Advances in Graduate Nursing Education: Beyond The Advanced Practice Nurse

Historically, graduate education in nursing has been primarily concerned with the clinical role. In recent years it has been suggested that graduate education needs to consider alternate programs of study that prepare nurses for clinical leadership that are distinct from management and advanced practice roles. Graduate education is needed that focuses on the skills required to coordinate care and implement outcome-based practice and quality improvement strategies. Two models are currently being proposed that meet these objectives. The first is the population health nurse expert that functions on the macrosystems approach and the second is the clinical nurse leader which is based on a microsystems framework. The two models are compared and a combined model where the clinical nurse leader is based on the population health framework is proposed

Neurobehavioral Functioning and Breastfeeding Behavior in The Newborn

Objective: To determine whether central nervous system functioning has an effect on the normal, term infant\u27s ability to breastfeed in the first day following birth. Design: Breastfeeding behaviors and neurobehaviors were evaluated at birth and at 24 hrs of age in two groups of neonates. One group of neonates was born to mothers who received epidural analgesia during labor, and one group was born to mothers who received no pain medication. Breastfeeding behavior was evaluated using the Preterm Infant Breastfeeding Behavior Scale, and the infant\u27s neurobehaviors were evaluated using the Neurologic and Adaptive Capacity Score. Participants: Fifty-six breastfeeding mother-newborn dyads. All mothers were healthy multiparae who gave birth vaginally to normal, full-term, healthy newborns. Main Outcome Measures: Newborns were observed for rooting, latch-on, sucking, swallowing, activity state, and neurobehavior. Result: Analysis of the data indicated that the higher the infant scored in relation to neurobehavioral functioning, the higher the infant scored on breast-feeding behaviors. Conclusion: When determining physiologically what is important for the infant to successfully latch on and feed, it appears that an intact and functioning central nervous system may be one of the crucial elements

The Concept of Population Health Within The Nursing Profession

Population health is a concept that has been developed over several centuries by many disciplines. Over time various aspects of the concept have dominated as issues related to behaviors and beliefs surrounding health practices have emerged. This has created a cadre of terms that are often used interchageably but have different meanings among various disciplines. This paper will review the concept of population health within the discipline of nursing and discuss its relationship with public health, community health, and population-focused care

Chronicles of Oklahoma

Article discusses the life and military career of Charles Radziminski, a Polish Revolutionary who became a U.S. Dragoon, a surveyor for the United States-Mexican Boundary Commissions, and an officer in the pre-Civil War 2nd Cavalry in Texas

Effective suckling in relation to naked maternal-infant body contact in the first hour of life: an observation study

Background Best practice guidelines to promote breastfeeding suggest that (i) mothers hold their babies in naked body contact immediately after birth, (ii) babies remain undisturbed for at least one hour and (iii) breastfeeding assistance be offered during this period. Few studies have closely observed the implementation of these guidelines in practice. We sought to evaluate these practices on suckling achievement within the first hour after birth. Methods Observations of seventy-eight mother-baby dyads recorded newborn feeding behaviours, the help received by mothers and birthing room practices each minute, for sixty minutes. Results Duration of naked body contact between mothers and their newborn babies varied widely from 1 to 60 minutes, as did commencement of suckling (range = 10 to 60 minutes). Naked maternal-infant body contact immediately after birth, uninterrupted for at least thirty minutes did not predict effective suckling within the first hour of birth. Newborns were four times more likely to sustain deep rhythmical suckling when their chin made contact with their mother’s breast as they approached the nipple (OR 3.8; CI 1.03 - 14) and if their mothers had given birth previously (OR 6.7; CI 1.35 - 33). Infants who had any naso-oropharyngeal suctioning administered at birth were six times less likely to suckle effectively (OR .176; CI .04 - .9). Conclusion Effective suckling within the first hour of life was associated with a collection of practices including infants positioned so their chin can instinctively nudge the underside of their mother’s breast as they approach to grasp the nipple and attach to suckle. The best type of assistance provided in the birthing room that enables newborns to sustain an effective latch was paying attention to newborn feeding behaviours and not administering naso-oropharyngeal suction routinely

The Concept of Population Health Within The Nursing Profession

Population health is a concept that has been developed over several centuries by many disciplines. Over time various aspects of the concept have dominated as issues related to behaviors and beliefs surrounding health practices have emerged. This has created a cadre of terms that are often used interchageably but have different meanings among various disciplines. This paper will review the concept of population health within the discipline of nursing and discuss its relationship with public health, community health, and population-focused care

Legal Parameters of Alternative-Complementary Modalities in Nursing Practice

Complementary and alternative healing modalities are increasing in popularity. Partially in response to client demand and partially because of a strong history in providing care encompassing the whole person, nurses have responded by incorporating selected alternative therapies within select professional services. There are questions, however, as to whether some or all of these modalities are within the boundaries of nursing practice. Because most professional practice acts are vague in relation to specific therapies, a model for legal analysis is presented

Advances in Graduate Nursing Education: Beyond The Advanced Practice Nurse

Historically, graduate education in nursing has been primarily concerned with the clinical role. In recent years it has been suggested that graduate education needs to consider alternate programs of study that prepare nurses for clinical leadership that are distinct from management and advanced practice roles. Graduate education is needed that focuses on the skills required to coordinate care and implement outcome-based practice and quality improvement strategies. Two models are currently being proposed that meet these objectives. The first is the population health nurse expert that functions on the macrosystems approach and the second is the clinical nurse leader which is based on a microsystems framework. The two models are compared and a combined model where the clinical nurse leader is based on the population health framework is proposed