An Integrative Review Examining Barriers to Universal Screening for Substance Use in Pregnant Women.

Theresa Lemus, Lisa Thomas
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引用次数: 0

Abstract

Objective: To review and appraise the literature describing the individual- and system-level barriers preventing universal screening of pregnant individuals for substance use in prenatal care settings.

Data sources: A search was conducted using the Whittemore and Knafl framework for integrative reviews (2005) and the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. The keywords and MeSH terms were identified and searched in the PubMed and CINAHL electronic databases.

Study selection: Inclusion criteria were peer-reviewed articles published in English from January 2014 to February 2024. Review papers, opinion papers, and commentaries were excluded from the review. The search across the databases yielded 773 results. Duplicates and irrelevant works were removed, leaving 13 articles as the focus of this review.

Data extraction: Data extraction was guided by the PRISMA guidelines. Data were extracted from each article and critically appraised using the Critical Appraisal Skills Programme guidelines.

Data synthesis: Four common themes describing barriers to screening for substance use in pregnant individuals emerged in the review: Insufficient Time and Resources, Legal and Ethical Concerns, Lack of Knowledge and Training, and Provider-Patient Relationship.

Conclusion: Nursing leaders and health care providers should systematically address the legal, ethical, technological, and practical obstacles to universal prenatal substance use screening, focusing on individual provider characteristics, state policies, education and training, and other key factors discussed in this review. Nursing leaders are poised to alter the trajectory of declining maternal and child health outcomes by reshaping the lens through which prenatal substance use is viewed and care is practiced. Lessons from this review will inform further examination and solutions to the problem, resulting in universal prenatal screening.

对孕妇药物使用普遍筛查障碍的综合评价。
目的:回顾和评价文献描述的个人和系统层面的障碍,阻止普遍筛查怀孕个体的物质使用产前护理设置。数据来源:使用Whittemore和Knafl综合评价框架(2005)和系统评价和荟萃分析(PRISMA)指南的首选报告项目进行了搜索。在PubMed和CINAHL电子数据库中检索关键词和MeSH术语。研究选择:纳入标准为2014年1月至2024年2月发表的英文同行评议文章。综述论文、观点论文和评论被排除在综述之外。在数据库中搜索产生了773个结果。删除重复和不相关的作品,留下13篇文章作为本综述的重点。数据提取:数据提取以PRISMA指南为指导。从每篇文章中提取数据,并使用批判性评估技能计划指南进行批判性评估。数据综合:回顾中出现了四个共同主题,描述了孕妇药物使用筛查的障碍:时间和资源不足,法律和伦理问题,缺乏知识和培训,以及医患关系。结论:护理领导和卫生保健提供者应系统地解决普遍产前物质使用筛查的法律、伦理、技术和实践障碍,重点关注提供者个人特征、国家政策、教育和培训以及本文讨论的其他关键因素。护理领导者准备通过重塑产前药物使用和护理实践的镜头来改变孕产妇和儿童健康结果下降的轨迹。这次审查的经验教训将为进一步检查和解决问题提供信息,从而实现普遍的产前筛查。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Nursing for Women''s Health
Nursing for Women''s Health Nursing-Nursing (all)
CiteScore
2.10
自引率
0.00%
发文量
90
期刊介绍: Nursing for Women"s Health publishes the most recent and compelling health care information on women"s health, newborn care and professional nursing issues. As a refereed, clinical practice journal, it provides professionals involved in providing optimum nursing care for women and their newborns with health care trends and everyday issues in a concise, practical, and easy-to-read format.
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