May-June 2006

Volume 35Issue 3p313-442


  • Do You Speak SBAR?

    • Jeanne‐Marie Guise,
    • Nancy K. Lowe
    Published in issue: May 2006
    The 1999 Institute of Medicine (IOM) report To Err is Human brought the attention of the United States and the world to the magnitude and gravity of human errors in health care and the need to establish systems and organizational change to promote patient safety. In particular, the report urged health care providers to learn from aviation industry successes in creating a safety culture and a focus on strategies to improve teamwork and reduce errors (Kohn, Corrigan, & Donalson, 1999). Communication issues among team members were the single most important factor identified in the Joint Commission on the Accreditation of Healthcare Organizations’ (JCAHO) root cause analyses of nationally reported cases of infant death and permanent disability (JCAHO, 2004).




  • Motivational Interviewing to Promote Sustained Breastfeeding

    • Susan L. Wilhelm,
    • Mary Beth Flanders Stepans,
    • Melody Hertzog,
    • T. Kim Callahan Rodehorst,
    • Patti Gardner
    Published in issue: May 2006
    To explore the feasibility of using motivational interviewing to promote sustained breastfeeding by increasing a mothers intent to breastfeed for 6 months and increasing her breastfeeding self-efficacy.


  • Developing a Prenatal Breastfeeding Workshop to Support Maternal Breastfeeding Self‐Efficacy

    • Joy Noel‐Weiss,
    • Vicki Bassett,
    • Betty Cragg
    Published in issue: May 2006
    A prenatal breastfeeding workshop developed for primiparous women was specifically designed to increase a woman’s breastfeeding self‐efficacy in the early postpartum period. Research has shown that breastfeeding self‐efficacy, defined as a woman’s confidence in her ability to breastfeed, is positively related to breastfeeding success. Teaching strategies, based on Bandura’s Self‐Efficacy Theory and adult learning principles, were incorporated in the workshop design. JOGNN, 35, 349‐357; 2006. DOI: 10.1111/J.1552‐6909.2006.00053.x





  • Multisystem Factors Contributing to Disparities in Preventive Health Care Among Lesbian Women

    • M.K. Hutchinson,
    • Angela C. Thompson,
    • Julie A. Cederbaum
    Published in issue: May 2006
    Lesbians experience significant health disparities in preventive care utilization and health outcomes compared to heterosexual women. In this study, a multisystems ecologic approach is taken to identify barriers to access, treatment, and preventive care among lesbian women. Recommendations include increasing knowledge of lesbian health care needs, developing cultural sensitivity and competence in communication and care for lesbian women, and creating practice environments that convey respect, acceptance, and welcome to all women, regardless of sexual orientation.



  • Strategies for Promoting Perinatal Patient Safety: New Ideas and Methods to Measure Success

    • Kathleen Rice Simpson
    Published in issue: May 2006
    Keeping mothers and babies safe while in our care must be our number one priority. This Clinical Issues series on perinatal patient safety provides new ideas to achieve that goal and methods to measure success. The series is presented in two parts. In this issue, we focus on creating systems and strategies for safety. The next issue will focus on the role of interdisciplinary interaction and communication in patient safety.
  • Perinatal Patient Safety From the Perspective of Nurse Executives: A Round Table Discussion

    • Kathleen E. Thorman,
    • Kathleen Leask Capitulo,
    • Janis Dubow,
    • Kathleen Hanold,
    • Melinda Noonan,
    • Julie Wehmeyer
    Published in issue: May 2006
    Six nurse executives across the United States discussed issues related to perinatal patient safety. Gaps in communication were identified as one of the biggest challenges facing nurse executives. Other issues included expectations of regulators and accreditors, the pressure for productivity with limited resources and staffing, and undercapitalized technology versus safety and staff competence. Each nurse executive discussed a perinatal patient safety initiative implemented recently in her organization.
  • The Perinatal Patient Safety Nurse: A New Role to Promote Safe Care for Mothers and Babies

    • Susan Brown Will,
    • Kyle P. Hennicke,
    • Loretta S. Jacobs,
    • Loraine M. O’Neill,
    • Cheryl A. Raab
    Published in issue: May 2006
    Medical malpractice premiums and costs of obstetric claims, settlements, and jury awards are at an all‐time high. This article describes one professional liability company’s initiative to promote safer perinatal care and decrease costs of claims, including the development of the perinatal patient safety nurse role. The primary responsibility of the perinatal patient safety nurse is to promote safe care for mothers and babies by keeping patient safety as a focus of all unit operations and clinical practices.
  • Using Technology to Promote Perinatal Patient Safety

    • Patricia Robin McCartney
    Published in issue: May 2006
    Leaders in health care and national health policy recommend information technology information technology as a strategy to promote patient safety. Technology enables error prevention, surveillance, and analysis. Although there is little research about technology and safety in perinatal care, nurses in the specialty can use current evidence about the electronic health record, decision support systems, and medication safety devices to guide practice. This article includes key issues and general recommendations for the use of information technology to promote patient safety, the most common applications relevant to perinatal care, and strategies for perinatal nurses who implement information technology to promote patient safety.
  • Measuring Perinatal Patient Safety: Review of Current Methods

    • Kathleen Rice Simpson
    Published in issue: May 2006
    Methods to measure patient safety include structure, process and outcome measures, safety attitude and climate surveys, focus groups, storytelling, executive walk rounds, and external review. Ideally, measures of patient safety should be meaningful, science based, psychometrically sound, feasible, and actionable. Accurate and timely data feedback to caregivers is critical to effect required changes. A balanced set of patient safety measures provides valuable data to guide efforts to improve perinatal patient safety.