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[PMID]:29236628
[Au] Autor:Semrau KEA; Hirschhorn LR; Marx Delaney M; Singh VP; Saurastri R; Sharma N; Tuller DE; Firestone R; Lipsitz S; Dhingra-Kumar N; Kodkany BS; Kumar V; Gawande AA; BetterBirth Trial Group
[Ad] Endereço:From Ariadne Labs-Brigham and Women's Hospital, Harvard T.H. Chan School of Public Health (K.E.A.S., M.M.D., D.E.T., S.L., A.A.G.), the Divisions of Global Health Equity (K.E.A.S.) and General Internal Medicine (S.L.) and the Department of Surgery (A.A.G.), Brigham and Women's Hospital, the Departme
[Ti] Título:Outcomes of a Coaching-Based WHO Safe Childbirth Checklist Program in India.
[So] Source:N Engl J Med;377(24):2313-2324, 2017 12 14.
[Is] ISSN:1533-4406
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The prevalence of facility-based childbirth in low-resource settings has increased dramatically during the past two decades, yet gaps in the quality of care persist and mortality remains high. The World Health Organization (WHO) Safe Childbirth Checklist, a quality-improvement tool, promotes systematic adherence to practices that have been associated with improved childbirth outcomes. METHODS: We conducted a matched-pair, cluster-randomized, controlled trial in 60 pairs of facilities across 24 districts of Uttar Pradesh, India, testing the effect of the BetterBirth program, an 8-month coaching-based implementation of the Safe Childbirth Checklist, on a composite outcome of perinatal death, maternal death, or maternal severe complications within 7 days after delivery. Outcomes - assessed 8 to 42 days after delivery - were compared between the intervention group and the control group with adjustment for clustering and matching. We also compared birth attendants' adherence to 18 essential birth practices in 15 matched pairs of facilities at 2 and 12 months after the initiation of the intervention. RESULTS: Of 161,107 eligible women, we enrolled 157,689 (97.9%) and determined 7-day outcomes for 157,145 (99.7%) mother-newborn dyads. Among 4888 observed births, birth attendants' mean practice adherence was significantly higher in the intervention group than in the control group (72.8% vs. 41.7% at 2 months; 61.7% vs. 43.9% at 12 months; P<0.001 for both comparisons). However, there was no significant difference between the trial groups either in the composite primary outcome (15.1% in the intervention group and 15.3% in the control group; relative risk, 0.99; 95% confidence interval, 0.83 to 1.18; P=0.90) or in secondary maternal or perinatal adverse outcomes. CONCLUSIONS: Birth attendants' adherence to essential birth practices was higher in facilities that used the coaching-based WHO Safe Childbirth Checklist program than in those that did not, but maternal and perinatal mortality and maternal morbidity did not differ significantly between the two groups. (Funded by the Bill and Melinda Gates Foundation; Clinical Trials number, NCT02148952 .).
[Mh] Termos MeSH primário: Lista de Checagem
Parto Obstétrico/normas
Tocologia
[Mh] Termos MeSH secundário: Adulto
Lista de Checagem/utilização
Distribuição de Qui-Quadrado
Parto Obstétrico/educação
Feminino
Fidelidade a Diretrizes
Seres Humanos
Índia/epidemiologia
Recém-Nascido
Análise de Intenção de Tratamento
Mortalidade Materna
Tocologia/educação
Avaliação de Resultados (Cuidados de Saúde)
Mortalidade Perinatal
Gravidez
Transtornos Puerperais/epidemiologia
Melhoria de Qualidade
Padrão de Cuidado
Organização Mundial da Saúde
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE; MULTICENTER STUDY; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1712
[Cu] Atualização por classe:180207
[Lr] Data última revisão:
180207
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171214
[Cl] Clinical Trial:ClinicalTrial
[St] Status:MEDLINE
[do] DOI:10.1056/NEJMoa1701075


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[PMID]:28468617
[Au] Autor:Lukasse M; Lilleengen AM; Fylkesnes AM; Henriksen L
[Ad] Endereço:Department of Nursing and Health Promotion, Faculty of Health Sciences, Oslo and Akershus University College of Applied Science, PB 4 St. Olavs plass, N-0130, Oslo, Norway. Mirjam.Lukasse@hioa.no.
[Ti] Título:Norwegian midwives' opinion of their midwifery education - a mixed methods study.
[So] Source:BMC Med Educ;17(1):80, 2017 May 03.
[Is] ISSN:1472-6920
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Midwifery education in Norway has undergone radical reforms in the past few decades. In 2004, the compulsory year of paid internship was removed from the requirement to become an authorised midwife. Since then, authorisation as a midwife depends on the successful completion of a two-year full-time academic course, consisting of 50% clinical practice and 50% theoretical education. Our objective was to examine midwives' opinion of their Norwegian midwifery education in relation to their midwifery practice, comparing those educated with internship to those without. METHODS: We performed a mixed-methods study based on data from a nationwide cross-sectional survey. A sample of 547 midwives completed a postal questionnaire, autumn 2014. Midwives were asked how they were educated, how their education prepared them for practice (multiple choice) and to freely comment on their midwifery education. Thematic analysis and descriptive and comparative analysis was used. Data sets were analysed independently and jointly interpreted. RESULTS: Of our sample, 154 (28.2%) were educated through a two-year midwifery education without internship, while 393 (71.8%) had a one-year midwifery education with internship. Compared to midwives who had internship, midwives without were four times more likely to report that their education did not, or only partially prepare them for their work as a midwife. The association lost its significance when adjusted for experience as a midwife. According to the qualitative data, the primary reason for the association was insufficient clinical practice during education. Relevant clinical placement, ample practice time with good preceptorship and internship were proposed as methods to prepare for practice as a midwife. The theory-practice gap was highlighted as another hindrance to being prepared for practice. CONCLUSIONS: Academisation of the midwifery education has resulted in newly qualified midwives feeling less prepared for practice. Midwives would have liked more time for clinical practice and simulation training of core midwifery clinical skills included in the education. Midwifery educations need to explore ways to achieve a good balance between practice and theory. Workplaces need to explore alternative ways to internship to assist new graduates to become confident midwives with a strong midwifery identity.
[Mh] Termos MeSH primário: Atitude do Pessoal de Saúde
Competência Clínica
Tocologia/educação
Enfermeiras e Enfermeiros/psicologia
[Mh] Termos MeSH secundário: Adulto
Estudos Transversais
Feminino
Seres Humanos
Meia-Idade
Noruega
Processo de Enfermagem
Gravidez
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180123
[Lr] Data última revisão:
180123
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170505
[St] Status:MEDLINE
[do] DOI:10.1186/s12909-017-0917-0


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[PMID]:29266895
[Au] Autor:Wurst M; Boyd K; Abigail W
[Ti] Título:NURSING AND MIDWIFERY STUDENTS TEACHING INFECTION CONTROL IN INDONESIA.
[So] Source:Aust Nurs Midwifery J;24(8):36, 2017 03.
[Is] ISSN:2202-7114
[Cp] País de publicação:Australia
[La] Idioma:eng
[Ab] Resumo:Morbidity, mortality and quality of life are impacted on by healthcare-associated infections (HAI) which are preventable. According to the World Health Organization 2016), in developing countries, around 10% of patients will contract HAI.
[Mh] Termos MeSH primário: Infecção Hospitalar/prevenção & controle
Controle de Infecções/métodos
Capacitação em Serviço
Estudantes de Enfermagem
[Mh] Termos MeSH secundário: Austrália
Países em Desenvolvimento
Seres Humanos
Indonésia
Tocologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180118
[Lr] Data última revisão:
180118
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:171222
[St] Status:MEDLINE


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[PMID]:29261237
[Au] Autor:Johnstone MJ
[Ti] Título:ETHICS, EVIDENCE AND THE ANTI-VACCINATION DEBATE.
[So] Source:Aust Nurs Midwifery J;24(8):27, 2017 Mar.
[Is] ISSN:2202-7114
[Cp] País de publicação:Australia
[La] Idioma:eng
[Ab] Resumo:On 11 October 2016 the Nursing and Midwifery Board of Australia (NMBA) released a position statement on 'Nurses, midwives and vaccination' (www.nursingmidwiferyboard. gov.au/News/2016-10-11-position-statement-vaccination.aspx).
[Mh] Termos MeSH primário: Ética em Enfermagem
Educação em Saúde
Tocologia/ética
Recusa de Vacinação
Vacinação/ética
[Mh] Termos MeSH secundário: Conselho Diretor
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180118
[Lr] Data última revisão:
180118
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:171221
[St] Status:MEDLINE


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[PMID]:29251885
[Au] Autor:Keast K
[Ti] Título:NOVEL TECHNIQUE AIMS TO TRANSFORM BREASTFEEDING.
[So] Source:Aust Nurs Midwifery J;24(6):34, 2016 12.
[Is] ISSN:2202-7114
[Cp] País de publicação:Australia
[La] Idioma:eng
[Ab] Resumo:A Queensland midwife has developed a simple breastfeeding technique that will be piloted at a Brisbane hospital with new mothers, their babies, and midwives next year. With AIHW statistics showing only 15% of babies are breastfed after six months despite a 96% initial breastfeeding rate, it's hoped the project will change the way midwives help women to breastfeed.
[Mh] Termos MeSH primário: Aleitamento Materno/métodos
Educação de Pacientes como Assunto
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Lactente
Recém-Nascido
Tocologia
Relações Mãe-Filho
Queensland
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180118
[Lr] Data última revisão:
180118
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:171219
[St] Status:MEDLINE


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[PMID]:29249115
[Au] Autor:Tierney O
[Ti] Título:READY TO TRY SOME NEW CPD? thinking OUTSIDE THE BOX FOR ONGOING MIDWIFERY EDUCATION.
[So] Source:Aust Nurs Midwifery J;24(4):43, 2016 Oct.
[Is] ISSN:2202-7114
[Cp] País de publicação:Australia
[La] Idioma:eng
[Ab] Resumo:As registered midwives in Australia, there is a need to maintain an ongoing involvement in education, to complete Continuing Professional Development (CPD) activities. This responsibility is not only to be able to tick the box on your registration renewal, but also a professional responsibility to maintain and grow our knowledge, skills and practice.
[Mh] Termos MeSH primário: Educação Continuada em Enfermagem
Tocologia/educação
[Mh] Termos MeSH secundário: Austrália
Currículo
Seres Humanos
Desenvolvimento de Pessoal
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180118
[Lr] Data última revisão:
180118
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:171218
[St] Status:MEDLINE


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[PMID]:29249099
[Au] Autor:Gillham D
[Ti] Título:STRATEGIES FOR FUTURE NURSING AND MIDWIFERY EDUCATION.
[So] Source:Aust Nurs Midwifery J;24(4):41, 2016 10.
[Is] ISSN:2202-7114
[Cp] País de publicação:Australia
[La] Idioma:eng
[Ab] Resumo:Major challenges can be expected for nurse education in the near future in response to changes in healthcare practice, technology, regulation and funding. The advancement of nursing and midwifery professions is largely dependent upon what occurs at the teaching-research-practice nexus.
[Mh] Termos MeSH primário: Educação em Enfermagem/tendências
Tocologia/educação
Pesquisa em Enfermagem
[Mh] Termos MeSH secundário: Austrália
Previsões
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180118
[Lr] Data última revisão:
180118
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:171218
[St] Status:MEDLINE


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[PMID]:29248053
[Au] Autor:Keast K
[Ti] Título:HOW MIDWIVES ARE REDUCING FEAR OF CHILDBIRTH.
[So] Source:Aust Nurs Midwifery J;24(4):30, 2016 10.
[Is] ISSN:2202-7114
[Cp] País de publicação:Australia
[La] Idioma:eng
[Ab] Resumo:Whether it's dramatic childbirth scenes on the screen, the effects of sex abuse, or women sharing their birth horror stories, fear is having a major impact on the way some women give birth. Researchers are now working to conquer women's fears through midwifery-led counselling.
[Mh] Termos MeSH primário: Aconselhamento
Medo
Tocologia
Parto/psicologia
Gestantes/psicologia
[Mh] Termos MeSH secundário: Adulto
Austrália
Feminino
Seres Humanos
Gravidez
Apoio Social
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180118
[Lr] Data última revisão:
180118
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:171218
[St] Status:MEDLINE


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[PMID]:29244472
[Au] Autor:Hampton K
[Ti] Título:ENHANCING FERTILITY LITERACY FOR NURSES AND MIDWIVES IN PRIMARY CARE.
[So] Source:Aust Nurs Midwifery J;24(3):42, 2016 09.
[Is] ISSN:2202-7114
[Cp] País de publicação:Australia
[La] Idioma:eng
[Ab] Resumo:Prevention in healthcare through improved health literacy is at the very heart of change in Australia's health system to improve overall population health, ensure health equity, and make Australia's health system sustainable into the future (Australian government Department of Health and Ageing, 2010).
[Mh] Termos MeSH primário: Educação Continuada em Enfermagem
Fertilidade
Alfabetização em Saúde
Atenção Primária à Saúde
[Mh] Termos MeSH secundário: Austrália
Feminino
Seres Humanos
Tocologia/educação
Gravidez
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180118
[Lr] Data última revisão:
180118
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:171216
[St] Status:MEDLINE


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[PMID]:29244460
[Au] Autor:Rowe A
[Ti] Título:COUNCIL OF DEANS FOR NURSING AND MIDWIFERY.
[So] Source:Aust Nurs Midwifery J;24(3):32, 2016 09.
[Is] ISSN:2202-7114
[Cp] País de publicação:Australia
[La] Idioma:eng
[Ab] Resumo:Established in 1993, the Council of Deans for Nursing and Midwifery (Australia & New Zealand) (CDNM) is the peak organization that represents the Deans, Leaders and Heads of Higher Education providers offering courses for nursing and midwifery throughout Australia and New Zealand.
[Mh] Termos MeSH primário: Comitês Consultivos
Educação em Enfermagem
Tocologia/educação
[Mh] Termos MeSH secundário: Austrália
Seres Humanos
Nova Zelândia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180118
[Lr] Data última revisão:
180118
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:171216
[St] Status:MEDLINE



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