Intraoperative Mother and Baby Skin-to-Skin Contact during Cesarean Birth: Systematic Review
Purpose: Experts recommend immediate skin-to-skin (SSC) contact for all alert and stable mothers and newborns after birth. Clinicians are working to incorporate immediate (intraoperative) SSC during cesarean birth. The purpose of this systematic review is to describe the state of the science of intraoperative SSC for mother and baby and increase clinician's awareness of its potential benefits and risks. Study Design and Methods: A systematic approach was followed throughout the review process. CINAHL, PubMed, and Embase databases were searched using strategies constructed by an academic health sciences librarian. Arti...
Source: MCN: The American Journal of Maternal Child Nursing - August 18, 2020 Category: Nursing Tags: Feature Source Type: research

Impact of the Quality of Postpartum Sleep and its Health Determinants on Human Milk Volume
Purpose: To examine the impact of postpartum sleep disturbance on 24-hour milk volume and breastfeeding during the early postpartum period. Factors associated with postpartum sleep disturbance also were examined. Study Design and Methods: A descriptive, correlational design was used. The sample included 29 first-time mothers exclusively breastfeeding healthy, full-term newborns. A home visit was conducted to collect self-report data for sleep, stress, fatigue, depression, and anxiety at 2 weeks postpartum. Infant test weights as an estimate of 24-hour milk volume also were performed. At 1 month, a phone interview was ...
Source: MCN: The American Journal of Maternal Child Nursing - August 18, 2020 Category: Nursing Tags: Feature Source Type: research

Missed Nursing Care During Labor and Birth and Exclusive Breast Milk Feeding During Hospitalization for Childbirth
Purpose: The purpose of this study was to determine associations between missed nursing care and nurse staffing during labor and birth, and exclusive breast milk feeding at hospital discharge. Study Design and Methods: Labor and birth nurses in three states were surveyed about missed nursing care and their maternity units' adherence to the AWHONN (2010) nurse staffing guidelines for care during labor and birth, using the Perinatal Misscare Survey. Nursing responses were aggregated to the hospital level and estimated associations between missed nursing care, nurse staffing, and hospitals' exclusive breast milk feeding ...
Source: MCN: The American Journal of Maternal Child Nursing - August 18, 2020 Category: Nursing Tags: Feature Source Type: research

Nurses' Experiences of “Being Swamped” in the Clinical Setting and Association with Adherence to AWHONN Nurse Staffing Guidelines
Purpose: Being swamped is defined as “when you are so overwhelmed with what is occurring that you are unable to focus on the most important thing.” The purpose of this study was to explore the experience of being swamped in the clinical setting among nurses who are members of the Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN) and the relationship of the level of being swamped to adherence to the AWHONN (2010) nurse staffing guidelines. Study Design and Methods: A 25-item survey was sent to ~21,000 AWHONN members by email in the Fall of 2018. It was completed by 1,198 members, representing 49...
Source: MCN: The American Journal of Maternal Child Nursing - August 18, 2020 Category: Nursing Tags: Feature: CE Connection Source Type: research

Association of Clinical Nursing Work Environment with Quality and Safety in Maternity Care in the United States
Purpose: Maternal outcomes in the United States are the poorest of any high-income country. Efforts to improve the quality and safety of maternity care are frequently reported by individual hospitals, limiting generalizability. The purpose of this study is to describe maternity care quality and safety in hospitals in four states. Study Design and Methods: This cross-sectional study is a secondary analysis of the Panel Study of Effects of Changes in Nursing on Patient Outcomes data. Registered nurses reported on maternity unit quality, safety, and work environment. Descriptive statistics and clustered linear regression...
Source: MCN: The American Journal of Maternal Child Nursing - August 18, 2020 Category: Nursing Tags: Feature Source Type: research

Missed Nursing Care in Pediatric and Neonatal Care Settings: An Integrative Review
Introduction: Missed nursing care is required care that is delayed, incomplete, or left undone during a nurse's working shift. Missed nursing care is most often studied in adult populations; however, it may have significant consequences in pediatric and neonatal care settings. The purpose of this integrative review is to describe missed nursing care in pediatric and neonatal nursing care settings. Methods: SCOPUS and PubMed were used in the literature search. Multiple combinations of the keywords and phrases “missed nursing care,” “pediatric,” “neonatal,” “care left undone,” or “nursing care rationin...
Source: MCN: The American Journal of Maternal Child Nursing - August 18, 2020 Category: Nursing Tags: Feature: CE Connection Source Type: research

Implications of Missed Care, Nurse Staffing, and the Nursing Work Environment on Patient Outcomes in Maternity, Neonatal, and Pediatric Inpatient Settings
No abstract available (Source: MCN: The American Journal of Maternal Child Nursing)
Source: MCN: The American Journal of Maternal Child Nursing - August 18, 2020 Category: Nursing Tags: ONGOING COLUMNS: Editorial Source Type: research

Prenatal Care for American Indian Women
No abstract available (Source: MCN: The American Journal of Maternal Child Nursing)
Source: MCN: The American Journal of Maternal Child Nursing - June 30, 2020 Category: Nursing Tags: CE Connection Source Type: research

Nursing Support During Latent Phase Labor: A Scoping Review
No abstract available (Source: MCN: The American Journal of Maternal Child Nursing)
Source: MCN: The American Journal of Maternal Child Nursing - June 30, 2020 Category: Nursing Tags: CE Connection Source Type: research

Considerations for Active Labor Management with Oxytocin: More May Not be Better
No abstract available (Source: MCN: The American Journal of Maternal Child Nursing)
Source: MCN: The American Journal of Maternal Child Nursing - June 30, 2020 Category: Nursing Tags: ONGOING COLUMNS: Perinatal Patient Safety Column Source Type: research

Toward Evidence-Based Practice
No abstract available (Source: MCN: The American Journal of Maternal Child Nursing)
Source: MCN: The American Journal of Maternal Child Nursing - June 30, 2020 Category: Nursing Tags: ONGOING COLUMNS: Toward Evidence-Based Practice Source Type: research

Now is the Time: Enhancing Access to Midwifery Care in the United States
No abstract available (Source: MCN: The American Journal of Maternal Child Nursing)
Source: MCN: The American Journal of Maternal Child Nursing - June 30, 2020 Category: Nursing Tags: ONGOING COLUMNS: Global Health and Nursing Source Type: research

Improving Breastfeeding for Homeless Families
No abstract available (Source: MCN: The American Journal of Maternal Child Nursing)
Source: MCN: The American Journal of Maternal Child Nursing - June 30, 2020 Category: Nursing Tags: ONGOING COLUMNS: Breastfeeding Source Type: research

Screen Time and Toddlers: New Evidence on Potentially Negative Effects
No abstract available (Source: MCN: The American Journal of Maternal Child Nursing)
Source: MCN: The American Journal of Maternal Child Nursing - June 30, 2020 Category: Nursing Tags: ONGOING COLUMNS: Hot Topics in Pediatric Nursing Source Type: research

Maternal Mortality in the United States
No abstract available (Source: MCN: The American Journal of Maternal Child Nursing)
Source: MCN: The American Journal of Maternal Child Nursing - June 30, 2020 Category: Nursing Tags: ONGOING COLUMNS: Hot Topics in Maternity Nursing Source Type: research