Nursing Midwifery Commons^™

A Qualitative Analysis Of Australian Midwifery Students’ Perspectives Of Midwifery Practice Experience: Characteristics That Enhance Or Diminish Clinical Education Placements, L. Kearney, Dianne Bloxsome, S. Hunter, A. Brown, Simon Cooper, F. Bogossian

Research outputs 2022 to 2026

Background: Midwifery education in Australia faces challenges in combining theoretical and practical experiences, with reports of inconsistent support and supervision during Midwifery Practice Experience (MPE), alongside significant financial and personal costs to students. National evaluation and improvement initiatives are essential to ensure that midwifery students receive effective and high-quality clinical learning opportunities. Aim: This study aimed to answer two research questions: 1) How do midwifery students describe their Midwifery Practice Experiences? 2) What are the characteristics of Midwifery Practice Experiences that enhance or diminish midwifery student learning? Methods: National midwifery student survey data, collected through the National Placement Evaluation Centre. …

How Valuable Is An Implementation Toolkit For Midwives? An Exploratory Study, Annemarie (Annie) De Leo, Linda Sweet, Peter Palamara, Dianne Bloxsome, Sara Bayes

Research outputs 2022 to 2026

Background: Incorporating evidence-based approaches in maternity care throughout the entire trajectory from pregnancy through to the postnatal phase is integral to good public health. Yet, despite developing theories, frameworks, and models to guide midwives’ implementation efforts, implementing new evidence-based practices in midwifery practice settings remains challenging. Methods: An exploratory study design was used to conduct an initial assessment of the appeal and suitability of an implementation ‘how to’ Toolkit for Australian change-leader midwives. We aimed to determine the effectiveness of the intervention by evaluating midwives’ experience of using the Toolkit, and report on the usability of the Toolkit in maternity …

Correlation Of Physical Activity With Vasomotor, Psychosocial, And Physical Symptoms Of Menopausal Women In A Rural Area Of Pati Regency, Indonesia, Shovia Nurul Hidayati, Winarni Winarni

Journal of Asian Midwives (JAM)

Background: Menopause often brings vasomotor, psychosocial, and physical symptoms that challenge women's well-being, yet physical activity offers a promising avenue for relief. Physical activity can improve a person's quality of life. Menopausal women in Pegandan village have varying physical activity and menopausal symptoms but it is currently unknown whether they are correlated. This study investigated the correlation between physical activity and vasomotor, psychosocial, and physical symptoms among menopausal women.
Methods: The study employed a cross-sectional design involving 47 menopausal women from Posyandu Lansia in Pegandan village, Pati regency, Indonesia. They were selected by simple random sampling. Participants' measurements for physical …

The Role Of Maternal Position During The Second Stage Of Labor On Reducing Perineal Injury: An Integrative Review, Ericka L. Dalton, Tabatha Ruth Erlandson

All Electronic Theses and Dissertations

Introduction: Perineal lacerations remain a common occurrence amongst vaginal deliveries. While there are some recommendations for supportive techniques throughout the literature, position is typically not included in these. Perineal trauma can have a lasting effect on the individual and increase health care costs. The purpose of this review is to identify what birthing positions are most effective at preventing perineal injury.

Methods: A formalized search of the literature was conducted via PubMed, CINAHL, Google Scholar, and SCOPUS databases. Of the 344 articles identified, 22 original studies met the inclusion and exclusion criteria for this review. A literature matrix and quality …

Facilitators And Barriers To Interprofessional Collaboration Between Physicians And Midwives: An Integrative Review, Kathy D. Lambright, Anesha E. Martin

All Electronic Theses and Dissertations

Introduction: Early models of interprofessional collaborative care suggest that when there is a collaboration between midwives and physicians, the outcomes for mothers and babies are improved. The purpose of this integrative review of the relevant literature is to identify the facilitators and barriers to collaborative relationships between physicians and midwives.

Methods: A keyword search was done using the Science Direct, PubMed, and CINAHL databases. Inclusion criteria were that they must be original research, identify facilitators and barriers in interprofessional collaborative relationships, and include healthcare professionals involved in maternity care. The database search yielded a total of 348 articles, which were …

Freestanding Birth Centers-Safety And Efficacy Related To Maternal And Neonatal Outcomes: An Integrative Review, Nicole Lynn Muzik, Casey Renee Workman

All Electronic Theses and Dissertations

Introduction: The goal of this literature review is to determine the safety of community birth by evaluating if low-risk pregnant women at term, who deliver in the community setting, specifically at freestanding birth centers, have comparable or lower maternal and neonatal morbidity and mortality outcomes, than low-risk women who deliver at an in-hospital birthing facility.

Methods: The authors of this integrative review retrieved original research articles from computerized databases (Nursing and Allied Health, PubMed, and CINAHL), as well as online journal hand searching, followed by cited reference searching. A total of 48 articles underwent a full-text review, and a total …

The Ethical Justification Of Application Of Long-Acting Reversible Contraception In Patients With Intellectual Disabilities, Kelly Savitri

Journal of Health Ethics

This paper explores the ethical justification for the use of Long-Acting Reversible Contraception (LARC) in patients with intellectual disabilities, particularly in scenarios where patients cannot provide informed consent. The tension between respecting autonomy and ensuring beneficence presents a complex challenge for healthcare providers. Drawing on historical context, current reproductive justice issues, and evolving societal attitudes towards individuals with intellectual disabilities, this essay argues for a semi-discrete model that recognizes the need to prioritize patient health and safety while valuing their autonomy. By examining the implications of both past and present practices, this study highlights the necessity for healthcare providers to …

The Impact Of Having A Native Spanish-Speaking Nurse In Labor And Delivery For Latina Mothers, Lesvia Muñoz Mazariegos

Nursing | Senior Theses

Labor and Delivery is the physiological process in which a pregnant woman gives birth to a baby. With an increase of the Hispanic/Latinx population, the need for Spanish-speaking nurses also increases. Specifically in labor and delivery, language barriers play a critical role for a Latina mother’s laboring experience. However, according to the research, there is limited data on the effects of language concordance/discordance for laboring Latina mothers. To investigate, primary research articles were reviewed focusing on patient experiences with language concordance and discordance, childbirth experiences across different races, and nurses' perceptions of patient experiences related to language barriers. This proposed …

Telehealth In The Postpartum Period: An Integrative Review, Ann Elizabeth Niedermayer, Laura Orrock

All Electronic Theses and Dissertations

Introduction: Improving postpartum care by addressing the steep decline in postpartum care utilization is important to maternal and newborn health. This integrative review explores the use of telehealth in the postpartum period and its impact on improving health outcomes and access to care.

Methods: A literature search identified original studies published between 2018 and 2025 in PubMed, CINAHL, Scopus, and ScienceDirect to learn about the use of telehealth in postpartum care. Reference lists of included articles were screened, and a hand search of three applicable journals was also conducted. The search identified 1187 studies after duplicates were removed, of which …

Genetic Insights Into Methylenetetrahydrofolate Reductase Polymorphisms And Inherited Thrombophilia: Advancing Precision Screening And Therapeutic Interventions To Optimize Perinatal Outcomes, Taylar Hash

All Electronic Theses and Dissertations

Introduction: Methylenetetrahydrofolate reductase (MTHFR) gene polymorphisms and inherited thrombophilia, such as Factor V Leiden and Prothrombin G20210A, have been implicated in adverse pregnancy outcomes, including recurrent pregnancy loss, preeclampsia, fetal growth restriction, and preterm birth. This integrative review explores how genetic insights into MTHFR polymorphisms and inherited thrombophilia can guide precision medicine, including both screening and therapeutic intervention, to optimize perinatal outcomes. Methods: An integrative literature review was conducted following Whittemore and Knafl’s methodology. Research databases including PubMed, CINAHL, Scopus, and ScienceDirect were searched for studies published or translated to English within the last twenty years that examined MTHFR polymorphisms, …

Facilitators And Barriers To Reducing Maternal Mortality Rates In Non-Hispanic Black Women: An Integrative Review, Melissa Marie Andersson, Elizabeth L. Goes

All Electronic Theses and Dissertations

Introduction - Black maternal mortality remains a crucial public health crisis in the United States despite a plethora of research on the incidence. This presents in the persistent disparities in health outcomes between Black and White mothers and newborns. While numerous studies have explored isolated factors contributing to this issue, few have synthesized the full scope of barriers and facilitators influencing Black maternal health outcomes in the United States specifically.

Research Aim - This integrative review aims to identify and organize the key facilitators and barriers to reducing Black maternal mortality in the United States using the socio-ecological model as …

Educating Nurses On Culturally Competent Intimate Partner Violence Care, Nicole Lee

Nursing | Senior Theses

Purpose

The purpose of this research proposal is to examine the impact of mandatory training for labor and delivery nurses on culturally sensitive care for pregnant women who have experienced intimate partner violence. It aims to address gaps in provider training by evaluating improvement in screening rates, enhanced confidence, and effective interventions.

Methods

This study will recruit nurses from different labor and delivery units from different hospitals. This study will use a pre-test and post-test design to assess the effectiveness of the training. The evaluation will measure the changes in knowledge, confidence, and screening practices before and after training.

Results …

Effectiveness Of Nonpharmacological Pain Management Techniques Provided By Doulas For Laboring Mothers, Natalya L. Carnero Deering

Nursing | Senior Theses

Background: Doulas are non-medically trained professionals that support women throughout their pregnancy, labor, and postpartum period. During labor, doulas may assist in nonpharmacological pain management techniques such as counter-pressure, massage, breathing exercises, and other relaxation methods. In the literature review of this study, doulas have been shown to increase positive health outcomes such as preventing cesarean sections and preterm labor. Despite improving health outcomes, doula support is not commonly used in the United States. It is currently unknown if doula support is effective in reducing pain for laboring mothers. Purpose: This study is focused on accomplishing improved pain management and …

The Critical Role Of External Involvement In Supporting Adolescent Mothers Facing Postpartum Depression, Samantha Campopiano

Nursing | Senior Theses

Postpartum depression (PPD) is a significant mental health concern for adolescent mothers, especially those without a reliable support system. The current research demonstrates the importance of a support system, effective interventions, and prevention strategies for easier navigation of postpartum depression. Some effective interventions researched were therapy groups, personalized home visits, and using social media platforms to deliver therapy. This research proposal aims to examine the effectiveness of a nurse-led educational intervention for postpartum adolescent mothers without support. A quasi-experimental design will be used, with pre-and post-test assessments using the Edinburgh Postnatal Depression Scale (EPDS) to measure PPD symptoms in 100 …

Improving Perinatal Outcomes With The Mood Disorder Questionnaire: A Quality Improvement Project To Increase Identification And Referral, Elizabeth R. Bargardo

Master's Theses and Capstones

Abstract

Background: Perinatal mental health is a growing concern, with under identification and lack of access to mental health as contributing factors. Screening tools such as the Mood Disorder Questionnaire are one way to increase identification of patients at risk for bipolar-spectrum disorders and subsequent postpartum psychosis and initiate referrals to appropriate mental health services.

Local Problem: One outpatient women’s health center has a 94% screening rate for the Edinburgh Postnatal Depression Score (EPDS) for anxiety and depression but has not implemented a screening for bipolar disorder. In addition, while approximately one in five perinatal patients struggles with a mental …

Educating Nurses On Culturally Competent Intimate Partner Violence Care, Nicole Lee

Nursing | Student Research Posters

No abstract provided.

Effectiveness Of Nonpharmacological Pain Management Techniques Provided By Doulas For Laboring Mothers, Natalya L. Carnero Deering

Nursing | Student Research Posters

No abstract provided.

To Be Soft Again: A Phenomenological Study Of Uncertainty And Resilience In Childbearing During The Covid-19 Pandemic, Marcianna Nosek

Nursing and Health Professions Faculty Research and Publications

Background:

During the COVID-19 pandemic, uncertainty was exacerbated in experiences of pregnancy and childbirth as people navigated through uncharted territory. Building resilience may be one effective way to cope. However, for those who carry a heavier burden in upholding others, a societal expectation of “toughness” and the ability to endure may lead to an appearance of resilience, while on the inside, well-being may be compromised.

Objectives:

This study is part of a larger phenomenological study that explored the broad research question: What is the lived experience of childbearing during the COVID-19 pandemic? Specific themes of uncertainty and resilience are reported …

Quality Over Quantity: Doula Perspectives On Equity, Access, And Quality Of Care In Black Maternal Health Outcomes, Terry-Ann E. Lynch

West Chester University Graduate Theses, Dissertations, and Final Projects

Black maternal mortality in the United States is a public health crisis. There are a plethora of reasons as to why maternal and fetal deaths disproportionately impact Black women. From a public health perspective, health disparities are an area of concern in marginalized communities, with Black maternal mortality being a risk factor. “According to the Centers for Disease Control and Prevention (CDC), in 2021, the maternal mortality rate for non-Hispanic Black (subsequently, Black) women was 69.9 deaths per 100,000 live births, 2.6 times the rate for non-Hispanic White (subsequently, White) women (26.6)” Maternal Mortality Rates in the United States, 2021” …

Physiological Plateaus During Normal Labor And Birth: A Novel Definition, Marina Weckend, Kylie Mccullough, Christine Duffield, Sara Bayes, Clare Davison

Research outputs 2022 to 2026

Background: Diagnoses of labor dystocia, and subsequent labor augmentation, make one of the biggest contributions to childbirth medicalization, which remains a key challenge in contemporary maternity care. However, labor dystocia is poorly defined, and the antithetical concept of physiological plateaus remains insufficiently explored. Aim: To generate a definition of physiological plateaus as a basis for further research. Methods: This qualitative study applied grounded theory methods and comprised interviews with 20 midwives across Australia, conducted between September 2020 and February 2022. Data were coded in a three-phase approach, starting with inductive line-by-line coding, which generated themes and subthemes, and finally, through …