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MCN: The American Journal of Maternal/Child Nursing
The article explores social interactions and institutional structures impacting the consistent practice of 24-hour rooming-in for new mothers and newborns in hospitals. Researchers employed an institutional ethnographic design, gathering data through semistructured interviews and unit observations from February 2020 to June 2021. Seven mother-baby nurses participated in interviews. Additionally, three on-unit observations lasting 2 hours each took place. From the collected data, the researchers unearthed a shared sentiment: “Baby-Friendly” practices don’t always equate to being “mother-friendly.” Three primary social interaction themes surfaced from the data analysis: viewing the mother as a patient, managing expectations, and inconsistent practices. The nurses’ perspectives revealed the complexity of managing maternal care while juggling newborn demands. Discrepancies in methods highlighted the need for standardized practices to maintain consistency across care provision. The analysis also identified three significant institutional factors that affect 24-hour rooming-in: rates of labor induction and cesarean births, nurse staffing, and nursery use monitoring. Labor induction and cesarean births often disrupt the smooth transition to rooming-in. Limited nurse staffing presents challenges in managing both mother and baby needs, while nursery use monitoring practices influence rooming-in implementation. The article’s findings provide critical insights into the daily organization and experience of 24-hour rooming-in from a […]
Hospitalist May 30th 2023
The American Journal of Nursing (AJN)
Nurses, let’s dive right into this fascinating development in the field. Picture this: as the demand for inpatient care skyrockets, and nursing resources become stretched, finding an experienced nurse for mentorship has become a real challenge. But what if you could get that mentorship right when you need it, from a virtual source? Introducing the groundbreaking concept of the Virtual RN, or ViRN. Created to bolster support for both you, our invaluable bedside RNs, and the patients in designated general care inpatient units, the ViRN is changing how we operate. This role provides real-time virtual clinical guidance to you at the bedside, while also actively monitoring patients. Imagine the possibilities! Now, you might be wondering, how do nurses feel about this integration of ViRNs into our nursing care team? Well, a recent survey sent out via email to bedside RNs gives us some insightful answers. It turns out that RNs are valuing the consistent availability of the ViRN’s expert nursing knowledge and virtual assistance with nursing tasks.
Nursing May 30th 2023