The development of new antibiotics has stalled, and novel strategies are needed as we enter the age of antibiotic resistance. Certain naturally occurring clays have been shown to be effective in killing antibiotic resistant bacteria. However, these natural clays are too variable to be used in clinical settings.
View Article and Find Full Text PDFIntroduction: Expansion and diversification of the midwifery workforce is a federal strategy to address the maternal health crisis in the United States. Understanding characteristics of the current midwifery workforce is essential to creating approaches to its development. Certified nurse-midwives and certified midwives (CNMs/CMs) certified by the American Midwifery Certification Board (AMCB) constitute the largest portion of the US midwifery workforce.
View Article and Find Full Text PDFObjective: The purpose of this study was to examine if women's perceptions of the quality of hospital care during childbirth moderate their risks for symptoms of postpartum depression (PPD).
Methods: This cross-sectional secondary analysis analyzed data from the Listening to Mothers III (2013) series surveys with a weighted sample size of 1057 of women surveyed from across the United States. PPD symptoms were defined according the Patient Health Questionnaire-2.
Introduction: Midwives in the United States who work shifts longer than 12 h have higher rates of excessive daytime sleepiness than midwives who work shifts of 12 h or less. Increased levels of excessive daytime sleepiness can lead to negative life impacts and may increase the risk for accidents and professional burnout.
Objective: To describe midwives' experiences related to sleep and sleep deprivation as a result of their work and call-shift schedules.
Choosing Wisely is a national health care improvement campaign promoting conversations between women and their health care professionals about selecting high-value health care practices. It disseminates lists of recommendations and downloadable educational materials from professional societies on its website. In November 2018, we searched for and categorized Choosing Wisely recommendations pertinent to women's health care.
View Article and Find Full Text PDFJ Midwifery Womens Health
March 2019
Introduction: Excessive daytime sleepiness is defined as difficulty maintaining wakefulness and alertness during normal waking hours. Excessive daytime sleepiness can lead to clinical errors in health care workers and is associated with dangerous driving. Little is known about the level of daytime sleepiness in midwives in the United States.
View Article and Find Full Text PDFHealthcare resources are stretched perilously thin and the demand for primary healthcare services has never been greater. Despite this demand for service, relatively little is known about the practice environment of primary healthcare providers, particularly certified nurse-midwives (CNMs), where workforce surveys frequently include these specialists within the broader nurse practitioner category. A distinct professional discipline, nurse-midwives are one type of primary care provider recommended to enhance access to services.
View Article and Find Full Text PDFJ Midwifery Womens Health
December 2016
Introduction: This article describes the process of developing consensus on a definition of, and best practices for, normal physiologic birth in the United States. Evidence supports the use of physiologic birth practices, yet a working definition of this term has been elusive.
Methods: We began by convening a task force of 21 individuals from 3 midwifery organizations and various childbirth advocacy and consumer groups.
Up to 99 percent of alarms sounding on hospital units are false alarms signaling no real danger to patients. These false alarms can lead to alarm fatigue and alarm burden, and may divert health care providers' attention away from significant alarms heralding actual or impending harm. As the health care environment continues to become more dependent upon technological monitoring devices used for patient care, nurses must become aware of the possibility and consequences of alarm fatigue and ways to prevent it from negatively affecting their practice, as well as the possible consequences for patient care.
View Article and Find Full Text PDFClin J Oncol Nurs
February 2012
The experience of men who have completed cancer treatment and transitioned into survivorship is not well understood; therefore, a qualitative, descriptive, narrative analysis was conducted with open-ended questions that participants responded to annually during the course of a 10-year period. The participants expressed that the experience was complex and three themes were identified: "symptoms," "can't go back," and "needs." Time also emerged as an important concern.
View Article and Find Full Text PDFJ Midwifery Womens Health
June 2011
Introduction: The purpose of this analysis was to provide a better understanding of the experiences of partners of prostate cancer survivors. Concerns and needs of women who are partners of prostate cancer survivors are often not acknowledged or addressed in clinical practice. By increasing their awareness of the impact of this situation on women, primary health care providers can offer more holistic, individualized, woman-centered care.
View Article and Find Full Text PDFNurse-midwives provide significant health care to underserved and vulnerable women, yet there is limited information about the nature of nurse-midwifery practices and compensation for services. This study reports the results of a Colorado statewide survey of nurse-midwives (N = 217). Electronic survey was utilized to detail practice in seven areas: demographics, type of practice, compensation, leadership, legislative priorities,teaching involvement, and practice satisfaction.
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