International journal of nursing studies
-
Breastfeeding has many advantages for both mothers and infants. Several factors related to the mother and the baby, however, have a negative effect on the initiation of breastfeeding. Mode of delivery is one of these factors. When delivery takes place by cesarean section, the mother becomes a surgical patient with all the inherent risks and problems. Cesarean delivery under general anesthesia rates are currently rising our country, but the effects of this factor on the initiation and duration of breastfeeding are unclear. ⋯ It was found that the pattern of delivery affects breastfeeding and that CD mothers need more support and help as compared to VD mothers. CD mothers were seen to need more support, particularly in positioning their babies for breastfeeding.
-
Although recent resuscitation guidelines are supportive of family presence during cardiopulmonary resuscitation literature from the last decade suggests that it is often discouraged, and the subject remains a controversial issue. ⋯ Compared with previous studies relating to adult cardiopulmonary resuscitation, paediatric nurses experience family member presence more frequently than adult critical care nurses and appear to be more supportive of relatives' presence. It is recommended that paediatric intensive care units establish local policies that cover parental presence during cardiopulmonary resuscitation.
-
To assess the maternal recall of the neonatal discharge letter instructions with and without nurse and mother signing the document in addition to the physician signature. ⋯ Signing the neonatal discharge letter by both nurse and mother may improve maternal comprehension and recall of the delivered information. A prospective controlled study is necessary to validate this hypothesis.
-
This narrative review assesses the current prevalence of malnutrition, the methods for detection of malnutrition, the factors associated with malnutrition, and the effects of malnutrition in the acute care patients. ⋯ Malnutrition continues to be a significant problem among acute care patients. The Subjective Global Assessment tool has the most diagnostic value for acute care patients. Simple measures, like documenting height and weight on admission, and assessing patient's nutritional intake, weight status, and medications that alter nutritional intake could assist in early detection of malnutrition in the acute care patient.
-
Children continue to experience unrelieved moderate to severe pain post-operatively despite the evidence to guide practice being readily available. Previous studies have relied on self-report measures; there is a need to establish exactly how nurses manage children's pain in practice. ⋯ The sub-optimal pain management practices may be attributable to several factors. The professional culture of nursing and/or ward culture may result in poor pain management practices being perpetuated. Nurses may not have the requisite theoretical knowledge to manage pain effectively. A lack of priority may also be attributed to pain management. These areas need exploring further.