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Search results for "Nurse Managers"

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Journal Article > Commentary

Perinatal patient safety from the perspective of nurse executives: a round table discussion.

Thorman KE, Capitulo KL, Dubow J, Hanold K, Noonan M, Wehmeyer J.  J Obstet Gynecol Neonatal Nurs. 2006;35:409-416.

The authors summarize a discussion between six nurse executives in issues related to perinatal patient safety, such as communication gaps and regulatory pressures. The discussants share stories of initiatives implemented at their institutions to help reduce medical errors.

Journal Article > Commentary

Implementation of a modified bedside handoff for a postpartum unit.

Wollenhaup CA, Stevenson EL, Thompson J, Gordon HA, Nunn G. J Nurs Adm. 2017;47:320-326.

Ineffective team communication can contribute to sentinel events. This commentary describes how a rural hospital's postpartum unit redesigned its handoff process to create a bedside handoff model and utilized structured educational modalities and nurse champions to drive improvement and acceptance of the approach.

Journal Article > Commentary

How communication among members of the health care team affects maternal morbidity and mortality.

Brennan RA, Keohane CA. J Obstet Gynecol Neonatal Nurs. 2016;45:878-884.

Communication failures in obstetric care can increase risk of harm for the mother and the infant. This commentary highlights how nurses can incorporate teamwork principles and structured communication to reduce risks of maternal injury.

Journal Article > Study

A 'busy day' effect on perinatal complications of delivery on weekends: a retrospective cohort study.

Snowden JM, Kozhimannil KB, Muoto I, Caughey AB, McConnell KJ. BMJ Qual Saf. 2017;26:e1.

This study found that perinatal complications of childbirth, including low Apgar scores, neonatal seizures, and postpartum hemorrhage, were more prevalent during the weekend, echoing the weekend effect in other health settings. Higher patient volume was also associated with worse outcomes, consistent with prior studies of nurse staffing ratios. These results argue for staffing changes to ensure safety at busy times and outside usual business hours.

Journal Article > Study

Nurses' perspectives on the intersection of safety and informed decision making in maternity care.

Jacobson CH, Zlatnik MG, Kennedy HP, Lyndon A. J Obstet Gynecol Neonatal Nurs. 2013;42:577-587.

This observational study explored nurses' dynamic and complex interactions on maternity wards.

Journal Article > Study

Speaking up and sharing information improves trainee neonatal resuscitations.

Katakam LI, Trickey AW, Thomas EJ. J Patient Saf. 2012;8:202-209.

This secondary analysis of a teamwork training trial identified the specific teamwork behaviors that were associated with improved efficiency and quality of resuscitation efforts.

Journal Article > Commentary

The perinatal safety nurse: exemplar of transformational leadership.

Raab C, Palmer-Byfield R. MCN Am J Matern Child Nurs. 2011;36:280-287.

This commentary explores the role of the perinatal nurse specialist in providing safe care.

Journal Article > Commentary

Perinatal patient safety and quality.

Simpson KR. J Perinat Neonatal Nurs. 2011;25:103-107.

This commentary describes strategies to improve safety in perinatal care for both mothers and infants.

Journal Article > Study

Attitudes toward safety and teamwork in a maternity unit with embedded team training.

Siassakos D, Fox R, Hunt L, et al. Am J Med Qual. 2011;26:132-137.

Nurses on an obstetrics unit with a longstanding teamwork training program reported a generally positive perception of safety culture, but expressed a desire for greater management support of safety efforts.

Journal Article > Study

Skilful anticipation: maternity nurses' perspectives on maintaining safety.

Lyndon A. Qual Saf Health Care. 2010;19:e8.

Obstetric nurses described their approach to ensuring patient safety as being centered around maintaining situational awareness in order to anticipate potential complications.

Journal Article > Study

Supporting structures for team situation awareness and decision making: insights from four delivery suites.

Mackintosh N, Berridge EJ, Freeth D. J Eval Clin Pract. 2009;15:46-54.

This study used direct observation of labor and delivery suites to establish the mechanisms by which teamwork and situational awareness developed among clinicians.

Journal Article > Commentary

In situ simulation: a method of experiential learning to promote safety and team behavior.

Miller KK, Riley W, Davis S, Hansen HE. J Perinat Neonatal Nurs. 2008;22:105-113.

This article describes how six hospitals implemented a simulation training program as a strategy to improve perinatal safety.

Journal Article > Review

Communication and teamwork in patient care: how much can we learn from aviation?

Lyndon A. J Obset Gynol Neonatal Nurs. 2006;35:538-546.

The authors reviewed the literature on teamwork and communication initiatives from aviation and assessed the impact of these practices on safety in the perinatal setting.

Journal Article > Commentary

Improving patient safety with team coordination: challenges and strategies of implementation.

Harris KT, Treanor CM, Salisbury ML. J Obset Gynol Neonatal Nurs. 2006;35:557-566.

The authors discuss the implementation of a teamwork training initiative in labor and delivery units and provide specific strategies used to overcome challenges.

Journal Article > Study

Nurse-physician communication during labor and birth: implications for patient safety.

Simpson KR, James DC, Knox GE. J Obset Gynol Neonatal Nurs. 2006;35:547-556.

The labor and delivery process at community hospitals is generally managed by nurses who communicate with physicians on an as-needed basis. This study used focus groups, structured interviews, and medical record review to describe communication between nurses and physicians and its relationship to patient safety at four Midwestern community hospitals. Nurses functioned independently for most of the labor process, communicating with physicians for only 2-4 minutes during routine labor. Although nurses and physicians shared the same overall goal of ensuring a safe delivery, both perceived problems with communication during labor. Management of oxytocin to induce labor was a particular source of conflict, with physicians preferring an "aggressive" approach that frequently conflicted with nurses' preferences for physiologic dosing. Physicians also strongly preferred to work with experienced nurses, which created tension and communication difficulties for newer nurses. As documented in other research, physicians had a more positive impression of the overall level of teamwork than nurses did.

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