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Governing therapeutic pluralism: An environmental scan of the statutory regulation and government reimbursement of traditional and complementary medicine practitioners in the United States.
PLOS Glob Public Health
August 2023
Heather Carrie Research Associates, Vashon Island, Vashon, Washington, United States of America.
The World Health Organization has called on nation-states to statutorily govern, and integrate into state-funded healthcare systems, practitioners of traditional and complementary medicine (T&CM) (whose therapeutic approaches that fall outside the boundaries of conventional biomedicine). To date, however, there exist few rigorous reports of the degree to which individual nations have responded to this call. This study, an environmental scan, comprehensively documents the statutory governance and government reimbursement of T&CM practitioners in the United States (US).
View Article and Find Full Text PDFMidwifery students better approximate their self-efficacy in clinical lactation after reflecting in and on their performance in the LactSim OSCE.
Adv Simul (Lond)
October 2020
LiquidGoldConcept, Inc., Ypsilanti, USA.
Background: Midwives are expected to support women with lactation initiation and maintenance. Midwifery students engaged in a simulation-based exercise (LactSim OSCE) where they role-played the clinician and the breastfeeding patient by wearing a high-fidelity breast model. We provided participants opportunities for reflecting in and on practice to compare their perceived self-confidence in clinical lactation skills to actual clinical performance.
View Article and Find Full Text PDFIdentification of obstetric anal sphincter injuries (OASIs) and other lacerations: a national survey of nurse-midwives.
Int Urogynecol J
July 2021
Division of Maternal Fetal Medicine, Department of Obstetrics & Gynecology, University of Colorado Anschutz Medical Campus, Aurora, CO, 80045, USA.
Introduction And Hypothesis: Clinical quality improvement relies on accurate understanding of current practice. We performed a cross-sectional national survey of certified nurse-midwives (CNMs) assessing classification and identification of obstetric anal sphincter injury (OASI) and other delivery lacerations. We hypothesized laceration diagnoses are frequently inaccurate, and delivery records for obstetric lacerations may be of questionable quality.
View Article and Find Full Text PDFA retrospective comparison of waterbirth outcomes in two United States hospital settings.
Birth
March 2020
Michigan Medicine, University of Michigan, Ann Arbor, Michigan.
Background: Water immersion during labor is an effective comfort measure; however, outcomes for waterbirth in the hospital setting have not been well documented. Our objective was to report the outcomes from two nurse-midwifery services that provide waterbirth within a tertiary care hospital setting in the United States.
Methods: This study is a retrospective, observational, matched comparison design.
Improving Prenatal Care for Minority Women.
MCN Am J Matern Child Nurs
March 2018
Susan Gennaro is the Dean and Professor, Connell School of Nursing, Boston College, Chestnut Hill, MA. Bernadette Mazurek Melnyk is the Dean and Professor, School of Nursing, The Ohio State University, Columbus, OH. Caitlin O'Connor is a Research Assistant, Connell School of Nursing, Boston College, Chestnut Hill, MA. The author can be reached via e-mail at Anne M. Gibeau is the Director of Nurse Midwifery, Jacobi Medical Center, Bronx, NY. Ellen Nadel is a Student, Columbia University School of Nursing, New York, NY.
Since the inception of prenatal care in the early 1900s, the focus of care has been on risk reduction rather than on health promotion. Prenatal care began as individualized care, but more recently group prenatal care has been shown to be very successful in improving birth outcomes. For all women, an emphasis on improving health behaviors is important at this critical time while women are engaging regularly with the healthcare system.
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