Translational Research for Practice and Populations

This paper will aim to explain the relevance of translational research and how behavioural concepts such as closed economies, unit price and the matching law can allow us to better understand and predict human choice behaviour that meets social significance.

After the delivery, the heat from the mom’s body can warm the baby and maintains the baby’s body temperature. For instance, when nursing students were at the operating room at Saint Peter’s Hospital during the C-section delivery, as soon as the baby was out, the doctor placed the newborn on the mother’s chest. When the mother was alert and awake during the C-section made it possible for the baby to stay on her chest on the first hours after the birth. It was one of the most beautiful moments in life. Nevertheless, there was another C-section birth of diabetic mother. She was not fully awake during the C-section and the doctor only did not promote skin-to-skin mother and the newborn. The doctors and nurses at Saint Peter’s Hospital support and encourage skin-to-skin for mother and newborn right after the birth if there is no complication on mother or baby or when the condition is possible. Saint Peter’s Hospital has policy for vaginal delivery, “all infants that meet the criteria for initiate skin-to-skin care shall have skin-to-skin care implemented as the standard of care immediately after birth and as needed thereafter regardless of feeding preference”. They promote skin-to-skin contact between mother and baby immediately after delivery. However, mothers and babies have a physiologic need to be together during the minutes, hours, and days following birth, and this time together significantly improves maternal and newborn outcomes.

2. Explain how you and other nurses might work with the community and the population of interest to improve the health concern.

Purpose: To identify a problem or concern that nursing can change and select key words for a literature search.

How do you see health care reform affecting the role of the nurse educator? Use the literature to support your response. Be specific to your selected area of interest.

Kangaroo care is defined as the way of “holding a preterm or full term infant so that there is skin-to-skin contact between the infant and the person holding it. The baby, wearing only a

I protected Laura’s perineum with warm compress and applied pressure to Ollie’s head while coaching Laura to pant. Laura and I worked together to slowly deliver his head and achieved and intact perineum. This is a skill that I have successfully worked on and developed. When I began working with Laura’s midwife at the beginning of the year I was still unsure of how to properly protect the perineum and how much pressure to apply if being hands on. Following the delivery of Ollie’s head I asked the backup midwife to lower the head of the bed to allow more room for Ollie’s shoulders. Dave was standing patiently at the side of the bed, gloved up and chanting Laura on. Once Ollie’s shoulders were delivered Dave helped with the rest of his body. We dried Ollie down and then Dave placed him up on Laura’s chest for skin-to –skin with a clean, dry, warm towel covering the two of them. The back-up had drawn up syntocinon for the third stage and had said she would administer it. I would manage Laura’s third stage because she had been induced, had a precipitious delivery, and Ollie was a large baby over 4.5kgs (Pairman et al, 2015 – pg 1141; stables pg 607; McKenzie, 2013; Goddman, Nathan & Chazotte, 2016; Sheldon et al 2014). However the backup delayed the administration of the syntocinon in hope to protect a physiological third stage.

The article “A Quality Improvement Project Focused on Women’s Perceptions of Skin-to-Skin Contact after Cesarean Birth” was written by Judith Moran-Peters, Cheryl Zauderer, Susan Goldman, Jennifer Baierlein, and April Smith. The purpose of this quality improvement project was to evaluate the implications of the unavailability of skin-to-skin contact following a cesarean birth and to identify perceptions of women who performed skin-to-skin contact after their second cesarean birth. The study also sought to compare cesarean birthing experiences, particularly in relation to the facilitation of breast-feeding, in which skin-to-skin contact was and was not present.

Hospitals should strive to achieve the Baby-Friendly Initiative to help give mothers and infants a proper start. The initiative is a global effort for improving the role of maternity services to enable mothers to breastfeed babies for the best start in life. It aims to improve the care of pregnant women, new mothers, and newborns at health facilities that provide maternity services for protecting, promoting, and supporting breastfeeding. Recent goals of the initiative were that at least 80% of mothers would confirm that their babies were placed in skin-to-skin contact with them immediately after birth and that skin-to-skin contact continued uninterrupted until the completion of the first feeding (or for at least one hour if not breastfeeding), unless there were medically justifiable reasons for delayed contact. Since the program's inception, approximately 15,000 facilities in more than 152 countries have been inspected and accredited as

There are a plethora of benefits associated with skin-to-skin contact immediately after birth. Though evidence-based practice has identified the benefits associated with skin-to-skin contact immediately after birth, there is a disparity based on type of birth. Mothers who deliver via caesarean section often have less opportunity for immediate skin-to-skin contact with their baby after birth. This article focuses on the benefits of skin-to-skin contact and includes a research study comparing the opinions of mothers who have experienced caesarean section births, with and without immediate skin-to-skin contact after birth.

The latest research of skin-to-skin care is that when it is used there should be modified visiting policies and cluster care to allow more uninterrupted time for the parents and the newborn. More of the research has shown that door hangers should be provided to mothers when they do not want to be disturbed. Also, a garment should be given to mothers and fathers to facilitate skin-to-skin care. One last part of the newest research is to institute an afternoon naptime for mothers to decrease fatigue and safety concerns (Ferrarello & Hatfield, 2014). In the end, Evidence Based Practice will improve patient outcomes and help healthcare professionals make the best decisions when it comes to their

Skin to skin contact care is a natural process that involves placing a naked newborn on the mother’s bare chest and covering it with blankets to keep the infant dry and warm. How a new born baby gets welcomed in the world during the first hours after birth do have short or long term consequences. After birth a skin to skin contact is a simple and beneficial step that a mother takes to welcome her baby to the world. Since delivery is a tiring time for the baby, it needs to get a skin to skin contact so as to calm down and also to support a healthy transition from inside to outside of life of the baby (Ward, Hisley & Kennedy, 2015).

Over thirty one percent of women in the United States have given birth via cesarean section (Lothian, 198). With cesarean rates this high it is necessary for one to ask, are these interventions truly medically necessary and are they beneficial for the mother and child? Cesarean sections can lead to a longer recovery time span for the mother. This can result in many troublesome issues for the mother and the newborn, like delayed bonding and other physical challenges and demands that new mother’s experiences, which can take a huge toll her mind and body. Natural births attended by midwifes attended are the preferred method of

Skin-to-skin contact has not become standard practice in the case of women undergoing a cesarean section. Ideally, skin-to-skin should begin within five minutes of birth, meaning that the infant should be placed directly on the mother’s chest in the operating room. Not only is this not being done routinely, but also in some areas, infants and mothers are separated for the duration of the C-section recovery period (up to 3 hours). This deficit in care is seen in all areas of the world where cesarean sections are

The nursing staff will have the most important role in this process change. The nurses are the ones who see the patients first. The nurses will need to be onboard and understand that this process change will help us give our patients the knowledge they need as well as increasing their satisfaction. Each nurse will be responsible for maintaining the educational materials while making sure the information is accessible to our patients. An important part of this process change is to make sure the staff is onboard and the patients are receiving the information. The nurses will be able to influence and hold each other accountable for this process change. The nursing staff has the best interest of the patients and want to provide the best care they can. The nurses have the power to either bring this project along or they can hinder this