6 results on '"Maggie Power"'
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2. The Home Team: How an Academic Practice Used Innovation Principles to Create a Novel Prenatal Model [24D]
- Author
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Katy Mahraj, Maggie Power, Peter J. Vasquez, Anna S. Graseck, and Amanda Labora
- Subjects
Medical education ,business.industry ,Academic practice ,Obstetrics and Gynecology ,Medicine ,business - Published
- 2019
3. Best Practices for Transitioning from the Birthing Unit to the Mother–Infant Unit
- Author
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Christie Forward, Marianne D. Bittle, and Maggie Power
- Subjects
business.industry ,Best practice ,media_common.quotation_subject ,Rooming-in ,Mother infant ,Breastfeeding ,Critical Care Nursing ,Pediatrics ,Unit (housing) ,Interdependence ,Presentation ,Nursing ,Maternity and Midwifery ,Medicine ,business ,media_common ,Dyad - Abstract
Poster Presentation Purpose for the Program As we sought to obtain Baby Friendly Hospital designation, we had the opportunity to evaluate our practices in transitioning women from the birthing unit to the mother/infant unit. We discovered two critical practices that were suboptimal and lacked supporting evidence for best patient outcomes: nurse‐to‐nurse hand‐off and the mother/infant admission process. To improve patient outcomes and satisfaction, our team recognized that these two practices were interdependent and required a synergistic problem solving approach for change. Proposed Change The traditional practice of telephone hand‐off was time consuming, inefficient for nurses with multiple demands, did not engage the woman and family, and was not conducive to a seamless transition from one unit to another. Importantly, this transition process, which routinely separated well newborns from healthy postpartum mothers for admission care, had the potential to interfere with bonding and breastfeeding success. An interprofessional team led by the councils of the birthing and mother/infant units recognized the relationship between these processes and the need to align them with Baby Friendly and family‐centered care practices. They developed, implemented, and evaluated an evidence‐based practice project that transitioned the mother/infant dyad from the birthing unit to the postpartum room for admission care while integrating face‐to‐face interprofessional bedside hand‐off. Implementation, Outcomes, and Evaluation The councils were instrumental in identifying, developing, and evaluating these practice changes. Before piloting, women and nurses were surveyed regarding the current processes and then again after implementation. During the pilot period, more than 130 mother/infant dyads were transitioned directly to the postpartum room for admission care with no adverse outcomes related to the process. In addition, unit council representatives also collaborated with provider stakeholders to develop and pilot the interprofessional face‐to‐face bedside hand‐off process. They developed a notification strategy and utilized technology to provide consistent information among team members. Since full implementation of these practices, Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scores have shown significant improvement as well as breastfeeding initiation and rooming in rates. Implications for Nursing Practice The benefit of a seamless transition process that allows mothers and newborns to stay together from birth until discharge is well documented. Nurses have a responsibility to examine current practices, move away from nurse‐centric traditions, and initiate those that move toward evidence‐based, patient‐centric best practices.
- Published
- 2015
4. Promoting Learning in the Early Years
- Author
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Maggie Power and Avril Brock
- Subjects
Psychology - Published
- 2006
5. A Story to Tell
- Author
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George Murphy, Maggie Power, George Murphy, and Maggie Power
- Subjects
- Literacy--Study and teaching (Elementary), Storytelling
- Abstract
One of the writers noticed a small boy leaving a storytelling session with his hands clamped over his ears. When she asked him why, he explained:'It was so good I want to keep it in my head'.'Miss, that story was so good I'll tell it to the cat'.'A Story to Tell'shows how narrative and particularly oral storytelling can be used to bring literacy to life for primary school children. This ancient art provides models and structures for teachers to support children's understanding and use of narrative and reveals fascinating insights into other times and cultures. The authors relate how teachers develop their own storytelling skills and the abilities of children to share and retell personal and traditional tales.The potential for using folk and fairy tales, myths and legends to support children's development in the four language modes of reading, writing, speaking and listening is recognised in the Primary National Strategy. In'A Story to Tell'performers, teachers and students describe how stories from all parts of the world can be enjoyed, discussed, adapted and performed to develop language and literacy learning. They explore the use of stories in humanities, religious education and other areas of the curriculum. The role of visiting professional storytellers is examined, with examples of their work with children and teachers in the UK and Ireland. And the student storytellers'adaptation and retelling of Asian, African and European tales from their own childhood are fascinating and inspiring.
- Published
- 2009
6. Factors associated with diagnosis of stages I and II lung cancer: a multivariate analysis
- Author
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Isabel Cristina Martins Emmerick, Anupama Singh, Maggie Powers, Feiran Lou, Poliana Lin, Mark Maxfield, and Karl Uy
- Subjects
Lung Neoplasms, diagnosis ,Early Detection of Cancer ,Survival Analysis ,Socioeconomic Factors ,Healthcare Disparities ,Public aspects of medicine ,RA1-1270 - Abstract
ABSTRACT OBJECTIVE To present the overall survival rate for lung cancer and identify the factors associated with early diagnosis of stage I and II lung cancer. METHODS This is a retrospective cohort study including individuals diagnosed with lung cancer, from January 2009 to December 2017, according to the cancer registry at UMass Memorial Medical Center. Five-year overall survival and its associated factors were identified by Kaplan–Meier curves and Cox’s proportional hazards model. Factors associated with diagnosing clinical stage I and II lung cancer were identified by bivariate and multivariate backward stepwise logistic regression (Log-likelihood ratio (LR)) at 95% confidence interval (CI). RESULTS The study was conducted with data on 2730 individuals aged 67.9 years on average, 51.5% of whom female, 92.3% white, and 6.6% never smoked. Five-year overall survival was 21%. Individuals diagnosed with early-stage disease had a 43% five-year survival rate compared to 8% for those diagnosed at late stages. Stage at diagnosis was the main factor associated with overall survival [HR = 4.08 (95%CI: 3.62–4.59)]. Factors associated with early diagnosis included patients older than 68 years [OR = 1.23 (95%CI: 1.04–1.45)], of the female gender [OR = 1.47 (95%CI: 1.24–1.73)], white [OR = 1.63 (95%CI: 1.16–2.30)], and never-smokers [OR = 1.37 (95%CI: 1.01–1.86)]; as well as tumors affecting the upper lobe [OR = 1.46 (95%CI: 1.24–1.73)]; adenocarcinoma [OR = 1.43 (95%CI: 1.21–1.69)]; and diagnosis after 2014 [OR = 1.61 (95%CI: 1.37–1.90)]. CONCLUSIONS Stage at diagnosis was the most decisive predictor for survival. Non-white and male individuals were more likely to be diagnosed at a late stage. Thus, promoting lung cancer early diagnosis by improving access to health care is vital to enhance overall survival for individuals with lung cancer.
- Published
- 2021
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