ABSTRACT
The process of implementing a research-based protocol (the Second Stage Labor Nursing Management) at 40 sites in North America is described. Both positive and negative factors involved in implementing and adhering to the protocol are presented based on the reports of site coordinators. Key findings from the process data are: (a) the term "research utilization" causes confusion, (b) it is essential that nurses collaborate with other disciplines when attempting to change practice, (c) administrative endorsement of research utilization is important for practice change to occur, (d) nurses know their own practice sites and how to facilitate protocol acceptance, and (e) practice change may not need to occur all at once.
Subject(s)
Clinical Nursing Research , Clinical Protocols , Diffusion of Innovation , Labor, Obstetric , Obstetric Nursing , Posture , Female , Humans , Interprofessional Relations , Labor, Obstetric/physiology , North America , Obstetrics , PregnancyABSTRACT
The breastfeeding experience of a mother and her preterm conjoined twins is described. Assisting the mother in achieving her breastfeeding goal presented unusual nursing-care problems in securing, positioning, and comforting the twins. This case report emphasizes the individualized support provided to this mother and her infants, which was a critical factor in their breastfeeding success.
Subject(s)
Breast Feeding , Neonatal Nursing , Twins, Conjoined , Adult , Female , Humans , Infant, Newborn , Patient Discharge , Social SupportABSTRACT
Pregnancy complicated by insulin-dependent diabetes mellitus carries severe physiologic risks for both the mother and the fetus. This article presents a case study to illustrate disease progression through multiple systems and psychosocial complications associated with diabetes mellitus in pregnancy. The case study also illustrates the role of nursing interventions, the use of technology, and interdisciplinary collaboration in caring for the patient and her family.
