Background: While timely activation and collaborative teamwork of Rapid Response Teams (RRTs) are crucial to promote a culture of safety and reduce preventable adverse events, these do not always occur. Understanding nurses' perceptions of and experiences with RRTs is important to inform education and policy that improve nurse performance, RRT effectiveness, and patient outcomes.
Aim: The aim of this study was to explore nurse perceptions of detecting patient deterioration, deciding to initiate RRTs, and experience during and at conclusion of RRTs.
Objective: To determine the feasibility of a protocol to examine the association between oxytocin system function and birth outcomes in women with and without obesity before induction of labor.
Design: Prospective descriptive.
Setting: Academic medical center in the U.
Purpose: Dexmedetomidine, the preferred pediatric sedating agent for magnetic resonance imaging (MRI), has the side effect of hypotension. Newer recommendations for reporting adverse events in pediatric procedural sedation include using a two-pronged definition. Our aim was to describe the incidence of hypotension in patients undergoing sedated MRI and to identify demographic and clinical factors associated with hypotension, applying a two-pronged definition, where a numerical threshold/clinical criterion must be met as well as at least one clinical intervention performed.
View Article and Find Full Text PDFObjectives: We aimed to synthesize research findings identifying factors associated with mental health in undergraduate nursing students early in the COVID-19 pandemic.
Methods: Seven electronic databases were searched using key terms and subject headings. JBI Critical Appraisal Checklists were used to evaluate research report quality.
Background: Health sciences librarians and nursing journal contributors have expressed concern about the impact of using strict parameters when searching the literature.
Purpose: The purpose of this study was to explore the use of strict search criteria (eg, 5-year rule, "nurse as author") by direct care nurses and nursing students.
Methods: Fourteen online focus groups were conducted with 54 participants: direct care nurses, health sciences librarians, nursing faculty, and nursing students.
Objective: This study compared three point-of-care tools (PoCTs) to determine which PoCT was rated highest based on key features and characteristics by registered nurses.
Methods: The PoCTs reviewed were Nursing Reference Center Plus, ClinicalKey for Nursing, and UpToDate. Nurses were asked to use each PoCT to answer three clinical questions and then rate their experience based on the following areas: currency, relevancy, layout, navigation, labeling, and use of filters.
Objective: While data management (DM) is an increasing responsibility of doctorally prepared nurses, little is understood about how DM education and expectations are reflected within student handbooks. The purpose of this study was to assess the inclusion of DM content within doctoral nursing student handbooks.
Methods: A list of 346 doctoral programs was obtained from the American Association of Colleges of Nursing (AACN).
Background: The inclusion of data management instruction within nursing doctoral curricula has not been systematically examined.
Purpose: The purpose of this study is to determine the extent of data management education within nursing doctoral programs.
Method: Separate surveys were created for DNP (332) and PhD (138) program directors.
Objective: The purpose of this research was to identify predictors of pressure injury, using data from the electronic health records of critically ill adults.
Methodology: A retrospective cohort study was conducted using logistic regression models to examine risk factors adjusted for age, gender, race/ethnicity and length of stay.
Setting: The study cohort included 1587 adults in intensive care units within an urban academic medical centre.
Background: The cesarean birth rate in the United States is 32%, and there is discussion about the cause of high surgical birth rates. Our purpose was to determine whether mode of birth is influenced by maternal, nurse, and system factors.
Methods: Secondary analysis of a data set of 163 women having postdates labor induction with oxytocin.
Objective: To examine whether the H-HOPE (Hospital to Home: Optimizing the Preterm Infant's Environment) intervention reduced birth hospitalization charges yielding net savings after adjusting for intervention costs.
Study Design: One hundred and twenty-one mother-preterm infant dyads randomized to H-HOPE or a control group had birth hospitalization data. Neonatal intensive care unit costs were based on billing charges.
Background: Strategies to prevent iron deficiency anemia (IDA) have varying effectiveness. The purpose of this systematic review of the literature and meta-analysis was to examine the effects of probiotics on iron absorption and iron status-related markers in humans.
Methods: We followed the preferred reporting items for systematic reviews and meta-analyses (PRISMA) reporting guidelines.
We conducted this qualitative, phenomenological study to further understanding of how second-generation Mexican American adolescent mothers perceive their young motherhood experience, drawing on the context of their Mexican heritage background. Through in-person interviews with 18 young mothers, we discerned shared essential meanings reconstructed around two major domains: (a) , a firm desire to remain true to and share their heritage culture, and (b) , strong relationality to their infants. We found that young mothers embraced their Mexican heritage mothering approaches, such as fostering , valuing family above other obligations.
View Article and Find Full Text PDFJ Assoc Nurses AIDS Care
November 2020
We explored 10 pregnant women's experiences with antiretroviral therapy (ART) adherence using a qualitative approach. Semistructured interviews were conducted with pregnant ethnic minority women living with HIV and receiving integrated HIV/obstetric care at a Midwestern academic medical center in the United States. Data were analyzed using an interpretive phenomenology approach to identify major themes.
View Article and Find Full Text PDFJ Obstet Gynecol Neonatal Nurs
April 2018
Objective: To evaluate whether oxytocin titration for postdates labor induction differs among women who are normal weight, overweight, and obese and whether length of labor and birth method differ by oxytocin titration and body mass index (BMI).
Design: Retrospective cohort study.
Setting: U.
J Obstet Gynecol Neonatal Nurs
April 2018
Objective: To compare health care use from initial hospital discharge through 6 weeks corrected age in two groups of mother-preterm infant dyads: those who received an intervention, Hospital to Home: Optimizing Premature Infant's Environment (H-HOPE), and an attention control group.
Design: Prospective randomized controlled trial.
Setting: Two community hospital NICUs.
Centering Pregnancy, an innovative group model of prenatal care, shows promise to reduce persistent adverse maternal-infant outcomes and contain costs. Because this innovation requires systemwide change, clinics reported needing support enrolling women into groups and obtaining organizational buy-in. This study used the 3-step social marketing communication strategy to help clinic staff identify key customers and customer-specific barriers to adopting or supporting Centering Pregnancy.
View Article and Find Full Text PDFBackground: severe health worker shortages and resource limitations negatively affect quality of antenatal care (ANC) throughout sub-Saharan Africa. Group ANC, specifically CenteringPregnancy (CP), may offer an innovative approach to enable midwives to offer higher quality ANC.
Objective: our overarching goal was to prepare to conduct a clinical trial of CenteringPregnancy-Africa (CP-Africa) in Malawi and Tanzania.
The effectiveness of the breastfeeding peer counselor role is thought to be embedded in the relationship between new and experienced mothers. In this study, new mothers of very low birth weight infants emphasized that one of the most important aspects of their relationship with the breastfeeding peer counselors is the peer or shared experience of how difficult it can be to provide milk and breastfeed while coping with the emotional stress of having an infant in the neonatal intensive care unit. This study provides evidence for the promotion and facilitation of lactation for mothers of neonatal intensive care unit infants through the use of breastfeeding peer counselors who are peers by virtue of the shared experience of providing milk for an infant hospitalized in the neonatal intensive care unit.
View Article and Find Full Text PDFNurse-managed health centers (NMHCs) play an important role in delivering health care services to a wide range of communities and often serve as our nation's safety net providers. Unfortunately, NMHCs struggle to remain in business for a variety of reasons, including underdeveloped business practices. Until now, NMHCs had only data from the Centers for Medicare and Medicaid Services and the Medical Group Management Assocation for comparison with coding patterns in individual centers.
View Article and Find Full Text PDFTo improve the effectiveness of prenatal care, there is a need to understand the association between health promotion content and health behaviors during pregnancy. The purpose of this study was to determine the association between prenatal health promotion content and health behaviors during pregnancy among low-income African American and Mexican American women. Twenty-two recommended health promotion topics and their related health behaviors were measured.
View Article and Find Full Text PDFCurrently, no national database for academic nurse-managed centers (ANMCs) exists. These primary care services remain somewhat invisible in the policy and reimbursement areas of the American primary care system and, consequently, are undersupported. The purpose of this article is to describe client and service data from a national study of ANMCs.
View Article and Find Full Text PDFNurse managed centers play an important role in the health service delivery system; often serving those in greatest need, while struggling to remain financially viable. This article discusses the role of a Financial Advisory Committee (FAC) and the process of financial peer review in academic nurse-managed centers to improve financial outcomes. Advanced practice nurses may find the identified strategies for financial sustainability useful in their own practices.
View Article and Find Full Text PDF