ISSN:0091-2182    

DOI:10.1016/0091-2182(94)90151-1

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

ABSTRACTThe ACNM Certification Council is responsible to the American College of Nurse‐Midwives for the development, administration, and evaluation of a psychometrically sound and legally defensible certification examination in nurse‐midwifery. A task analysis study was conducted to investigate the knowledge, skills, and abilities that define American nurse‐midwifery practice. A stratified sample of 825 American College of Nurse‐Midwives members was asked to rate the frequency of performance and the criticality of 189 nurse‐midwifery activities and 109 discrete diagnoses that the nurse‐midwife might encounter while providing clinical care. The frequency and criticality ratings were combined to generate an importance weight for each activity. Study data will be used as the basis of the examination blueprint in order to ensure job‐related content validity. Aggregate data can also be used for curriculum development, self‐assessment, and evaluation re

ISSN:0091-2182    

DOI:10.1016/0091-2182(94)90152-X

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

ISSN:0091-2182    

DOI:10.1016/0091-2182(94)90153-8

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

ABSTRACTThis article presents prospective data from Phase II of Nurse‐Midwifery Care to Vulnerable Populations in the United States, about home‐based health care, including home birth, provided to women and infants by CNMs and the type of practice in which these services are provided. Forty‐one certified nurse‐midwives collected data on 1,739 client visits, of which 234 occurred in the home. The results indicate that the majority of home visits occur within a practice setting that includes more traditional modes of service and that a proportion of women choose home as the place for heal

ISSN:0091-2182    

DOI:10.1016/0091-2182(94)90154-6

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

ABSTRACTAlthough postcoital contraception might aid in reducing the occurrence of some unintended pregnancies, it is seldom used. This review summarizes the development of postcoital methods, focusing on the Yuzpe regimen, the most widely used emergency contraceptive in the United States. The article discusses its mechanism of action, safety, side effects, and effectiveness. Reasons for its limited use are discussed, as are recent findings that RU 486 may be a superior postcoital agent. Finally, a protocol for integrating the Yuzpe method into nurse‐midwifery practice is presente

ISSN:0091-2182    

DOI:10.1016/0091-2182(94)90155-4

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

ABSTRACTThe purpose of this study was to test the effectiveness of a pelvic (hip) tilt exercise in relieving ligament pain during pregnancy. A multiple pain measurement approach was used. The intensity of ligament pain was decreased as indicated by scores on three of four pain intensity measures. The duration of ligament pain also was reduced, although not significantly. Mean scores on all measures of ligament pain intensity, duration, and frequency were lower after the exercises were Initiated. Verbal reports from subjects indicated that they had received effective pain relief from the exercise. Thus, pelvic (hip) tilt exercise appears to be effective in reducing ligament pain intensity and, to a lesser extent, pain duration. As a nurse‐midwifery strategy, this exercise promotes patient/client comfort and facilitates self‐care in the relief of ligament pain during pregna

ISSN:0091-2182    

DOI:10.1016/0091-2182(94)90156-2

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

ABSTRACTAlthough certified nurse‐midwives collaborate with ob/gyn residents in teaching settings, they are rarely given the opportunity to have input into how residents learn to deliver ambulatory care. This study is a preliminary evaluation of a program in which one nurse‐midwife was assigned responsibility for the orientation and preceptorship of all post‐graduate year 1 residents to the ambulatory care setting in an inner‐city women's health center. At the end of the academic year, all of the post‐graduate year is completed an evaluation of their orientation. Findings included positive responses to the preceptorship orientation and agreement that the residents were comfortable with the competence and educational background of the CNM preceptor. The recurring theme was that orientation by a CNM was an appropriate learning experience. Suggestions for improvement of the program are

ISSN:0091-2182    

DOI:10.1016/0091-2182(94)90157-0

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

ABSTRACTThe Netherlands is the only industrialized country in which a large percentage of obstetric care takes place at home. Almost 31% of all deliveries are home confinements under supervision of a midwife or a general practitioner, and 84% of all postnatal care is given at home by maternity care assistants. To gain a better understanding of this unique situation, the structure of Dutch obstetric care is examined with special attention to the four pillars on which the system rests: the special protected position of the midwife, a generally accepted screening system for high‐risk pregnancies, a well‐organized maternity home care system, and the sociocultural environment in The Netherlands in which pregnancy and childbirth are considered normal physiological processes. Description of the obstetric system shows a degree of competition between the obstetricians, midwives, and general practitioners, in which the general practitioner has lost a considerable part of the “obstetric ma

ISSN:0091-2182    

DOI:10.1016/0091-2182(94)90158-9

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

ISSN:0091-2182    

DOI:10.1016/0091-2182(94)90160-0

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

ISSN:0091-2182    

DOI:10.1016/0091-2182(94)90162-7

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY