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Article ; Online: Midwifery and women's health.

Shorten, Allison

2017 Volume 20, Issue 3, Page(s) 70–73

MeSH term(s)	Adult ; Evidence-Based Nursing/organization & administration ; Female ; Humans ; Midwifery/organization & administration ; Pregnancy ; Women's Health
Language	English
Publishing date	2017-06-15
Publishing country	England
Document type	Journal Article
ZDB-ID	1425988-6
ISSN	1468-9618 ; 1367-6539
ISSN (online)	1468-9618
ISSN	1367-6539
DOI	10.1136/eb-2017-102715
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Article ; Online: Traveling the road toward academic promotion for faculty with a DNP degree.

Parris, Kaitrin / Shorten, Allison / Ladores, Sigrid / Bowen, Felesia R / Baker, S Danielle / Grant, Joan S

Journal of professional nursing : official journal of the American Association of Colleges of Nursing

2024 Volume 51, Page(s) 74–79

Abstract: There is a widely recognized need for nursing faculty in the United States. To prepare a practice-ready workforce, schools of nursing are hiring faculty with Doctor of Nursing Practice (DNP) preparation to ensure clinical expertise is embedded into ... ...

Abstract	There is a widely recognized need for nursing faculty in the United States. To prepare a practice-ready workforce, schools of nursing are hiring faculty with Doctor of Nursing Practice (DNP) preparation to ensure clinical expertise is embedded into curriculum by practice experts. However, nurses transitioning from clinical nursing to faculty positions require tailored support and guidance in navigating the academic environment. Preparation for academic promotion is essential to integration into an academic setting. Support in navigating the new environment is essential for building confidence, to lay a foundation for a successful transition, and ultimately retaining these qualified educators. This article provides strategies to support nursing faculty planning to embark on an academic career track and provides guidance on how to prepare these DNP-prepared faculty for career progression and future promotion along academic ranks. These strategies include school and institutional orientation, faculty development plans, mentorship, leadership development, and performance review processes.
MeSH term(s)	Humans ; Academic Success ; Faculty, Nursing ; Schools ; Curriculum ; Leadership
Language	English
Publishing date	2024-03-04
Publishing country	United States
Document type	Journal Article
ZDB-ID	632951-2
ISSN	1532-8481 ; 8755-7223
ISSN (online)	1532-8481
ISSN	8755-7223
DOI	10.1016/j.profnurs.2024.01.012
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Article ; Online: Factors influencing birth setting decision making in the United States: An integrative review.

George, Erin K / Shorten, Allison / Lyons, Karen S / Edmonds, Joyce K

Birth (Berkeley, Calif.)

2022 Volume 49, Issue 3, Page(s) 403–419

Abstract: Background: The United States has the highest perinatal morbidity and mortality (M&M) rates among all high-resource countries in the world. Birth settings (birth center, home, or hospital) influence clinical outcomes, experience of care, and health care ...

Abstract	Background: The United States has the highest perinatal morbidity and mortality (M&M) rates among all high-resource countries in the world. Birth settings (birth center, home, or hospital) influence clinical outcomes, experience of care, and health care costs. Increasing use of low-intervention birth settings can reduce perinatal M&M. This integrative review evaluated factors influencing birth setting decision making among women and birthing people in the United States. Methods: A search strategy was implemented within the CINAHL, PubMed, PsycInfo, and Web of Science databases. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guided the review, and the Johns Hopkins Nursing Evidence-Based Practice model was used to evaluate methodological quality and appraisal of the evidence. The Whittemore and Knafl integrative review framework informed the extraction and analysis of the data and generation of findings. Results: We identified 23 articles that met inclusion criteria. Four analytical themes were generated that described factors that influence birth setting decision making in the United States: "Birth Setting Safety vs. Risk," "Influence of Media, Family, and Friends on Birth Setting Awareness," "Presence or Absence of Choice and Control," and "Access to Options." Discussion: Supporting women and birthing people to make informed decisions by providing information about birth setting options and variations in models of care by birth setting is a critical patient-centered strategy to ensure equitable access to low-intervention birth settings. Policies that expand affordable health insurance to cover midwifery care in all birth settings are needed to enable people to make informed choices about birth location that align with their values, individual pregnancy characteristics, and preferences.
MeSH term(s)	Birth Setting ; Birthing Centers ; Decision Making ; Female ; Humans ; Infant, Newborn ; Midwifery ; Parturition ; Perinatal Death ; Pregnancy ; United States
Language	English
Publishing date	2022-04-20
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	604869-9
ISSN	1523-536X ; 0730-7659
ISSN (online)	1523-536X
ISSN	0730-7659
DOI	10.1111/birt.12640
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Article ; Online: Using a pregnancy decision support program for women choosing birth after a previous caesarean in Japan: A mixed methods study.

Torigoe, Ikuyo / Shorten, Allison

Women and birth : journal of the Australian College of Midwives

2018 Volume 31, Issue 1, Page(s) e9–e19

Abstract: Background: Opportunities for women and providers to use decision aids and share decisions about birth after caesarean in practice are currently limited in Japan. This is despite known benefits of decision aids to support value-sensitive healthcare ... ...

Abstract	Background: Opportunities for women and providers to use decision aids and share decisions about birth after caesarean in practice are currently limited in Japan. This is despite known benefits of decision aids to support value-sensitive healthcare decisions. Aim: To explore Japanese women's decision making experiences using a decision aid program for birth choices after caesarean. Methods: A mixed methods study was conducted among 33 consenting pregnant women with previous caesarean in five obstetrics institutions located in the western part of Japan. Outcome measures included change in level of decisional conflict, change in knowledge, and preference for birth method. Semi-structured interviews examined women's decision making experiences, and qualitative data were analyzed using thematic analysis. Findings: The participants in the program experienced a statistically significant improvement in knowledge and reduction in decisional conflict about birth after caesarean. Four themes were identified in the qualitative data related to decision making: change in women's knowledge about birth choices, clarifying women's birth preference, feelings about shared decision making, and contrasting feelings after receiving information. Discussion: This study confirmed potential benefits of using the decision aid program. However, uncertainty about mode of birth continued for some women immediately prior to the birth. This finding emphasized the need to identify additional ways to support women emotionally throughout the process of decision making about birth after caesarean. Conclusions: It was feasible to adapt the decision aid for use in clinical practice. Future research is necessary to examine its effectiveness when implemented in Japanese clinical settings.
MeSH term(s)	Adult ; Cesarean Section/psychology ; Decision Making ; Decision Support Techniques ; Female ; Humans ; Japan ; Pregnancy ; Pregnant Women/psychology ; Vaginal Birth after Cesarean/psychology
Language	English
Publishing date	2018-02
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	2235085-8
ISSN	1878-1799 ; 1871-5192
ISSN (online)	1878-1799
ISSN	1871-5192
DOI	10.1016/j.wombi.2017.06.001
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Article: Promoting Shared Decision Making About Birth After Cesarean in Haitian Women.

Chinkam, Somphit / Pierre, Kimberly Ashley / Mezwa, Kathryn / Steer-Massaro, Courtney / Shorten, Allison

The Journal of perinatal education

2022 Volume 31, Issue 4, Page(s) 216–226

Abstract: This was a pilot to develop culturally appropriate group counseling sessions for shared decision making about modes of birth after cesarean for Haitian Creole speakers. The curriculum was created by incorporating information identified by women and their ...

Abstract	This was a pilot to develop culturally appropriate group counseling sessions for shared decision making about modes of birth after cesarean for Haitian Creole speakers. The curriculum was created by incorporating information identified by women and their providers in focus groups through the lens of Health Belief Model. Ten women attended a session. There was a 50% increase in women planning to labor after cesarean; nine stated the session gave them confidence to decide about their mode of birth; all were "very satisfied" with the session and would recommend it to others. The session was accepted as a method to improve women's decision making, feasible, effective, and could be integrated to improve shared decision making discussions for other non-English speaking women.
Language	English
Publishing date	2022-09-03
Publishing country	United States
Document type	Journal Article
ISSN	1058-1243
ISSN	1058-1243
DOI	10.1891/JPE-2021-0016
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Article ; Online: Improving Quality in Neonatal Care Through Competency-Based Simulation.

Dudding, Katherine M / Bordelon, Curry / Sanders, Allyson N / Shorten, Allison / Wood, Tara / Watts, Penni

Neonatal network : NN

2022 Volume 41, Issue 3, Page(s) 159–167

Abstract: Approximately 440,000 patients die each year due to preventable errors. Although human error is inevitable, we can mitigate this risk by enhancing skills and clinical competencies by improving the quality of neonatal care through competency-based ... ...

Abstract	Approximately 440,000 patients die each year due to preventable errors. Although human error is inevitable, we can mitigate this risk by enhancing skills and clinical competencies by improving the quality of neonatal care through competency-based simulation. Clinical skills are learned activities necessary to function within an environment. Skills gained during pre-licensure nursing education, on-site clinical training, and experience as a clinical care provider, collectively demonstrate a clinician's overall competence to function within a clinical setting. Simulation is a method of supporting nurses to establish, maintain, and remediate competency-based skills for safe and effective healthcare. Evidence suggests that simulation improve clinical skills and maintain patient safety. With this knowledge, many professional organizations have adopted and set standards for the use of simulation, as an educational methodology, to improve clinician skills and competence providing only the highest quality care to neonates within the Neonatal Intensive Care Unit.
MeSH term(s)	Clinical Competence ; Computer Simulation ; Education, Nursing ; Humans ; Infant, Newborn ; Nursing Care
Language	English
Publishing date	2022-05-26
Publishing country	United States
Document type	Journal Article
ZDB-ID	639300-7
ISSN	1539-2880 ; 0730-0832
ISSN (online)	1539-2880
ISSN	0730-0832
DOI	10.1891/NN-2021-0014
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Article: The Perspectives of Women and Their Health-Care Providers Regarding Using an ECA to Support Mode of Birth Decisions.

Chinkam, Somphit / Steer-Massaro, Courtney / Herbey, Ivan / Zhang, Zhe / Bickmore, Timothy / Shorten, Allison

The Journal of perinatal education

2022 Volume 30, Issue 3, Page(s) 135–144

Abstract: This study used focus groups to assess the feasibility and acceptability of adapting an Embodied Conversational Agent (ECA) to support decision-making about mode of birth after previous cesarean. Twelve women with previous cesareans, and eight prenatal ... ...

Abstract	This study used focus groups to assess the feasibility and acceptability of adapting an Embodied Conversational Agent (ECA) to support decision-making about mode of birth after previous cesarean. Twelve women with previous cesareans, and eight prenatal providers at an academic, tertiary-care medical center, viewed a prototype ECA and were asked to share feedback on the potential role in helping women prepare for decision-making. Both groups felt that although it was somewhat "robot-like," the ECA could provide
Language	English
Publishing date	2022-03-12
Publishing country	United States
Document type	Journal Article
ISSN	1058-1243
ISSN	1058-1243
DOI	10.1891/J-PE-D-20-00027
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Article ; Online: Interprofessional team-based education: A comparison of in-person and online learner experiences by method of delivery and health profession.

Shorten, Allison / Shorten, Brett / Bosworth, Peter / Camp, Shelly / House, David / Somerall, William / Watts, Penni

Journal of professional nursing : official journal of the American Association of Colleges of Nursing

2022 Volume 44, Page(s) 26–32

Abstract: Background: Building capacity for teamwork, communication, role clarification and recognition of shared values is essential for interprofessional healthcare workforce development. Requirements to demonstrate interprofessional practice competencies have ... ...

Abstract	Background: Building capacity for teamwork, communication, role clarification and recognition of shared values is essential for interprofessional healthcare workforce development. Requirements to demonstrate interprofessional practice competencies have coincided with pivots to online delivery. Comparison of in-person and online delivery models for interprofessional education is important for future curriculum design. Purpose: This article presents an evaluation of in-person and online delivery modes for interprofessional team-based education and compares learner experiences across different health professions. Methods: Students from 13 health professions (n = 2236) participated between Spring 2020 and Fall 2021. In-person and online delivery models were compared, assessing learner perceptions of efficacy for interprofessional practice, using reflective pre-post responses to the Interprofessional Collaborative Competency Attainment Scale (ICCAS). Results: Mean ICCAS scores improved for in-person and online delivery (0.79 vs 0.66), with strong effect (Cohen's D 2.03 and 1.31 respectively; p < 0.001). Statistically significant differences were observed across professions, although all experienced ICCAS score improvements. Logistical benefits were evident for online delivery. Conclusion: In-person and online interprofessional team-based education can provide valuable learner experiences for large student cohorts from multiple professions. ICCAS score differences should be weighed against potential logistical benefits of online delivery. Timing of delivery and determinants of differences in student response across professions warrant evaluation for future curriculum design.
MeSH term(s)	Humans ; Interprofessional Education ; Interprofessional Relations ; Health Occupations ; Curriculum ; Students, Health Occupations
Language	English
Publishing date	2022-11-29
Publishing country	United States
Document type	Journal Article
ZDB-ID	632951-2
ISSN	1532-8481 ; 8755-7223
ISSN (online)	1532-8481
ISSN	8755-7223
DOI	10.1016/j.profnurs.2022.11.004
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Article ; Online: Learning from women: Improving experiences of respectful maternity care during unplanned caesarean birth for women with diverse ethnicity and racial backgrounds.

Chinkam, Somphit / Ibrahim, Bridget Basile / Diaz, Brittany / Steer-Massaro, Courtney / Kennedy, Holly Powell / Shorten, Allison

Women and birth : journal of the Australian College of Midwives

2022 Volume 36, Issue 1, Page(s) e125–e133

Abstract: Problem: Women from diverse ethnicity and racial backgrounds have few opportunities to share birth experiences to inform improvements in care.: Background: Respectful maternity care is recognised as a global women's health priority. Integrating that ... ...

Abstract	Problem: Women from diverse ethnicity and racial backgrounds have few opportunities to share birth experiences to inform improvements in care. Background: Respectful maternity care is recognised as a global women's health priority. Integrating that framework into diverse care systems and models may help bridge care gaps for women who had unexpected birth experiences, including unplanned caesarean birth. Aim: To describe the experiences of women who had unplanned caesarean births and use knowledge gained to inform best practice recommendations that embody respectful maternity care. Methods: Qualitative data were analysed from focus groups involving a convenience sample of 11 English speaking women, from diverse ethnic and racial backgrounds, with prior unplanned caesarean experience. Respectful maternity care was used as the lens for interpreting women's narratives using Thorne's interpretive description. The study site was an outpatient prenatal clinic within an urban academic, tertiary-care medical centre in the United States. Findings: Two predominant, contrasting themes emerged: "not feeling well cared for" and "feeling well supported". Positive experiences included sources of support and strength from the midwifery practice, group prenatal care, and a doula program. Eight domains of respectful maternity care were applied to findings, highlighting current positive institutional practices and proposing areas for future quality improvement. Conclusion: Key practices promoting respectful maternity care include adequate communication and information sharing between pregnancy care providers and women, and a more robust informed consent process. Further emphasis on respectful maternity care is needed to support women to make shared decisions that best fit their circumstances and preferences.
MeSH term(s)	Pregnancy ; Female ; Humans ; Maternal Health Services ; Ethnicity ; Obstetrics ; Parturition ; Cesarean Section ; Qualitative Research
Language	English
Publishing date	2022-05-21
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	2235085-8
ISSN	1878-1799 ; 1871-5192
ISSN (online)	1878-1799
ISSN	1871-5192
DOI	10.1016/j.wombi.2022.05.004
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Article ; Online: Bridging the gap between mothers and medicine: "new insights" from the NIH Consensus Conference on VBAC.

Shorten, Allison

Birth (Berkeley, Calif.)

2010 Volume 37, Issue 3, Page(s) 181–183

MeSH term(s)	Cesarean Section, Repeat/statistics & numerical data ; Consensus Development Conferences, NIH as Topic ; Decision Making ; Female ; Health Planning Guidelines ; Humans ; Informed Consent/ethics ; Informed Consent/legislation & jurisprudence ; Interdisciplinary Communication ; Patient Care Team/organization & administration ; Policy Making ; Pregnancy ; Risk Assessment ; United States ; Vaginal Birth after Cesarean/ethics ; Vaginal Birth after Cesarean/legislation & jurisprudence ; Vaginal Birth after Cesarean/statistics & numerical data
Language	English
Publishing date	2010-09
Publishing country	United States
Document type	Editorial
ZDB-ID	604869-9
ISSN	1523-536X ; 0730-7659
ISSN (online)	1523-536X
ISSN	0730-7659
DOI	10.1111/j.1523-536X.2010.00404.x
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