September-October 2011 - Volume 36 - Issue 5
pp: 277-336

Guest Editorial


Quality Improvement in Perinatal Care

Simpson, Kathleen Rice

MCN: The American Journal of Maternal/Child Nursing. 36(5):277, September-October 2011.

Dr. Simpson, one of our country's foremost experts on quality improvement in perinatal care, describes for you here what you will find in the special issue of MCN, for which she solicited the authors from nurses who are accomplishing great things for their patients in this field.

Second Opinion Column


Does Pay for Performance Improve Patient Care?

Capitulo, Kathleen Leask; MacDavitt, Kathryn; Gallagher, Mary Anne

MCN: The American Journal of Maternal/Child Nursing. 36(5):278-279, September-October 2011.

"Evidence based care" "Pay for Performance" We must hear these terms many times a day now. What do they mean? Are they the methods of the future for improving care for our patients?

Nutrition for the Family


Continuous Quality Improvement in Nutrition

Morin, Karen H.

MCN: The American Journal of Maternal/Child Nursing. 36(5):327, September-October 2011.

Some studies have investigated QI efforts in nutrition, but nurses have not yet been in the forefront of that movement.

Health Information Technology


HIT Potential to Transform Quality Improvement

McCartney, Patricia Robin

MCN: The American Journal of Maternal/Child Nursing. 36(5):328, September-October 2011.

Efforts toward quality improvement in health care will skyrocket in the near future as electronic record keeping and other technologies take hold in the majority of health care encounters.

Global Health and Nursing


Global Quality Improvement: Where Are We?

Callister, Lynn Clark

MCN: The American Journal of Maternal/Child Nursing. 36(5):329, September-October 2011.

As the industrialized nations of the world work toward quality improvement, under-resourced nations continue to struggle with the most basic of needs.

TOWARD EVIDENCE-BASED PRACTICE: PDF Only


Perinatal Patient Safety


Improving Pregnancy Outcomes

Simpson, Kathleen Rice

MCN: The American Journal of Maternal/Child Nursing. 36(5):333, September-October 2011.

A new resource on perinatal patient safety from the March of Dimes is now available. Dr. Simpson endorses it as a way to increase your expertise in quality improvement.

Letter to the Editor



The Development of an Obstetric Triage Acuity Tool

Paisley, Kathleen S.; Wallace, Ruth; DuRant, Patricia G.

MCN: The American Journal of Maternal/Child Nursing. 36(5):290-296, September-October 2011.

How well does triage work in your perinatal setting? Have the principles of safety science been integrated into your triage guidelines? These nurses have developed a tool specifically for obstetric triage acuity, and share the work here with you.

A State-Wide Obstetric Hemorrhage Quality Improvement Initiative

Bingham, Debra; Lyndon, Audrey; Lagrew, David; More

MCN: The American Journal of Maternal/Child Nursing. 36(5):297-304, September-October 2011.

This fascinating account of how one state attempted to better understand one essential health marker can serve as the blueprint for similar projects attempting to improve perinatal statistics.

Implementation of a System-Wide Policy for Labor Induction

O'Rourke, Terrence P.; Girardi, Gerald J; Balaskas, Thomas N; More

MCN: The American Journal of Maternal/Child Nursing. 36(5):305-311, September-October 2011.

This successful team describes the development and implementation of their system-wide policy for safer labor induction, including avoidance of elective births before 39 completed weeks of gestation and standardization of various aspects of the labor induction process.

A System-Wide Initiative to Prevent Retained Vaginal Sponges

Chagolla, Brenda A.; Gibbs, Verna C.; Keats, John P.; More

MCN: The American Journal of Maternal/Child Nursing. 36(5):312-317, September-October 2011.

This QI project was aimed at eliminating the problem of retained vaginal sponges after vaginal births.

CE Connection


The Perinatal Safety Nurse: Exemplar of Transformational Leadership

Raab, Cheryl; Palmer-Byfield, Renée

MCN: The American Journal of Maternal/Child Nursing. 36(5):280-287, September-October 2011.

Safety Science has come to our specialties in nursing, and along with it the need for nurses who understand the intricacies of safety in the perinatal setting. The Perinatal Safety Nurse performs specific duties to increase the level of safety for our patients. Learn all about it here.

Early Skin-to-Skin After Cesarean to Improve Breastfeeding

Hung, Kristina J.; Berg, Ocean

MCN: The American Journal of Maternal/Child Nursing. 36(5):318-324, September-October 2011.

Nurses have been in the forefront of studying family-centered methods of newborn care which not only promote attachment, but also improve health markers. In this QI project, nurses show how skin-to-skin care improves rates of one more important marker: breastfeeding after cesarean birth.