Clinical focus on clefts. Yes! Infants with clefts can breastfeed.
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Biomedical subjects
Publications and source records attributed to M Biancuzzo.
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Discharge teaching has presented many challenges since 48-hour stays have become routine for uncomplicated obstetric patients and their term infants. Sleepy infants, lack of maternal psychologic readiness, and lack of a full milk supply may frustrate efforts to teach breastfeeding during this limited time frame. The key is to develop a three-tiered teaching approach that includes affective, psychomotor, and cognitive learning during the antepartum, immediate postpartum, and long-term postpartum course. This approach focuses on: (1) the mother's critical concerns and the infant's critical biologic needs during breastfeeding initiation and (2) a collaborative approach that enhances the overall success of breastfeeding continuation.
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When I was a new reviewer, I was uncertain if I should check some, all, or none of the references in the manuscript. I was equally uncertain, however, if anyone was ultimately accountable for this responsibility. Reviewers must assume responsibility for checking references because "the most critical part of the review process is to check the accuracy of the content." (Brooks-Brunn, 1993, p. 4). The reviewer's three main responsibilities include checking for (1) a reference for every citation (2) accuracy of reference content (3) accuracy of cited material (Kirchhoff, 1995).
Typing bibliography references is time consuming. It is also frustrating to have to retype references when you submit a manuscript to journals using different reference styles. Now you don't need to retype them. Computer programs have been developed which help you reorganize your references to many different styles. This experienced nurse author compares several of these programs for you.
Application of a change theory model to develop a competency-based orientation (CBO) program managed by staff nurse preceptors resulted in preceptor satisfaction, improved patient outcomes, and a more effective, efficient orientation program. After assessing the group using Hersey and Blanchard's framework, the CNS selected change strategies to implement the CBO, including: (1) helping staff nurses to redefine problems with current orientation procedures; (2) anticipating and overcoming their objections to CBO; (3) bolstering their confidence in a trusting, accepting environment; (4) motivating them as preceptors; and (5) providing direction, models, and explanations. These strategies helped preceptors accept and feel an "ownership" of the new program, resulting in many outcomes in the system. Veteran staff nurses gradually assumed ownership for individual orientees and managing orientation activities in the CBO. Rather than precepting individual orientees, the CNS assumed responsibility for establishing CBO and helping preceptors maximize their potential.
This is the first in a series of three articles developed to assist the CNS in planning, producing, and presenting a clinical poster. Choosing an idea that is likely to be accepted by reviewers and then planning and writing the abstract are described in this article. Practical instructions, specific to the clinical rather than the research poster, are given along with illustrative examples. A sample of reviewer evaluation criteria is given to help the nurse recognize a standard for excellence in innovative poster presentations and to provide reviewers with an objective evaluation tool.
This is the second in a series of three articles developed to assist the CNS in planning, producing, and presenting a clinical poster. The purpose of a poster and critical steps in producing the poster are described in this article. The process of producing the poster is driven by space limitations and the main purpose of the presentation; whether the poster is produced by the presenter or a professional is determined by the presenter's preference and resources. Special focus is upon the units of the layout, how the units are produced, and how they are put together.
This case report describes a primipara who successfully breastfed 35-week-gestation twins for over six months. Positive interactions, research-based management strategies, and innovative problem solving helped her avoid the individual, interpersonal, and system factors that can influence lactation failure.
This is the third in a series of three articles developed to assist the CNS in planning, producing, and presenting a clinical poster. In this article, actions that the poster presenter needs to take before, during, and after the conference and poster session are discussed. An evaluation tool to gauge participants' reactions is suggested. Examples given are specific to the clinical innovations project.
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Retrospective chart review was conducted for four low-risk women with full-term, healthy fetuses in the occiput posterior position. The first woman pushed for over two hours and delivered a 6 lb, 8 3/4 oz baby by cesarean section. The second woman delivered a 5 lb, 2 3/4 oz baby posteriorly by vacuum extraction and had a third-degree laceration. The third and fourth women both assumed the hands-and-knees posture during labor; their infants weighted 7 lb, 7 3/4 oz and 7 lb, 11 3/4 oz, respectively. Both of these fetuses rotated to the anterior position and were born spontaneously without complications.
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