ABSTRACT
There can be multiple barriers to implementation of patient education, yet there are also multiple modalities and opportunities for engaging patients. Using frameworks and evidence from multiple disciplines can inform nursing design of patient education approaches. This article provides an introduction to educational theory and cognitive science principles such as constructivism, metacognition, deliberate practice, and cognitive load for consideration in improving the effectiveness and outcomes of patient education.
Subject(s)
Clinical Competence/standards , Nurse's Role , Nurse-Patient Relations , Patient Education as Topic/standards , Cognitive Science , Evidence-Based Nursing/methods , HumansABSTRACT
Hemorrhage remains a leading cause of preventable maternal morbidity and mortality worldwide and in the United States. Postpartum hemorrhage is the number one cause of severe morbidity during hospitalization for birth, despite hospital, state, and national initiatives. In addition, studies show that more than 90% of maternal deaths related to obstetric hemorrhage are preventable. This article reviews relevant physiologic changes of pregnancy that may have an impact on hemorrhage management and describes collaborative approaches for management of hemorrhage in this unique population.
Subject(s)
Postpartum Hemorrhage/therapy , Antifibrinolytic Agents/therapeutic use , Blood Transfusion/methods , Female , Goals , Humans , Hysterectomy/methods , Maternal Mortality , Obstetrics , Postpartum Hemorrhage/mortality , Pregnancy , Shock/therapy , Tranexamic Acid/therapeutic use , United States , Uterine Balloon Tamponade/methodsABSTRACT
There is increasing interest and evidence for the "flipped classroom" as a learner-centered approach to promote active engagement and enhance translation of knowledge into practice. However, there is little published work regarding application of the pedagogical approach to continuing education (CE) for advanced practice providers. The goal of CE is for providers to stay up-to-date with current best practices and skills, yet most CE activities employ teacher-centered, lecture-based methods focused on transmission of knowledge rather than application of knowledge. The purpose of this article is to describe successful use of the flipped classroom in a recent CE offering for emergency nurse practitioners, and to support further exploration of interactive approaches in CE.
Subject(s)
Advanced Practice Nursing/education , Education, Nursing, Continuing/trends , Models, Educational , Diffusion of Innovation , HumansABSTRACT
"Morbidly adherent placenta" is a term that describes the continuum of placenta accreta, increta, and percreta. The incidence of this type of abnormal placentation has increased significantly over recent decades. The reason is probably multifactorial but, partly, because of factors such as the increasing number of cesarean births. Women at greatest risk are those who have myometrial damage caused by a previous cesarean birth, with either anterior or posterior placenta previa overlying the uterine scar. This condition poses significant risks of morbidity and/or mortality to the pregnant woman and her fetus. A multidisciplinary approach to care throughout pregnancy is essential. This article describes the classification of morbidly adherent placenta, risk factors, methods of diagnosis, potential maternal and fetal complications, and intrapartum clinical management strategies to optimize outcomes.
