Journal of Obstetric Gynecologic & Neonatal Nursing (JOGNN-J OBST GYN NEO)
For 35 years, the Journal of Obstetric, Gynecologic, & Neonatal Nursing (JOGNN) has been a premier resource for health care professionals committed to new clinical scholarship that advances nursing practice. Written by and for nurses, JOGNN addresses the latest research practice issues, policies, opinions, and trends affecting women, childbearing families, and newborns.
Current impact factor: 1.02
Impact Factor Rankings
|2016 Impact Factor||Available summer 2017|
|2014 / 2015 Impact Factor||1.024|
|2013 Impact Factor||1.195|
|2012 Impact Factor||1.033|
|2011 Impact Factor||1.035|
|2010 Impact Factor||1.331|
|2009 Impact Factor||0.952|
|2008 Impact Factor||0.892|
|2007 Impact Factor||0.97|
|2006 Impact Factor||0.987|
|2005 Impact Factor||0.846|
|2004 Impact Factor||0.529|
Impact factor over time
|Website||Journal of Obstetric, Gynecologic, and Neonatal Nursing (JOGNN) website|
|Other titles||Journal of obstetric, gynecologic, and neonatal nursing, JOGNN, Journal of obstetric, gynecologic, & neonatal nursing|
|Material type||Periodical, Internet resource|
|Document type||Journal / Magazine / Newspaper, Internet Resource|
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- If OnlineOpen is available, BBSRC, EPSRC, MRC, NERC and STFC authors, may self-archive after 12 months
- If OnlineOpen is not available, BBSRC, EPSRC, MRC, NERC and STFC authors, may self-archive after 6 months
- If OnlineOpen is available, AHRC and ESRC authors, may self-archive after 24 months
- If OnlineOpen is not available, AHRC and ESRC authors, may self-archive after 12 months
- Reviewed 18/03/14
- Please see former John Wiley & Sons and Blackwell Publishing policies for articles published prior to February 2007
Publications in this journal
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ABSTRACT: Poster PresentationBackground Mirror syndrome is a rare, potentially life-threatening obstetric complication characterized by the development of maternal edema, hypertension, and proteinuria in association with fetal hydrops. Hydrops is diagnosed when there is accumulation of fluid in at least two fetal compartments. The maternal condition mirrors the edema present in the fetus and/or the placenta. Documented cases of mirror syndrome have been associated with fetal infections and malformations. We review the nursing care of a pregnant woman who developed mirror syndrome secondary to a fetal diagnosis of sacrococcygeal teratoma (SCT).Sacrococcygeal teratomas are one of the most commonly diagnosed newborn tumors (1:40000) and arise from the sacrococcygeal region. They can be internal, external, solid, cystic, or a combination. Close surveillance of the mother and fetus is necessary as large solid tumors can result in fetal cardiac compromise and the development of hydrops. Hydrops increases the risk of fetal mortality and maternal morbidity.CaseA 23-year-old G3P1011 presented for initial evaluation at 26 weeks 4 days gestation. A large mass consisting of solid and cystic components arising from the sacrum was identified on fetal ultrasound and magnetic resonance imaging (MRI). The estimated overall volume of the tumor was 642 ml. Placentomegaly was present. The plan for obstetric management included twice weekly fetal ultrasound surveillance and maternal evaluation. The planned mode of delivery would be cesarean with immediate neonatal SCT resection at 32 weeks gestation. Ultrasound at 31 weeks 1 day indicated an overall SCT volume of 1604 ml with continued placentomegaly but no additional evidence of fetal hydrops. Maternal assessment indicated elevated blood pressure, trace proteinuria, hyperreflexia, and slightly elevated liver enzymes. The woman was otherwise asymptomatic and admitted for observation.Laboratory studies showed increasing liver enzymes, and a cesarean birth was performed at 31 weeks 4 days gestation for impending mirror syndrome. The neonate was stabilized and transferred to an adjoining operating room where she underwent immediate resection of the tumor. The woman's symptoms resolved, and she was discharged within 72 hours.Conclusion Nurses were ideally suited to provide family-centered and holistic care to this woman and her family. Nurses with varying areas of expertise participated in the care of this maternal/newborn dyad. Throughout the pregnancy, nurses were an integral part of the multidisciplinary team that provided clinical care, education, and psychosocial support. Comprehensive maternal assessment and evaluation resulted in the timely diagnosis and prompt intervention for mirror syndrome.
Article: Preventing Newborn Falls[Show abstract] [Hide abstract]
ABSTRACT: Poster PresentationPurpose for the ProgramIn fiscal year 2012, six newborn falls were reported at Anne Arundel Medical Center (AAMC). As a result of this disturbing trend, the Mother/Baby Quality Council developed a Newborn Falls Prevention Task Force. The goals of the task force were to identify factors associated with newborn falls and make recommendations to reduce newborn falls.Proposed ChangeAfter reviewing the literature, examining and analyzing the information related to the falls in our hospital, and attending the 2013 Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN) convention, we developed a plan which included the following: (a) create the expectation that nurses and patient care technicians discuss newborn falls prevention with parents at least once every 12-hour shift; (b) develop patient handouts related to infant safety, including falls prevention; (c) create signage for patient rooms to remind parents not to fall asleep with newborns in their beds; (d) create signage for postpartum units indicating the number of days since the last newborn fall; (e) discuss newborn falls at staff meetings and quality council meetings. We decided not to implement hourly rounding because one of our newborns was dropped by the mother within 20 minutes of the nurse leaving the room.Implementation, Outcomes, and EvaluationStaff members were kept informed of the new program and our progress through e-mails and staff meetings. In fiscal year 2013, the number of falls reported was two, which was before our program was fully implemented in June 2013. In fiscal year 2014, we had one newborn fall. So far in fiscal year 2015, we have not had any newborn falls.Implications for Nursing PracticeOn a mother/infant unit where newborns stay with their mothers for approximately 23 hours per day, a newborn falls prevention program that focuses on parent, family, and staff education can be effective in reducing newborn falls.
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ABSTRACT: Poster PresentationPurpose for the ProgramObstetric-related critical events are self-defined, often unexpected, traumatic events with the potential to involve multiple staff members that result in strong emotional responses for which usual coping mechanisms may be ineffective. Health care professionals are trained to clinically respond to patient-related events; however, they may not have the resources to adequately respond to emotions triggered by these events. Health care providers in these situations may have feelings of worry or grief after the event. If these feelings are not addressed, they may lead to increased stress, hindrance of the ability to provide good care, and burnout. Debriefing is a group meeting arranged for the purpose of recounting and fact gathering after a critical event has occurred. The purpose is to help review processes and improve clinical practice, provide staff with emotional and psychologic support, and foster teamwork.Proposed ChangeTo conduct a standardized debrief with the individuals involved in a critical event to help staff members discuss the event and identify who may need additional clinical or emotional support.Implementation, Outcomes, and EvaluationThis hospital created a standardized debrief tool for utilization in newly established critical event debriefs. Critical events were described as self-identified and included near misses, significant medication errors, and adverse events. As frontline leaders, unit-charge nurses were the targeted group for initial education on the new, hospital-wide, critical event debriefing process. They were educated on the purpose and importance of conducting a timely and confidential debrief after a critical event. The newly developed paper tool was presented to this group along with a discussion of the phases of debriefing that were used to structure the tool and common factors that may enhance or hinder an individual's response to the event. A counselor from the Employee Assistance Program was brought in to teach nurses how to conduct an emotional debriefing session. Feedback since implementation of the debriefing process has provided clinicians and the organization with valuable information that has been used to improve patient care and processes, communication between departments, and teamwork.Implications for Nursing PracticeEmpowering frontline leaders with the tools and resources to conduct debriefings after critical events is crucial to help review and improve clinical practice. In addition, the debriefing session provides a safe place to examine feelings, thoughts, and responses to the event to allow nurses to prepare for potential future events.
Article: Acute Renal Failure in Pregnancy[Show abstract] [Hide abstract]
ABSTRACT: Poster PresentationBackground Acute renal failure is a rare, life-threatening complication of severe preeclampsia and hemolysis elevated liver enzymes and low platelets syndrome (HELLP). This condition occurs in an estimated 1 in 20000 pregnancies. Acute renal failure presents challenges for even the expert nurse. The purpose of this presentation is to assist obstetric nurses in recognizing complications of severe preeclampsia such as acute renal failure and empower them with the knowledge and skills to manage women with this condition to improve outcomes.CaseA 25-year-old G1P0 woman at 39 weeks gestation arrived in our obstetric triage unit with complaints of a constant headache, visual disturbances, epigastric pain, and contractions for one hour. Initial blood pressure was 190/125 and fetal heart tones were not present on auscultation. After immediate notification to the obstetric (OB) triage attending physician, an intravenous line (IV) was started, lab work was drawn, IV antihypertensive medication was administered, and a magnesium sulfate infusion was started. After evaluation, the woman was diagnosed with an intrauterine fetal demise secondary to superimposed preeclampsia and HELLP syndrome. She was admitted to our labor and delivery unit for induction of labor. Within 24 hours of admission, maternal/fetal medicine, nephrology, neurology, and optometry were consulted. During induction, lab work was ordered every 4 hours and disseminated intravascular coagulation (DIC) was diagnosed, which required multiple blood transfusions. Urine output was minimal and renal lab values were elevated with an initial creatinine of 1.6 that peaked at 7.6. The woman required the placement of a tunnel catheter and dialysis short term while in the hospital. She continued to have complaints of visual disturbances and was diagnosed with retinal detachment related to DIC and preeclampsia. The woman was discharged one week postpartum on oral antihypertensive medication after her course of dialysis was completed.Conclusion Management of this woman with superimposed preeclampsia and HELLP syndrome with complications of DIC and acute renal failure presented a challenge to our health care team. Management required a multidisciplinary team approach to prevent further deterioration of kidney function and kidney disease. Acute renal failure was identified early by the health care team. The collaboration of the health care team and their ability to utilize each other's knowledge and expertise resulted in the woman being on dialysis short term, restoration of her kidney function, and her discharge on oral antihypertensive medication.
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ABSTRACT: This project was designed to test a nurse staffing model for its ability to accurately determine staffing needs for a large-volume labor and birth unit based on a staffing gap analysis using the nurse staffing guidelines from the Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN). The staffing model and the AWHONN staffing guidelines were found to be reliable methods to predict staffing needs for a large-volume labor and birth unit. © 2015 AWHONN, the Association of Women's Health, Obstetric and Neonatal Nurses.
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ABSTRACT: To analyze the effects of psychosocial interventions with the aim of reducing the intensity of stress in mothers during the postpartum period as compared with usual care. Eligible studies were identified by searching MEDLINE, EMBASE, CINAHL, and ProQuest dissertations and theses. Randomized controlled trials (RCTs) treating stress in postpartum mothers older than age 19 years were included. The suitability of the quality of articles was evaluated using Joanna Briggs Institute's Critical Appraisal Checklist for Experimental Studies. Fourteen articles met the inclusion criteria for data analysis. Authors, country, sample, setting, methods, time period, major content of the intervention, outcome measures, and salient findings were extracted and summarized in a data extraction form for further analysis and synthesis. Standardized mean differences with 95% confidence intervals were calculated for 13 suitable articles using Cochrane Review Manager. Of 1,871 publications, 14 RCTs, conducted between 1994 and 2012, were evaluated in the systematic review and 13 studies were included in the meta-analysis. Studies were categorized into three major types by interventional methods. We found that psychosocial interventions in general (standard mean difference -1.66, 95% confidence interval [-2.74, -0.57], p = .003), and supportive stress management programs in particular (standard mean difference -0.59, 95% confidence interval [-0.94, -0.23], p = .001), were effective for women dealing with postpartum stress. This review indicated that psychosocial interventions including supportive stress management programs are effective for reducing postpartum stress in women, so those interventions should become an essential part of maternity care. © 2015 AWHONN, the Association of Women's Health, Obstetric and Neonatal Nurses.
Article: Professional Nurse Staffing Matters
Article: Championing Your Passion
Data provided are for informational purposes only. Although carefully collected, accuracy cannot be guaranteed. The impact factor represents a rough estimation of the journal's impact factor and does not reflect the actual current impact factor. Publisher conditions are provided by RoMEO. Differing provisions from the publisher's actual policy or licence agreement may be applicable.