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May/June 2015 - Volume 40 - Issue 3
pp: 11-204,E13-E14

Guest Editorial

Supportive Environments for Care of Families and Children

MCN: The American Journal of Maternal/Child Nursing. 40(3):141, May/June 2015.

Three projects recently initiated at St. Louis Children's Hospital to create and enhance a supportive environment for the care of children and their families are shared.

Second Opinion Column

Should Older Teens and Young Adults With Chronic, Life-Threatening Pediatric Illnesses be Transitioned to Adult Providers and Care Based on Chronologic Age?

Capitulo, Kathleen Leask; McCarthy, Colleen; McKie-Addy, Cynthia

MCN: The American Journal of Maternal/Child Nursing. 40(3):142-143, May/June 2015.

When is the best time to transition care of teens and young adults with chronic healthcare conditions to adult providers?

Hot Topics in Maternity Nursing

Fetal Heart Monitoring Prior to Cesarean Birth

Wisner, Kirsten

MCN: The American Journal of Maternal/Child Nursing. 40(3):193, May/June 2015.

What is recommended for fetal assessment prior to cesarean birth? Do all women need continuous electronic fetal monitoring?

Hot Topics in Pediatric Nursing

Should We Diagnose Psychopathology in Infancy?

Onnembo, Jessica; Beal, Judy A.

MCN: The American Journal of Maternal/Child Nursing. 40(3):194, May/June 2015.

Diagnosing psychopathology in very young children is an emerging debate in newborn and pediatric clinical practice. Potential advantages and disadvantages are discussed.

Nutrition For The Family

Helping Families Understand Portion and Serving Sizes

Morin, Karen H.

MCN: The American Journal of Maternal/Child Nursing. 40(3):196, May/June 2015.

There are differences between portion size and serving size. Each has an influence on weight management and risk of obesity.

Health Information Technology

Downloading Electronic Health Record Data With a Blue Button or Green Button

McCartney, Patricia

MCN: The American Journal of Maternal/Child Nursing. 40(3):197, May/June 2015.

Health information technology can support personalized and effective care with the development of a Green Button download of similar patients.

Global Health and Nursing

Kangaroo Mother Care for Preterm Infants Globally

Callister, Lynn Clark

MCN: The American Journal of Maternal/Child Nursing. 40(3):198, May/June 2015.

Kangaroo Mother Care has been identified an important strategy to reduce neonatal mortality in low birth weight and preterm infants globally.

Toward Evidence Based Practice: PDF Only

Perinatal Patient Safety Column

The Precautionary Principle

Simpson, Kathleen Rice

MCN: The American Journal of Maternal/Child Nursing. 40(3):204, May/June 2015.

Two new resources support the concept of avoiding interventions during childbirth unless needed based on the condition of the mother and baby. Unnecessary interventions are not benign and may be associated with unintended harm.

Optimizing Perioperative Care for Children and Adolescents with Challenging Behaviors

Balakas, Karen; Gallaher, Carol S.; Tilley, Carra

MCN: The American Journal of Maternal/Child Nursing. 40(3):153-159, May/June 2015.

Nursing care of children having a surgical procedure can be challenging when there are special developmental or behavioral needs. Nurses in this pediatric perioperative unit describe development and implementation of an Adaptive Care Planning tool. Individualizing the plan of care based on parent-reported specific behaviors, triggers, and communication patterns of children prior to hospitalization can lead to a more successful perioperative experience for patients and families.

Improving Communication and Coordination of Complex Perinatal Patients

Gordon, Sara; Aydam, Joan; Hamm, Kenna; More

MCN: The American Journal of Maternal/Child Nursing. 40(3):167-173, May/June 2015.

Pregnant women with medical or obstetric complications are in need of easy to understand information about their clinical condition and excellent individualized care. Family-centered perinatal care involves the pregnant woman and her family as full partners in the care planning process. The perinatal team at Seton Medical Center Austin describe their quality improvement project to improve communication and support family-centered care.

Breastfeeding, Co-Sleeping and Dental Health Advice

Wert, Katie M. Lapps; Lindemeyer, Rochelle; Spatz, Diane L.

MCN: The American Journal of Maternal/Child Nursing. 40(3):174-179, May/June 2015.

Some women who are breastfeeding practice co-sleeping with their babies, during which breastfeeding occurs frequently over the course of the night. This practice has implications for the dental health of babies. Mothers often may not tell their healthcare providers about co-sleeping. Healthcare providers should ask new mothers about sleeping and breastfeeding patterns.

Formaldehyde Exposure During Pregnancy

Amiri, Azita; Pryor, Erica; Rice, Marti; More

MCN: The American Journal of Maternal/Child Nursing. 40(3):180-185, May/June 2015.

Pregnancy is an especially vulnerable time for exposure to indoor air pollutants such as formaldehyde. This research evaluated formaldehyde exposure among 140 pregnant women. Average exposure level of participants exceeded recommended limits for residential dwellings. Nurses should discuss sources of formaldehyde (home remodeling, new carpet, new furniture and nail polish) with pregnant women.

Acceptability and Initial Efficacy of Education for Teen Mothers

Logsdon, M. Cynthia; Davis, Deborah Winders; Stikes, Reetta; More

MCN: The American Journal of Maternal/Child Nursing. 40(3):186-192, May/June 2015.

Pregnant teens are in need of education about many aspects of prenatal health, labor, birth and postpartum, and infant care. The process of learning important information about maternal-newborn care and the challenges of retaining the information over time are explored in this study. Health literacy is essential to promoting quality outcomes for mothers and babies.

CE Connection

Beyond Implementation: Sustaining Family-Centered Rounds

Nichols, Kara; Crow, Karen; Balakas, Karen

MCN: The American Journal of Maternal/Child Nursing. 40(3):145-152, May/June 2015.

Family-centered rounds enhance communication between members of the healthcare team and the patient and family, however there can be significant barriers to making this happen consistently. Nurses in this pediatric unit share their experiences with family-centered rounds and their eventual success in incorporating them into daily care.

Compassion Fatigue Among Pediatric Healthcare Providers

Branch, Carole; Klinkenberg, Dean

MCN: The American Journal of Maternal/Child Nursing. 40(3):160-166, May/June 2015.

Pediatric nurses caring for chronically and acutely ill children are at increased risk for developing compassion fatigue. This study evaluated compassion fatigue of pediatric nurses and allied health professionals in an academic pediatric hospital. Based on results, a program that includes recognition of signs of burnout and compassion fatigue and self-help measures has been developed and implemented at the hospital.