Nursing Now 2020: the Nightingale Challenge

Global healthcare expenditure is increasing, along with the numbers of older patients with multiple comorbidities, while the numbers of health workers are hugely decreasing, and many nursing and midwifery vacancies remain unfilled. With the World Health Organization declaring 2020 the Year of the Nurse and Midwife, and commencing the Nursing Now campaign with partners including the International Council of Nurses and the International Confederation of Midwives, has allowed these professions to unite, encourage advocacy and the call for global investment in nursing and midwifery. These actions will permit these professions to address universal health coverage, global inconsistencies of professional practice, and recruitment and retention. The Nightingale Challenge seeks to place early career nurses and midwives at the forefront of transformation, calling on employers worldwide to invest and provide nursing leadership development, and to become a key part of the solution to address the issues of providing universal health coverage, promoting gender equality and supporting economic growth. This will help place them at the heart of tackling 21st century health challenges.     

Global nursing leadership: alive and kicking in the midst of the COVID-19 pandemic

As the COVID-19 pandemic continues its journey around the world, it has triggered a global nursing response, with nurses everywhere working to save the lives of their extremely sick patients. In parallel with the frontline response, the International Council of Nurses, the World Health Authority and the International Confederation of Midwives have used their biennial Triad meetings to set out what needs to be done from a global perspective to protect nurses and the people they serve. At a time of crisis, it is imperative that the world’s nursing leaders, through ICN’s National Nursing Associations, step up to give support and guidance at this historically unsettling time.     

助产方向本科实习生对助产士角色体验和认知的研究

目的 了解助产方向本科实习生对助产士角色的体验和认知.方法 对某医科大学护理学专业助产方向的19名本科实习生进行个人深入访谈,依据Colaizzi 7步分析法进行资料整理和分析.结果 助产方向本科实习生对助产士的角色体验和认知可归纳为3个主题:正负双向的角色体验;助产士应具备的能力和素质;临床学习阶段是实习生对助产士角...     

175名综合医院助产士夜间工作效率现状及影响因素分析

目的 调查广西省综合性医院助产士夜间工作效率现状及其影响因素,旨在为助产士管理者采取有针对性的管理策略提供参考。方法 便利选取本地区6所医院的175名助产士,采用《助产士日间倦怠量表》、听觉词汇学习记忆测试法及技术测定法进行调查。结果 助产士夜间工作效率为(89.16±14.55)min;年龄小、无子女、学历高、产科工作时间短、职称低、夜班数多的助产士夜间工作效率较低(P<0.05);助产士日间倦怠总均分为(14.72±2.44)分,记忆功能总均分为(28.62±4.07)分,助产士夜间间接工作效率总分与日间倦怠总分(r=-0.697,P=0.000)呈一定负相关;与记忆能力总分(r=-0.939,P=0.000)呈一定正相关。结论 助产士夜间工作效率偏低;日间倦怠、记忆能力是助产士夜间工作效率的主要影响因素。     

Low use of medication in home deliveries in the Netherlands.

OBJECTIVES: In view of the growing concern for de-medicalizing childbirth, the aim of this study is to give detailed figures on the use of medication during home deliveries in the Netherlands. METHODS: A prospective study of medication use by 68 community midwives during 716 home births in the Netherlands. RESULTS: Medication was used in 58.4% of the home deliveries, with an average of 1.4 drugs per delivery. The drugs used were mostly oxytocin (in 35.6% of all deliveries) and local anesthetics (in 32.9%). When medication was used, it was administered before cutting the umbilical cord in 16.7% of the cases. Prophylactic or routine administration of local anesthesia, postpartum hemorrhages, and retained placenta were the most frequent indications for using medication. CONCLUSIONS: The use of medication during home deliveries in the Netherlands is low and newborns are minimally exposed to medication. This illustrates the Dutch birth culture, which tends to minimize the medical aspect of childbirth.     

The early detection of postpartum depression: midwives and nurses trial a checklist

OBJECTIVE: To evaluate the use of a standard pen-and-paper test versus the use of a checklist for the early identification of women at risk of postpartum depression and to investigate the experiences of nurses in using the checklist. DESIGN: A prospective cohort design using repeated measures. SETTING: The booking-in prenatal clinic at a regional hospital in Victoria, Australia, and the community-based postpartum maternal and child health service. PARTICIPANTS: 107 pregnant women over 20 years of age. MAIN MEASURES: Postpartum Depression Prediction Inventory (PDPI), Postpartum Depression Screening Scale (PDSS), Edinburgh Postnatal Depression Scale (EPDS), demographic questionnaire, and data on the outcome from the midwives and nurses. RESULTS: The PDPI identified 45% of the women at risk of depression during pregnancy and 30% postpartum. The PDSS and EPDS both identified the same 8 women (10%), who scored highly for depression at the 8-week postpartum health visit. Nurses provided 80% of the women with anticipatory guidance on postpartum depression in the prenatal period and 46% of women at the 8-week postpartum health visit. Nurse counseling or anticipatory guidance was provided for 60% of the women in the prenatal period. CONCLUSION: The PDPI was found to be a valuable checklist by many nurses involved in this research, particularly as a way of initiating open discussion with women about postpartum depression. It correlated strongly with both the PDSS and the EPDS, suggesting that it is useful as an inventory to identify women at risk of postpartum depression.     

A complete HBV vaccination coverage among Polish surgical nurses in the light of anti-HBc prevalence: A cross-sectional sero-prevalence study

To determine the vaccination coverage for HBV and the prevalence of anti-HBc, an anonymous sero-survey of surgical/gynecologic nurses from 16 randomly selected hospitals in West Pomerania, Poland, was conducted. Among the 403 participants of whom HBV vaccination had been indicated, the vaccination coverage was 100%. The anti-HBc prevalence was 16.4%; with length of employment being associated with increased odds of being infected. The data obtained underscore the importance of hepatitis B vaccination for HCWs. This study documents the ability to obtain 100% vaccination coverage in nursing staff, an important goal in reducing the risk of HBV infection in this and other health care worker populations.     

Risk factors associated with anal sphincter tear difference among midwife,private obstetrician,and resident deliveries

To identify risk factors that account for the difference in anal sphincter tear (AST) among midwife, private obstetrician, and resident deliveries. We performed a retrospective review of our obstetrical database and used logistic regression analysis to identify risk factors for AST. The relationship between delivery technique and AST was evaluated by comparing AST increase between vaginal deliveries without and with an episiotomy among the three categories of providers. After adjusting for risk factors, private obstetricians (OR: 1.81, 95% CI: 1.27-2.56) and residents (OR: 1.60, 95% CI: 1.20-2.15) had a higher rate of AST during vaginal delivery than midwives. Episiotomy increased the odds of AST by four-fold for midwives, two-fold for private obstetricians, and eight-fold for residents. Although midwife and resident's delivery methods were associated with more AST, neither experienced this complication more frequently than private obstetricians. This suggests that midwives and residents probably misdiagnosed some AST.     

Supporting young women with menstrual pain – Experiences of midwives working at youth clinics

BackgroundMenstrual pain is relatively common among young girls. Many girls turn to youth clinics when seeking care for menstrual problems.ObjectiveThe objective of the study was to describe midwives’ experiences of supporting girls with menstrual pain.MethodsThis is a qualitative study with an inductive approach. Semi-structured interviews were conducted with 15 midwives working at Swedish youth clinics. Interviews were held in September 2021. The recordings were transcribed and analyzed using thematic analysis.ResultsTwo main themes, consisting of three subthemes each, emerged: Guiding and educating young women about menstrual pain and Striving toward pain relief. It was important to the midwives to increase young women’s knowledge of menstrual pain and coping strategies, and to guide them in finding a method for menstrual pain relief. Hormonal contraceptives were often a natural choice and an effective method for pain relief, although the midwives occasionally faced resistance from young women or their mothers when recommending this. The midwives also referred to a gynecologist if needed.ConclusionThe results highlight that midwives working at youth clinics have an important role in the care of young women with menstrual pain. The midwives found it important to increase young women’s knowledge about menstrual pain and coping strategies, since they had noticed knowledge gaps in these areas. The results suggest a need to improve education about menstrual pain and coping strategies for young women, preferably in school and in cooperation with healthcare professionals.     

Impact of midwives’ training on postnatal depression screening in the first week post delivery: a quality improvement report

Backgroundpostnatal depression (PND) is a major public health problem. The objective of this study was to improve early PND screening by midwives in a maternity unit. Professional screening techniques were evaluated and compared with reference screening techniques [Edinburgh Postnatal Depression Scale (EPDS), Mini International Neuropsychiatric Interview (MINI-DSM-IV)].Methodsthe evaluation took place before and after the midwife training in order to determine the effectiveness of specific clinical recommendations for two successive 10-week inclusion periods (from November 2004 to September 2005). A short training course and posters were used to convey the recommendations, agreed by obstetricians, paediatricians and psychiatrists.Resultsa total of 463 postpartum women were included in the two phases of the study. Quantitative and qualitative PND screening by midwives improved significantly following training (Z=2.07, p=0.04; Z=2.62, p=0.008, respectively). Early detection of major depressive episodes increased by 37.7% (95% confidence interval 25.7–49.7) following training. A combination of midwives’ perception of poor emotional well-being and the EPDS led to a significant improvement in early detection of PND (Q=8.00, p=0.04).Discussiontargeted recommendations given to the midwives led to an improvement in the early detection of PND. Suitable programmes need to be offered to reduce the number of cases of PND. Perinatal psychiatrists should be seen to be meticulous and available for such prevention action.