Summer reading

With power outages and last-chance summer vacations, it feels a bit like life has slowed down in anticipation of the busyness that comes with fall. But while conference calls and meetings are a little sparser, the medical literature seems to be serving up a larger than average helping of important evidence and commentary. Maybe your Labor Day Weekend reading list has lighter fare, but here’s what we’re reading…

On the heels of a joint statement released last April from ACOG and ACNM, the two organizations (representing ob-gyns and nurse-midwives, respectively), have announced the winning papers among 60 submitted on the Issue of the Year, “Successful Models of Collaborative Practice in Maternity Care.” The articles appear in the current issue of Obstetrics and Gynecology and will be in a forthcoming issue of The Journal of Midwifery and Women’s Health.

  • Obstetrician and Nurse-Midwife Collaboration: Successful Public Health and Private Practice Partnership by Shaw-Battista and colleagues at Sutter Davis Hospital provides results from a quality assessment study showing few differences in the outcomes or process of care between first-time mothers receiving care in a collaborative private practice setting and those receiving care in a midwife-led federally qualified health center. These data suggest that low-tech, high-touch collaborative care may have a role in reducing disparities.
  • A Northwest Collaborative Practice Model by Darlington and colleagues describes the innovative care delivery model at Group Health in Washington where all providers have a well defined independent scope of practice and are salaried, and thus are not rewarded financially for performing more procedures. The latter “removes an economic incentive for intervention and enables us instead to focus on medical necessity, patients’ desires, medical evidence and safety concerns. The lack of financial incentive (and therefore competition) aids the smooth transfer of care between practice groups.” (p. 675)
  • Great Minds Don’t Think Alike: Collaborative Maternity Care at San Francisco General Hospital by Hutchison and colleagues describes how collaboration can go beyond delivering maternity care to organizing, improving, and evaluating care processes. The article addresses how obstetricians and midwives have worked together to implement the CenteringPregnancy model of group prenatal care, earn designation as a Baby Friendly Hospital, and develop evidence-based hospital policies and safety checklists.
  • Making it Work by DeJoy and colleagues describes collaborative practice at Baystate Medical Center, a large academic center serving a diverse population where the midwifery role extends to providing care in a correctional facility, covering the obstetric triage unit, and educating medical students and obstetric residents.
The current issue of MCN: The American Journal of Maternal-Child Nursing offers an excellent collection of quality improvement and patient safety articles. Two articles feature projects we’ve highlighted here at TMC before: a project to increase early skin-to-skin contact after cesareans and a state-wide obstetric hemorrhage toolkit from the California Maternal Quality Care Collaborative. The issue also features articles on the role of the perinatal patient safety nurse, improving labor induction processes, and using Health Information Technology to drive improvement, among others.
The current issue of the American Journal of Obstetrics and Gynecology is also chock full, with its typical assortment of articles as well as selected papers from the Annual Meeting of the Society for Maternal-Fetal Medicine. Three standouts:
What are you reading?
photo credit: Leanderphotography on Flickr

Filed in Blog, Blueprint, Clinicians, Hospitals and Health Systems on Tue., Aug 30, 2011

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5 Responses to “Summer reading”

  1. Hillary says:

    Thanks Amy. I can’t tell you how much I appreciate round-ups. Helps cut through the noise.

  2. Jeanette says:

    Really helpful – am sharing with the doulas in our group. Thanks!

  3. kathryn schrag says:

    These won’t have the fancy links to the articles as your blog does (thank you!!), but here are some new articles of note:

    Walsh, D., Gutteridge,K. (2011) Using the birth environment to increase women’s potential in labour, MIDIRS Midwifery Digest 21:2:143-147

    Newhouse, R et al. (2011) Advanced Practice Nurses Outcomes 1990-2008: A Systematic Review. Nursing Economics$, Vol 29 No 5

    Hans,J and Kimberly,C (2011) An educational intervention to change planned behavious concerning midwife-assisted out of hospital childbirth. JMWH Vol 56 No 5 p 371-375

    Kathryn Schrag CNM
    Faculty, Frontier Nursing University

  4. Amy Romano Amy Romano says:

    These are great – thanks!! I’ve read the Newhouse article but the others are new to me.

  5. JoleneSG says:

    Hi Amy,

    thanks for this round up–really useful!

    Jolene