http://hdl.handle.net/10147/48159 Search the Channel search http://www.lenus.ie/hse/simple-search http://hdl.handle.net/10147/189013 Title: Comparison of midwife-led and consultant-led care of healthy women at low risk of childbirth complications in the Republic of Ireland: a randomised trial.<br/><br/>Authors: Begley, Cecily; Devane, Declan; Clarke, Mike; McCann, Colette; Hughes, Patricia; Reilly, Mary; Maguire, Roisin; Higgins, Shane; Finan, Alan; Gormally, Siobhan; Doyle, Miriam<br/><br/>Abstract: ABSTRACT: BACKGROUND: No midwifery-led units existed in Ireland before 2004. The aim of this study was to compare midwife-led (MLU) versus consultant-led (CLU) care for healthy, pregnant women without risk factors for labour and delivery. METHODS: An unblinded, pragmatic randomised trial was designed, funded by the Health Service Executive (Dublin North-East). Following ethical approval, all women booking prior to 24 weeks of pregnancy at two maternity hospitals with 1,300-3,200 births annually in Ireland were assessed for trial eligibility.1,653 consenting women were centrally randomised on a 2:1 ratio to MLU or CLU care, (1101:552). 'Intention-to-treat' analysis was used to compare 9 key neonatal and maternal outcomes. RESULTS: No statistically significant difference was found between MLU and CLU in the seven key outcomes: caesarean birth (163 [14.8%] vs 84 [15.2%]; relative risk (RR) 0.97 [95% CI 0.76 to 1.24]), induction (248 [22.5%] vs 138 [25.0%]; RR 0.90 [0.75 to 1.08]), episiotomy (126 [11.4%] vs 68 [12.3%]; RR 0.93 [0.70 to 1.23]), instrumental birth (139 [12.6%] vs 79 [14.3%]; RR 0.88 [0.68 to 1.14]), Apgar scores <8 (10 [0.9%] vs 9 [1.6%]; RR 0.56 [0.23 to 1.36]), postpartum haemorrhage (144 [13.1%] vs 75 [13.6%]; RR 0.96 [0.74 to 1.25]); breastfeeding initiation (616 [55.9%] vs 317 [57.4%]; RR 0.97 [0.89 to 1.06]). MLU women were significantly less likely to have continuous electronic fetal monitoring (397 [36.1%] vs 313 [56.7%]; RR 0.64 [0.57 to 0.71]), or augmentation of labour (436 [39.6%] vs 314 [56.9%]; RR 0.50 [0.40 to 0.61]). CONCLUSIONS: Midwife-led care, as practised in this study, is as safe as consultant-led care and is associated with less intervention during labour and delivery. Trial registration: Current Controlled Trials ISRCTN14973283. Fri, 28 Oct 2011 22:58:59 GMT http://hdl.handle.net/10147/145082 Title: Information and guidance on the introduction of nurse and midwife medicinal product prescribing in general practice<br/><br/>Authors: Health Service Executive (HSE); Office of the Nursing & Midwifery Services Director<br/><br/>Description: The purpose of this document is to provide guidance for General Practitioner (GP) practices that areconsidering introducing and implementing nurse and midwife medicinal product prescribing. Wed, 28 Sep 2011 22:58:59 GMT http://hdl.handle.net/10147/139110 Title: Detection and management of mothers with postnatal depression symptoms - a public health nurse descriptive study<br/><br/>Authors: Nolan, Angela<br/><br/>Description: Please note: this article is not peer reviewed. Fri, 29 Oct 2010 22:58:59 GMT http://hdl.handle.net/10147/119010 Title: Finding from the survey of 2009 nursing graduates<br/><br/>Authors: Health Service Executive (HSE), Office of the Nursing and Midwifery Services Director Sun, 28 Nov 2010 22:58:59 GMT http://hdl.handle.net/10147/116392 Title: Profile of advanced nurse / midwife practitioners and clinical nurse / midwife specialist in Ireland<br/><br/>Authors: National Council for the Professional Development of Nursing and Midwifery (NCPDNW) Fri, 29 Jan 2010 22:58:59 GMT http://hdl.handle.net/10147/116377 Title: Guidelines for portfolio development for nurses and midwives third edition<br/><br/>Authors: National Council for the Professional Development of Nursing and Midwifery (NCPDNW)<br/><br/>Abstract: This revised version of the Guidelines for Portfolio Development for Nurses and Midwives contains 6 sections. Information insections 1 to 4 is presented in a question and answer format.• Section 1 contains an overview of portfolios and their uses• Section 2 advises on how to adapt portfolios for specific purposes• Section 3 concerns nurse/midwife managers’ role in helping staff nurses/midwives to develop portfolios• Section 4 provides an overview of continuing professional development• Section 5 suggests a structure and format for organising the contents of the portfolio, including portfolios for advancednurse/midwife practitioner candidates, and for recording information• Section 6 contains useful information and sources updated since 2006. Thu, 29 Oct 2009 22:58:59 GMT http://hdl.handle.net/10147/116308 Title: Clinical supervision: a structured approach to best practice<br/><br/>Authors: National Council for Professional Development of Nursing and Midwifery Fri, 29 Aug 2008 22:58:59 GMT http://hdl.handle.net/10147/112890 Title: Guidelines for the management of pre-gestational and gestational diabetes mellitus from pre-conception to the postnatal period<br/><br/>Authors: Health Service Executive (HSE) Office of the Nursing & Midwifery Services Director<br/><br/>Description: Diabetes mellitus is a significant health problem in Ireland. The number of people aff ected by diabetesin Ireland is increasing. It is estimated that at least 141,000 adults in the Republic of Ireland (4.7%) havediabetes (diagnosed or undiagnosed) and this is expected to rise to 194,000 or 5.6 % of the population by2015 – a 37% increase1. The increasing incidence of diabetes will have significant economic consequences.It is estimated that in excess of 10% of healthcare spending in Ireland is diabetes related and the costs ofcaring for the growing number of people with diabetes will increase by up to 25% by 2040.Protocols for the management of type 1 diabetes (Section 3) and type 2 diabetes (Section 4) in pregnancyin the critical areas of preconception, antenatal and postnatal care are provided in the guidelines below.Similar management protocols for the management of gestational diabetes are provided at the startSection 5.Key recommendations for care are highlighted in text boxes throughout the guidelines. Theserecommendations form the basis of an audit tool provided in Appendix 4.A table formatted guide providing guidance of care per trimester is provided in both the managementof type 1 diabetes (Section 3) and type 2 diabetes (Section 4) in pregnancy.Desk top guides for the management of pre-existing diabetes in pregnancy and the management ofgestational diabetes are provided in Appendix 3.A glossary of terms and definitions can be found in Appendix 1. Mon, 28 Jun 2010 22:58:59 GMT http://hdl.handle.net/10147/109488 Title: Nursing in the Irish prison service working together to meet the healthcare needs of prisoners<br/><br/>Authors: Nursing and Midwifery Planning and Development & Irish Prison Service Fri, 29 May 2009 22:58:59 GMT http://hdl.handle.net/10147/109463 Title: A guiding framework for education, training and competence validation in venepuncture and peripheral intravenous cannulation for nurses and midwives<br/><br/>Authors: Health Service Executive (HSE) Office of the Nursing Services Director<br/><br/>Description: This guiding framework supports the development and evaluation of education, training and competencevalidation in venepuncture and peripheral intravenous cannulation. It provides a consistent approach forteaching and competence assessment of venepuncture and peripheral intravenous cannulation skillsacross all services utilising a step by step skill pathway.The framework was developed in partnership with the Office of the Nursing Services Director, Nursingand Midwifery Planning and Development Units, Centres of Nursing/Midwifery/ Children’s NurseEducation, the Health Protection and Surveillance Centre, healthcare professionals and educators withexpertise in venepuncture and peripheral intravenous cannulation. Following a review of best practiceand evidenced based research, a National Advisory Group (appendix i) and an Education Sub-Committee(appendix ii) was established. This team, led by a Project Manager, collaborated extensively to progressthis development.The Office of the Nursing Services Director is indebted to the health service organisations whoseeducation, practice development and clinical staff, involved in venepuncture and peripheral intravenouscannulation, gave of their time, expertise and educational material, which in turn facilitated thedevelopment of this framework. Mon, 29 Mar 2010 22:58:59 GMT