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Hotelling, Barbara A. "High-Touch Nursing Care During Labor." Birth 34, no. 3 (September 2007): 271–72. http://dx.doi.org/10.1111/j.1523-536x.2007.00183.x.
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Stevens, Stella, and Nerina Vecchio. "Substitution across professions within the home care sector: an investigation of nursing and allied health services." Australian Health Review 33, no. 1 (2009): 19. http://dx.doi.org/10.1071/ah090019.
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Objective: The service type offered by a home care agency contracted by the Queensland government is not based on the qualifications of the worker providing the service, but the service itself. This allows agencies to substitute certain levels and categories of labour in order to provide a service to meet their contract obligations. This study investigated evidence of labour substitution between nursing and allied health services. Methods: Correlation and regression analysis was performed on the data collected from 218 clients of a branch of a community-based service agency operating nationally in Brisbane, Australia, during April, May and June 2005. Results: The results of the regression analysis revealed that when either allied health or nursing time rose by 10%, all else held constant, it was predicted that the other would fall by 4%. The subcategories, registered/enrolled nursing and physiotherapy, appeared to drive the inverse relationship between nursing and allied health service time. Registered/ enrolled nursing service time was more sensitive to changes in physiotherapy rather than the other way around. Conclusions: The higher labour turnover among allied health staff compared with the nursing staff reported by the agency implies a substitution of labour between the two professions to ensure that the needs of clients are met. Health policy makers and health care professional educators need to acknowledge that workforce shortages will inevitably reshape professional boundaries. Leaving labour-force substitution undiscussed and unplanned may compromise the quality and safety of care.
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de Jonge, Ank, Doreth A. M. Teunissen, Mariet Th van Diem, Peer L. H. Scheepers, and Antoine L. M. Lagro-Janssen. "Women’s positions during the second stage of labour: views of primary care midwives." Journal of Advanced Nursing 63, no. 4 (August 2008): 347–56. http://dx.doi.org/10.1111/j.1365-2648.2008.04703.x.
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Abd-Elhakam, Eman Mohammed, and Amira Mohammed Salama. "Maternity Nurses’ Performance Regarding Management of the Intrapartum Woman With Cardiac Disease." International Journal of Studies in Nursing 3, no. 3 (July 30, 2018): 60. http://dx.doi.org/10.20849/ijsn.v3i3.498.
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Background: Cardiac disease in pregnancy is a leading cause of maternal and neonatal morbidity and mortality. Effective management is based upon close fetal and maternal monitoring during pregnancy and labour. The aim of the present study was to evaluate maternity nurses’ performance regarding management of intrapartum woman with cardiac disease. Research design: A quasi-experimental design was utilized to fulfil the aim of the study. Sample: A convenient sample of a total 64 maternity nurses was included in the present study. Setting: The present study was conducted in Obstetrical and Gynecological Department at Benha University Hospital. Tools: Two tools were utilized for data collection. I-A structured interviewing questionnaire which include two parts; Part 1: Socio demographic characteristics. Part2: Assessment of nurses’ knowledge regarding cardiac disease during pregnancy and labour which includes Physiological changes of cardiovascular system during pregnancy. Causes and risk factors, etc. II-Maternity nurses' practice observational checklistwhich focus on management of cardiac women during labor including four stages of labour and Nursing care for moderate and high risk cases immediately after labour. Results: Shows significant improvement in nurses' knowledge 57.8% compared to 90.6% post intervention. Also, improvement is clear in satisfactory level of practice after intervention, in first stage for example was 32.8 % pre intervention compared to 87.5% post intervention. there were highly statistical significance differences between mean score of both knowledge and practice regarding management of intrapartum woman with cardiac diseases between the pre and post intervention phases (p<0.001).Conclusion: the study concluded that research hypotheses are supported and educational intervention had appositive effect on improvement nurses 'knowledge and practice and in turn their performance regarding management of intrapartum woman with cardiac diseases. Recommendation: Periodic educational program for nursing staff in Obstetrics and Gynecology Department regarding nursing care of cardiac patients.
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Huynh, Truc, Marie Alderson, Michelle Nadon, and Sylvia Kershaw-Rousseau. "Voices That Care: Licensed Practical Nurses and the Emotional Labour Underpinning Their Collaborative Interactions with Registered Nurses." Nursing Research and Practice 2011 (2011): 1–10. http://dx.doi.org/10.1155/2011/501790.
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Recognizing the emotional labour underlying interprofessional collaborations (IPCs) could be considered a crucial step towards building a cohesive nursing team. Although IPCs between registered nurses (RNs) and licensed practical nurses (LPNs) have been linked to quality nursing care, little is known about the emotions experienced by LPNs during their interactions with RNs or those factors that influence IPCs. A questionnaire administered to 309 LPNs found that (1) the professional identity of LPNs has evolved into a that of a unique social group; (2) LPNs define IPC as an interpersonal process of exploring similar or dissimilar assessments of a patient's status with RNs and, together, establishing a course of nursing actions; (3) the primary organizational factor facilitating IPCs is inclusive nursing leadership; (4) the interpersonal factor promoting IPCs is the level of trust RNs extend to LPNs; and (5) an LPN's emotional labour (i.e., internal emotional regulation) is most tangible during uncollaborative interactions with RNs.
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Esteves Dias, Israel, Silvana Regina Rossi Kissula Souza, Marilene Loewen Wall, and Juliana Taques Pessoa da Silveira. "Nutrition and hydration during labor: a nursing care." Revista de Enfermagem UFPE on line 5, no. 3 (April 22, 2011): 604. http://dx.doi.org/10.5205/reuol.1262-12560-1-le.0503201107.
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ABSTRACTObjective: to verify how nursing care, related to nutrition and hydration in labor, is provided to laboring women. Method: this is about an exploratory study from qualitative approach developed at the obstetric ward of a school hospital in Curitiba city, from August to November 2007, with 10 low risk primiparous, semi-structured interviews were conducted with puerperal women, and analyzed according to Bardin content analysis technique, and five categories emerged. Results: nutrition and hydration during labor is still a controversial topic. Fasting during labor has been considered necessary for many years, due to the fear of gastric contents aspiration during anesthesia, but this is being reassessed by the humanization movement. Conclusion: The humanization of labor care is still a challenge in many hospitals, and nutrition during labor is a caution that should be implemented aiming the improvement of the care for women during childbirth as part of humanized care. Descriptors: labor; nursing care; nutrition; hydration; humanization.RESUMO Objetivo: verificar como ocorre o cuidado de enfermagem à parturiente frente às necessidades de nutrição e hidratação no trabalho de parto. Método: foi realizada uma pesquisa qualitativa exploratória, desenvolvida no centro obstétrico de uma maternidade escola no município de Curitiba, no período de agosto a novembro de 2007, com 10 primíparas de baixo risco, e as entrevistas semi-estruturadas, foram realizadas no puerpério e analisadas segundo Bardin, emergindo 5 categorias. Resultados: a alimentação e hidratação no trabalho de parto é ainda um tema controverso. O jejum durante o trabalho de parto foi considerado durante muito tempo, devido ao receio da aspiração do conteúdo gástrico na anestesia, porém com o movimento de humanização, esta prática está sendo reavaliada. Conclusão: A humanização no trabalho de parto ainda é um desafio em muitas instituições hospitalares e a prática da alimentação no trabalho de parto é um cuidado que deve ser implementado buscando a melhoria da assistência à parturiente como parte do cuidado humanizado. Descritores: trabalho de parto; cuidado de enfermagem; alimentação; hidratação; humanização.RESUMENObjetivo: determinar cómo ocurre el cuidado de la enfermaje a la parturienta frente las necesidades de la nutrición y la hidratación en el trabajo del parto. Método: una investigación cualitativa, de carácter exploratorio, desarrollado en un centro obstetricio de una escuela maternidad en el municipio de Curitiba, en el periodo de agosto hasta septiembre de 2007, con diez primiparas de bajo riesgo. Las encuestas semi-estructuradas, se realizaron en el puerperio y, analisadas según Bardin, surgieron cinco categorías. Resultados: la alimentación y la hidratación en el trabajo del parto sigue siendo un tema controvertido. El ayuno durante el trabajo de parto fue considerado por mucho tiempo, debido al miedo de la aspiracion del contenido gastrico de la anestesia, pero con el movimiento de la humanización, esta pratica sigue en revalorización. Conclusión: la humanización en el trabajo del parto sigue siendo un reto en muchos hospitales y la práctica de la alimentacion en el trabajo del parto es todavia una precaución que se deben implementar con el objetivo de mejorar la assistência y la atención a la parturienta como parte del cuidado humanizado. Descriptores: trabajo del parto; cuidado de enfermería; alimentación; hidratación; humanización.
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Choudhary, Suman, Prasuna Jelly, Prakash Mahala, and Amali Mery. "Effect of back massage on relieving pain during labour: a systemic review." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 10, no. 6 (May 27, 2021): 2466. http://dx.doi.org/10.18203/2320-1770.ijrcog20212194.
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Managing labour pain is a challenging concern for nurses who involved in care of mothers during labour and child birth. Massage is a primordial method that has been generally employed during labour, however, relatively little study has been assumed examining the effects of massage on women during labour. The study insistent pain allied with labour may negatively impact mother further transforming to foetus, frequently varying the childbirth course. The techniques of health care humanisation mention that women in labour should have the chance to relieve their pain with pharmacological and non-pharmacological methods. The systemic review examines literature on effectiveness of back massage to relieve labour pain from 2013 to 2019. The electronic database reviewed for the systemic review included PubMed, Medline, nursing health journal, Google scholar etc by including relevant key words. Ten studies were included in the systemic review. The available literature on non-pharmacological method provides evidence as a back massage is effective to reduce labour pain. The aim of the present review is to examine the effect of back massage as a method to relieve labour pain and give comfort to mother. The experience of labour pain is different in women and it is affected by several psychological and physiological factors and its intensity may vary significantly. During labour majority of women need pain relief. Strategies of pain management include pharmacological and non-pharmacological intervention. Evidence suggests that non pharmacological methods are helpful to reduce labour pain. We identified 10 reviews out of 110 for inclusion within this review. All studies on back massages show that it is effective to relieve pain during labour.
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Lindgren, Helena, Ingegerd Hildingsson, Kyllike Christensson, Lena Bäck, Christina Mudokwenyu–Rawdon, Margaret C. Maimbolwa, Rose Mjawa Laisser, et al. "The three pathways to becoming a midwife: self-assessed confidence in selected competencies in intrapartum care from seven African countries." African Journal of Midwifery and Women's Health 15, no. 1 (January 2, 2021): 1–10. http://dx.doi.org/10.12968/ajmw.2020.0009.
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Background/Aims Globally, there are three pathways to become a midwife: midwifery post nursing, direct entry midwifery and integrated nursing and midwifery. There is limited knowledge on the effectiveness of pre-service midwifery education. The aim of this study was to describe and compare midwifery students' confidence in intrapartum skills and associated factors such as type and level of education. Methods A multi-country cross-sectional study was conducted, where midwifery students were approached in the final months of their education programme. Data were collected using a questionnaire, based on the basic skills by the International Confederation of Midwives. Intrapartum care comprised 40 skills. Results In total, 1407 midwifery students from seven sub-Saharan countries responded. The 40 skills were grouped into six domains; three related to care during the first and second stage of labour and three related to care during the third stage of labour. Sex and age were significantly associated with confidence, with female students and those 26–35 years old having higher levels of confidence. Students enrolled in a direct entry programme were more confident than other students in all three domains of care related to the first and second stage of labour. Conclusions Direct entry was found to result in higher confidence for midwifery students than post nursing programmes or integrated programmes. Further research is needed for evaluation of competence.
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Donik, Barbara, Majda Pajnkihar, and Mojca Bernik. "Employability of Nursing Care Graduates." Organizacija 48, no. 4 (December 1, 2015): 287–97. http://dx.doi.org/10.1515/orga-2015-0023.
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Abstract Starting points: In Slovenia, the higher education institution for nursing started exploring employability opportunities in nursing care in connection with the achievement of competencies from students’ and employers’ point of view. This article highlights the importance of monitoring nursing graduates’ employability. Its aim is to examine the employability of nursing care graduates based on the self-evaluation of competences obtained during the last study year and to establish a link between the self-evaluation of competences and students’ academic performance. Methodology: A questionnaire was distributed to full and part time nursing care students attending the last study year at five different healthcare/health sciences faculties in Slovenia and to employers (healthcare institutions) where the majority of nursing care graduates finds employment. We examined the level of competence achieved by nursing students and the level of competences required by employers. The sample included a total of 485 students. 194 surveys were returned, which represent a 40 percent response. We used Kolmogorov-Smirnov test for each individual joined competence. Further, we compared employability skills of students and employers with Mann-Whitney and Wilcox rank-sum test. For correlation between two variables we used Spearman correlation analysis. Results: The Mann-Whitney and Wilkson Rank test show that employers generally assess competences with a higher average grade in comparison to students and these differences are statistically significant. By applying the Spearman correlation analysis, we established that a statistically significant weak correlation may be observed between the “average grade” and “competences” variables. Discussion and conclusion: Our findings show that a continuous monitoring of general and subject-specific competences gained by students, along with a periodic verification of competences demanded by employers, is necessary. It is very important to monitor the requirements of the labour market in terms of ongoing communication with employers who can best estimate special knowledge needs.
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MORHASON-BELLO, I. O., O. OLAYEMI, O. A. OJENGBEDE, B. O. ADEDOKUN, O. O. OKUYEMI, and B. ORJI. "ATTITUDE AND PREFERENCES OF NIGERIAN ANTENATAL WOMEN TO SOCIAL SUPPORT DURING LABOUR." Journal of Biosocial Science 40, no. 4 (July 2008): 553–62. http://dx.doi.org/10.1017/s0021932007002520.
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SummaryThis was a hospital-based cross-sectional study of 224 randomly selected antenatal women receiving care at the University College Hospital, Ibadan, Nigeria. The study aimed to seek the attitude and preferences of respondents about social support during childbirth and also identify variables that may influence their decisions. Seventy-five per cent of respondents desired companionship in labour. Approximately 86% preferred their husband as companion while 7% and 5% wanted their mother and siblings as support person respectively. Reasons for their desire for social support were emotional (80·2%), spiritual (17·9%), errands (8·6%) and physical activity (6·8%). Socio-demographic variables found to be statistically significant on logistic regression analysis for the desire of a companion in labour were nulliparity (OR 3·57, 95% CI 1·49–8·52), professionals (OR 3·11, 95% CI 1·22–7·94) and women of other ethnic groups besides Yoruba (OR 2·90, 95% CI 1·02–8·26), which is the predominant ethnic group in the study area. Only those with post-secondary education were found to want their husbands as doula (OR 2·96, 95% CI 1·08–8·11). More than half of the respondents wanted information about labour prior to their experience. It is important that Nigerian women are allowed the benefit of social support during childbirth, particularly as there is a lack of one-to-one nursing care and other critical services, including epidural analgesia in labour, at many of the health care facilities in Nigeria. Men could play a pivotal role in the process of introducing support in labour so as to improve the outcome for both the mother and her newborn.
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Bryanton, Janet, Heather Fraser-Davey, and Patricia Sullivan. "Women's Perceptions of Nursing Support during Labor." Journal of Obstetric, Gynecologic & Neonatal Nursing 23, no. 8 (October 1994): 638–44. http://dx.doi.org/10.1111/j.1552-6909.1994.tb01933.x.
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Davi, Maria Tavares Guerreiro, Lorrainy Da Cruz Solano, Patrícia Helena De Morais Cruz Martis, Karla Simões Cartaxo Pedrosa, Diana Kerley Cabó Maia, and Amélia Carolina Lopes Fernandes. "Companion’s participation during prenatal care: challenge for nursing." Revista de Enfermagem UFPE on line 5, no. 9 (September 29, 2011): 2077. http://dx.doi.org/10.5205/reuol.1262-12560-1-le.0509201101.
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ABSTRACTObjective: identifying the involvement of the companion of pregnant women during low risk prenatal in a primary care unit of a municipality of Rio Grande do Norte, post as a challenge to the nursing work. Method: descriptive, exploratory study with qualitative approach, based on a report of six pregnant women. Data collection was accomplished through interviews with a semi-structured guide with thematic analysis, during the month of September 2010, as approved by the Ethics Commitee in research involving humans, with the protocol: 131/2010 and CAEE:3524.0.000.351-10. Results: it was found that pregnant women consider it very important the accompaniment of someone close to them, therefore they feel more confident and secure. It showed as the main justification for the absence of that companion to the labor relations of their respective partners, expressing as related to the pregnant woman the responsibility for monitoring, eliminating the need to exempt the husband or other relative to accompany her during the consultations. Conclusion: it was perceived that it is of utmost importance to promote the Law 11,108 of 2005 by nurses, as well as considering strategies for inclusion of caregivers during prenatal care, to ensure a humanized assistance to both mother and child as foreseen in the policy of prenatal care and birth humanization. Descritptors: pregnancy; prenatal care; obstetrical nursing.RESUMOObjetivo: identificar a participação do acompanhante da gestante durante o pré-natal de baixo risco em uma unidade básica de saúde de um município do Rio Grande do Norte posto como um desafio para o trabalho do enfermeiro. Método: estudo descritivo, exploratório, de abordagem qualitativa, com base no relato de seis gestantes. A coleta de dados foi por entrevista com roteiro semi-estruturado com análise temática, durante o mês de setembro de 2010, conforme aprovação do Comitê de Ética em pesquisa envolvendo seres humanos, com o protocolo: 131/2010 e CAEE: 3524.0.000.351-10. Resultados: verificou-se que as gestantes consideram muito importante o acompanhamento de alguém que lhe é próximo, pois referem se sentir mais confiantes e seguras. Mostrou como principal justificativa da ausência desse acompanhante às relações de trabalho dos respectivos companheiros expressando ser da mulher grávida a responsabilidade do acompanhamento descartando a necessidade de dispensar o marido ou outro parente para acompanhá-la durante as consultas. Conclusão: percebeu-se que é de suma importância a divulgação da Lei 11.108 de 2005 por parte dos enfermeiros, como também pensar em estratégias de inclusão do acompanhante durante a assistência pré-natal, para garantir uma assistência humanizada ao binômio mãe-filho conforme prevê a política de humanização do pré-natal e nascimento. Descritores: gestantes; cuidado pré-natal; enfermagem obstétrica.RESUMENObjetivo: identificar la participación del acompañante de la gestante durante el prenatal de bajo riesgo en una unidad básica de salud de un municipio del Rio Grande do Norte puesto como un desafío para el trabajo del enfermero. Método: estudio descriptivo, exploratorio, de abordaje cualitativo, basado en el relato de seis gestantes. La colecta de dados fue por encuesta con un guión pre- estructurado con análisis temático, durante el mes de septiembre de 2010, conforme la aprobación del comité de ética en pesquisa involucrando seres humanos con el protocolo: 131/2010 e CAEE: 3524.0.000.351-10.Resultados: se verificó que las gestantes consideran muy importantes el acompañamiento de alguien que les sean próximos, pues relatan que se sienten más confiadas y seguras. Demostró como principal justificativa de la ausencia de este acompañante las relaciones de trabajos de los respectivos compañeros expresando ser de la mujer embarazada la responsabilidad del acompañamiento retirando la necesidad de dispensar el esposo u otro familiar para acompañarla durante las consultas. Conclusión: se percibió ser de extrema importancia la divulgación de la ley 11.108 de 2005 por parte de los enfermeros, bien como pensar en estrategias de inclusión del acompañante durante la asistencia prenatal, para garantizar un auxilio humanizado al binomio madre/hijo como prevé la política de humanización del prenatal y nacimiento. Descriptores: mujeres embarazadas; atención prenatal; enfermería obstétrica.
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Simpson, Kathleen Rice, and Audrey Lyndon. "Consequences of Delayed, Unfinished, or Missed Nursing Care During Labor and Birth." Journal of Perinatal & Neonatal Nursing 31, no. 1 (2017): 32–40. http://dx.doi.org/10.1097/jpn.0000000000000203.
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Simmonds, Anne H. "Autonomy and Advocacy in Perinatal Nursing Practice." Nursing Ethics 15, no. 3 (May 2008): 360–70. http://dx.doi.org/10.1177/0969733007088360.
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Advocacy has been positioned as an ideal within the practice of nursing, with national guidelines and professional standards obliging nurses to respect patients' autonomous choices and to act as their advocates. However, the meaning of advocacy and autonomy is not well defined or understood, leading to uncertainty regarding what is required, expected and feasible for nurses in clinical practice. In this article, a feminist ethics perspective is used to examine how moral responsibilities are enacted in the perinatal nurse—patient relationship and to explore the interaction between the various threads that influence, and are in turn affected by, this relationship. This perspective allows for consideration of contextual and relational factors that impact on the way perinatal nursing care is given and received, and provides a framework for exploring the ways in which patient autonomy, advocacy and choice are experienced by childbearing women and their nurses during labour and birth.
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Kao, M. H., and C. P. Chie-Pein Chen. "The effects of support interventions on anxiety and depression in women with preterm labor during hospitalization." European Psychiatry 41, S1 (April 2017): S736—S737. http://dx.doi.org/10.1016/j.eurpsy.2017.01.1352.
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AimTo examine the effects of support interventions on anxiety, depression in women hospitalized with preterm labour at admission and 2 weeks.BackgroundHospitalized pregnant women with preterm labour have significantly higher anxiety and depression levels. Few studies have explored the effects of support interventions on anxiety, depression in such women.MethodsA randomized, single-blind experimental design was used. The control group (n = 103) and intervention group (n = 140) were recruited from the maternity wards of one medical centre in northern Taiwan between January 2013 and April 2015. The control group received routine nursing care. The experimental group received support interventions, which included an interview, distraction methods and assistance with daily living needs. Groups were evaluated with the Beck anxiety inventory, Edinburgh Postnatal Depression Scale and at admission and 2 weeks of hospitalization.ResultsThere were no significant differences between groups for demographics, obstetric characteristics, or birth outcomes. For the control group, anxiety and depression scores increased significantly decreased 2 weeks after hospitalization. The intervention group had a small, but significant, increase in anxiety and no significant change in depression at 2 weeks. Participants who received 2 weeks of support intervention had significantly lower anxiety and depression scores than the control group.ConclusionsProviding interventional support could reduce anxiety and depression for women with preterm labour during hospitalization.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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Simpson, Kathleen Rice, Audrey Lyndon, Joanne Spetz, Caryl L. Gay, and Gay L. Landstrom. "Missed Nursing Care During Labor and Birth and Exclusive Breast Milk Feeding During Hospitalization for Childbirth." MCN: The American Journal of Maternal/Child Nursing 45, no. 5 (September 2020): 280–88. http://dx.doi.org/10.1097/nmc.0000000000000644.
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Metwally, Sabah M., Nabaweya S. Shehata, and Sabah A. Abd El haleem. "Women’s Expectations and Experiences Regarding Nursing Support during Childbirth." Evidence-Based Nursing Research 1, no. 4 (November 26, 2019): 10. http://dx.doi.org/10.47104/ebnrojs3.v1i4.78.
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Context: Women giving birth always need to be provided by support and care during childbirth, trustful relationships with the health professionals, mainly childbirth nurses. The midwife can promote women feeling of being empowered and subsequently having positive experience and satisfaction during childbirth.
Aim: The study aimed to assess the women's expectations and experiences regarding nursing support during childbirth.
Methods: A descriptive design utilized in carrying out this study. A purposive sample of 400 women recruited in this study that conducted at the antenatal clinic and postnatal room, Ain Shams University Maternity Hospital. The study utilizes three tools: A structured interview questionnaire to assess socio-demographic characteristics of the study sample, the expectations of nursing support during labor and birth, and the childbirth experience questionnaire.
Results:58.3% of the studied sample had negative expectations toward nursing support.62.6% of the studied sample had negative experiences toward childbirth.
Conclusions: The study concluded that more than half of the studied sample had negative expectations toward nursing support. Besides, slightly less than two-thirds of the studied sample had negative experiences toward childbirth. Also, there was a highly significant correlation between the total expectations of the nursing support score of the studied sample and their total childbirth experiences. The study recommended conducting an educational program to childbirth nurses regarding expectant mothers' expectations, wishes, and needs during labor.
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Vieira, Bianca da Costa, Marli Terezinha Stein Backes, Lediana Dalla Costa, Vanessa Martinhago Borges Fernandes, Heloísa Helena Zimmer Ribas Dias, and Dirce Stein Backes. "Applying best practices to pregnant women in the obstetric center." Revista Brasileira de Enfermagem 72, suppl 3 (December 2019): 191–96. http://dx.doi.org/10.1590/0034-7167-2018-0422.
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ABSTRACT Objective: To identify the meaning attributed by nursing technicians to good care practices based on scientific evidence used with the pregnant women during the dilation stage of labor. Method: A qualitative study, based on Grounded Theory principles. Twelve interviews with nursing technicians attending labor in the obstetric center of two public hospitals, in Florianópolis/SC, were performed, from August of 2016 to March of 2017. Data were analyzed using open, axial coding. Results: The implementation of good practices, for nursing technicians, means adequately performing their activities, providing humanized care to the pregnant woman, respecting her autonomy, promoting pain relief, and a peaceful labor. Final Considerations: An adequate number of technicians must be determined to maintain quality of care, and to complete nursing records in a more detailed and systematized manner.
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Fisher, Lucille Y. "Nursing Management of the Pregnant Psychotic Patient During Labor and Delivery." Journal of Obstetric, Gynecologic & Neonatal Nursing 17, no. 1 (January 1988): 25–28. http://dx.doi.org/10.1111/j.1552-6909.1988.tb00410.x.
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Ronca, April E., and Jeffrey R. Alberts. "Physiology of a Microgravity Environment Selected Contribution: Effects of spaceflight during pregnancy on labor and birth at 1 G." Journal of Applied Physiology 89, no. 2 (August 1, 2000): 849–54. http://dx.doi.org/10.1152/jappl.2000.89.2.849.
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The events of parturition (labor, delivery, maternal care, placentophagia, and onset of nursing) were analyzed in female Norway rats (Rattus norvegicus) flown on either 11- or 9-day-long spaceflights beginning at the approximate midpoint of their pregnancies. Each space shuttle flight landed on the 20th day of the rats' pregnancies, just 48–72 h before parturition. After spaceflight, dams were continuously monitored and recorded by time-lapse videography throughout the completion of parturition and onset of nursing ( days 22 and 23). Analyses of parturition revealed that, compared with ground controls, flight dams displayed twice the number of lordosis contractions, the predominant labor contraction type in rats. The number of vertical contractions (those that immediately precede expulsion of a pup from the womb), the duration of labor, fetal wastage, number of neonates born, neonatal birth weights, placentophagia, and maternal care during parturition, including the onset of nursing, were comparable in flight and ground control dams. Our findings indicate that, with the exception of labor contractions, mammalian pregnancy and parturition remain qualitatively and quantitatively intact after spaceflight during pregnancy.
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Waller-Wise, Renece, Stephanie Lewis, and Barbara Williams. "A Quality Improvement Project Utilizing a Clinical Practice Guideline in Women During Second-Stage Labor." Journal of Perinatal Education 29, no. 2 (April 1, 2020): 72–82. http://dx.doi.org/10.1891/j-pe-d-19-00014.
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Second-stage labor is the most challenging stage of labor, as it requires increasing exertion of the birthing woman. Variances in nursing interventions in second-stage labor have an influence on outcomes. There is disparity in nursing care during second-stage labor. The purpose of this project was to evaluate a clinical practice guideline in second-stage labor with respect to positioning, timing of pushing, type of pushing effort, and the effect on birth method and perineal trauma. Spontaneous vaginal birth increased, vacuum extraction birth decreased, and vaginal birth after cesarean doubled. The rate of episiotomy decreased, the rate of multiple types of lacerations decreased, the rate of vaginal wall tears decreased, and the need for wound suturing of birth acquired lacerations decreased.
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Herrera-Gómez, Antonio, Elvira De Luna-Bertos, Javier Ramos-Torrecillas, Francisco M. Ocaña-Peinado, Concepción Ruiz, and Olga García-Martínez. "Risk Assessments of Epidural Analgesia During Labor and Delivery." Clinical Nursing Research 27, no. 7 (July 28, 2017): 841–52. http://dx.doi.org/10.1177/1054773817722689.
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Epidural analgesia (EA) is one of the methods of choice for labor pain relief, but its adverse effects on the mother and child remain controversial. The objective of this study was to determine whether there is an association between the use of EA and different aspects of labor. The author(s) analyzed the effect of EA on different aspects of labor in a retrospective cohort observational study of deliveries in a public Spanish hospital during a 3-year period. Women with EA administration were found to increase the risk of stimulated labor, reduce the percentage of spontaneous deliveries, increase the risk of instrumental labor due to stalled labor or loss of fetal well-being, and increase the percentage of episiotomies. However, women with EA were not and increased risk for perineal laceration or the condition of the membranes at the delivery or with the type of placental expulsion. Thus, the administration of EA should be assessed in each case by the health care professional.
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Mori, Emi, and Sumiko Maehara. "Research on the Nursing Care to Reduce the Anxiety of Women During Labor and Delivery." Journal of Japan Academy of Nursing Science 11, no. 1 (1991): 22–32. http://dx.doi.org/10.5630/jans1981.11.1_22.
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Joss, Karyn, Adam Lloyd, and Gareth Clegg. "PP22 How do emergency staff communicate with patients during resuscitation?" Emergency Medicine Journal 38, no. 9 (August 19, 2021): A10.1—A10. http://dx.doi.org/10.1136/emermed-2021-999.22.
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BackgroundClinical communication plays a key role in conveying compassion between individuals. Positive non-verbal communication (NVC) has been shown to encourage connectedness and improve patient outcomes – i.e. reducing pain and anxiety – in a range of conditions, including major trauma. Whilst little is understood about how staff utilise NVC in the resuscitation room, quality of interpersonal interactions has been shown to be the largest overall predictor of patient satisfaction within the Emergency Department (ED). Existing studies within the ED highlight patient experiences of feeling ‘isolated’, with their distress being ‘insensitively disregarded’ by staff, hence further research is required to improve patient experience.MethodsThis study utilised the video auditing system within the ED of Edinburgh’s Royal Infirmary to observe how emergency staff employed NVC with conscious patients across (n=15) resuscitation cases. Results were fed back to clinical staff, with suggestions for developing compassion awareness. Mixed method qualitative and quantitative analyses were employed to assess positive and negative staff NVC behaviours and evaluate how these appeared to influence patient experience. Several existing matrices for measuring staff non-technical performance informed design of a novel system for scoring five key aspects of clinical NVC: touch, eye contact, body language, proximity and patient exposure.ResultsThis study highlights significant variation in how emergency staff convey compassion to patients during resuscitation. Staff members exhibited a range of positive and negative NVC behaviours, which were occasionally at odds with verbal cues given. Patterns of communication appeared related to members’ roles within the emergency team, with medical and nursing staff exhibiting different strengths.ConclusionsOur findings are consistent with the idea that acts of compassion are ‘emotional labour’, underlining the need for staff education surrounding positive NVC, as well as increased workplace support. We suggest environmental level strategies including incorporation of a specifically designed ‘compassionate care’ toolkit into handover/pre-arrival checklists.
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Arthur, Rudy. "Studying the UK job market during the COVID-19 crisis with online job ads." PLOS ONE 16, no. 5 (May 27, 2021): e0251431. http://dx.doi.org/10.1371/journal.pone.0251431.
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The COVID-19 global pandemic and the lockdown policies enacted to mitigate it have had profound effects on the labour market. Understanding these effects requires us to obtain and analyse data in as close to real time as possible, especially as rules change rapidly and local lockdowns are enacted. This work studies the UK labour market by analysing data from the online job board Reed.co.uk, using topic modelling and geo-inference methods to break down the data by sector and geography. I also study how the salary, contract type, and mode of work have changed since the COVID-19 crisis hit the UK in March. Overall, vacancies were down by 60 to 70% in the first weeks of lockdown. By the end of the year numbers had recovered somewhat, but the total job ad deficit is measured to be over 40%. Broken down by sector, vacancies for hospitality and graduate jobs are greatly reduced, while there were more care work and nursing vacancies during lockdown. Differences by geography are less significant than between sectors, though there is some indication that local lockdowns stall recovery and less badly hit areas may have experienced a smaller reduction in vacancies. There are also small but significant changes in the salary distribution and number of full time and permanent jobs. As well as the analysis, this work presents an open methodology that enables a rapid and detailed survey of the job market in unsettled conditions and describes a web application jobtrender.com that allows others to query this data set.
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Wolf, Christin, Andrea Freidus, and Dena Shenk. "Voices From the Frontlines in Longterm Care During COVID-19: Narratives of Direct Care Workers." Innovation in Aging 4, Supplement_1 (December 1, 2020): 962. http://dx.doi.org/10.1093/geroni/igaa057.3515.
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Abstract Our study draws from the narratives of 30 staff caring for residents in congregate care communities in central North Carolina from June-September 2020. It is part of phase 2 of an on-going 3-phase rapid qualitative appraisal of workers providing longterm care to older adults with the purpose of disseminating findings to key stakeholders to inform policy, programming, and funding decisions. The 3-phase project involves semi-structured interviews with 60+ participants that were videorecorded using a web-based platform. We report on the emotional and visceral experiences of these direct care workers providing care during the pandemic. We organize the data into four affect categories: fear/anxiety, sadness/grief, anger/frustration, and trauma/stress. The 30 participants include nurses, activities staff, med techs, CNAs, housekeepers, dining staff, chaplains and administrators at nursing homes, assisted living communities, memory care units and continuing care retirement communities. We amplify the voices of these formal caregivers in order to demonstrate how their sensorial and emotive experiences can speak to the human suffering they bore witness to, the underlying ageism that permeates our culture, and the social hierarchy that devalues their labor and their worth as they serve on the frontlines during this unprecedented global pandemic.
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Nicholson, Carolyn. "Nursing considerations for the parturient who has received epidural narcotics during labor or delivery." Journal of Perinatal & Neonatal Nursing 4, no. 1 (July 1990): 14–26. http://dx.doi.org/10.1097/00005237-199007000-00004.
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H. Abdelati, Inaam, Om Hashim M. Saadoon, and Amal Roshdi Ahmed Mostafa. "Quality of cesarean section nursing care and its reflection up-on women's satisfaction with labor experience." International Journal of Advanced Nursing Studies 8, no. 1 (May 5, 2019): 11. http://dx.doi.org/10.14419/ijans.v8i1.27149.
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Women satisfaction is a crucial predictor for maintaining and monitoring the quality of health care and can inform service development and delivery.Aim: To evaluate the quality of cesarean nursing care at hospital of Mansura University, the outcomes of it preserve ad-vanceandsupportqualityof care and womensatisfaction. By using a descriptive design the study conducted at obstetrics and gynecology department in Mansoura university hospital. On a total of 200women had undergoingelective cesarean section operation. Data collection by, structured interviewed questionnaire, observationchecklist and satisfactionassessment scale. Results; Findings indicated that most of studied women had received a complete care during intraoperative & immediate post-operative 92.5% & 95.0% respectively. Meanwhile, 80.0% & 62.5% of them didn't received health education and emotional support also , the higher percentage of studied women were satisfied with general environment, cleanliness, communication and physical care 75.0%, 75.0%, 65.0% and 58.0% respectively. While, 60.0% of them were dissatisfied with continuity of care. Regarding involving in decision making, all of studied sample100% were dissatisfied. Finally there was a positive association of quality of CS nursing care with the level of women's satisfaction with (p=<0.05) .Conclusion: The current study indicated that, there are several factors that affected on women's satisfaction. higher percentages of them were satisfied with general environment, cleanliness, communication and physical care and dissatisfied with psychological care, continuity of care and involvement in decision making. There was a highly statistically associationof women’s satisfaction with CS nursing care offered. Recommendation: Woman satisfaction is an imperative health care outcome its assessment is recommended tobe a part of hospital quality ofcare monitoring and improvement programs.
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Czerwińska-Osipiak, Agnieszka, Beata Pięta, Justyna Kamińska, and Halina Nowakowska. "Women’s postnatal care based on the Polish and international recommendations." Pielegniarstwo XXI wieku / Nursing in the 21st Century 17, no. 3 (September 1, 2018): 65–68. http://dx.doi.org/10.2478/pielxxiw-2018-0020.
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Abstract Introduction. The issue of high-risk pregnancy has been widely discussed in the recent years. As a result, many countries have introduced programs to improve perinatal care in order to meet the needs of pregnant women as well as those going into labour. Much less attention was dedicated to health and social circumstances of women in the postpartum period. The World Health Organisation developed a document (WHO Recommendations on Postnatal Care of the Mother and Newborn, 2013) in which it clearly defines recommendations formulated for the professionals who are care providers to the child and the mother after birth. The authors of the report indicate that the postnatal period is crucial for both the mothers and their children, and the lack of proper care given to them may lead to deterioration of their health and even death. According to the code of professional practice, the Polish midwife identifies and determines individuals’ requirements as well as health needs, recognizes nursing difficulties, and, effectively plans and oversees their care. The Polish guideline for the highest standard of medical care during pregnancy, the delivery, the postpartum period and the neonatal care is the Regulation of the Health Minister from 20th September 2012. Aim. This paper collected current and adopted recommendations regarding postpartum care with an emphasis on the significant role of the midwife.
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Maniou, Maria, Kleisiaris Christos, Sofia Zyga, Spyros Vliamos, Panagiotis Prezerakos, Katerina Flora, and Konstantinos Togas. "Training nursing staff who have been victim of work labour harassment on the island of Crete in strengthen of their self-esteem with anonymous group psychotherapy through teleconferencing." American Research Journal of Nursing 7, no. 1 (March 28, 2021): 1–11. http://dx.doi.org/10.21694/2379-2922.21001.
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Background: Professional self-esteem for nursing profession refers to the extent to which a person experiences its work as important while appreciating its performance as important. There is evidence that self-esteem is important for health. The majority of the victims of occupational harassment of nursing staff have a middle self – esteem. Purpose: This study tests the effectiveness of adding a fourteen weeks schema-focused Anonymous group psychotherapy via teleconference in victims of workplace harassment in nursing personnel in the island of Crete, Greece. Method: An investigation was carried out in the area of Crete between August 2017 and January 2018 in fourteen Health Centers, two Primary National Health Networks, four Emergency Department, eleven Intensive Care Units. The total sample of the present study was 213 nurses. This case–control study was carried out by α qualified psychologist. The participants were 14 nurses victims of workplace harassment assigned randomly to psychotherapy group and a control group to enhance of their self-esteem. Results: Statistically significant difference are presented in the psychotherapy group during a 14-week period for the scale of General Selfesteem (p-value = 0.002) measured with the Culture Free Self-Esteem Inventories. Conclusions: Anonymous group psychotherapy via teleconference is a safe and effective method for treating self - esteem in victims of workplace harassment. KEYWORDS: Anonymous group psychotherapy, Teleconference, Self-esteem, Nursing Personnel
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Schiffler, Angela Carla da Rocha, and Ana Lúcia Abrahão. "O cuidado na perspectiva singular das parteiras da região amazônica: estudo descritivo." Online Brazilian Journal of Nursing 16, no. 3 (August 24, 2018): 256. http://dx.doi.org/10.17665/1676-4285.20175938.
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Problem: geography and difficulty of access to health care contribute to maternal and neonatal mortality in the North and Northeast of Brazil. Aim: to identify the care arrangements used during labor and birth by midwives from the Amazon. Method: 15 midwives from the cities of Manaus and of Vila de Lindoia/Itacoatiara region took part in two focus groups held between December 2015 and March 2016. Data analysis focused on three cores of meaning and the use of narratives. Results: most of the arrangements designed to assist women occurred in cities in the inner regions of the state of A mazonas, B razil. The midwives’ narratives were based around three core sets of meanings: Complicity and Recognition; Midwife Memories, and Labor and Birth. Conclusion: midwives build a logic for care centered around women. It is an extensive and creative practice, available to sustain life during and after the birth.
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Munnich, Elizabeth, and Abigail Wozniak. "What Explains the Rising Share of US Men in Registered Nursing?" ILR Review 73, no. 1 (March 25, 2019): 91–123. http://dx.doi.org/10.1177/0019793919838775.
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Working with data from the decadal US Census and the annual American Community Survey (ACS), the authors document four decades of increasing participation in registered nursing among US men and explore reasons for this change. Increasing educational attainment, rising labor demand in health care, rising urbanization, and liberalizing gender role attitudes explain approximately 50% of the growth. Results show that a large component of the increase occurs when men switched into nursing during their 20s and early 30s. Important countervailing factors include poor early labor market conditions and immigrant inflows, both of which are associated with less movement into nursing by men. The authors discuss the implications of their findings for policies that encourage men to take up high growth, non-traditional skilled jobs.
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Miguel, Karen, Colleen Snydeman, Virginia Capasso, Mary Ann Walsh, John Murphy, and Xianghong Sean Wang. "Development of a Prone Team and Exploration of Staff Perceptions During COVID-19." AACN Advanced Critical Care 32, no. 2 (June 15, 2021): 159–68. http://dx.doi.org/10.4037/aacnacc2021848.
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Objective: As intensive care unit bed capacity doubled because of COVID-19 cases, nursing leaders created a prone team to support labor-intensive prone positioning of patients with COVID-related acute respiratory distress syndrome. The goal of the prone team was to reduce workload on intensive care teams, standardize the proning process, mitigate pressure injuries and turning-related adverse events, and ensure prone team safety. Methods: Staff were trained using a hybrid learning model focused on prone-positioning techniques, pressure injury prevention, and turning-related adverse events. Results: No adverse events occurred to patients or members of the prone team. The prone team mitigated pressure injuries using prevention strategies. The prone team and intensive care unit staff were highly satisfied with their experience. Conclusion: The prone team provided support for critically ill patients, and team members reported feeling supported and empowered. Intensive care unit staff were highly satisfied with the prone team.
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Subhani, Muhammad T., and Ifrah Kanwal. "Digital Scrapbooking as a Standard of Care in Neonatal Intensive Care Units: Initial Experience." Neonatal Network 31, no. 3 (2012): 162–68. http://dx.doi.org/10.1891/0730-0832.31.3.162.
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In this article, we describe a digital photo scrapbooking project as a standard of care for the parents of infants admitted in a neonatal intensive care unit (NICU). Photographs were taken from birth until discharge or expiry at special moments during the infant’s hospitalization and used to create a digital scrapbook with daily notes by the parents. The scrapbook and original photos were provided on a CD at discharge or at expiry. Parents and their families unanimously appreciated the photos and the opportunity to record their thoughts, and considered the CDs as a lifetime treasure. Digital photo journaling could be implemented as a standard of care at other institutions with a commitment from the nursing and ancillary staff of the NICU and labor and delivery department, with possible support from volunteers.
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Sumiaty, Lili Suryani, Sundari, and Andi Nilawati Usman. "Traditional and complementary health care during pregnancy, labor, and postpartum in the Kaili ethnic culture." Enfermería Clínica 30 (March 2020): 597–601. http://dx.doi.org/10.1016/j.enfcli.2019.07.169.
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Silva, Flora Maria Barbosa da, Tais Couto Rego da Paixao, Sonia Maria Junqueira Vasconcellos de Oliveira, Jaqueline Sousa Leite, Maria Luiza Gonzalez Riesco, and Ruth Hitomi Osava. "Care in a birth center according to the recommendations of the World Health Organization." Revista da Escola de Enfermagem da USP 47, no. 5 (October 2013): 1031–38. http://dx.doi.org/10.1590/s0080-623420130000500004.
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Birth centers are maternal care models that use appropriate technology when providing care to birthing women. This descriptive study aimed to characterize intrapartum care in a freestanding birth center, in light of the practices recommended by the World Health Organization (WHO), with 1,079 assisted births from 2006 to 2009 in the Sapopemba Birth Center, São Paulo, Brazil. Results included the use of intermittent auscultation (mean=7 controls); maternal positions during delivery: semi-sitting (82.3%), side-lying (16.0%), other positions (1.7%), oral intake (95.6%); companionship (93.3%); exposure to up to three vaginal examinations (85.4%), shower bathing (84.0%), walking (68.0%), massage (60.1%), exercising with a Swiss ball (51.7%); amniotomy (53.4%), oxytocin use during the first (31.0%) and second stages of labor (25.8%), bath immersion (29.3%) and episiotomy (14.1%). In this birth center, care providers used practices recommended by the WHO, although some practices might have been applied less frequently.
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BRITT, ROBIN. "Epidural analgesia during labor." Nursing 32, no. 6 (June 2002): 78. http://dx.doi.org/10.1097/00152193-200206000-00056.
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Greenslate, Kathy A. "Is There a Role for Licensed Practical Nurses in the Nursing Care of Women During Labor and Birth?" MCN, The American Journal of Maternal/Child Nursing 25, no. 4 (July 2000): 176. http://dx.doi.org/10.1097/00005721-200007000-00002.
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Creehan, Patricia A. "Is There a Role for Licensed Practical Nurses in the Nursing Care of Women During Labor and Birth?" MCN, The American Journal of Maternal/Child Nursing 25, no. 4 (July 2000): 177. http://dx.doi.org/10.1097/00005721-200007000-00003.
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Prokop, Axel, Karl Michael Reinauer, Manfred Koebler, Erna Schwerb, Lisa Keller, and Marc Chmielnicki. "Community Service as Patientsʼ Tutor to Avoid Delirium." Zeitschrift für Orthopädie und Unfallchirurgie 158, no. 06 (September 25, 2019): 625–29. http://dx.doi.org/10.1055/a-0974-4175.
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Abstract Background Today, nearly two thirds of inpatients in trauma surgery hospitals are over 70 years old and at significant risk for comorbidities. These patients frequently suffer delirium. Delirium occurs in 15 – 30% of these trauma patients and increases the risk of mortality in up to 15 – 25% of cases. Conversation, attention, and activity significantly reduce this risk. Objectives Thus, the Centre for Geriatric Traumatology and the District Seniors Council have initiated a new project of a visiting service, to prevent delirium and anxiety conditions in elderly inpatients. Volunteers from the welfare program offer daily care for selected patients. Methods They care for and interact with the patients for approximately one hour per day. They accompany the patients in the hospital and during mobilization, explain, read aloud, converse, or simply listen, and thus provide calm, support, and company. The attendants are volunteers who have been previously trained by the clinic, who regularly attend team meetings and draw up reports from each admission. All patients and relatives are informed prior to these visits and are notified with an accompanying letter. There are structured visiting plans for each week. Results From July 17 to May 19, 4031 patients in our clinic and in three other hospitals have been accompanied in the program. None of the patients suffered delirium. The patients and attendants found the care very good and personally satisfying. Evaluations of the volunteers for the success of their work, using the German school-grading system, was an average 1.3. Noticeable was the markedly reduced frequency of patient calls to nursing, who were thus relieved. Travel expenses and insurance costs for the volunteers were reimbursed. Conclusion In times of skilled labour shortages, patient support provided by volunteer patient attendants enables innovative care for patients at risk for delirium. The assistance of the attendants alone reduced the workload on the nursing staff.
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Saadatzi, Mohammad Nasser, M. Cynthia Logsdon, Shamsudeen Abubakar, Sumit Das, Penelope Jankoski, Heather Mitchell, Diane Chlebowy, and Dan O. Popa. "Acceptability of Using a Robotic Nursing Assistant in Health Care Environments: Experimental Pilot Study." Journal of Medical Internet Research 22, no. 11 (November 12, 2020): e17509. http://dx.doi.org/10.2196/17509.
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Background According to the US Bureau of Labor Statistics, nurses will be the largest labor pool in the United States by 2022, and more than 1.1 million nursing positions have to be filled by then in order to avoid a nursing shortage. In addition, the incidence rate of musculoskeletal disorders in nurses is above average in comparison with other occupations. Robot-assisted health care has the potential to alleviate the nursing shortage by automating mundane and routine nursing tasks. Furthermore, robots in health care environments may assist with safe patient mobility and handling and may thereby reduce the likelihood of musculoskeletal disorders. Objective This pilot study investigates the perceived ease of use and perceived usefulness (acceptability) of a customized service robot as determined by nursing students (as proxies for nursing staff in health care environments). This service robot, referred to as the Adaptive Robotic Nurse Assistant (ARNA), was developed to enhance the productivity of nurses through cooperation during physical tasks (eg, patient walking, item fetching, object delivery) as well as nonphysical tasks (eg, patient observation and feedback). This pilot study evaluated the acceptability of ARNA to provide ambulatory assistance to patients. Methods We conducted a trial with 24 participants to collect data and address the following research question: Is the use of ARNA as an ambulatory assistive device for patients acceptable to nurses? The experiments were conducted in a simulated hospital environment. Nursing students (as proxies for nursing staff) were grouped in dyads, with one participant serving as a nurse and the other acting as a patient. Two questionnaires were developed and administrated to the participants based on the Technology Acceptance Model with respect to the two subscales of perceived usefulness and perceived ease of use metrics. In order to evaluate the internal consistency/reliability of the questionnaires, we calculated Cronbach alpha coefficients. Furthermore, statistical analyses were conducted to evaluate the relation of each variable in the questionnaires with the overall perceived usefulness and perceived ease of use metrics. Results Both Cronbach alpha values were acceptably high (.93 and .82 for perceived usefulness and perceived ease of use questionnaires, respectively), indicating high internal consistency of the questionnaires. The correlation between the variables and the overall perceived usefulness and perceived ease of use metrics was moderate. The average perceived usefulness and perceived ease of use metrics among the participants were 4.13 and 5.42, respectively, out of possible score of 7, indicating a higher-than-average acceptability of this service robot. Conclusions The results served to identify factors that could affect nurses’ acceptance of ARNA and aspects needing improvement (eg, flexibility, ease of operation, and autonomy level).
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Macario, Alex, W. Craig Scibetta, John Navarro, and Ed Riley. "Analgesia for Labor Pain." Anesthesiology 92, no. 3 (March 1, 2000): 841–50. http://dx.doi.org/10.1097/00000542-200003000-00028.
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Background Epidural analgesia and intravenous analgesia with opioids are two techniques for the relief of labor pain. The goal of this study was to develop a cost-identification model to quantify the costs (from society's perspective) of epidural analgesia compared with intravenous analgesia for labor pain. Because there is no valid method to assign a dollar value to differing levels of analgesia, the cost of each technique can be compared with the analgesic benefit (patient pain scores) of each technique. Methods The authors created a cost model for epidural and intravenous analgesia by reviewing the literature to determine the rates of associated clinical outcomes (benefit of each technique to produce analgesia) and complications (e.g., postdural puncture headache). The authors then analyzed data from their institution's cost-accounting system to determine the hospital cost for parturients admitted for delivery, estimated the cost of each complication, and performed a sensitivity analysis to evaluate the cost impact of changing key variables. A secondary analysis was performed assuming that the cost of nursing was fixed (did not change depending on the number of nursing interventions). Results If the cesarean section rate equals 20% for both intravenous and epidural analgesia, the additional expected cost per patient to society of epidural analgesia of labor pain ranges from $259 (assuming nursing costs in the labor and delivery suite do not vary with the number of nursing interventions) to $338 (assuming nursing costs do increase as the number of interventions increases) relative to the expected cost of intravenous analgesia for labor pain. This cost difference results from increased professional costs and complication costs associated with epidural analgesia. Conclusions Epidural analgesia is more costly than intravenous analgesia. How the cost of the anesthesiologist and nursing care is calculated affects how much more costly epidural analgesia is relative to intravenous analgesia. Published studies have determined that epidural analgesia provides relief of labor pain superior to intravenous analgesia, quantified in one study as 40 mm better on a 100-mm scale during the first stage of labor and 29 mm better during the second stage of labor. Patients, physicians, and society need to weigh the value of improved pain relief from epidural analgesia versus the increased cost of epidural analgesia.
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Treacy, Paul C., and Douglas MacKay. "Weighing obligations to home care workers and Medicaid recipients." Nursing Ethics 26, no. 2 (July 25, 2017): 418–24. http://dx.doi.org/10.1177/0969733017718396.
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In June 2016, a US Department of Labor rule extending minimum wage and overtime pay protections to home care workers such as certified nursing assistants and home health aides survived its final legal challenge and became effective. However, Medicaid officials in certain states reported that during the intervening decades when these protections were not in place, their states had developed a range of innovative services and programs providing home care to people with disabilities—services and programs that would be at risk if workers were newly owed minimum wage and overtime pay. In this article, we examine whether the Department of Labor was right to extend these wage protections to home care workers even at the risk of a reduction in these home care services to people with disabilities. We argue that it was right to do so. Home care workers are entitled to these protections, and, although it is permissible under certain conditions for government to infringe workers’ occupational rights and entitlements, these conditions are not satisfied in this case.
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Hur, Myung Haeng, Nam Youn Cheong, Hye Sung Yun, Mi Kyoung Lee, and Youngshin Song. "Effects of Delivery Nursing Care using Essential Oils on Delivery Stress Response, Anxiety during Labor, and Postpartum Status Anxiety." Journal of Korean Academy of Nursing 35, no. 7 (2005): 1277. http://dx.doi.org/10.4040/jkan.2005.35.7.1277.
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Flood, Jeanie, and Kathleen Commendador. "Using Avatars to Enhance Breastfeeding Education for Undergraduate Nursing Students." Clinical Lactation 6, no. 1 (February 2015): 35–39. http://dx.doi.org/10.1891/2158-0782.6.1.35.
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Maternal–child health courses must cover the perinatal period from preconception to postpartum. Nursing students must learn skills for labor support as well as postpartum care including the support and promotion of breastfeeding. Students have limited opportunities to practice lactation support skills during their clinical rotations, and their primary resource on breastfeeding is often the course textbook. For an undergraduate nursing course, an innovative educational strategy was developed using a series of breastfeeding scenarios with the incorporation of animated avatars. Each scenario connected to a larger case study similar to a day in the life of a postpartum nurse dealing with breastfeeding situations on the hospital unit. Students were given a list of links and breastfeeding resources beyond the course textbook they could use to address the scenarios.
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Mander, Rosemary. "In response to: De Jonge A., Teunissen D.A.M., van Diem M.T.H., Scheepers P.L.H. & Lagro-Janssen A.L.M. (2008) Women’s positions during the second stage of labour: primary care midwives’ views.Journal of Advanced Nursing63(4), 347-356." Journal of Advanced Nursing 65, no. 1 (January 2009): 229–30. http://dx.doi.org/10.1111/j.1365-2648.2008.04867.x.
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Santana, Ariane Teixeira de, Ridalva Dias Martins Felzemburgh, Telmara Menezes Couto, and Lívia Pinheiro Pereira. "Performance of resident nurses in obstetrics on childbirth care." Revista Brasileira de Saúde Materno Infantil 19, no. 1 (March 2019): 135–44. http://dx.doi.org/10.1590/1806-93042019000100008.
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Abstract Objectives: to describe good practices on childbirth care and obstetric interventions performed by resident nurses in obstetrics during the obstetric childbirth risk at a public maternity hospital in Salvador. Methods: a descriptive cross-sectional study with a quantitative approach, based on the of 102 parturients, between February and April 2016. The data collection was performed through the collection of information on clinical files for analysis by using descriptive statistics with absolute and relative frequencies for the evaluated categorical variables. Results: it was observed that 100.0% of the women used some kind of non-pharmacological method for pain relief, although the method of choice was to take a hot bath; 99.0% of the women drank liquids; 94.0% had the presence of a companion of free choice; 99.0% walked during labor; 100.0% had the freedom to choose a position during childbirth. It is noteworthy that no woman in this study was submitted to episiotomy, and more than 70.0% were not submitted to any obstetric intervention. Conclusions: the Programa de Residência em Enfermagem (Residency Nursing Program) an important point in the childbirth humanization process is directly associated to the increase in the normal childbirth rates, the highest use on good practices in childbirth care, and the reduction on obstetric interventions.
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Shetty, Raksha K., Padmaja Y. Samant, and Priyanka U. Honavar. "Obstetric violence: a health system study." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 10, no. 4 (March 24, 2021): 1551. http://dx.doi.org/10.18203/2320-1770.ijrcog20211136.
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Background: Disrespect and abuse during facility-based childbirth is a global problem with differing driving factors in different contexts. Obstetric Violence (OV) refers to professional deficiencies in maternity care. The objective of this study was to assess knowledge and attitudes towards OV in a cohort of members of the obstetric healthcare team at a tertiary care, teaching hospital in Western India (Mumbai).Methods: A questionnaire-based study involving 80 participants comprising of trainee doctors and faculty, nursing students, staff and teachers from the department of Obstetrics and Gynaecology and hospital administration.Results: 57.97% of participants had heard the term ‘Obstetric violence’ earlier. 75.36% reported verbal abuse as a form of OV, others being physical abuse, non-consented care, discriminatory care, abandonment/neglect or refusal of care and imposition of interventions without scientific basis. 53% and 89.8% of the participants did not consider routine episiotomies and artificial rupture of membrane respectively as forms of OV. 84.06% and 59.4% of participants considered instrumental delivery without consent and Caesarean section citing safety/convenience respectively as forms of OV. 82.6% participants endorsed the need of birth companion. Improving the number and training of healthcare providers and better institutional policies on respectful maternity care were suggested as solutions.Conclusions: Majority of the participants had witnessed some form of OV. The need for practical training of healthcare personnel and better infrastructure in the healthcare system were emphasised, but there appeared to be a lack of consciousness of the paternalistic mindset and approach to women in labour. Soft skills training of healthcare providers with emphasis on key ethical principles like autonomy, respect and dignity is crucial to address the issue of OV.
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Merces, Magno Conceição das, Julita Maria Freitas Coelho, Iracema Lua, Douglas de Souza e. Silva, Antonio Marcos Tosoli Gomes, Alacoque Lorenzini Erdmann, Denize Cristina de Oliveira, et al. "Prevalence and Factors Associated with Burnout Syndrome among Primary Health Care Nursing Professionals: A Cross-Sectional Study." International Journal of Environmental Research and Public Health 17, no. 2 (January 11, 2020): 474. http://dx.doi.org/10.3390/ijerph17020474.
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The objective of the study was to evaluate the prevalence and factors associated with Burnout Syndrome (BS) in Primary Health Care (PHC) nursing professionals from the state of Bahia, Brazil. A multicentre, cross-sectional population-based study was conducted in a cluster sample among 1125 PHC Nursing professionals during the years 2017 and 2018. We used a questionnaire that included sociodemographic, labor and lifestyle variables and the Maslach Burnout Inventory scale to identify BS. The associations were evaluated using a robust Poisson regression with the hierarchical selection of the independent variables. The prevalence of BS was 18.3% and the associated factors were ethnicity (prevalence ratio (PR) = 0.62, confidence interval (CI) 95% = 0.47–0.83), residence (PR = 2.35, CI 95% = 1.79–3.09), economic situation (PR = 1.40, CI 95% = 1.06–1.86), satisfaction with current occupation (PR = 1.75, CI 95% = 1.31–2.33), (PR = 1.60, CI 95% = 1.23–2.08), rest (PR = 1.83, 95% CI = 1.41–2.37), technical resources and equipment (PR = 1.37, CI 95% = 1.06–1.77), night shift (PR = 1.49, CI 95% = 1.14–1.96), physical activity practice (PR = 1.72; CI 95% = 1.28–2.31), smoking (PR = 1.82, CI 95% = 1.35–2.45), and satisfaction with physical form (PR = 1.34, CI 95% = 1.01–179). Strategies are needed to prevent BS, with an emphasis on implementing worker health programs in the context of PHC.
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Lima, Margarete Maria de, Larissa Nascimento Ribeiro, Roberta Costa, Juliana Jaques da Costa Monguilhot, and Iris Elizabete Messa Gomes. "Enfermeiras obstétricas no processo de parturição: percepção das mulheres [Obstetric nurses in the childbirth process: the women's perception] [Enfermeras obstétricas en el proceso del parto: percepción de las mujeres]." Revista Enfermagem UERJ 28 (October 16, 2020): e45901. http://dx.doi.org/10.12957/reuerj.2020.45901.
Full textAbstract:
Objetivo: conhecer a percepção das mulheres sobre a assistência no trabalho de parto, parto e nascimento realizada por enfermeiras obstétricas em um hospital público do Sul do Brasil. Método: estudo qualitativo, descritivo-exploratório, desenvolvido em fevereiro de 2019. Participaram 24 mulheres no pós-parto mediato, internadas no Alojamento Conjunto. Os dados foram coletados através de entrevista semiestruturada e posteriormente analisados conforme proposta operativa de Minayo. O projeto foi submetido e aprovado pelo Comitê de Ética. Resultados: ressaltou-se a importância da atuação da enfermeira obstétrica no cuidado humanizado e respeitoso durante o trabalho de parto, destacando seu papel no estímulo ao uso dos métodos não farmacológicos de alívio da dor durante o trabalho de parto, além da oferta de apoio emocional. Conclusão: a atuação da enfermeira obstétrica, na percepção das mulheres, qualifica a assistência prestada, sendo avaliada de forma positiva pelas participantes do estudo.ABSTRACTObjective: to learn how women at a public hospital in southern Brazil perceive the care given by obstetric nurses during labor, delivery and birth. Method: twenty-four postpartum women participated in this exploratory, qualitative, descriptive study from January to February 2019. Data were collected through individual, semi-structured interviews, and subsequently analyzed according to Minayo’s operative proposal. The project was approved by the research ethics committee. Results: obstetric nurses were found to play an important role in respectful, humanized care during labor, particularly in encouraging the use of non-pharmacological methods of pain relief during labor, in addition to offering emotional support. Conclusion: the obstetric nurses’ work, as perceived by the women, enhances the quality of the care provided, and was evaluated favorably by the study participants.RESUMENObjetivo: conocer cómo las mujeres de un hospital público en el sur de Brasil perciben la atención brindada por enfermeras obstétricas durante el trabajo de parto, el parto y el parto. Método: de enero a febrero de 2019 participaron veinticuatro puérperas de este estudio exploratorio, cualitativo y descriptivo. Los datos fueron recolectados a través de entrevistas individuales semiestructuradas y posteriormente analizados de acuerdo con la propuesta operativa de Minayo. El proyecto fue aprobado por el comité de ética en investigación. Resultados: se encontró que las enfermeras obstétricas desempeñan un papel importante en el cuidado humanizado y respetuoso durante el trabajo de parto, particularmente en el fomento del uso de métodos no farmacológicos de alivio del dolor durante el trabajo de parto, además de ofrecer apoyo emocional. Conclusión: el trabajo de las enfermeras obstétricas, percibido por las mujeres, mejora la calidad de la atención brindada y fue evaluado favorablemente por las participantes del estudio.