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Health SA = SA Gesondheid 2023Antenatal care is essential for all expectant mothers and assists in reducing maternal mortality rates thus addressing the Sustainable Development Goal 3. Obstetric... (Review)
Review
BACKGROUND
Antenatal care is essential for all expectant mothers and assists in reducing maternal mortality rates thus addressing the Sustainable Development Goal 3. Obstetric ultrasound complements antenatal care and is used in pregnancy to identify and monitor high-risk pregnancies. However, disparities exist and in low- and middle-income countries, ultrasound services are not readily available. This contributes to maternal and neonatal morbidity and mortality within these populations. Short ultrasound training programmes for midwives can be beneficial in alleviating some of the challenges experienced.
AIM
The aim of this scoping review was to identify global ultrasound education programmes for midwives.
METHOD
Articles containing suitable keywords were retrieved from databases suitable to nursing, education and ultrasound. Themes were developed based on the articles included in the review.
RESULTS
A total of 238 articles were identified, and after the duplicates and irrelevant studies were removed, 22 articles were included. Articles were analysed and discussed under the identified themes and categories.
CONCLUSION
It is essential that sufficient training is provided to medical professionals performing obstetric ultrasound so that adequate and safe care is offered to expectant mothers. With the introduction of ultrasound in low-resource settings, the knowledge of safety and competencies required to operate the equipment necessitate adequate training. Developed programmes have been found to meet the demands of the ever-changing workforce and allow for midwives to perform focused obstetric ultrasound examinations.
CONTRIBUTION
This scoping review highlighted ultrasound training programmes for midwives and provided guidance on the development of future midwifery ultrasound training programmes.
PubMed: 36873781
DOI: 10.4102/hsag.v28i0.2163 -
Nursing Forum Jul 2020Simulation as an innovative teaching method is an effective form of pedagogical approach. A wealth of evidence shows that simulation in nursing education provides an... (Review)
Review
BACKGROUND
Simulation as an innovative teaching method is an effective form of pedagogical approach. A wealth of evidence shows that simulation in nursing education provides an opportunity for undergraduate students to improve learning outcomes.
AIM
The aim of this review was to systematically appraise and synthesize evidence that examine the effects of obstetric simulation in an undergraduate nursing program.
METHODS
Integrative review method guided this review. Four electronic databases were searched using "CINAHL (EBSCOhost)," "Science Direct," "OVID," and "WILEY" to identify original research published between 2008 and 2018. Search and MeSH terms included: obstetric, maternal, simulation, nursing, and student.
RESULTS
Seventeen articles were included in this review. The results of content analysis revealed three essential themes: cognitive and psychomotor (knowledge-skills) skill, affective (self-confidence, anxiety, critical thinking-self-efficacy) skill, and students' views on obstetric simulation. In all of the studies, it was determined that the simulation method was a safe and effective teaching strategy.
CONCLUSION
The use of obstetric simulation in an undergraduate nursing program has a positive effect on the level of self-confidence, anxiety, critical thinking-self-efficacy, psychomotor skills, and level of anxiety.
Topics: Clinical Competence; Education, Nursing, Baccalaureate; Humans; Self Efficacy; Simulation Training
PubMed: 32030752
DOI: 10.1111/nuf.12437 -
Nursing Education PerspectivesSpecialty areas of nursing, for example, obstetrics and pediatrics, require a unique set of skills and specialized care. Nursing students often enter these areas for...
Specialty areas of nursing, for example, obstetrics and pediatrics, require a unique set of skills and specialized care. Nursing students often enter these areas for their clinical rotations having had little didactic classroom education. For faculty, it is challenging to prepare students to enter the clinical setting feeling competent, confident, and with the critical thinking skills required for an optimal experience. This article reports on a process to develop a skills lab with both skills and simulation components designed specifically to prepare students to enter the clinical setting with greater competence, confidence, and critical thinking.
Topics: Child; Clinical Competence; Education, Nursing, Baccalaureate; Female; Humans; Pediatric Nursing; Pediatrics; Pregnancy; Students, Nursing; Thinking
PubMed: 32118806
DOI: 10.1097/01.NEP.0000000000000640 -
Nursing For Women's Health Oct 2023The nursing shortage and the need to maintain appropriate staffing ratios have made contract nursing a growing health care business. Contract, or travel, nurses are...
The nursing shortage and the need to maintain appropriate staffing ratios have made contract nursing a growing health care business. Contract, or travel, nurses are often employed to meet staffing ratios, which are developed to promote positive patient outcomes. Health care facilities provide care at various levels of acuity, and nurses must be appropriately trained to deliver safe, competent care in the assigned facility. Levels of obstetric care are determined collaboratively between various professional organizations and include an assessment of acuity, service, and coordination of services. The purpose of this article is to offer recommendations for requirements for travel nurses working in obstetric and well neonatal care settings that are aligned with agency acuity and national guidelines. Shared responsibility between travel nurse agencies, hiring health care facilities, and individual nurses will lead to greater satisfaction and improved patient outcomes.
PubMed: 37567240
DOI: 10.1016/j.nwh.2023.05.003 -
Revista Da Escola de Enfermagem Da U S P 2022To evaluate the reasons correlated with the omission of nursing care in a university hospital.
OBJECTIVE
To evaluate the reasons correlated with the omission of nursing care in a university hospital.
METHOD
Analytical cross-sectional design, developed in a university hospital in Northeast Brazil, from January to February 2020. The study population consisted of nurses and nursing technicians who worked in direct patient care. The Brazilian version of the Missed Nursing Care Survey was applied in a convenience sample consisting of 227 participants (79 nurses and 148 nursing technicians). Univariate and bivariate statistics were calculated in the software Statistical Package for Social Science, version 26.0.
RESULTS
The most omitted nursing care was walking three times a day or as prescribed (70.9%). The most prevalent reason was an unexpected increase in the volume and/or severity of patients in the unit (93.0%). Positive, albeit weak, correlations were found between overall care omission, as well as omissions by priority level, and reasons for omission given by nurses and nursing technicians (p < 0.05).
CONCLUSION
The study showed that the omission of nursing care covered all five dimensions of the instrument, mainly correlated with labor and material resources.
Topics: Humans; Pregnancy; Female; Cross-Sectional Studies; Nursing Care; Brazil; Hospitals, University; Labor, Obstetric
PubMed: 36444980
DOI: 10.1590/1980-220X-REEUSP-2022-0171en -
International Journal of Public Health 2023To compare obstetric and neonatal characteristics and birth outcomes between Syrian refugees and native women in Jordan. We used the Jordan Stillbirths and Neonatal...
To compare obstetric and neonatal characteristics and birth outcomes between Syrian refugees and native women in Jordan. We used the Jordan Stillbirths and Neonatal Deaths Surveillance System to extract sociodemographic and obstetric characteristics of the mothers and birth characteristics of newborns. Multivariate analysis was used to compare the characteristics of 26,139 Jordanian women (27,468 births) and 3,453 Syrian women refugees (3,638 births) who gave birth in five referral hospitals (May 2019 and December 2020). The proportions of low birthweight (14.1% vs. 11.8%, < 0.001) and small for gestational age (12.0% vs. 10.0%, < 0.001) newborns were significantly higher for those born to Syrian women compared to those born to Jordanian women. The stillbirth rate (15.1 vs. 9.9 per 1,000 births, = 0.003), the neonatal death rate (21.2 vs. 13.2 per 1,000 live births, < 0.001), and perinatal death rate (21.2 vs. 13.2 per 1,000 births, < 0.001) were significantly higher for the Syrian births. After adjusting for sociodemographic and obstetric characteristics of women, only perinatal death was statistically significantly higher among Syrian babies compared to Jordanian babies (OR = 1.3, 95% CI: 1.1-1.7, = 0.035). Syrian refugee mothers had a significantly higher risk of adverse obstetric and neonatal outcomes including higher rate of perinatal death compared to Jordanian women.
Topics: Pregnancy; Infant; Infant, Newborn; Female; Humans; Refugees; Jordan; Perinatal Death; Syria; Retrospective Studies; Stillbirth
PubMed: 38024216
DOI: 10.3389/ijph.2023.1605645 -
SAGE Open Nursing 2022It is estimated that mores nurses are needed in the future, nursing students' career preferences are important to contribute the shortage of nursing manpower in Macao....
INTRODUCTION
It is estimated that mores nurses are needed in the future, nursing students' career preferences are important to contribute the shortage of nursing manpower in Macao. Little is known regarding the preferences for nursing students' career preferences and related factors among nursing students.
OBJECTIVE
To explore and investigate the career preferences and related factors among nursing students in Macao.
METHODS
A descriptive, cross-sectional survey study design was adopted to assess career preferences and related factors among nursing students in Macao.
RESULTS
In total, 217 nursing students completed surveys. The most favorite career preferences among nursing students were community health nursing, paediatric nursing, medical surgical nursing, and obstetric & gynecological nursing; while the least career preferences among nursing students were oncology and hospice nursing, mental health nursing, and ER nursing. Factors were related to "gender", "education", and "nursing is my first study preference" among Macao nursing students for career preferences.
CONCLUSION
The senior nursing students prefer working in community health nursing and the junior and female nursing students prefer working in pediatric nursing and obstetric and gynecological nursing. The more understandings of nursing students' career preferences, the better nursing curriculum design and implication to promote nursing students' intention for working in the least career preferences work.
PubMed: 35509432
DOI: 10.1177/23779608221094538 -
American Journal of Translational... 2022To verify the effect of obstetric nursing-sensitive quality indicators for continuously improving nursing quality.
OBJECTIVE
To verify the effect of obstetric nursing-sensitive quality indicators for continuously improving nursing quality.
METHODS
We retrospectively analyzed the obstetric nurse quality in the First Affiliated Hospital of Chongqing Medical University and University-Town Hospital of Chongqing Medical University from October 2019 to September 2020. Nurses and patients in the Obstetrics Department of the First Affiliated Hospital of Chongqing Medical University and University-Town Hospital of Chongqing Medical University were respectively assigned into an experimental group and a control group. High-quality nursing services were provided to patients in both groups. In addition to the high-quality nursing services, the obstetric nurses in the experimental group received training on obstetric nursing-sensitive quality indicators based on the knowledge-attitude-practice model. An obstetric nursing quality evaluation was conducted between the two groups. Continuous quality improvement was achieved using the plan-do-check-act (PDCA) cycle. The nursing quality was reflected by 14 obstetric nursing-sensitive quality indicators and the nurses' job satisfaction was compared between the experimental group and the control group before and after intervention.
RESULTS
The information regarding the nurses and parturients, and the nurses' job satisfaction were not significantly different between the two groups before intervention (P>0.05). Except for information regarding the lateral perineotomy at vaginal delivery, there was no significant difference in other obstetric nursing-sensitive quality indicators between the two groups before the intervention. In the experimental group, the rates of early skin-to-skin contact between mothers and infants, early sucking with exclusive breastfeeding during hospitalization, parturient satisfaction with the nurses' work, and nurses' job satisfaction after intervention were better than before (P<0.05). In the experimental group, the rates of neonatal asphyxia/severe neonatal asphyxia and postpartum hemorrhage following vaginal delivery after intervention was significantly lower than before (P<0.05). The experimental group had better outcomes than the control group in the rates of early skin-to-skin contact between mothers and infants, early sucking with exclusive breastfeeding during hospitalization, parturient satisfaction with the nurses' work, and nurses' job satisfaction (P<0.05).
CONCLUSION
Obstetric nursing-sensitive quality indicators can be used to improve the nursing quality in continuous quality improvement, which is worthy of promotion in clinics.
PubMed: 35173882
DOI: No ID Found -
Contrast Media & Molecular Imaging 2022Obstetric nursing is not only complex but also prone to risks, which can have adverse effects on hospitals. Improper handling of existing risks in obstetric care can...
Obstetric nursing is not only complex but also prone to risks, which can have adverse effects on hospitals. Improper handling of existing risks in obstetric care can lead to enormous harm to patients and families. Therefore, it is necessary to pay attention to the risks of obstetric nursing, especially to predict the risks in a timely manner, and take effective measures to prevent them in time, so as to achieve the purpose of allowing patients to recover as soon as possible. Data mining has powerful forecasting function, so this paper proposes to combine the data-mining-based support vector machine method and XGBoost method into a forecasting model, which overcomes the shortcomings of unstable forecasting and low accuracy of a single forecasting model. The experimental results of this paper have shown that the prediction accuracy of the SVM-XGBoost combined prediction model has reached 100%, the accuracy of the single SVM prediction model is about 78%, and the accuracy of the single XGBoost prediction model is about 75%. Compared with the single SVM model and the XGBoost prediction model, the accuracy rate had increased by about 22% and 25%, and the precision rate and recall rate are also improved. Therefore, it is very suitable to use the SVM-XGBoost combined prediction model to predict the risk of obstetric nursing.
Topics: Data Mining; Female; Forecasting; Humans; Obstetric Nursing; Pregnancy; Support Vector Machine
PubMed: 36082058
DOI: 10.1155/2022/5100860 -
Computational and Mathematical Methods... 2022This paper applies the situational teaching mode to obstetric clinical nursing. When explaining the nursing operation skills, according to the pre written script, design...
This paper applies the situational teaching mode to obstetric clinical nursing. When explaining the nursing operation skills, according to the pre written script, design some common clinical nurse-patient conflicts and carry out situational simulation performances, so as to inspire students to think about how to effectively communicate with patients and their families and establish a harmonious nurse-patient relationship. At the same time, this paper also urges students to improve their initiative of autonomous learning and actively participate in the whole process of learning, rather than passively accept knowledge. Finally, the teaching methods of combining obstetric clinical nursing teaching with experimental teaching were compared to explore the effectiveness of situational teaching simulation teaching mode. Through the experimental comparative analysis, it can be seen that the obstetric clinical nursing teaching model based on situational teaching simulation has a certain effect and has a good guiding significance for the practical teaching of obstetric clinical nursing.
Topics: Humans; Learning; Simulation Training; Students, Nursing
PubMed: 35774302
DOI: 10.1155/2022/6843196