW METHODS: An extensive search of five electronic databases as well as 17 grey literature databases was conducted...
May 8, 2018: Midwifery
https://www.readbyqxmd.com/read/29772928/a-clinical-carepath-for-obese-pregnant-women-a-pragmatic-pilot-cluster-randomized-controlled-trial
#6
Sarah D McDonald, Kristen A Viaje, Rebecca A Rooney, Alexander Jarde, Lucia Giglia, Cynthia V Maxwell, David Small, Tracy Pearce Kelly, B H Sc Midwifery, Lisa Sabatino, Lehana Thabane
OBJECTIVES: Obese women are at increased risks for complications during pregnancy, birth and in their infants. Although guidelines have been established for the clinical care of obese pregnant women, management is sometimes suboptimal. Our goal was to determine the feasibility of implementing and testing a clinical carepath for obese pregnant women compared to standard care, in a pilot cluster randomized controlled trial (RCT). METHODS: A pragmatic pilot cluster RCT was conducted, randomly allocating eight clinics to the carepath or standard care for obese pregnant women...
May 17, 2018: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/29768662/immersion-in-water-during-labour-and-birth
#7
REVIEW
Elizabeth R Cluett, Ethel Burns, Anna Cuthbert
BACKGROUND: Water immersion during labour and birth is increasingly popular and is becoming widely accepted across many countries, and particularly in midwifery-led care settings. However, there are concerns around neonatal water inhalation, increased requirement for admission to neonatal intensive care unit (NICU), maternal and/or neonatal infection, and obstetric anal sphincter injuries (OASIS). This is an update of a review last published in 2011. OBJECTIVES: To assess the effects of water immersion during labour and/or birth (first, second and third stage of labour) on women and their infants...
May 16, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29766464/women-s-preferences-for-birthing-hospital-in-denmark-a-discrete-choice-experiment
#8
Nasrin Tayyari Dehbarez, Morten Raun Mørkbak, Dorte Gyrd-Hansen, Niels Uldbjerg, Rikke Søgaard
BACKGROUND: Free choice of hospital has been introduced in many healthcare systems to accommodate patient preferences and incentivize hospitals to compete; however, little is known about what patients actually prefer. OBJECTIVES: This study assessed women's preferences for birthing hospital in Denmark by quantifying the utility and trade-offs of hospital attributes. METHODS: We conducted a discrete-choice experiment survey with 12 hypothetical scenarios in which women had to choose between three hospitals characterized by five attributes: continuity of midwifery care, availability of a neonatal intensive care unit (NICU), hospital services offered, level of specialization to handle rare events, and travel time...
May 16, 2018: Patient
https://www.readbyqxmd.com/read/29763990/mobile-applications-for-women-s-health-and-midwifery-care-a-pocket-reference-for-the-21st-century
#9
Megan W Arbour, Melissa A Stec
Midwives and other women's health care providers are charged with providing high-quality care to women based on the most current available evidence. Quick, reliable, and accurate access to evidence-based information is essential. Numerous smartphone and mobile device applications (apps) are available to assist clinicians in providing care for women. This article discusses clinical reference apps, including those for evidence-based care guidelines, women's health care, pharmacologic reference, laboratory and diagnostic guides, as well as apps for information storage and management, electronic health records, and client education...
May 15, 2018: Journal of Midwifery & Women's Health
https://www.readbyqxmd.com/read/29763841/nursing-and-midwifery-students-perceptions-of-spirituality-spiritual-care-and-spiritual-care-competency-a-prospective-longitudinal-correlational-european-study
#10
Linda Ross, Wilfred McSherry, Tove Giske, René van Leeuwen, Annemiek Schep-Akkerman, Tiburtius Koslander, Jenny Hall, Vibeke Østergaard Steenfeldt, Paul Jarvis
BACKGROUND: Nurses and midwives care for people at some of the most vulnerable moments of their lives, so it is essential that they have the skills to give care which is compassionate, dignified, holistic and person-centred. Holistic care includes spiritual care which is concerned with helping people whose beliefs, values and sense of meaning, purpose and connection is challenged by birth, illness or death. Spiritual care is expected of nurses/midwives but they feel least prepared for this part of their role...
May 9, 2018: Nurse Education Today
https://www.readbyqxmd.com/read/29758441/does-enquiry-based-learning-ebl-impact-on-clinical-practice-a-qualitative-exploration-of-midwifery-graduates-perceptions
#11
Kathleen Nallen, Dale Spence, Sam Porter
OBJECTIVE: To elicit perceptions of midwifery graduates regarding the impact of Enquiry Based Learning (EBL) on their clinical practice. DESIGN: A qualitative approach utilising semi-structured interviews and content analysis. SETTING: A midwifery education provider in the Republic of Ireland. PARTICIPANTS: Purposive sampling was employed to recruit fourteen midwifery graduates, from a total of twenty eight, from two cohorts who had successfully completed a Higher Diploma in Midwifery programme...
April 21, 2018: Midwifery
https://www.readbyqxmd.com/read/29754416/attitudes-to-brexit-a-survey-of-nursing-and-midwifery-students
#12
EDITORIAL
Niall McCrae, Jonathan Portes
In a referendum on 23nd June 2016 the people of the UK voted to leave the European Union (EU). The phenomenon known as Brexit did not come out of nowhere: according to Clarke, Whiteley and Goodwin (2017), it marked a culmination of social and political trends emerging over many years. Moreover, there is resonance far beyond the UK, with tensions between an increasingly globalised society and national autonomy, between young and old, and between 'liberals' and 'authoritarians' (Ford & Goodwin, 2014). Such forces underlie not just Brexit, but also, in different context and in different forms, the election of Donald Trump and the rise of populist parties in Europe...
May 13, 2018: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/29747093/the-evaluation-of-an-early-graduate-educational-intervention
#13
REVIEW
Tom O'Connor, Zena Moore, Chanel Watson, Niamh Rohan, Bridget Murray, Anne Marie Burke, Maryam Husain, Declan Patton, Michael Shannon, Mary Wynne, Ina Crowley
Literature points to a gap which exists in the preparedness of new nursing/midwifery graduates for clinical practice. In Ireland, a two year programme was established in 2013 for all new graduates employed by the public health system. This paper provides a report on the evaluation of the programme which aimed to gauge the impact of the programme on student experience, stakeholder opinion and on health service delivery. A mixed methods approach, combining qualitative and quantitative methodologies, was utilised...
May 3, 2018: Nurse Education in Practice
https://www.readbyqxmd.com/read/29746723/postincident-support-for-healthcare-workers-experiencing-occupational-violence-and-aggression
#14
Tracey Shea, Brian Cooper, Helen De Cieri, Cathy Sheehan, Ross Donohue, Sarah Lindsay
PURPOSE: To investigate the relative contributions of workplace type, occupational violence and aggression (OVA) strategies and interventions along with perceptions of the occupational health and safety (OHS) environment on the likelihood of receiving postincident support following the experience of OVA. DESIGN: We used a cross-sectional study design with an online survey to collect data from employees in nursing and midwifery in Victoria, Australia. METHODS: Survey data collected from 3,072 members of the Australian Nursing and Midwifery Federation (Victorian branch) were analyzed using logistic regression...
May 10, 2018: Journal of Nursing Scholarship
https://www.readbyqxmd.com/read/29744129/contributing-factors-of-pregnant-women-s-beliefs-towards-mode-of-delivery-a-cross-sectional-study-from-iran
#15
Fereshteh Zamani-Alavijeh, Marzieh Araban, Akbar Hassanzadeh, Khadije Makhouli
Background: Delivery is a critical event in every woman's life. Under some medical conditions, women sometimes undergo a cesarean section to save the life of themselves and their infant. Understanding the factors associated with choosing the type of delivery leads to more effective health interventions and the promotion of maternal and newborn health. The aim of this study is to determine contributing factors in pregnant women's beliefs toward the mode of delivery in a sample of women referring to Hojatieh Hospital in Isfahan, Iran...
2018: Maternal Health, Neonatology and Perinatology
https://www.readbyqxmd.com/read/29741988/a-dynamic-compliance-cervix-phantom-robot-for-latent-labor-simulation
#16
Michelle Jennifer Luk, Derek Lobb, James Andrew Smith
Physical simulation systems are commonly used in training of midwifery and obstetrics students, but none of these systems offers a dynamic compliance aspect that would make them more truly representative of cervix ripening. In this study, we introduce a unique soft robot phantom that simulates the cervix softening during the latent labor phase of birth. This proof-of-concept robotic phantom can be dilated by 1 cm and effaced by 35% through the application of a Foley catheter-like loading mechanism. Furthermore, psychophysics trials demonstrate how untrained subjects can identify hard and soft states of the phantom with specificities of 91% and 87%, respectively...
May 9, 2018: Soft Robotics
https://www.readbyqxmd.com/read/29738191/encouraging-reflection-in-professional-learning
#17
Melaine Coward
This article examines the role of nurse managers in supporting reflection for professional learning. It aims to enable readers to critically review the role of reflection in nursing and relate this to the Nursing and Midwifery Council (NMC) professional requirements. It also aims to enable readers to consider the purpose of reflection and to help nurse managers explore their role in fostering environments in which to reflect. After reading this article and completing the time outs, you should be able to.
May 8, 2018: Nursing Management (Harrow)
https://www.readbyqxmd.com/read/29733436/can-scholarship-in-nursing-midwifery-education-result-in-a-successful-research-career
#18
EDITORIAL
Simon Cooper, Irene Absalom, Robyn Cant, Fiona Bogossian, Michelle Kelly, Tracy Levett-Jones, Lisa McKenna
In a recent editorial we examined the research outputs of 150 Australian nursing and midwifery professors (McKenna, Cooper, Cant, Bogossian, 2017) identifying publication metrics on par with, and sometimes above those of professors in the UK (Watson, McDonagh & Thompson, 2016). Because global university rankings are heavily weighted towards research, there has been pressure on universities and on academics to maximise research performance (Nguyen, Rambaldi & Tang, 2017). Although many Australian universities have increasingly focused on education delivery, and despite the need for a strong evidence base for learning and teaching, academics are often cautioned against focusing too heavily on educational research...
May 7, 2018: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/29727828/midwifery-one-to-one-support-in-labour-more-than-a-ratio
#19
Georgina A Sosa, Kenda E Crozier, Andrea Stockl
OBJECTIVE: To explore midwifery one-to-one support in labour in a real world context of midwife-led birth environments. DESIGN: Ethnographic study. Data was collected from 30 observations inside and outside the birth environments in three different birth settings. Semi-structured interviews were completed following the births with 29 low-risk women and 30 midwives with at least one year labour support experience to gain their perspectives. Twenty-seven maternity records were also analysed...
April 22, 2018: Midwifery
https://www.readbyqxmd.com/read/29727826/challenges-in-the-clinical-education-of-the-nursing-profession-in-iran-a-qualitative-study
#20
Madineh Jasemi, Bill Whitehead, Hosein Habibzadeh, Roghaieh Esmaeili Zabihi, Soheila Ahangarzadeh Rezaie
INTRODUCTION: Clinical education is an important part of nurse training. It provides students with the opportunity to gain useful experience and has a key role in their professional preparation. The importance of clinical education in nursing students' professional performance means that identifying the challenges in this field is crucial. AIM: The goal of this study is to identify challenges in the field of clinical nurse education. DESIGN: A qualitative content analysis study...
April 21, 2018: Nurse Education Today
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