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 We're excited to now offer a 12-month editorial fellowship to learn about the nursing journal publishing process. This program will develop skills for engaging with the online manuscript submission system, peer review, editing and publication decisions, issue preparation, and selecting Paper-of-the-Year winners. The MCN fellow will work with the Editor-in-Chief and Associate Editor to get exposure to the behind the scenes workings of a nursing journal. We were inspired to offer this opportunity after reading about the Journal of Hospital Medicine's editorial fellowship (Wray, C. M., Olson, A., Shah, S. S. & Auerbach, A. D., 2019). https://mdedge-files-live.s3.us-east-2.amazonaws.com/files/s3fs-public/issues/articles/jhm014010008.pdf

​For more information, please read this annoucement.

A Quality Improvement Initiative to Reduce Opioid Consumption after Cesarean Birth

Reevaluation of routine prescription of opioids for postoperative pain has been one of the many responses to the opioid crisis in the United States. In this quality improvement project, an interdisciplinary team developed a bundle of nurse-initiated comfort measures to offer additional options for pain relief for women after cesarean birth. Provider order sets and prescribing practices were changed. Data were collected over the first year of the project. Opioid use during hospitalization and the amount prescribed at discharge decreased while patient satisfaction improved. Pain relief options as adjuncts to medication can be successfully integrated into clinical practice.

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Clinicians' Perspectives on Admission of Pregnant Women: A Triad

The decision on whether to admit a low-risk woman in early labor to the hospital is complex and involves a thorough assessment and many interrelated factors. In this study, nurses, midwives, and physicians offer their thought processes and perceptions of low-risk women presenting in early labor that influence the decision for admission. As admission in latent labor has been associated with a high number of interventions and an increased risk of cesarean birth, this study has important clinical implications.

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Implementation of the Fetal Monitor Safety Nurse Role: Lessons Learned

The fetal monitoring safety nurse role, an innovative strategy to promote safer care during labor and birth, is described and evaluated by nurses who served in the role. Full budgetary support for the position is necessary to realize the potential benefits. Nurses appreciated the additional assistance in fetal heart rate tracing assessment, however felt that modifications in nurse staffing were required to make the new role operationally feasibile and effective.

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Bedside Music Therapy for Women during Antepartum and Postpartum Hospitalization

Music therapy can be beneficial for women during antepartum and postpartum hospitalization. In this project, music therapists offered various types of music to hospitalized childbearing women, including live performances at the bedside, as part of a project to create a healing environment and help pregnant women and new mothers with soothing, relaxing options for self-care and quiet time.

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Perspectives on Barriers and Facilitators in Caring for Women with Gestational Diabetes in Rural Appalachia

In this study, nurses, midwives, and physicians caring for women with diabetes in rural Appalachia offered their thoughts on common challenges and factors that promoted best care. The main challenges included limited resources, lack of adherence to recommendations, cultural influences including normalization of diabetes, and food culture. Collaborative care including accessible resources and patient motivation were perceived as beneficial.

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