This straightforward guide to evidence-based practice helps you to develop the knowledge and skills necessary to challenge practice that is not underpinned by research and to increase your understanding of the processes involved in accessing, appraising, and synthesizing good quality research. Providing a basic introduction to both quantitative and qualitative research, Debra Evans explores how to find out "what works best", the impact of something, and what requires more research. Readers will also learn the basic rules used in study design and statistics presented in research articles and systematic reviews. Each simply written chapter includes relevant theory, diagrams and tables, case studies, exercises, boxed summaries, and further reading. Packed with examples from practice across the nursing fields and at different levels, this book is essential for nurses - both student and qualified - who want to increase their confidence when it comes to research appraisal and evidence-based practice processes.

Based on a philosophy of active learning, this innovative and refreshing study aid is designed to help students learn the fundamentals of maternal-child nursing through unfolding case studies. Nursing content is woven into vivid case vignettes that evolve over time, thus engaging students and helping them develop critical thinking and clinical decision-making skills. The text also serves as a comprehensive workbook for students preparing for the NCLEX-RN(R). It is the only maternal-child nursing review text to integrate content with practice and professional responsibilities to foster an engrossing real-world learning experience.

The case vignettes are based on actual cases and incorporate all core content topics (assessment, planning, intervention, and evaluation of patient care) for maternal-child nursing and NCLEX-RN(R) success. The book includes multiple choice, matching, true/false and calculation questions, each related to the unfolding clinical situation. Exercise answers with rationale appear at the end of each chapter. References at the end of the book facilitate self-remediation. Nurse-educators will also find this resource helpful for simulation experiences, classroom cases, group projects, and clinical conferences. Key Features:

Reviews maternal-child nursing core content for course learning and test review prep, as well as for NCLEX-RN(R) success Uses unfolding, real-life case vignettes to integrate core content with practice and professional responsibilities Covers all types of NCLEX-style questions for greater test familiarity Incorporates online resources for use in clinical settings Develops critical thinking skills to help students "think like a nurse"

This popular guide uses illustrations and concise, integrated text to describe the essentials of obstetric practice today. From the physiology of reproduction through antenatal care and disorders in pregnancy to labour and the puerperium period, readers will find an easy-to-grasp presentation of the field's most important issues. Features nearly 20 new line drawings to show the latest in obstetric practice. All other illustrations and content thoroughly revised and updated. New material includes: Current uses and types of IUCDs (including the Mirena IUS); Management of early pregnancy including ectopic pregnancy; Preterm labour; and Ventouse (to include Kiwi-style Ventouse Cup).

This is Volume 5 in the Midwifery: Best Practice series. Each of the volumes in this Series is built around the familiar core of four main topic areas relevant to midwifery: pregnancy, labour / birth, postnatal and stories / reflection - and also includes a number of 'focus on.' sections. These are different in each volume and reflect a wide range of key and topical issues within midwifery. Each volume builds upon the others to provide a comprehensive library of articles that shows the development of thought in key midwifery areas. Volume 5 offers a range of wholly new topic areas within the 'focus on.' sections covering: 'the birthing environment', 'women, midwives and risk', 'holistic health' and 'working/international stories'. A practical reference source containing a wide range of articles, research and original material in an easily accessible format Volume 5 offers a more interactive learning experience by inviting midwives to create their own questions before reading the articles, and then returning to these afterwards for reflective thought Diverse opinions on selected topics provide a comprehensive resource for debate and discussion Unique approach includes ideas on how to turn reading into professional development activities Includes 60 articles from The Practising Midwife (2004-5);4 research articles from Midwifery (2004-5); 3 articles from The Journal of Midwifery and Women's Health (2003-5); and 5 original articles commissioned for this book. . 60 articles from The Practising Midwife (2004-05). . 4 research articles from Midwifery (2004-05). . 3 articles from The Journal of Midwifery and Women's Health 2003-05 . 5 original articles commissioned for this book.

Midwives and other healthcare providers are grappling with the issue of rising intervention rates in childbirth and trying to identify ways to reverse the trend. It is increasingly accepted that intervention in childbirth has long-term consequences for women and their children. Birth Territory provides practical, evidence-based ideas for restructuring the birth territory to facilitate normal birth. Links new research findings to birth environments and outcomes. Describes the elements of an ideal birthing environment. Suggests how to modify existing maternity services to achieve optimal results. Investigates the links between the experiences of women and babies, and outcomes. Explores the effects of legal and socio-political factors.

Liu's Labour Ward Manual has for many years been the standard work for all personnel working on the labour ward. It gives instruction on the best application of technical procedures employed in the labour ward whilst promoting the ethos that the labouring mother and the unborn child must be the prime focus of attention. Offers a one-stop guide to all aspects of labour and birth in a hospital environment Covers everything from admittance procedures through to emergency drills and multiple births User-friendly layout with clear diagrams provide easy access to information Panel of international specialists ensure contemporary and representative content Incorporation of latest NICE and RCOG Guidelines as well as those of CNST New section on Emergency Drills Expanded segment on mental health

"I still have the confidence of that whole period. And I think that will stay with me for the rest of my life. Definitely a great sense of triumph really. It's incredible." Being a midwife today requires not only good clinical skills but also a broad understanding of the social and emotional changes a woman goes through before and after birth. The New Midwifery Second Edition looks at combining scientific knowledge with the more intangible skills needed in sensitive communication to provide the best possible care for the mother and her family. "There was a kind of silence in the relationship, a stillness which was very important. And we'd done all the talking in the build up. So the talking was done. I felt confident that she [the midwife] knew where I was coming from and vice versa. It was like we'd done all our dress rehearsal - what if, what if. And on the day there was nothing left to say really. So it just felt very calm, and I think that was the most important thing." The second edition of this celebrated text explores vividly the various skills and approaches that lead to successful midwifery practice and uses care stories to bring these to life. Building on a thorough grounding of theory and research evidence, The New Midwifery will enable all midwives to practise with a more effective range of skills and, as these real-life quotes from mothers bear out, provide unique professional support before, during and after birth. "I think we had a really good relationship actually. It was more of a friend relationship, but a friend you could trust in - a professional friend you could rely on." Provides a refreshingly new approach to key areas of midwifery practice in a way that brings practice to life. Illustrates and supports the fundamental changes currently taking place in midwifery around the world. Builds on the most up-to-date, evidence-based research to suggest guidelines for best practices. Explores the impact of parenthood and offers strategies for effectively supporting individuals during this period of transition. Includes "care stories" - case studies that highlight positive midwifery care and successful childbirth experiences. Offers contrasting stories from around the world, illustrating how maternity care in industrialized society differs from that in a non-industrial or third world environment. Provides up-to-date research and reference material.

When the midwife Jane Sharp wrote The Midwives Book in 1671, she became the first British woman to publish a midwifery manual. Drawing on works by her male contemporaries, and weaving together medical information and lively anecdotes, she produced a book that is instructive, accessible, witty, and constantly surprising.

The book looks at a broad perspective of decision making and each chapter focuses on a specific aspect related to making crucial decisions. Following an initial introduction the book explores the concept of autonomy and the many factors that influence autonomous practise. The role of knowledge in decision making, using evidence to inform decisions, as well as different approaches to decision making are also examined - including the traditional or rational approach, decision analysis and the development of professional judgement. Dilemmas arise when decisions are made and therefore ethical decision making is an important component of this book. Management decisions may be different from those related to giving specific care to women, hence one chapter focuses on making management decisions. Emphasis is also placed on the role of the midwife in helping women make their own decisions, the role of reflection in enhancing the decisions midwives make and the support midwives can receive from their Supervisor of Midwives. Flowcharts explain and facilitate the decision-making process. A very practical approach to decision-making in midwifery, with contributions from midwives who have considerable experience in this area Provides guidelines on how to achieve successful autonomous midwifery practice, enabling theory to be effectively applied to practice Includes coverage of management roles and decision-making as well as clinical scenarios, offering frameworks and flowcharts to guide the inexperienced Suggests different approaches to making difficult decisions

Leading Antenatal Classes second edition takes a practical approach to antenatal education. It leads the reader step by step through a range of issues involved with leading classes, including the role of the class leader, planning and monitoring course content, teaching aids and active learning techniques.Expanded, updated and fully referenced new edition of this popular text aimed primarily at midwives Describes in detail a range of tried and tested practical approaches to inspire both new and experienced class leaders Written by authors with extensive experience of leading antenatal classes and training health professionals to lead classes

This book examines the principles and realities of ethics in midwifery practice today. It explains basic ethical theory, looking at how dilemmas occur and the ethical bases on which conflicts can be resolved. Through a series of case studies, options and issues for consideration are reviewed, particularly in areas of increasing concern and debate such as confidentiality, autonomy, screening, abortion, assisted conception and withholding treatment. This book will be of value to all students and practicing midwives who need to understand the principles and practice of ethics, especially how to apply ethical thought and action in their own day-to-day work.Explains clearly ethical theory, especially how dilemmas occur, the bases for ethical decisions and how conflicts may be resolved Outlines specifically how ethical principles can be applied in real-life practice, and in situations which may involve midwives in team decisionsOutlines detailed case studies which illustrate key ethical dilemmas and ways to consider resolutions within these Explores and clearly delineates the ethical dimensions of the midwifes role (new chapter in the second edition)Includes a new chapter on conscientious objection to participation in abortion Has greater focus on assisted conception and issues surrounding this, as this becomes a topic of more widespread interestAdds a new chapter on withholding and withdrawing treatment, mainly in relation to neonates, again to reflect an area of growing concern and controversy All of Part One the general foundations are updated and revised New chapter on ethical dimensions of the midwifes role, with an emphasis on the midwife as the researcherNew case in the confidentiality chapter New case in the accountability chapter on client abuse, with a focus on the accountability of the midwife who knew about this but did nothingNew case in the autonomy and consent chapter looking at enforced caesarian section, with a focus on ethics rather than the law (where the focus usually lies in reviewing this area) New chapter on assisted conception, replacing resource allocation which looked only briefly at thisNew chapter on withholding and withdrawing treatment relating mainly to neonates

This book explores how the links between midwifery research and practice can be developed and strengthened, in order to lead directly to care based on the best available evidence. Based on the realities of midwifery practice, contributions by researchers, practitioners and consumers explore the core issues, which challenge midwives in their practice, and how these challenges may be met. Comprising two sections, the book deals clearly and in detail with the complex issues involved in developing evidence-based practice. The first section considers the context of research in todays healthcare structure, after reflecting on the current and past positions of research in midwifery. Issues such as ethical decisions and the involvement of women and babies in research are explored prior to a discussion of the different stages of the research process. Continual professional and practice development through education and audit are also examined. Section Two highlights some of the core skills for research in midwifery and offers guidance and tips from experts in their fields. Throughout the book, examples from practice and reflective exercise illustrate and underpin theoretical points.Explores the key issues in midwifery research which a midwife has to understand before being able to interpret research accurately Focuses on how research can drive and improve everyday practiceHelps the reader to be clear about what issues have to be understood form research findings in order to build future research projects Gives a clear guide to how midwifery research fits the national picture, how research priorities affect maternity services, and the importance of collaborating with other professionals in developing research

All aspects of safe, effective, holistic care for birthing mothers, newborns, and their families are included in this easy-access guide for new antepartum and postpartum nurses and their preceptors during the orientation period. Presented in the convenient, easy-to-use "Fast Facts" format, the book provides up-to-date information regarding care for both low- and high-risk antepartum and postpartum patients. It encompasses evidence-based practice guidelines and clinical recommendations for routine antepartum assessment and nursing care, care of women with pre-existing conditions prior to pregnancy or complications of pregnancy, routine postpartum assessment and care, postpartum complications, and care of special populations. Each chapter features a helpful "orientation guide" to acquaint the new orientee with essential information on procedures and policies, equipment, medications, and evidence-based protocols.

Chapters are organized systematically to include assessment and management guidelines, health promotion and teaching recommendations, routine laboratory and ultrasound tests, and holistic evidence-based nursing care practices. A separate section addresses special populations and outlines care components specific to these women and their families. They include culturally diverse families, women on each end of the age spectrum, women with fetuses or newborns diagnosed with adverse outcomes, women who have a history of being victimized, and those with deployed partners. While targeted to hospital-based nurses and new nurses in hospital orientation and their preceptors, it is also a helpful resource for nurses who practice in a great variety of related settings, as well as nurse midwifery students. Appendices include a skills checklist, a list of commonly used medications, abbreviations, and lab values. Key Features:

Covers all aspects of safe, evidence-based, holistic care for birthing mothers, newborns and their families Written for nurses in orientation and their preceptors as well as nurses working with mothers and newborns in any practice setting Provides key information demonstrating the impact of newborn status on assessing, planning, and implementing care Includes an "orientation guide" to acquaint new orientees with essential information on procedures, policies, equipment, medications, and evidence-based protocols Addresses specific care components needed for special populations

Midwives in all the developed countries are also taking increased professional responsibility for the management of all aspects of labour including pain control. Alternative methods of pain relief by midwives are being used increasingly, and will continueto be while the use of drugs such as pethidine for controlling labour pain is no longer routine. No book has existed till now which looks at the subject in the light of these changes from the midwife's point of view. Existing titles are very medical and pharmacological in approach. This book looks at all aspects of pain relief in labour, covering the physiological processes involved in the perception of pain and relates them to the physiological process of labour. Management of pain in labour is dealt with from the midwife's point of view and particular emphasis is given to non-pharmacological methods of pain control, including complementary therapies. Pharmacological methods of pain control are also included.Examines pain management in labour from the point of view of the modern professional midwife Includes coverage of the physiological processes of pain and relates them to the physiological process of labour and the practical aspects of pain management in labour At the right level for today's more academic courses (including post-basic diploma students), and for the midwife as an independent professional Illustrated with clear line drawings to supplement and clarify the text Written by an experienced clinical midwife and midwifery teacher (Sue Moore), with 14 years of previous clinical experience in both hospital and the community

Trusted by generations of nursing educators and updated to meet the needs of today's nursing students, Maternal & Child Health Nursing, 9th Edition, presents maternal-newborn and child healthcare not as two separate disciplines, but as a continuum of knowledge. This proven, approachable text employs a nursing process framework and combines clear, accessible content with a wide range of engaging learning aids to help students master essential concepts and build the skills for success in today's changing healthcare environment. This extensively revised 9th Edition reflects the latest evidence-based research, recent changes in healthcare delivery, and the importance of meeting the culturally diverse needs of various populations, guiding students to a practical understanding of emerging approaches while promoting a sensitive, holistic outlook on nursing practice

All cultures are concerned with the business of childbirth, so much so that it can never be described as a purely physiological or even psychological event. This volume draws together work from a range of anthropologists and midwives who have found anthropological approaches useful in their work. Using case studies from a variety of cultural settings, the writers explore the centrality of the way time is conceptualized, marked and measured to the ways of perceiving and managing childbirth: how women, midwives and other birth attendants are affected by issues of power and control, but also actively attempt to change established forms of thinking and practice. The stories are engaging as well as critical and invite the reader to think afresh about time, and about reproduction.

Originally published between 1973 and 1990, this collection reissues twelve books that focus on the lives of children with mental and physical disabilities. Together, the books reflect research being done in the period and look at the challenges individuals, families, and professionals faced at that time. Topics covered include caring for children with disabilities, inclusion, and coping with particular disabilities.

Midwives are essential for healthy nations! This narrative 'herstory' uncovers some of the mysteries and challenges during the past 100 years that surrounded a beleaguered profession and its global organisation, the International Confederation of Midwives (ICM). It tells the story of the power that a unified force of strong women leading the ICM and its midwifery associations did for Safe Motherhood and empowering women throughout the world. Their efforts resulted in today's ICM being a vital standard-setting group for midwives and a respected advocate for the sexual and reproductive health and rights of adolescents and women, for healthy mothers and newborns, and, globally, for healthy nations.

What is the future of the human capacity to give birth? What is the future of underused physiological functions? Should we expect an evolution of Homo sapiens in relation to the way babies are born? Can fast-developing scientific disciplines induce a new awareness? In this wide-ranging, interdisciplinary look at the future of birth, renowned obstetrician Michel Odent takes the question 'Do we need midwives?' as a starting point. If a paradigm shift occurs, what kind of midwives shall we need? For how long can we go on neutralizing the laws of natural selection? Are human beings able to raise vital questions before it is too late? Unprecedented situations should first and foremost inspire appropriate questions.

People are fascinated by stories of childbirth, and the sources to document maternity in Britain in the twentieth century are rich and varied. This book puts the history of maternity in England into its wider social context, highlighting areas of change and continuity, and charting the development of pregnancy and birth as it emerged from the shadows and became central to social debate. A Social History of Maternity and Childbirth considers the significance of the regulation and training of midwives and doctors, exploring important aspects of maternity care including efforts to tackle maternal deaths, the move of birth from home to hospital, and the rise of consumer groups. Using oral histories and women's memoirs, as well as local health records and contemporary reports and papers, this book explores the experiences of women and families, and includes the voices of women, midwives and doctors. Key themes are discussed throughout, including: the work and status of the midwife the place of birth pain relief ante- and post- natal care women's pressure groups high-tech versus low-tech political pressures. At a time when the midwifery profession, and the wider structure of maternity care, is a matter for popular and political debate, this book is a timely contribution. It will be an invaluable read for all those interested in maternity care in England.

Interpersonal psychotherapy for adolescents (IPT-A) is a comprehensive guide for clinicians. It will enable readers to add IPT-A to their clinical repertoire or to deepen their existing practice of IPT-A, using a time-limited, evidence-based intervention that is engaging for young people. The guide outlines the structure, skills, and techniques of IPT-A, utilising real-life encounters in the therapy room that reflect the diverse nature of adolescents and young adults who present for therapy. It provides the reader with a bird's-eye view of how IPT-A works. It expands the range of IPT-A clinical tools, techniques, and models to assist the reader to work effectively with a wide range of clients. The book provides a new protocol for the psychological assessment of young people, acknowledging the importance of culture and spirituality alongside the biological, psychological, and social dimensions that have previously comprised assessment. The importance of the clinician forming a transitory attachment relationship with the client is emphasised throughout. The target audience for this book is mental health clinicians, including psychologists, psychiatrists, social workers, mental health nurses, occupational therapists, general practitioners with a mental health focus, and students from these professions.