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1.
Nursing ; 50(6): 1-2, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-32453161

RESUMO

Having a plan in place before an expectant mother comes to the healthcare facility for delivery is an important step toward quality care. Read about how one medical center in New Jersey launched an initiative to identify high-risk expectant mothers early and plan accordingly months ahead of their delivery date.


Assuntos
Enfermagem Materno-Infantil/métodos , Planejamento de Assistência ao Paciente , Feminino , Humanos , Gravidez , Medição de Risco
2.
Br J Nurs ; 29(8): 486-487, 2020 Apr 23.
Artigo em Inglês | MEDLINE | ID: mdl-32324456

RESUMO

John Tingle, Lecturer in Law, Birmingham Law School, University of Birmingham, discusses some recent reports in maternity care, which can be seen to also to have general application across all clinical specialities.


Assuntos
Infecções por Coronavirus/epidemiologia , Serviços de Saúde Materna , Segurança do Paciente , Pneumonia Viral/epidemiologia , Feminino , Humanos , Enfermagem Materno-Infantil , Pandemias , Gravidez , Medicina Estatal , Reino Unido/epidemiologia
3.
Nurse Educ Pract ; 41: 102651, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31704477

RESUMO

The journey from pregnancy to caring for a new infant is a significant experience for many women and crucial period for obesity prevention. During this time, a large portion of care is allocated to midwives and maternal and child health nurses (MCHN). These professions have the potential to play a crucial role in supporting women with weight management across pregnancy and postpartum; however, both midwives and MCHNs report barriers to doing this. Upskilling achieved through midwifery and MCHN education that equips midwives and MCHNs with the skills and knowledge to provide evidence-based advice for weight management could assist in addressing some of these barriers. Interprofessional collaboration should be fostered so healthy lifestyle messages and support are reinforced consistently by midwives and MCHNs throughout pregnancy and postpartum.


Assuntos
Relações Interprofissionais , Enfermagem Materno-Infantil , Tocologia/educação , Enfermeiras Obstétricas , Obesidade/prevenção & controle , Assistência Perinatal , Atitude do Pessoal de Saúde , Competência Clínica , Feminino , Humanos , Educação de Pacientes como Assunto , Gravidez
4.
Matern Child Health J ; 23(10): 1281-1284, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31385141

RESUMO

The Editors of the Maternal and Child Health Journal offer an inside look at publishing in the journal, including advice for potential authors and reviewers.


Assuntos
Enfermagem Materno-Infantil/tendências , Editoração/tendências , Humanos , Enfermagem Materno-Infantil/métodos
5.
Nurs Womens Health ; 23(4): 370-372, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31299178

RESUMO

A nurse reflects on what her daughters have picked up from her career in maternity nursing, education, and research.


Assuntos
Escolha da Profissão , Enfermagem Materno-Infantil/métodos , Relações Pais-Filho , Humanos , Enfermagem Materno-Infantil/tendências , Educação Sexual/métodos , Responsabilidade Social
6.
J Adv Nurs ; 75(10): 2200-2210, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31172543

RESUMO

AIM: To describe communication barriers faced by allophone migrant women in maternity care provision from the perspectives of migrant women, healthcare professionals, and intercultural interpreters. BACKGROUND: Perinatal health inequality of migrant women hinges on barriers to services, with a major barrier being language. Their care is often also perceived as demanding due to conflicting values or complex situations. Potentially divergent perceptions of users and providers may hinder efficient communication. DESIGN: Qualitative explorative study. METHODS: A convenience sample of 36 participants was recruited in the German speaking region of Switzerland. The sample consisted of four Albanian and six Tigrinya speaking women, 22 healthcare professionals and four intercultural interpreters (March-June 2016) who participated in three focus group discussions and seven semi-structured interviews. Audio recordings of the discussions and interviews were transcribed and thematically analysed. RESULTS: The analysis revealed three main themes: the challenge of understanding each other's world, communication breakdowns and imposed health services. Without interpretation communication was reduced to a bare minimum and thus insufficient to adequately inform women about treatment and address their expectations and needs. CONCLUSION: A primary step in dismantling barriers is guaranteed intercultural interpreting services. Additionally, healthcare professionals need to continuously develop and reflect on their transcultural communication. Institutions must enable professionals to respond flexibly to allophone women's needs and to offer care options that are safe and in accordance to their cultural values. IMPACT: Our results give the foundation of tenable care of allophonic women and emphasize the importance of linguistic understanding in care quality.


Assuntos
Barreiras de Comunicação , Assistência à Saúde Culturalmente Competente/organização & administração , Pessoal de Saúde/psicologia , Acesso aos Serviços de Saúde/organização & administração , Enfermagem Materno-Infantil/organização & administração , Gestantes/psicologia , Migrantes/psicologia , Adulto , Atitude do Pessoal de Saúde , Feminino , Humanos , Gravidez , Pesquisa Qualitativa , Suíça , Tradução
9.
Nurs Forum ; 54(3): 434-440, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31093991

RESUMO

BACKGROUND: Providing adequate and quality clinical training to student nurses is a major issue in nursing education. In the Middle East, this issue is more prominent because providing intimate healthcare to women in maternity nursing, especially by male nursing students, remains a challenge. PURPOSE: This study compared the effects of a combination of traditional clinical training with high-fidelity simulation (TCT+HFS) activities vs TCT alone on the clinical competency and knowledge among students enrolled in a maternity nursing course in a Middle Eastern public university. METHOD: A quasi-experimental research design was adopted in the study. The sample consisted of 74 students (40 in the TCT group and 34 in the TCT+HFS group) from a cohort of nursing students in a Middle Eastern university. The Creighton Competency Evaluation Instrument and a 29-item, researcher-designed knowledge scale was used to measure the relevant outcomes. RESULTS: No significant difference was observed in the knowledge (F = 1.064, P = 0.306) or clinical competency scores (F = 0.168, P = 0.683) between the TCT+HFS group and the TCT group. CONCLUSION: Substituting 25% of the clinical hours with HFS may yield similar learning outcomes (knowledge and clinical competency) as TCT.


Assuntos
Competência Clínica/normas , Treinamento com Simulação de Alta Fidelidade/normas , Enfermagem Materno-Infantil/educação , Preceptoria/normas , Estudantes de Enfermagem/psicologia , Adulto , Competência Clínica/estatística & dados numéricos , Bacharelado em Enfermagem/métodos , Feminino , Treinamento com Simulação de Alta Fidelidade/métodos , Treinamento com Simulação de Alta Fidelidade/estatística & dados numéricos , Humanos , Masculino , Enfermagem Materno-Infantil/métodos , Omã , Preceptoria/métodos , Preceptoria/estatística & dados numéricos , Estudantes de Enfermagem/estatística & dados numéricos
10.
Afr J Prim Health Care Fam Med ; 11(1): e1-e11, 2019 Apr 23.
Artigo em Inglês | MEDLINE | ID: mdl-31038339

RESUMO

BACKGROUND: Adolescent childbearing has numerous consequences on maternal health, child health and the well-being of society. Because of the high-risk nature of adolescent pregnancy, a multidisciplinary team (MDT) approach is recommended to achieve satisfactory pregnancy outcomes. AIM: The aim of this study was to explore nurses' perceptions of the MDT approach in the continuum of care for adolescent mothers and their children. SETTING: The study was conducted in a local district hospital in Ugu, KwaZulu-Natal. METHODS: An explorative and descriptive qualitative study design was used. The first author and hospital staff (clinical midwives and the clinical manager of obstetrics and gynaecology) collaborated on the development of the focus group discussion (FGD) guide to explore nurses' perception of the MDT approach of care for adolescent mothers and their children. A total of three FGDs were conducted. Data were analysed using thematic analysis. RESULTS: Six overarching themes emerged from the data analysis which included professional benefits of adopting the MDT approach of care for adolescent mothers and their children, barriers to the multidisciplinary collaboration, clinical benefits of adopting the MDT approach of care for parenting adolescent mothers, problems and needs of adolescent mothers, and nurses' reasons regarding their willingness to participate in a multidisciplinary collaboration in the care of parenting adolescent mothers. CONCLUSION: In the opinion of nurses, the MDT approach of care for adolescent mothers and their children is an important strategy to improve maternal and child health outcomes. This study has important implications for the design of an intervention.


Assuntos
Atitude do Pessoal de Saúde , Enfermagem Materno-Infantil , Enfermeiras Obstétricas/psicologia , Equipe de Assistência ao Paciente , Gravidez na Adolescência/psicologia , Adolescente , Adulto , Feminino , Grupos Focais , Humanos , Gravidez , Pesquisa Qualitativa , África do Sul
11.
Health Care Women Int ; 40(5): 597-612, 2019 05.
Artigo em Inglês | MEDLINE | ID: mdl-30938581

RESUMO

We examined the efficiency of different simulation methods for the improvement of knowledge and skills of nursing students in the management of postpartum hemorrhage. A total of 84 nursing students participated in the study. Data were obtained using a Semi-Structured Questionnaire Form, Student Satisfaction Evaluation Form, Effective Communication Skills Checklist, Spielberger's State-Trait Anxiety Inventory, and Skills Evaluation Form for Postpartum Bleeding Management. We suggest that the use of different simulation methods may be effective in improving the knowledge and skills of nursing students in the management of postpartum hemorrhage.


Assuntos
Competência Clínica , Bacharelado em Enfermagem/métodos , Educação em Enfermagem/métodos , Treinamento com Simulação de Alta Fidelidade/métodos , Enfermagem Materno-Infantil/educação , Simulação de Paciente , Hemorragia Pós-Parto , Aprendizagem Baseada em Problemas/métodos , Avaliação Educacional , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Masculino , Avaliação de Resultados em Cuidados de Saúde , Gravidez , Estudantes de Enfermagem/estatística & dados numéricos , Turquia
12.
Evid Based Nurs ; 22(2): 42-43, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-30923053

RESUMO

EBN Perspectives brings together key issues from the commentaries in one of our nursing topic themes.


Assuntos
Enfermagem Materno-Infantil , Enfermagem Obstétrica , Cuidado Pós-Natal , Feminino , Humanos , Enfermagem Materno-Infantil/métodos , Enfermagem Obstétrica/métodos , Cuidado Pós-Natal/métodos , Gravidez
13.
PLoS One ; 14(2): e0212038, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30759174

RESUMO

Maternal and newborn mortality remain unacceptably high in sub-Saharan Africa where use of a skilled birth attendant (SBA) at delivery has remained low. Despite the recognized importance of women's empowerment as a key determinant of maternal and newborn health, evidence from sub-Saharan Africa is more limited. Using data from the 2010 Tanzania Demographic and Health Survey (n = 4,340), this study employs a robust method-structural equation modeling (SEM)-to investigate the complex and multidimensional pathways through which women's empowerment affects SBA use. The results show that women's education and household decision-making are positively associated with SBA use. However, not all empowerment dimensions have similar effects. Attitudes towards sex negotiation and violence as well as early marriage are not significant factors in Tanzania. Mediation analysis also confirms the indirect effect of education on SBA use only through household decision-making. The findings underscore the utility of structural equation modeling when examining complex and multidimensional constructs, such as empowerment, and demonstrate potential causal inference to better inform policy and programmatic recommendations.


Assuntos
Competência Clínica , Enfermagem Materno-Infantil/normas , Parto/fisiologia , Poder Psicológico , Classe Social , Adulto , Tomada de Decisões/fisiologia , Parto Obstétrico/normas , Escolaridade , Feminino , Inquéritos Epidemiológicos , Humanos , Lactente , Mortalidade Infantil , Recém-Nascido , Casamento/estatística & dados numéricos , Mortalidade Materna , Tocologia/normas , Modelos Teóricos , Determinação de Necessidades de Cuidados de Saúde , Gravidez , Fatores Socioeconômicos , Tanzânia/epidemiologia , Adulto Jovem
14.
Women Birth ; 32(3): 204-212, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-30166115

RESUMO

BACKGROUND: The Maternity Care Classification System is a novel system developed in Australia to classify models of maternity care based on their characteristics. It will enable large-scale evaluations of maternal and perinatal outcomes under different models of care independently of the model's name. AIM: To assess the accuracy, repeatability and reproducibility of the Maternity Care Classification System. METHOD: All 70 public maternity services in New South Wales, Australia, were invited to classify three randomly allocated model case-studies using a web-based survey tool and repeat their classifications 4-6 weeks later. Accuracy of classifications was assessed against the correct values for the case-studies; repeatability (intra-rater reliability) was analysed by percent agreement and McNemar's test between the same participants in both surveys; and reproducibility (inter-rater reliability) was assessed by percent agreement amongst raters of the same case-study combined with Krippendorff's alpha coefficient for a subset of characteristics. RESULTS: The accuracy of the Maternity Care Classification System was high with 90.8% of responses correctly classified; was repeatable, with no statistically significant change in the responses between the two survey instances (mean agreement 91.5%, p>0.05 for all but one variable); and was reproducible with a mean percent agreement across 9 characteristics of 83.6% and moderate to substantial agreement as assessed by a Krippendorff's alpha coefficient of 0.4-0.8. CONCLUSION: The results indicate the Maternity Care Classification System is a valid system for classifying models of care in Australia, and will enable the legitimate evaluation of outcomes by different models of care.


Assuntos
Enfermagem Materno-Infantil/classificação , Enfermagem Materno-Infantil/normas , Obstetrícia/classificação , Assistência Perinatal/classificação , Assistência Perinatal/normas , Inquéritos e Questionários , Austrália , Feminino , Humanos , New South Wales , Gravidez , Reprodutibilidade dos Testes
15.
Rev Gaucha Enferm ; 39: e20170068, 2018 Aug 02.
Artigo em Português, Inglês | MEDLINE | ID: mdl-30088596

RESUMO

OBJECTIVE: To describe the nurses' actions of the Family Health Strategy about the First Week for Integral Health regarding the care devoted to the newborn. METHOD: It is a descriptive, exploratory research with qualitative approach carried out from October 2014 to February 2015, through a semi-structured interview, with nine nurses from the Family Health Strategy of João Pessoa-PB. Data were submitted to thematic analysis. RESULTS: The actions identified at the first visit to the newborn child are based on maternal guidance on basic newborn care, breastfeeding, neonatal screening, immunization and childcare, as well as evaluation of the puerperal, but it was sometimes performed outside the period recommended and with incomplete and outdated guidelines. CONCLUSION: Although there are potentialities in nurses' actions to this population, the fragilities compromise the care of the newborn and the puerperium, and it is necessary to sensitize these professionals about the importance and effectiveness of First Week for Integral Health.


Assuntos
Visita Domiciliar , Cuidado do Lactente , Recém-Nascido , Enfermagem Materno-Infantil/organização & administração , Enfermeiros de Saúde Comunitária/psicologia , Cuidados de Enfermagem/organização & administração , Padrões de Prática em Enfermagem , Atitude do Pessoal de Saúde , Aleitamento Materno , Feminino , Humanos , Entrevistas como Assunto , Masculino , Enfermagem Materno-Infantil/educação , Mães/educação , Programas Nacionais de Saúde/organização & administração , Papel do Profissional de Enfermagem , Cuidados de Enfermagem/psicologia , Pesquisa Qualitativa , Amostragem
16.
Nurs Womens Health ; 22(5): 366-371, 2018 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-30138602

RESUMO

Male nurses and nursing students who work in maternity care often experience role strain, reverse discrimination, and gender bias. There are various strategies that clinical instructors, floor nurses, nursing school faculty, and nurse managers can implement to help maintain gender equality in maternity nursing while still considering how to honor the wishes of some women who may be uncomfortable with a male presence.


Assuntos
Enfermagem Materno-Infantil , Sexismo/prevenção & controle , Feminino , Humanos , Recém-Nascido , Masculino , Enfermagem Materno-Infantil/educação , Enfermagem Materno-Infantil/organização & administração , Papel do Profissional de Enfermagem/psicologia , Enfermeiros/psicologia , Gravidez , Estudantes de Enfermagem/psicologia , Estudantes de Enfermagem/estatística & dados numéricos
17.
J Adv Nurs ; 74(12): 2831-2839, 2018 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-30132951

RESUMO

AIMS: The aim of this study was to explore child and family health nurses' (CaFHNs) understanding of racism. BACKGROUND: Despite a growing literature examining racism in health care, few studies have explored health professionals' understanding of racism and how they manage it in practice. DESIGN: A qualitative descriptive design was employed. METHODS: Five focus group discussions were held from January-June 2013 with 31 maternal, CaFHNs working across metropolitan South Australia. Data were analysed using thematic analysis with discourse analytic techniques. FINDINGS: Focus group discussions identified three major themes: the relationship between racism and children's health care; perception of racist health system structures that have an impact on choice and relationship building; and the need for professionals to manage the tensions arising in everyday healthcare practice. CONCLUSIONS: Limited understandings of individual, structural, and ideological racism and racist practice were found. These were underpinned by discourses of multiculturalism and individualism within a framework of democratic racism. There is urgent need for nursing practice and pedagogy to centralize race and racialization to address inequities in health care.


Assuntos
Compreensão , Enfermagem Materno-Infantil , Enfermeiras e Enfermeiros/psicologia , Racismo/psicologia , Atitude do Pessoal de Saúde , Criança , Saúde da Criança , Saúde da Família , Humanos , Percepção , Austrália do Sul
18.
Obstet Gynecol Clin North Am ; 45(3): 525-533, 2018 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-30092926

RESUMO

This article discusses the prevalence and timing of perinatal loss. The impact that perinatal grief has on psychological functioning is presented, including common grief reactions and the risk factors for complicated grief. The ways that perinatal grief is processed by each parent and the impact that it has on the relationships is also discussed. The role of the health care professional is outlined and the process for them to assist grieving parents is outlined in 5 steps. The screening process and treatment of grieving parents is also presented.


Assuntos
Pesar , Pais/psicologia , Morte Perinatal , Adaptação Psicológica , Adulto , Atitude Frente a Morte , Luto , Feminino , Humanos , Masculino , Enfermagem Materno-Infantil/organização & administração , Papel do Profissional de Enfermagem , Papel do Médico , Gravidez , Relações Profissional-Família , Apoio Social
19.
Rev Gaucha Enferm ; 39: e20170010, 2018 Jul 02.
Artigo em Português, Inglês | MEDLINE | ID: mdl-30020348

RESUMO

OBJECTIVE: To describe the development of a terminology subset of the International Classification for Nursing Practice for care of women and children in process of breastfeeding. METHOD: Methodological study developed in six stages according to the guidelines recommended by the International Council of Nurses. RESULTS: Seventy-four nursing diagnoses/outcomes and 213 nursing interventions were performed and classified according to the theoretical model Interactive Theory of Breastfeeding. CONCLUSION: The subset is expected to safely and systematically steer nurses that work in this area, promoting the implementation of the nursing process and quality of care, focusing on women, children and families that are experiencing the breastfeeding process.


Assuntos
Aleitamento Materno , Enfermagem Materno-Infantil , Terminologia Padronizada em Enfermagem , Adulto , Feminino , Prioridades em Saúde , Humanos , Lactente , Enfermagem Materno-Infantil/métodos , Modelos de Enfermagem , Mães/educação , Diagnóstico de Enfermagem/normas , Processo de Enfermagem , Teoria de Enfermagem
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