Journal of obstetric, gynecologic, and neonatal nursing : JOGNN
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J Obstet Gynecol Neonatal Nurs · Jan 2013
Randomized Controlled TrialEfficacy of warm showers on labor pain and birth experiences during the first labor stage.
To determine the efficacy of warm showers on parturition pain and the birth experiences of women during the first stage of labor. ⋯ Apart from the positive physical hygiene effects, warm showers are a cost-effective, convenient, easy-to-deploy, nonpharmacological approach to pain reduction. This intervention helps women in labor to participate fully in the birthing process, earn continuous caregiver support, feel cared for and comforted, and have a more positive overall experience.
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J Obstet Gynecol Neonatal Nurs · Jan 2013
Insights into patient and family-centered care through the hospital experiences of parents.
To describe parents' care experiences during hospitalization of their children to identify strategies that could improve the provision of patient and family-centered care (PFCC). ⋯ The findings of this study support the importance of ongoing evaluation of PFCC initiatives to identify strengths and weaknesses. Suggestions for improvement in patient and family-centered care are provided.
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J Obstet Gynecol Neonatal Nurs · Jan 2013
Incidence of uterine tachysystole in women induced with oxytocin.
To determine the incidence of uterine tachysystole (UT) using nomenclature defined by the American College of Obstetricians and Gynecologists (ACOG) and Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN). ⋯ Results of this study highlight the need for careful titration of oxytocin and prompt management of UT. This increased awareness can enhance the health, safety, and well-being of pregnant women and their fetuses.
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J Obstet Gynecol Neonatal Nurs · Jan 2013
Clinician confidence and comfort in providing perinatal palliative care.
To analyze and report the differences in perceptions of physicians and advance practice nurses, their comfort in providing and referring neonatal patients to perinatal palliative care (PPC), and their confidence in delivering such care. ⋯ Palliative care involves physicians and nurses making unique and positively synergistic contributions to the care of families expecting an infant with a life-limiting diagnosis. Clinicians share ethical perspectives regarding PPC and are positioned to collaboratively develop PPC programs. Barriers to PPC delivery exist and clinicians can benefit from interventions aimed at modifying practice environments. Supportive interventions and educational initiatives may increase clinician comfort and confidence with palliative care delivery.
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J Obstet Gynecol Neonatal Nurs · Nov 2012
Comparative StudyRelationships among neighborhood environment, racial discrimination, psychological distress, and preterm birth in African American women.
To (a) examine the relationships among objective and perceived indicators of neighborhood environment, racial discrimination, psychological distress, and gestational age at birth; (b) determine if neighborhood environment and racial discrimination predicted psychological distress; (c) determine if neighborhood environment, racial discrimination, and psychological distress predicted preterm birth; and (d) determine if psychological distress mediated the effects of neighborhood environment and racial discrimination on preterm birth. ⋯ Women's neighborhood environments and racial discrimination were related to psychological distress, and these factors may increase the risk for preterm birth.