Validity and Reliability of a Newly Developed Instrument to Measure Nursing Workarounds During Medication Administration.

According to patient safety literature, workarounds are used when processes are not clear and may not match the intended workflows. There is no available quantitative instrument to measure the type and frequency of workarounds when nurses administer medications. The purpose of this study was to assess the psychometric properties of a newly developed instrument that measured the type and frequency of workarounds when nurses administer medications to patients.

Perspectives From a Career in Breastfeeding Research, Mentorship, and Advocacy: An Interview With Karen Wambach.

Karen Wambach recently retired from a distinguished career in nursing education and breastfeeding research in the United States, practicing her craft during the formative years of the field of lactation consulting. Her research focused on the description of biopsychosocial influences on breastfeeding initiation and duration, as well as interventions for promoting and supporting breastfeeding among vulnerable childbearing populations, for example, adolescent mothers. Her research career trajectory mirrors the development of breastfeeding research more broadly.

momHealth: A Feasibility Study of a Multibehavioral Health Intervention for Pregnant and Parenting Adolescent Mothers.

Introduction: In 2016, 209,809 babies were born to mothers 15 - 19 years of age, for a live birth rate of 20.3 per 1,000 in this age group. Many health issues surround adolescent mothers and their infants, many of which can be addressed through behavioral change.

Maternal Worry About Infant Weight and its Influence on Artificial Milk Supplementation and Breastfeeding Cessation.

Background: Maternal worry about infant weight has inconsistently been reported as a breastfeeding barrier. Weight monitoring is a critical tool to assess adequacy of infant feeding. Yet, little is known about the intensity of maternal worry about infant weight or associated breastfeeding outcomes.

Examining the measurement invariance of the Practice Environment Scale-Nursing Work Index in the United States.

The increasingly diverse nursing workforce in the United States often creates challenges for researchers in meaningfully interpreting survey data from large samples of nurses with heterogeneous cultural backgrounds. Considering this, the purpose of this study was to determine the measurement invariance of the Practice Environment Scale-Nursing Work Index (PES-NWI) between registered nurses (RNs) reporting as Asian/Pacific Islander and those reporting as White. Data from the National Database of Nursing Quality Indicators®, collected in 2018 from RNs (N = 27,619) providing direct patient care, were used in this study.

Insurance Does Not Affect Adverse Events While Awaiting Surgery for Ankle Trauma in One System.

Introduction: Ankle injuries that are not properly cared for can have devastating effects on a patient's health and ability to maintain an active lifestyle. Recommended outpatient surgery may be difficult to obtain for many groups of patients, including those without insurance or minority races. Patients who are of low socioeconomic status also have worse outcomes following trauma.

A Descriptive Study of the Attitudes, Perceptions, and Experiences of Human Milk Donation.

Background: The use of pasteurized human donor milk has increased in recent years due to health benefits and rising number of infants who need pasteurized human donor milk. Little is known about milk donors' experiences or what contributes to their motivation to donate.

Purpose: Using existing evidence and the theory of planned behavior as a guide, our purpose was to describe the personal and social aspects of mothers' milk donation to a milk bank in the Midwest United States.

A Qualitative Description of Pregnancy-Related Social Support Experiences of Low-Income Women with Low Birth Weight Infants in the Midwestern United States.

Objective Low birth weight (LBW) is a significant health problem in the United States, and the incidence is higher in women with low socioeconomic status. Observational and epidemiological studies have revealed that social support reduces the risk of adverse pregnancy outcomes. However, the current literature lacks research regarding the perceived social support of pregnant women in relation to birth weight from a qualitative perspective.

Breastfeeding History and Risk of Stroke Among Parous Postmenopausal Women in the Women's Health Initiative.

Background Stroke is the third leading cause of death among US Hispanic and non-Hispanic black women aged 65 and older. One factor that may protect against stroke is breastfeeding. Few studies have assessed the association between breastfeeding and stroke and whether this association differs by race and ethnicity.

Breastfeeding Support Experiences of Registered Nurses in a Large Children's Hospital System.

Objective: To investigate the workplace breastfeeding support experiences of registered nurses (RNs) and how these experiences differed by type of unit.

Design: A cross-sectional descriptive design.

Setting: A large children's hospital health system in the Midwestern United States.

Descriptive, Qualitative Study of Women Who Use Mobile Health Applications to Obtain Perinatal Health Information.

Objective: To determine the extent to which perinatal mobile health applications (mHealth apps) are usable and desirable for women who seek information about childbearing.

Design: A descriptive, qualitative research design.

Setting: Through snowball sampling, participants were recruited from the social media sites Craigslist, Nextdoor, and Facebook and were asked to provide friends with a study invitation letter.

Modeling the Influence of Early Skin-to-Skin Contact on Exclusive Breastfeeding in a Sample of Hispanic Immigrant Women.

Using data from a longitudinal study of breastfeeding in Hispanics, this study evaluated the influence of early skin-to-skin contact (SSC) on initiation and sustained exclusive breastfeeding (EBF) at 1 month postpartum. Two-thirds of the women in the sample participated in early SSC. At discharge, over half of the women were EBF; this proportion decreased to one-third at 1 month postpartum.

Exclusive Breastfeeding Experiences among Mexican American Women.

Background: According to the Centers for Disease Control and Prevention, Hispanic breastfeeding mothers begin early formula supplementation at higher rates than other ethnic groups, which can lead to shorter breastfeeding duration and decreased exclusive breastfeeding. Acculturation, the process of adopting beliefs and behaviors of another culture, appears to influence breastfeeding practices of Hispanic women in the United States. Little is known about Mexican American mothers' formula use and exclusive breastfeeding within the context of acculturation.

Breastfeeding practices during the first month postpartum and associated factors: impact on breastfeeding survival.

Background: The introduction of fluids to infants during the first days postpartum, which may be harmful to infant health, is a common practice in Iran.

Objectives: This study aimed to find the prevalence of breastfeeding practices using monthly dietary recall and factors associated with introduction of fluids during the first month of life and determine the effects of these supplementations on breastfeeding survival.

Patients And Methods: This longitudinal study carried out in Shahroud, Iran from May 2011 to October 2013.

Health behavior change in pregnant women: a two-phase study.

Background: Maternal health behaviors during pregnancy/infancy can have a significant impact on maternal and child health. Many women engage in health risk behaviors during pregnancy. Multiple health behavior change (MHBC) interventions provide support to change health behaviors, but further information is needed on potential targets for such an intervention, as well as on the feasibility of technology use and e-health with this population.

African American Women's Breastfeeding Experiences: Cultural, Personal, and Political Voices.

The low rate of breastfeeding among African American women in the United States is a poorly understood, persistent disparity. Our purpose in this study was to gain an understanding of how African American women experience breastfeeding in the context of their day-to-day lives. The Sequential-Consensual Qualitative Design (SCQD), a 3-stage qualitative methodology aimed at exploring the cultural, personal, and political context of phenomena, was used to explore the experiences of African American women who felt successful with breastfeeding.

An in-home intervention to improve nutrition, physical activity, and knowledge among low-income teen mothers and their children: results from a pilot study.

Objective: Teenage pregnancy is a major public health concern in the United States. In addition to other life stressors, adolescent mothers and their children are at risk for obesity and other negative health outcomes. The current study examines the impact of a brief in-home educational intervention designed to improve health knowledge and behavior in a sample of low-income adolescent mothers.

A pilot study of home-based videoconferencing for breastfeeding support.

Background: Research on using videoconferencing for breastfeeding support is limited.

Purpose: Although European case reports have described videoconferencing for providing lactation support, this was the first study to assess the reliability and feasibility of home videoconferencing for breastfeeding assessment and support in the United States.

Method: The study used 4 real-time, secure videoconferencing sessions to deliver lactation support to 10 mothers in the home.

A randomized controlled trial of breastfeeding support and education for adolescent mothers.

Despite substantial evidence of maternal and infant benefits of breastfeeding, adolescent mothers initiate breastfeeding less often and maintain breastfeeding for shorter durations when compared to their adult counterparts. A randomized controlled trial drawing on the theory of planned behavior and developmental theory was conducted to determine if an education and counseling intervention provided by a lactation consultant-peer counselor team increased breastfeeding initiation and duration up to 6 months postpartum among adolescent mothers. Study participants ( N = 289) enrolled from multiple prenatal clinic and school settings, were 15 to 18 years old, and predominately African American, single, and primiparous.

Psychometric evaluation of the Employer Support for Breastfeeding Questionnaire (ESBQ).

The purpose of this descriptive methodological study was to develop and evaluate the psychometric properties of the Employer's Support for Breastfeeding Questionnaire (ESBQ). The convenience sample consisted of 380 business owners, managers, or supervisors from the Midwestern United States. Data were collected using Web and paper-based questionnaires from January to March 2008.

Breastfeeding experiences of urban adolescent mothers.

This qualitative descriptive study examined the breastfeeding experiences of urban adolescent mothers using a combination of focus groups and semi-structured interviews. Analysis of verbatim interview text, field, and debriefing notes was undertaken to discover categories, themes and an emerging conceptual framework. Twenty-three teens, between the ages of 14 and 18, enrolled from two postpartum clinics described the process of teens' breastfeeding decision-making, initiation, continuation, and termination of breastfeeding.

Clinical lactation practice: 20 years of evidence.

Lactation consultants depend on a vast multidisciplinary knowledge base to support their practices. To coincide with the 20-year anniversary of the International Lactation Consultant Association, the authors sought to highlight the knowledge base to demonstrate how practice has been affected. Using standard databases, they extracted English-language scientific literature related to breastfeeding and maternal and infant health outcomes; factors associated with breastfeeding initiation, exclusivity, and duration; lactation physiology; common breastfeeding challenges; breastfeeding practices within vulnerable populations; health professional support of breastfeeding; and breastfeeding practices in developing countries of Africa.

A nurse educator teaching with technologies course: more than teaching on the web.

This article describes a Web-based "teaching with technology" course that is part of the online Nurse Educator Certificate at University of Kansas (Journal of Professional Nursing . 2003;19:347-353). Challenges and strategies in developing and implementing the course, first in a Web-enhanced format and then in a Web-based format, are presented.