Pub Date : 2024-11-01DOI: 10.1016/j.jogn.2024.09.001
Lisa M. Wesolowski, Janet Catov, Jill R. Demirci, Dianxu Ren, Yvette P. Conley
Objective
To characterize labor progress among nulliparous women by applying group-based trajectory analysis and examining predictors of group membership.
Design
Retrospective observational.
Setting
An existing biobank and database from a birth hospital in Western Pennsylvania.
Participants
Nulliparous women with low-risk pregnancies at term gestation with singleton fetuses in vertex presentation (N = 401).
Methods
We characterized labor progress by applying group-based trajectory analysis. We conducted a multinomial logistic regression analysis to examine the relationships among labor trajectory groups and various demographic and clinical variables.
Results
We identified three trajectories of labor in the group-based trajectory analyses: precipitously progressing (n = 76, 20.1%), average (n = 245, 59.1%), and slow progress (n = 80, 20.7%). Only gestational age at birth significantly predicted trajectory group membership, and an increased gestational age was associated with greater odds of belonging to the slower progress group (OR = 1.43, 95% CI [1.06, 1.92]).
Conclusion
We identified multiple trajectories of labor progress in a sample of nulliparous women with low-risk pregnancies at term gestation. Gestational age may help predict the trajectory of labor.
{"title":"Novel, Group-Based Trajectories of Labor Progress in Nulliparous Women With Low-Risk Pregnancies","authors":"Lisa M. Wesolowski, Janet Catov, Jill R. Demirci, Dianxu Ren, Yvette P. Conley","doi":"10.1016/j.jogn.2024.09.001","DOIUrl":"10.1016/j.jogn.2024.09.001","url":null,"abstract":"<div><h3>Objective</h3><div>To characterize labor progress among nulliparous women by applying group-based trajectory analysis and examining predictors of group membership.</div></div><div><h3>Design</h3><div>Retrospective observational.</div></div><div><h3>Setting</h3><div>An existing biobank and database from a birth hospital in Western Pennsylvania.</div></div><div><h3>Participants</h3><div>Nulliparous women with low-risk pregnancies at term gestation with singleton fetuses in vertex presentation (<em>N</em> = 401).</div></div><div><h3>Methods</h3><div>We characterized labor progress by applying group-based trajectory analysis. We conducted a multinomial logistic regression analysis to examine the relationships among labor trajectory groups and various demographic and clinical variables.</div></div><div><h3>Results</h3><div>We identified three trajectories of labor in the group-based trajectory analyses: precipitously progressing (<em>n</em> = 76, 20.1%), average (<em>n</em> = 245, 59.1%), and slow progress (<em>n</em> = 80, 20.7%). Only gestational age at birth significantly predicted trajectory group membership, and an increased gestational age was associated with greater odds of belonging to the slower progress group (<em>OR</em> = 1.43, 95% CI [1.06, 1.92]).</div></div><div><h3>Conclusion</h3><div>We identified multiple trajectories of labor progress in a sample of nulliparous women with low-risk pregnancies at term gestation. Gestational age may help predict the trajectory of labor.</div></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"53 6","pages":"Pages 669-678"},"PeriodicalIF":1.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142407188","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-01DOI: 10.1016/j.jogn.2024.06.007
Association of Women’s Health, Obstetric and Neonatal Nurses
{"title":"Adoption","authors":"Association of Women’s Health, Obstetric and Neonatal Nurses","doi":"10.1016/j.jogn.2024.06.007","DOIUrl":"10.1016/j.jogn.2024.06.007","url":null,"abstract":"","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"53 6","pages":"Pages e1-e3"},"PeriodicalIF":1.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142146902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-01DOI: 10.1016/j.jogn.2024.06.003
Su Kyung Kim, Melanie Kornides, Jesse Chittams, Roshani Waas, Rebecca Duncan, Anne M. Teitelman
Objective
To evaluate the preliminary efficacy, acceptability, and feasibility of Step Up to Prevention, a technology-enhanced intervention to promote human papillomavirus (HPV) vaccination uptake among young minority and low-income women.
Design
A pilot randomized controlled trial.
Setting
Two federally supported outpatient clinics in a large city in the northeastern United States.
Participants
Women who were 18 to 26 years of age (N = 60).
Methods
We randomized participants into four groups: computer information, in-person tailored, combined, and usual care. We administered computer-assisted self-interview surveys before the intervention (baseline), immediately after the intervention (postintervention), and after their clinic visit (post–clinic visit). We conducted a descriptive analysis of participant characteristics. For preliminary efficacy, we used logistic regression–assessed HPV vaccine initiation uptake rates, and we used descriptive statistics to compare theoretical mediators. We used conventional content analysis to assess participant feedback about intervention acceptability. We assessed feasibility through recruitment and retention rates and our ability to deliver the intervention.
Results
We observed significant differences in initial HPV vaccine uptake between the intervention groups and the usual care group. Participant feedback indicated that the intervention was acceptable, empowering, and informative. We met our recruitment target, maintained a high retention rate (98%), and delivered the complete intervention to all participants.
Conclusion
We report the preliminary efficacy, acceptability, and feasibility of this intervention to promote HPV vaccine initiation among young women in federally subsided health care settings by advancing favorable views and improving knowledge about HPV vaccination.
{"title":"Pilot Randomized Controlled Trial of an Intervention to Promote HPV Uptake Among Young Women Who Attend Subsidized Clinics","authors":"Su Kyung Kim, Melanie Kornides, Jesse Chittams, Roshani Waas, Rebecca Duncan, Anne M. Teitelman","doi":"10.1016/j.jogn.2024.06.003","DOIUrl":"10.1016/j.jogn.2024.06.003","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the preliminary efficacy, acceptability, and feasibility of Step Up to Prevention, a technology-enhanced intervention to promote human papillomavirus (HPV) vaccination uptake among young minority and low-income women.</div></div><div><h3>Design</h3><div>A pilot randomized controlled trial.</div></div><div><h3>Setting</h3><div>Two federally supported outpatient clinics in a large city in the northeastern United States.</div></div><div><h3>Participants</h3><div>Women who were 18 to 26 years of age (<em>N</em> = 60).</div></div><div><h3>Methods</h3><div>We randomized participants into four groups: computer information, in-person tailored, combined, and usual care. We administered computer-assisted self-interview surveys before the intervention (baseline), immediately after the intervention (postintervention), and after their clinic visit (post–clinic visit). We conducted a descriptive analysis of participant characteristics. For preliminary efficacy, we used logistic regression–assessed HPV vaccine initiation uptake rates, and we used descriptive statistics to compare theoretical mediators. We used conventional content analysis to assess participant feedback about intervention acceptability. We assessed feasibility through recruitment and retention rates and our ability to deliver the intervention.</div></div><div><h3>Results</h3><div>We observed significant differences in initial HPV vaccine uptake between the intervention groups and the usual care group. Participant feedback indicated that the intervention was acceptable, empowering, and informative. We met our recruitment target, maintained a high retention rate (98%), and delivered the complete intervention to all participants.</div></div><div><h3>Conclusion</h3><div>We report the preliminary efficacy, acceptability, and feasibility of this intervention to promote HPV vaccine initiation among young women in federally subsided health care settings by advancing favorable views and improving knowledge about HPV vaccination.</div></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"53 6","pages":"Pages 607-617"},"PeriodicalIF":1.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141731655","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-01DOI: 10.1016/j.jogn.2024.09.008
Summer Sherburne Hawkins
The Centers for Disease Control and Prevention (2017) recommended that all medically-stable infants who weigh more than 2,000 grams receive the hepatitis B vaccine within 24 hours after birth. While this juncture represents the first parental decision about vaccines, the birth dose of the hepatitis B vaccine may also have longer-term implications for vaccine completion. In this column, I review hepatitis B vaccine recommendations, research findings on connections with later vaccine uptake, barriers to vaccination and the role of vaccine hesitancy, and recommendations from professional organizations on hepatitis B vaccination.
{"title":"Long-term Implications and Barriers to Use of the Hepatitis B Vaccine at Birth","authors":"Summer Sherburne Hawkins","doi":"10.1016/j.jogn.2024.09.008","DOIUrl":"10.1016/j.jogn.2024.09.008","url":null,"abstract":"<div><div>The Centers for Disease Control and Prevention (2017) recommended that all medically-stable infants who weigh more than 2,000 grams receive the hepatitis B vaccine within 24 hours after birth. While this juncture represents the first parental decision about vaccines, the birth dose of the hepatitis B vaccine may also have longer-term implications for vaccine completion. In this column, I review hepatitis B vaccine recommendations, research findings on connections with later vaccine uptake, barriers to vaccination and the role of vaccine hesitancy, and recommendations from professional organizations on hepatitis B vaccination.</div></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"53 6","pages":"Pages 594-606"},"PeriodicalIF":1.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142402035","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-01DOI: 10.1016/j.jogn.2024.06.004
Gwendolyn J. Richner, Catherine A. Kelly-Langen, Stephanie S. Allen, Miraides F. Brown, Daniel H. Grossoehme, Sarah Friebert
Objective
To identify factors associated with the receipt, completion, and goals of palliative care birth plans during the prenatal period.
Design
Retrospective observational study of medical record data.
Setting
Midwestern U.S. quaternary pediatric hospital.
Participants
Maternal–fetal dyads who received maternal–fetal medicine and palliative care from July 2016 through June 2021 (N = 128).
Methods
Using demographic and clinical predictors, we performed descriptive statistics, group comparisons (chi-square or Fisher exact test and Wilcoxon rank sum test or Student t test), and logistic regression for three outcomes: birth plan offered, birth plan completed, and goals of care (comfort-focused vs. other).
Results
Of 128 dyads, 60% (n = 77) received birth plans, 30% (n = 23) completed them, and 31% (n = 40) expressed comfort-focused goals. Participants with comfort-focused goals compared to other goals were more likely to receive birth plans, odds ratio (OR) = 7.20, 95% confidence interval (CI) [1.73, 29.9], p = .01. Participants of non-Black minority races had lower odds of being offered birth plans when compared to White participants, OR = 0.11, 95% CI [0.02, 0.68], p = .02. Odds of being offered (OR = 11.54, 95% CI [2.12, 62.81], p = .005) and completing (OR = 4.37, 95% CI [1.71, 11.17], p < .001) the birth plan increased with each prenatal palliative care visit. Compared to those without, those with neurological (OR = 9.32, 95% CI [2.60, 33.38], p < .001) and genetic (OR = 4.21, 95% CI [1.04, 17.06], p = .04) diagnoses had increased odds of comfort-focused goals.
Conclusion
Quality improvement efforts should address variation in the frequency at which birth plans are offered. Increasing palliative care follow-up may improve completion of the birth plan.
{"title":"Factors Associated With Palliative Care Birth Planning at a Pediatric Hospital","authors":"Gwendolyn J. Richner, Catherine A. Kelly-Langen, Stephanie S. Allen, Miraides F. Brown, Daniel H. Grossoehme, Sarah Friebert","doi":"10.1016/j.jogn.2024.06.004","DOIUrl":"10.1016/j.jogn.2024.06.004","url":null,"abstract":"<div><h3>Objective</h3><div>To identify factors associated with the receipt, completion, and goals of palliative care birth plans during the prenatal period.</div></div><div><h3>Design</h3><div>Retrospective observational study of medical record data.</div></div><div><h3>Setting</h3><div>Midwestern U.S. quaternary pediatric hospital.</div></div><div><h3>Participants</h3><div>Maternal–fetal dyads who received maternal–fetal medicine and palliative care from July 2016 through June 2021 (<em>N</em> = 128).</div></div><div><h3>Methods</h3><div>Using demographic and clinical predictors, we performed descriptive statistics, group comparisons (chi-square or Fisher exact test and Wilcoxon rank sum test or Student <em>t</em> test), and logistic regression for three outcomes: birth plan offered, birth plan completed, and goals of care (comfort-focused vs. other).</div></div><div><h3>Results</h3><div>Of 128 dyads, 60% (<em>n</em> = 77) received birth plans, 30% (<em>n</em> = 23) completed them, and 31% (<em>n</em> = 40) expressed comfort-focused goals. Participants with comfort-focused goals compared to other goals were more likely to receive birth plans, odds ratio (OR) = 7.20, 95% confidence interval (CI) [1.73, 29.9], <em>p</em> = .01. Participants of non-Black minority races had lower odds of being offered birth plans when compared to White participants, OR = 0.11, 95% CI [0.02, 0.68], <em>p</em> = .02. Odds of being offered (OR = 11.54, 95% CI [2.12, 62.81], <em>p</em> = .005) and completing (OR = 4.37, 95% CI [1.71, 11.17], <em>p</em> < .001) the birth plan increased with each prenatal palliative care visit. Compared to those without, those with neurological (OR = 9.32, 95% CI [2.60, 33.38], <em>p</em> < .001) and genetic (OR = 4.21, 95% CI [1.04, 17.06], <em>p</em> = .04) diagnoses had increased odds of comfort-focused goals.</div></div><div><h3>Conclusion</h3><div>Quality improvement efforts should address variation in the frequency at which birth plans are offered. Increasing palliative care follow-up may improve completion of the birth plan.</div></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"53 6","pages":"Pages 625-634"},"PeriodicalIF":1.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141753403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-01DOI: 10.1016/j.jogn.2024.08.005
Amanda de la Serna, Rui Xie, Jean W. Davis, Susan Quelly, Dawn P. Misra, Carmen Giurgescu
Objective
To examine associations among experiences of racial discrimination, perceived stress, and birth satisfaction and to test if perceived stress mediates the relationship between racial discrimination and birth satisfaction among Black women in the postpartum period.
Design
Secondary analysis of data from the Biosocial Impact on Black Births study.
Setting
A postpartum unit of a large hospital in Central Florida.
Participants
Black women (N = 154) in the postpartum period.
Methods
Participants completed the lifetime Experiences of Discrimination scale, Perceived Stress Scale and Birth Satisfaction Scale–Revised between 24 hours and 23 days after birth. We calculated descriptive statistics and Spearman’s ρ correlation coefficients to evaluate associations among variables. We used multiple linear regression to evaluate perceived stress as a mediator between racial discrimination and birth satisfaction.
Results
Racial discrimination had a positive association with perceived stress (β = 2.445, p = .03), and perceived stress had a negative association with birth satisfaction (β = –0.221, p = .02). Racial discrimination had no significant direct effect on birth satisfaction (β = –0.091, p = .94); therefore, perceived stress did not mediate the relationship.
Conclusion
More experiences of discrimination over the life span were associated with higher levels of perceived stress. Participants who reported higher levels of perceived stress reported lower levels of birth satisfaction. Our study adds to the body of knowledge regarding associations between racial discrimination and perceived stress and perceived stress and birth satisfaction.
{"title":"Associations Among Racial Discrimination, Perceived Stress, and Birth Satisfaction in Black Women in the Postpartum Period","authors":"Amanda de la Serna, Rui Xie, Jean W. Davis, Susan Quelly, Dawn P. Misra, Carmen Giurgescu","doi":"10.1016/j.jogn.2024.08.005","DOIUrl":"10.1016/j.jogn.2024.08.005","url":null,"abstract":"<div><h3>Objective</h3><div>To examine associations among experiences of racial discrimination, perceived stress, and birth satisfaction and to test if perceived stress mediates the relationship between racial discrimination and birth satisfaction among Black women in the postpartum period.</div></div><div><h3>Design</h3><div>Secondary analysis of data from the Biosocial Impact on Black Births study.</div></div><div><h3>Setting</h3><div>A postpartum unit of a large hospital in Central Florida.</div></div><div><h3>Participants</h3><div>Black women (<em>N</em> = 154) in the postpartum period.</div></div><div><h3>Methods</h3><div>Participants completed the lifetime Experiences of Discrimination scale, Perceived Stress Scale and Birth Satisfaction Scale–Revised between 24 hours and 23 days after birth. We calculated descriptive statistics and Spearman’s ρ correlation coefficients to evaluate associations among variables. We used multiple linear regression to evaluate perceived stress as a mediator between racial discrimination and birth satisfaction.</div></div><div><h3>Results</h3><div>Racial discrimination had a positive association with perceived stress (β = 2.445, <em>p</em> = .03), and perceived stress had a negative association with birth satisfaction (β = –0.221, <em>p</em> = .02). Racial discrimination had no significant direct effect on birth satisfaction (β = –0.091, <em>p</em> = .94); therefore, perceived stress did not mediate the relationship.</div></div><div><h3>Conclusion</h3><div>More experiences of discrimination over the life span were associated with higher levels of perceived stress. Participants who reported higher levels of perceived stress reported lower levels of birth satisfaction. Our study adds to the body of knowledge regarding associations between racial discrimination and perceived stress and perceived stress and birth satisfaction.</div></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"53 6","pages":"Pages 658-668"},"PeriodicalIF":1.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142332609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-01DOI: 10.1016/S0884-2175(24)00308-3
{"title":"At Your Service","authors":"","doi":"10.1016/S0884-2175(24)00308-3","DOIUrl":"10.1016/S0884-2175(24)00308-3","url":null,"abstract":"","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"53 6","pages":"Page A4"},"PeriodicalIF":1.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142663742","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Supporting Authors for Whom English Is an Additional Language to Promote Diversity Inclusion and Equity in Nursing Scholarship","authors":"Forgive Avorgbedor, Jamille Nagtalon-Ramos, Abby Britt, Natasha Nurse-Clarke, Deepika Goyal","doi":"10.1016/j.jogn.2024.08.003","DOIUrl":"10.1016/j.jogn.2024.08.003","url":null,"abstract":"","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"53 6","pages":"Pages 585-589"},"PeriodicalIF":1.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301330","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-22DOI: 10.1016/j.jogn.2024.09.007
Joke Maria Wielenga, April Pascual, Kiki Ruhe, Christ Jan van Ganzewinkel
Objective: To determine if performing heel stick procedures for capillary blood sampling without prior heel warming is noninferior to the standard practice of warming the heel in very-low-birth-weight newborns.
Design: Noninferiority randomized control trial.
Setting: The study took place in two Level 3 NICUs in The Netherlands.
Participants: Newborns born at less than 32 weeks gestation in their second or third week of life without an arterial line in situ or known coagulopathy (N = 100).
Methods: We randomized participants to undergo a heel stick procedure in one of two groups: without heel warming (n = 50) and heel warming with a washcloth warmed with 37 °C tap water (n = 25) or with a microwaved hot pack (n = 25). The primary outcome was length of time for obtaining the required blood sample. The secondary outcomes were number of attempts, reliability of the blood sample, newborn comfort, and adverse events.
Results: We observed no differences in background characteristics between groups and found no statistically significant or clinically relevant differences in primary or secondary outcomes.
Conclusion: Among participants, not warming the heel before a heel stick was noninferior to warming the heel. Therefore, preheating the heel as a standard of care may be an unnecessary nursing intervention.
{"title":"Heel Warming in Very-Low-Birth-Weight Newborns for Capillary Blood Sampling.","authors":"Joke Maria Wielenga, April Pascual, Kiki Ruhe, Christ Jan van Ganzewinkel","doi":"10.1016/j.jogn.2024.09.007","DOIUrl":"10.1016/j.jogn.2024.09.007","url":null,"abstract":"<p><strong>Objective: </strong>To determine if performing heel stick procedures for capillary blood sampling without prior heel warming is noninferior to the standard practice of warming the heel in very-low-birth-weight newborns.</p><p><strong>Design: </strong>Noninferiority randomized control trial.</p><p><strong>Setting: </strong>The study took place in two Level 3 NICUs in The Netherlands.</p><p><strong>Participants: </strong>Newborns born at less than 32 weeks gestation in their second or third week of life without an arterial line in situ or known coagulopathy (N = 100).</p><p><strong>Methods: </strong>We randomized participants to undergo a heel stick procedure in one of two groups: without heel warming (n = 50) and heel warming with a washcloth warmed with 37 °C tap water (n = 25) or with a microwaved hot pack (n = 25). The primary outcome was length of time for obtaining the required blood sample. The secondary outcomes were number of attempts, reliability of the blood sample, newborn comfort, and adverse events.</p><p><strong>Results: </strong>We observed no differences in background characteristics between groups and found no statistically significant or clinically relevant differences in primary or secondary outcomes.</p><p><strong>Conclusion: </strong>Among participants, not warming the heel before a heel stick was noninferior to warming the heel. Therefore, preheating the heel as a standard of care may be an unnecessary nursing intervention.</p>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142513248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-16DOI: 10.1016/j.jogn.2024.09.006
Susan Hale
The author describes and compares current education offerings to improve the quality of maternity care.
作者介绍并比较了目前为提高产科护理质量而提供的教育。
{"title":"Evidence-Based Education Programs to Improve Maternal Outcomes.","authors":"Susan Hale","doi":"10.1016/j.jogn.2024.09.006","DOIUrl":"10.1016/j.jogn.2024.09.006","url":null,"abstract":"<p><p>The author describes and compares current education offerings to improve the quality of maternity care.</p>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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