FSH administration at 12-hour intervals for the first 2 days, combined with mandatory GnRH-agonist trigger and blastocyst vitrification in women (<80Kg) with high AMH levels, results in higher cumulative live birth rates and is safer.

We aimed to determine if a programme change to 12 hourly injections of FSH (150 IU per injection) for the first 2 days of stimulation in women with high ovarian reserve (AMH ≥ 30 pmol/L), followed by 24 hourly injections, would elicit increased earlier follicular recruitment, higher egg yields and blastocyst embryos for cryopreservation, leading to potential higher cumulative pregnancy rates, than conventional daily injections throughout. For safety reasons, the approach required mandatory cryopreservation of all blastocysts (mFET group;  = 74), after ovulation trigger with GnRH-agonist, in GnRH-antagonist controlled cycles. The 'Comparator group' ( = 91) comprised women with the same high AMH levels treated with the same base dose of FSH, with the aim of fresh blastocyst transfer and cryopreservation of supernumerary embryos, treated over the preceding 2 years.

Professional identity in nursing: A mixed method research study.

Professional identity is developed through a self-understanding as a nurse along with experience in clinical practice and understanding of their role. Personal and professional factors can influence its development. A recent integrative literature review synthesised factors that influenced registered nurse's perceptions of their professional identity into three categories of the self, the role and the context of nursing practice.

The Experience of Acute Mechanical Ventilation From the Patient's Perspective.

Background: The Pain, Agitation, and Delirium guidelines influenced practice to support targeted, light sedation for the mechanically ventilated patient. This practice is associated with improved clinical outcomes, but it remains unclear how it impacts the patient experience.

Objective: The objective was to determine the pervasive patient experience components and how the experience may have been influenced by targeted, light sedation practices.

Factors Influencing Registered Nurses' Perceptions of Their Professional Identity: An Integrative Literature Review.

Background: This review synthesizes contemporary research investigating the factors influencing RNs' perceptions of their professional identity.

Method: The method used was an integrative literature review.

Results: Factors influencing RNs' perceptions of their professional identity were synthesized into three categories: the self, the role, and the context.

Show Your Stuff and Watch Your Tone: Nurses' Caring Behaviors.

Background: Although it is perceived as essential, documentation of caring behaviors executed by nurses is rarely done. To facilitate what is important to patients and their family members, we need to understand what behaviors are perceived as caring or not caring.

Objective: To explore perceptions of nurses' caring behaviors among intubated patients and their family members.

Child and adolescent mental health nursing seen through a social constructionist lens.

Aim: To discuss the theoretical framework of social constructivism and justify it s appropriateness for and compatibility with an interpretive approach to child adolescent mental health (CAMH) nursing research.

Background: Recent changes to national nursing legislation in Australia have resulted in the removal of the separate register with regulatory authorities that existed for the specialty of mental health nursing. Aspects of mental health nursing age are not easily defined, with some being tacit.

Discovery of unexpected pain in intubated and sedated patients.

Background: The perceptions of patients who are restrained and sedated while being treated with mechanical ventilation in the intensive care unit are not well understood. The effectiveness of sedation used to aid in recovery and enhance comfort during intubation is unknown.

Objective: To explore the perceptions of patients who were intubated and receiving pain medication while sedated and restrained in the intensive care unit, in particular, their experience and their memories of the experience.

Conceptualizing the clinical and professional development of child and adolescent mental health nurses.

Aspects of mental health nursing and its subspecialties are not easily defined. Child and adolescent mental health (CAMH) nursing is a subspecialty of mental health nursing, and some of its characteristics are tacit. This paper presents a deeper understanding of the meaning that CAMH nurses make of their role and work in the inpatient setting.

Interactive learning research: application of cognitive load theory to nursing education.

The purpose of this research was to investigate the effectiveness of interactive self-paced computerized case study compared to traditional hand-written paper case study on the outcomes of student knowledge, attitude, and retention of the content delivered. Cognitive load theory (CLT) provided the theoretical framework for the study. A quasi-experimental pre-test post-test design with random group assignment was used to measure by self-report survey student cognitive load and interactivity level of the intervention.

Document analysis using an aggregative and iterative process.

This paper is a descriptive commentary concerning the use of document analysis in qualitative research concerned with developing an understanding of the role of child and adolescent mental health nursing in an inpatient. The document analysis was undertaken using thematic analysis with both an iterative process (Attride-Stirling) and an aggregative process, the Joanna Briggs Institute Thematic Analysis Program (TAP). After the initial iterative process the data were entered into an online software program, TAP, for aggregation and further analysis.

An examination of maternity staff attitudes towards implementing Baby Friendly Health Initiative (BFHI) accreditation in Australia.

Background: The Baby Friendly Hospital Initiative (BFHI) influences health care practices and increases the initiation and duration of exclusive breastfeeding. Consistent definitions enable the accurate monitoring of breastfeeding rates and behaviour. This information refines policy and helps reach national breastfeeding targets.

Enhancing fathers' educational experiences during the early postnatal period.

Since the 1970s, men have been encouraged to actively participate in the childbirth process, resulting in a shared experience for couples. Nevertheless, after the baby is born, many fathers find themselves displaced, unsure of how to embrace the transition to parenthood. The shift in cultural practice and evolving needs of families calls for the recognition of fathers as well as mothers in the provision of midwifery services.

Encountering the culture of midwifery practice on the postnatal ward during action research: An impediment to change.

Background: The reduction of time available to midwives during the hospital postnatal stay suggests that there is a need to review postnatal care. Innovative strategies are required which give attention to specific family needs and assist in the transition to parenthood. Nevertheless, new ideas and changes are not always readily accepted in midwifery practice.

Baby Friendly Hospital Initiative practices and breast feeding duration in a cohort of first-time mothers in Adelaide, Australia.

Objective: to investigate the relationship between adherence to six of the Baby Friendly Hospital Initiative (BFHI) Ten steps to successful breast feeding and the duration of breast feeding in first-time mothers.

Design: a prospective study to assess the duration of breast feeding up to 6 months postpartum. Survival analysis techniques (Kaplan-Meier curves and Cox proportional hazard models) were used to interpret the data.

Breast feeding self-efficacy and other determinants of the duration of breast feeding in a cohort of first-time mothers in Adelaide, Australia.

Objective: to assess the ability of a Breast-Feeding Self-Efficacy Scale (BSES) score measured at 1 week postpartum to predict the duration of breast-feeding in first-time mothers, and to develop a minimal set of potential confounders, including the BSES and demographic variables, for comparing the apparent effect of other influences on the duration of breast-feeding.

Design: a prospective cohort study, with primary outcome the duration of breast feeding up to 6 months postpartum.

Participants: 317 women who had given birth to their first baby (at term) in a large teaching maternity hospital in Adelaide, South Australia, during the period March to November, 2003.

Insights from Australian parents into educational experiences in the early postnatal period.

Objective: to investigate the provision of parent education during the early postnatal period in order to gain insight that, through stakeholder collaboration, will contribute to the development of innovative strategies to enhance the provision of postnatal education in a contemporary health-care environment.

Design: the study comprises the first stage of an action-research project. The first stage of research sought to explore the experiences of mothers and fathers in the early postnatal period by conducting a questionnaire within 4 weeks of the birth of their baby.

The seven principles of good practice: applications for online education in nursing.

Traditional education has been studied over time for the purpose of documenting what constitutes good practice in teaching. Online education in nursing is still relatively new and has not endured the same scrutiny as classroom education. The authors discuss how Chickering and Gamson's Seven Principles of Good Practice for Undergraduate Education apply to online nursing education and provide practical examples of how the principles can be implemented in Web-based nursing courses.

Congratulations you're a mother: a strategy for enhancing postnatal education for first-time mothers investigated through an action research cycle.

The transition to motherhood is a time of great change and an experience for which many women do not feel adequately prepared. This study sought to benefit women in the transition to motherhood by enhancing the postnatal teaching offered to first-time mothers in hospital following childbirth. The study followed an action research cycle to design, implement and evaluate an educational resource for first-time mothers during the immediate postnatal period.

Testing the effect of kinesthetic training on handwriting performance in first-grade students.

Objective: The purpose of this study was to investigate the effect of kinesthetic training' on handwriting performance in first-grade students 6 to 7 years of age who had kinesthetic deficits and handwriting difficulties.

Method: With a randomized-blinded three group research design, 45 children were assigned to either a kinesthetic training group, a handwriting practice group, or a no treatment group. Kinesthesis and handwriting legibility were measured before and after intervention.