Journal of obstetric, gynecologic, and neonatal nursing : JOGNN
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J Obstet Gynecol Neonatal Nurs · Mar 2009
Nurses' knowledge, attitudes/beliefs, and care practices concerning do not resuscitate status for hospitalized neonates.
To describe the knowledge, attitudes/beliefs, and care practices of neonatal intensive care unit nurses concerning do not resuscitate status for hospitalized neonates and to assess differences based on years of neonatal intensive care unit experience and educational background. ⋯ Neonatal intensive care unit nurses need further education regarding the legal definition and scope of do not resuscitate orders in the clinical care of terminally ill neonates.
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J Obstet Gynecol Neonatal Nurs · Jan 2009
ReviewSocial justice considerations for lesbian and bisexual women's health care.
Lesbian and bisexual women share much with heterosexual women such as the desire to parent and the risk for partner violence. However, these women have unique risks associated with heavy alcohol use, smoking, obesity, and nulliparity. As nurses become increasingly aware of the need for social justice advocacy for marginalized groups, they are in a good position to advocate for lesbian and bisexual women and to bring visibility to their poor treatment in the health care setting.
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A systematic review of the literature was conducted to answer the following 2 questions: (a) What are the needs of parents who have infants in the neonatal intensive care unit? (b) What behaviors support parents with an infant in the neonatal intensive care unit? ⋯ Six needs were identified for parents who had an infant in the neonatal intensive care unit: (a) accurate information and inclusion in the infant's care, (b) vigilant watching-over and protecting the infant, (c) contact with the infant, (d) being positively perceived by the nursery staff, (e) individualized care, and (f) a therapeutic relationship with the nursing staff. Four nursing behaviors were identified to assist parents in meeting these needs: (a) emotional support, (b) parent empowerment, (c) a welcoming environment with supportive unit policies, and (d) parent education with an opportunity to practice new skills through guided participation.
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To examine patterns of postpartum parental sleep and levels of fatigue at 2, 12, and 20 weeks following hospital discharge of newborn twins. ⋯ Pilot data suggest that mothers and especially fathers of twins experience sleep disturbances after discharge of their twins. Further study is needed to more fully describe the evolution of sleep patterns and clarify factors that influence sleep in parents of twins.
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To describe support needs and comfort level of labor nurses caring for families experiencing perinatal loss. ⋯ Initial and ongoing education of nurses about perinatal bereavement care is needed. Effective strategies for coping during and after providing care would support nurses in meeting the emotional challenge of providing high quality perinatal bereavement care.