Significance of Couplet Care on Post-partum Patients and Staff


Book Description

According to the World Health Organization (WHO) (1998), allowing new mothers to be cared for in the same room as their infant 24 hours a day is the seventh step of the ten steps to successful breastfeeding. Rooming-in and couplet care has been proven to increase positive outcomes, in many ways, for both the mother and infant (Couplet care for all, 2012). The following will identify a problem on a mother-baby unit in a hospital in Winchester, Virginia with proposed solutions related to couplet care. One recent research study found that couplet care positively effects breast feeding due to the promotion, education and support of breastfeeding (Grzeczinski Zenkner, Fortes Brasil Miorim, Silveira Cardoso, Portella Ribeiro, Cezar-Vaz and Pereira Rocha, 2013). The results of a similar study, in which couplet care was implemented, found that exclusive breastfeeding increased by 38% in the facility in which the study was conducted (Maugans, Buchko and Gutshall, 2013). This project will attempt to answer the question in new mothers and infants being cared for on a post-partum inpatient unit, what is the impact of fully utilized couplet care versus modified or non-use of couplet care on the overall care of the patient's including breastfeeding, maternal-infant relationship, safety and satisfaction? The implementation will begin by educating potential patients and all staff effected by this change. Meetings will be held among staff and the implementation team in order to ensure all questions are answered and increase the chance for 100% compliance. The practice change, detailed below, will then take effect with constant monitoring and evaluation by the implementation team. Results will be evaluated after three months, final changes will be made as necessary and then steps to finalizing the change will ensue.




Importance of Rooming-in of Postpartum Couplets


Book Description

Documented research studies show the benefits of having postpartum mothers and infants rooming-in with each other. The process of rooming-in involves the mothers and infants not being separated during routine care, the infants would remain with the mother at all times unless a medically indicated reason arises. The outcomes of research studies support the need for rooming-in, that rooming-in has positively impacted the bonding process and increased breastfeeding results in those intending to breastfeed. The World Health Organization (WHO) and the United Nations Children's Fund (UNICEF) support the step of rooming-in for postpartum couplets. These organizations recommend "that all healthy mothers and babies, regardless of feeding preference and method of birth, have uninterrupted skin-to-skin care" (Crenshaw, 2014, pages 212). During this time period, the bonding process is started and an early breastfeeding experience may occur. This paper will provide educational tools and a proposal for a 6 month pilot study on rooming-in and the effects of this process. Education for this departmental change would be given to the nursing staff after approval for the process has been obtained. An implementation plan for education of staff, mothers, and parents would be included along with an evaluation of the results. Staff Pre- and Post-tests would be given to determine effectiveness of mandatory education meetings, including their perceptions on their learning of the process. Parent initial questionnaires and 2 day questionnaires would be given, providing information on their learning processes and their overall perceptions of the process of rooming-inches A retrospective chart audit would be completed and compared with the pilot study, comparing the number of breast feeds per day and reasons as to why the infants were kept in the newborn nursery. The effects on the outcomes of breastfeeding and bonding would be provided in the dissemination plan and shared with the stakeholders involved. This paper will analyze the effects of rooming-in on the postpartum couplets, including their perceived outcomes related to bonding and breastfeeding.




Family-centered Maternity Care


Book Description

Midwifery & Women's Health




Effectiveness of Thorough Staff Education and Home Health Involvement on Rates of Postpartum Depression


Book Description

Postpartum depression (PPD) has a substantial impact on many people around the world as it affects 13% of women and consequentially families. Many women lack an effective support system along with ineffective coping mechanisms, leading to difficulty managing the change of life that comes with having a newborn. Research indicates necessity not merely for treatment of postpartum depression, but for better education for health care providers and patients regarding PPD. Mental health issues tend to carry a negative connotation, as such, it is important for the education provided to patients to encourage full disclosure to help them feel empowered to take control of their emotional health rather than try to hide it. Health care providers have a great deal of contact with these patients, yet many do not feel they possess adequate knowledge to give necessary education, or have not to provided necessary education regarding PPD. Studies have shown that educating of health care providers will better prepare them to educate and care for these patients at risk for or suffering from PPD to encourage seeking out and following up with treatment options. Further, through home health programs, rates of PPD decrease and positive outcomes for these women and their families increase as they receive the attention and support they need.




Self-confidence in Postpartum Nursing Staff Regarding Care of the Patient with Postpartum Hemorrhage


Book Description

"The authors of this paper felt that the lack of a standardized postpartum hemorrhage process could affect the safety of patients at a private specialty women's hospital in the Midwest... The focus of the study looked at the relationship between simulation and nurse's self-confidence along with clinical confidence in caring for patients experiencing postpartum hemorrhage." p.2.




Assessment and Planning in Health Programs


Book Description

Assessing individual and community needs for health education, planning effective health education programs, and evaluating their effectiveness, are at the core of health education and promotion. Assessment and Planning in Health Programs, Second Edition provides a grounding in assessment and evaluation. Written in an accessible manner, this comprehensive text addresses the importance and use of theories, data collection strategies, and key terminology in the field of health education and health promotion. It provides an overview of needs assessment, program planning, and program evaluation, and explains several goals and strategies for each.




Kelly Vana's Nursing Leadership and Management


Book Description

Nursing Leadership & Management, Fourth Edition provides a comprehensive look at the knowledge and skills required to lead and manage at every level of nursing, emphasizing the crucial role nurses play in patient safety and the delivery of quality health care. Presented in three units, readers are introduced to a conceptual framework that highlights nursing leadership and management responsibilities for patient-centered care delivery to the patient, to the community, to the agency, and to the self. This valuable new edition: Includes new and up-to-date information from national and state health care and nursing organizations, as well as new chapters on the historical context of nursing leadership and management and the organization of patient care in high reliability health care organizations Explores each of the six Quality and Safety in Nursing (QSEN) competencies: Patient-Centered Care, Teamwork and Collaboration, Evidence-based Practice (EBP), Quality Improvement (QI), Safety, and Informatics Provides review questions for all chapters to help students prepare for course exams and NCLEX state board exams Features contributions from experts in the field, with perspectives from bedside nurses, faculty, directors of nursing, nursing historians, physicians, lawyers, psychologists and more Nursing Leadership & Management, Fourth Edition provides a strong foundation for evidence-based, high-quality health care for undergraduate nursing students, working nurses, managers, educators, and clinical specialists.




Contemporary Nursing


Book Description

Thoroughly prepare for the rapidly evolving world of nursing with Contemporary Nursing: Issues, Trends, & Management, 7th Edition. Expert authors Barbara Cherry and Susan Jacob combine their own expertise from both academics and practice as they cover the relevant issues affecting today's nurses. In 28 chapters, including a new chapter on palliative care, this comprehensive new edition takes readers through the evolution of nursing, the role of the nurse today, safe and effective decision-making, collaboration and communication, leadership, job opportunities, and a number of timely issues affecting healthcare and nursing practice today. Full-color design enhances the narrative with a clear, visually appealing explanation of concepts. Humorous cartoons open each chapter to illustrate the chapter themes. Vignettes at the beginning of each chapter personalize nursing history and practice and help readers understand their place in the profession. Questions to Consider While Reading This Chapter follow the vignettes and prepare the reader for the topic to be discussed. Key terms, learning outcomes, chapter overviews, and chapter summaries help readers focus their learning experience. Unit on Leadership and Management in Nursing includes content to prepare nurses to effectively function in the management roles expected of the professional nurse. Unit on Career Management provides strategies on how to make the transition from student to practitioner and tips on how to pass the NCLEX-RN Examination. Case studies help readers apply theory to clinical practice. NEW! Chapter on palliative care focuses on how to best provide patients with relief from the symptoms and stress of a serious illness, and how to improve the quality of life for both the patient and family. NEW! Combined chapter on quality improvement and QSEN keeps readers up to date on the latest competencies from the Institute of Medicine. NEW! Professional/Ethical Issue boxes provide a short scenario about an ethical issue related to the chapter content. NEW! Updated coverage reflects the latest NCLEX test plan. NEW! Incorporation of Triple Aim in healthcare discusses ways to improve the health of the population, enhance the experience and outcomes of the patient, and reduce per capita cost of care for the benefit of communities. NEW! Expanded coverage of working in an interdisciplinary team reflects the changing healthcare landscape and need to work in collaboration with a variety of healthcare specialists.




Pathophysiology and Care Protocols for Nursing Management, An Issue of Nursing Clinics


Book Description

Nursing is an evolving profession that requires continued knowledge updates in formulating a foundation for practice. In order to promote patient safety and satisfaction, it is imperative that nurses monitor publications and increase their knowledge base. Each patient is different; each care management situation requires an individualized plan of care. These require the nurse to develop a personal framework for practice that continually develops from this information. This mandates an evolving knowledge base which this edition will supply for nurses who work to deliver care that is research based and protocol driven. This issue of Nursing Clinics will be both timely and relevant as it will combine two clearly important topics for nurses in care management, pathophysiological updates as well as research based protocols that are important to continuity of validated evidence based care delivery. This will give nurses across organizations the opportunity to see care from a perspective of patient wholeness and not truncate care in order to address total components. With care reimbursement dependent on outcomes, it is important for the nurse to see care as a continuum and not finite. This issue will give nurses this perspective.




Mother-baby Nursing


Book Description