Women and Children Nursing最新文献

{"title":"Effects of a “care for child development” model intervention on neurodevelopment and ASQ scores in high-risk infants","authors":"Ting Yu ,&nbsp;Tianze Ding ,&nbsp;Yumeng Zhang ,&nbsp;Shiwei Ai","doi":"10.1016/j.wcn.2026.03.001","DOIUrl":"10.1016/j.wcn.2026.03.001","url":null,"abstract":"<div><h3>Objective</h3><div>Family nurturing is increasingly recognized as critical for improving the prognosis of high-risk infants. However, evidence supporting the effectiveness of targeted nurturing care interventions remains limited. This study aimed to explore the effects of care for child development counseling and nurturing care group activities on the developmental outcomes of high-risk infants, as well as their applicability in clinical management.</div></div><div><h3>Methods</h3><div>In total, 102 high-risk newborns were allocated using a quasi-random alternation method to either an intervention group (<em>n</em> = 51), which received both interventions, or a control group (<em>n</em> = 51), which received only routine follow-up care. The primary developmental outcomes were assessed using the Infant Neurological International Battery (INFANIB) and the Ages and Stages Questionnaire (ASQ) when the infants were between four and six months of age.</div></div><div><h3>Results</h3><div>The intervention group showed significantly higher median [IQR] total INFANIB scores than the control group (70 [64–72] vs. 66 [59–70]; <em>P</em> = 0.004). Furthermore, the intervention group exhibited significantly higher scores in all five ASQ domains (all <em>P</em> &lt; 0.001), including communication (50 [45–60] vs. 45 [35–50]), gross motor (50 [40–55] vs. 35 [20–45]), fine motor (40 [30–50] vs. 30 [20–40]), problem-solving (45 [35–57.5] vs. 35 [25–40]), and personal-social (45 [37.5–55] vs. 40 [25–42.5]).</div></div><div><h3>Conclusion</h3><div>These findings suggest that childcare development counseling and nurturing care group activities can effectively enhance the neurodevelopmental and cognitive abilities of high-risk infants. This integrated model promises an effective strategy for promoting early development in this population and should be considered for inclusion in routine follow-up programs.</div></div>","PeriodicalId":101283,"journal":{"name":"Women and Children Nursing","volume":"4 1","pages":"Pages 16-23"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147652504","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Why are women with gestational diabetes in Kerala at higher risk for T2DM? A qualitative study on sociocultural factors","authors":"Uma Vadassery Sankar ,&nbsp;Maya Chacko ,&nbsp;Adshya Jeya Sekhar ,&nbsp;Sunu C. Thomas ,&nbsp;Shameema Anvarsadath ,&nbsp;Santhosh Kumar Nochikattil","doi":"10.1016/j.wcn.2026.02.003","DOIUrl":"10.1016/j.wcn.2026.02.003","url":null,"abstract":"<div><h3>Aim</h3><div>Gestational diabetes mellitus (GDM) is a significant risk factor for type 2 diabetes mellitus (T2DM). In India, where Kerala has a high diabetes prevalence, GDM management becomes complicated by sociocultural factors. This qualitative study aims to explore the sociocultural factors that drive the risk of T2DM in mothers with GDM in Kerala.</div></div><div><h3>Methods</h3><div>This qualitative study combined in-depth interviews (<em>n =</em> 17) with mothers with GDM (<em>n =</em> 6), accredited social health activist (ASHA) workers (<em>n =</em> 4), and healthcare professionals (<em>n =</em> 7), along with three focus group discussions (FGDs) involving junior public health nurses (JPHNs) (two FGDs with 12 participants each) and mothers with GDM (one FGD with eight participants each). Data were collected using semi-structured guides transcribed in Malayalam, translated into English, and thematically analyzed. Triangulation and peer debriefing ensured the validity of the results.</div></div><div><h3>Results</h3><div>Thematic analysis revealed four major themes. (1) Gender and power dynamics influence health prioritization; (2) cultural and traditional dietary practices, including high-calorie-rich postpartum diets; (3) knowledge gap regarding postpartum care; and (4) practical barriers and social perceptions regarding lifestyle modifications. Collectively, these factors hinder postpartum lifestyle modifications among women with GDM, thereby increasing the risk of T2DM in Kerala.</div></div><div><h3>Conclusion</h3><div>Postpartum health behaviors among women with GDM are largely shaped by sociocultural factors that significantly elevate the risk of T2DM. GDM should be considered an early indicator of T2DM, rather than a temporary pregnancy complication. This study highlighted the importance of sociocultural factors in effective postpartum lifestyle interventions. Addressing these challenges involves culturally sensitive, socially acceptable, community-based interventions combined with regular follow-ups with healthcare providers. Such approaches are essential to reduce the risk of T2DM and the corresponding burden on the health system and to improve long-term maternal health outcomes.</div></div>","PeriodicalId":101283,"journal":{"name":"Women and Children Nursing","volume":"4 1","pages":"Pages 24-30"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147652496","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysis of interactive causes of undernutrition in minority children in the Liangshan Yi region, Western China","authors":"Siteng Zhang ,&nbsp;Lili Peng ,&nbsp;Jinyao Chen ,&nbsp;Wei Peng","doi":"10.1016/j.wcn.2025.12.001","DOIUrl":"10.1016/j.wcn.2025.12.001","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to investigate the epidemiological characteristics and interactive causes of child undernutrition in the Liangshan Yi region of western China and identify potential interaction mechanisms among influencing factors to provide evidence for improving children's nutritional status in this ethnic minority region.</div></div><div><h3>Methods</h3><div>A cross-sectional survey was conducted among 3358 primary and middle school students from Xide and Yuexi counties using multistage cluster sampling. Data on demographics, dietary patterns, health behaviors, family functioning, and quality of life were collected using validated questionnaires. Nutritional status was assessed using the BMI-for-age z-scores. Univariate and multivariate logistic regression analyses identified the risk factors, whereas decision-tree models revealed interactive effects between the determinants.</div></div><div><h3>Results</h3><div>The undernutrition rate was 18.97%, which was significantly higher than the national average and primarily manifested as wasting (14.23%) and stunting (4.73%). The weekly pocket money demonstrated protective effects (OR = 0.63), but synergistic interactions revealed complexities: adequate economic resources combined with supportive living environments (OR = 0.57) and moderate parental control (OR = 0.52) provided enhanced protection, whereas excessive pocket money with higher household income paradoxically increased the risk (OR = 2.56). Moderate-to-high vegetable and fruit intake increased the risk of undernutrition (OR = 1.38). Local economic poverty led to children primarily consuming plant-based foods. This reveals the risk of insufficient protein intake due to the lack of dietary diversity in plant-based diets.</div></div><div><h3>Conclusions</h3><div>Child undernutrition in the Liangshan Yi region exhibits a complex multifactorial causation characterized by interactive rather than linear relationships. The \"vegetable and fruit paradox\" and \"double-edged sword effect\" of economic resources challenge conventional assumptions. Effective interventions require ecological approaches that address economic support, dietary quality improvement, family functioning enhancement, and supportive community environments simultaneously, rather than isolated single-factor interventions.</div></div>","PeriodicalId":101283,"journal":{"name":"Women and Children Nursing","volume":"4 1","pages":"Pages 31-38"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147652503","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Plants for milk augmentation in lactating women: A systematic review and meta-analysis of randomized controlled clinical trials","authors":"Gaurav Kumar Jain ,&nbsp;Devesh Tewari ,&nbsp;Anoop kumar","doi":"10.1016/j.wcn.2026.01.001","DOIUrl":"10.1016/j.wcn.2026.01.001","url":null,"abstract":"<div><h3>Background</h3><div>Plant-based galactagogues are widely used as traditional remedies to address insufficient breast milk supply; however, their effectiveness remains uncertain, warranting a systematic evaluation of the available evidence.</div></div><div><h3>Aim</h3><div>This study aims to determine the precise functions of plant-based galactagogues in milk production.</div></div><div><h3>Methods</h3><div>This review systematically identified and evaluated studies on herbal galactagogues following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) standards. Relevant studies were selected based on inclusion and exclusion criteria using effective search strategies. The Cochrane risk of bias tool was used to measure quality. The pooled estimate was calculated using the mean difference with a 95% confidence interval (CI). The publication bias was assessed using a funnel plot.</div></div><div><h3>Results</h3><div>After screening based on strict inclusion and exclusion criteria and quality assessment using the Cochrane risk of bias tool, seven studies were included in the meta-analysis. The overall estimate measure has shown significant increase in the total milk volume (MD = 158.91; 95% CI = 92.35-225.47) and increased prolactin level (MD = 23.23%; 95%CI = 20.40-26.07) in the herbal galactagogue group as compared to the control group. Additionally, the <em>I</em>² data showed decreased heterogeneity between the studies. The subgroup analysis showed a significant effect of fenugreek on the total milk volume.</div></div><div><h3>Conclusion</h3><div>Plant-based galactagogues play a significant role in milk production. However, to provide these galactagogues with scientific support, more randomized clinical trials are required.</div></div>","PeriodicalId":101283,"journal":{"name":"Women and Children Nursing","volume":"4 1","pages":"Pages 1-8"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147652502","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Educational attainment and its impact on prevalence of sterilization among Indian women","authors":"Arpita Basak ,&nbsp;Sangeeta Kothagattu ,&nbsp;Vivek Verma","doi":"10.1016/j.wcn.2026.02.001","DOIUrl":"10.1016/j.wcn.2026.02.001","url":null,"abstract":"<div><h3>Background</h3><div>Population policies are concerned with maternal and child health, and contraceptive methods have became a priority in recent centuries, especially in underdeveloped and developing countries. Female sterilization is the predominant method of contraception, and it is assumed that every woman is aware of it as a permanent contraception method irrespective of their educational level. This study aimed to assess the impact of educational attainment on distribution of sterilization trends among women with different levels of education.</div></div><div><h3>Method</h3><div>Data were obtained from the fifth round of the National Family Health Survey-5 (2019–2021), of which 507,316 women were eligible for this study. We considered demographic and socioeconomic factors to model the association between sterilization preferences and the role of educational attainment in shaping their understanding and decisions.</div></div><div><h3>Result</h3><div>Women with education below the secondary level reported the highest prevalence of sterilization (21.1%), followed by those with secondary education (14.8%), whereas only 1.9% among women with education above the secondary level reported sterilization. This disparity has also been observed across socio-demographic and economic levels, with the highest adjusted odds ratio (95% CI) among women with education below the secondary level, for example, among the richest wealth group [1.65 (1.58-1.73)] and among scheduled tribes [1.25 (1.18-1.32)], but not among scheduled castes. However, the opposite pattern was observed in the 25-34 [4.34 (4.08-4.61)] and 35 and above [6.38 (6.00-6.78)] age groups.</div></div><div><h3>Conclusion</h3><div>The findings show an inverse link between education and sterilization, with higher rates observed among less-educated women. This trend spans sociodemographic groups, suggesting that education enhances the awareness of and access to family planning options. Therefore, improving female education may play a pivotal role in promoting informed reproductive health decisions and reducing the disproportionate reliance on sterilization, especially among vulnerable populations.</div></div>","PeriodicalId":101283,"journal":{"name":"Women and Children Nursing","volume":"4 1","pages":"Pages 9-15"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147652495","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychological impact of different admission patterns on patients undergoing day hysteroscopic surgery and its influential factors","authors":"Yuqiong Yang ,&nbsp;Jing He ,&nbsp;Hengxi Chen ,&nbsp;Mingxuan Li","doi":"10.1016/j.wcn.2025.08.001","DOIUrl":"10.1016/j.wcn.2025.08.001","url":null,"abstract":"<div><h3>Objective</h3><div>To assess the incidence and influential factors of anxiety and depressive symptoms among patients admitted to different models of ambulatory gynecologic hysteroscopic surgery and to explore the effects of centralized and decentralized admission models on their anxiety and depressive symptoms.</div></div><div><h3>Methods</h3><div>This retrospective study recruited 8212 participants who underwent ambulatory gynecologic hysteroscopic surgery at West China Second University Hospital, Sichuan University, between January 2021 and January 2023. According to the different models of admission, the participants were divided into centralized and decentralized admission groups. The General Information Questionnaire and Hospital Anxiety and Depression Scale were used to assess the participants’ sociodemographic information and anxiety and depressive symptoms, respectively. A chi-square test was used to compare the prevalence of anxiety and depressive symptoms among participants in different groups. Subsequently, univariate and multivariate binary logistic regressions were used to explore the factors influencing participants’ anxiety and depressive symptoms.</div></div><div><h3>Results</h3><div>The prevalence of anxiety symptoms was 12.6% and 6.2% in the centrally and decentrally admitted participants, respectively, and that of depressive symptoms was 10.8% and 4.0%, respectively. Being centrally admitted and diagnosed with intrauterine adhesions were risk factors for anxiety and depressive symptoms. Old age was a protective factor against anxiety and depressive symptoms. Moreover, being married was a protective factor against anxiety symptoms, and a higher level of education was a protective factor against depressive symptoms.</div></div><div><h3>Conclusion</h3><div>The centrally admitted participants were more likely to have anxiety and depressive symptoms than those admitted decentrally. The medical staff should provide rational health education, effective preoperative assessment, and targeted health care to minimize psychological stress in patients undergoing day surgery, especially for the centrally admitted patients.</div></div>","PeriodicalId":101283,"journal":{"name":"Women and Children Nursing","volume":"3 4","pages":"Pages 86-91"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145874951","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cerebral palsy in Nigeria","authors":"Christian Inya Oko,&nbsp;Abdullahi Tunde Aborode,&nbsp;Oche Joseph Otorkpa,&nbsp;Azeezat Modesola Abereijo,&nbsp;Abbas Lateefat Olanike,&nbsp;Isreal Ayobami Onifade,&nbsp;Abdulhammed Opeyemi Babatunde","doi":"10.1016/j.wcn.2025.05.001","DOIUrl":"10.1016/j.wcn.2025.05.001","url":null,"abstract":"","PeriodicalId":101283,"journal":{"name":"Women and Children Nursing","volume":"3 4","pages":"Pages 83-85"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145874950","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the impact of socioeconomic factors and emotional distress on the well-being of women with obstetric fistula in selected Nigerian hospitals: A cross-sectional study","authors":"Helen Foluke Fatoke ,&nbsp;Omolola Irinoye ,&nbsp;Olaolorunpo Olorunfemi","doi":"10.1016/j.wcn.2025.10.001","DOIUrl":"10.1016/j.wcn.2025.10.001","url":null,"abstract":"<div><h3>Background</h3><div>An avoidable birth injury that has serious social and emotional repercussions is an obstetric fistula (OF). Although it has been eradicated in high-income nations, it is still common in low- and middle-income areas, particularly in Sub-Saharan Africa. With an emphasis on the impact of socioeconomic factors and emotional distress in particular hospitals, this study investigates the social and emotional well-being of women with OF in South-West Nigeria.</div></div><div><h3>Methods</h3><div>A descriptive cross-sectional design was used, with data collected through a structured questionnaire. The study targeted women aged 15–49 who received OF treatment at Wesley Guild Hospital, Ilesa, and University College Hospital, Ibadan. A purposive sample of 120 participants was selected. Data were collected over six months (24th January – July 23, 2023) and analyzed using descriptive and inferential statistics.</div></div><div><h3>Results</h3><div>Among respondents, 41.7% reported low well-being, 40.8% high well-being, and 17.5% moderate well-being. Chi-square tests showed significant associations between marital status (<em>χ</em>² = 11.02, <em>P</em> = 0.02), religion (<em>χ</em>² = 17.11, <em>P</em> = 0.01), and place of residence (<em>χ</em>² = 7.26, <em>P</em> = 0.02) with well-being, while age, ethnicity, education, occupation, and parity had no significant influence.</div></div><div><h3>Conclusions</h3><div>The social and emotional health of women with OF is greatly impacted by their marital status, place of residence, and religious affiliation. This study highlight the significance of community-based efforts to reduce stigma, context-specific psychological interventions, and improved access to healthcare services. In order to help impacted women recover and reintegrate into society, nursing practice must incorporate these sociodemographic factors into thorough, patient-centered care plans that holistically address the psychosocial difficulties they face.</div></div>","PeriodicalId":101283,"journal":{"name":"Women and Children Nursing","volume":"3 4","pages":"Pages 92-97"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145874949","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Establishment and application of a training program for new neonatal nurses based on the dialectical dynamic dual-main teaching theory","authors":"Xiujuan Zhang ,&nbsp;Yanling Hu ,&nbsp;Yingxin Li ,&nbsp;Qiong Chen ,&nbsp;Xi Huang","doi":"10.1016/j.wcn.2025.08.002","DOIUrl":"10.1016/j.wcn.2025.08.002","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;The dialectical dynamic dual-main teaching theory, based on He Kekang’s dual-main teaching model, emphasizes the dynamic adjustment of teacher and student roles to enhance learning. This study applies this theory to in-service training for neonatal nurses and aims to empower students and optimize training by integrating teacher–student competition mechanisms.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objectives&lt;/h3&gt;&lt;div&gt;This study aims to evaluate the effectiveness of the dialectical dynamic dual-main teaching model in training new neonatal nurses and to provide a reference for improving in-service nursing education.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;div&gt;Nurses were divided into two groups based on their year of entry using a historical control design.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;The study included 46 new nurses who received first-year training in the neonatal department of a single hospital between July 1, 2018, and June 30, 2022. They were divided into two groups: a control group (those who received traditional training between 2018 and 2019) and an experimental group (those who received training using the dialectical dynamic dual-main teaching model between 2020 and 2021). Evaluation was conducted using theoretical, practical, and comprehensive nursing assessment scores, and results were obtained using the nurse core competency scale.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;There were no significant differences between the two groups of new nurses in terms of age (&lt;em&gt;P&lt;/em&gt; ​= ​0.772), gender (&lt;em&gt;P&lt;/em&gt; ​= ​0.151), educational level (&lt;em&gt;P&lt;/em&gt; ​= ​0.936), and standardized training experience (&lt;em&gt;P&lt;/em&gt; ​= ​0.084). The significance level for hypothesis testing was set at α ​= ​0.05. Except for the first month’s theoretical scores (&lt;em&gt;P&lt;/em&gt; ​= ​0.139, Cohen’s d ​= ​−0.447), the experimental group had significantly higher scores on theoretical, practical, and comprehensive nursing assessments at all time points compared with the control group (&lt;em&gt;P&lt;/em&gt; ​&lt; ​0.05). The overall competency (25.98 ​± ​4.14, &lt;em&gt;P&lt;/em&gt; ​= ​0.018, Cohen’s d ​= ​−0.709), management (3.45 ​± ​0.55, &lt;em&gt;P&lt;/em&gt; ​= ​0.002, Cohen’s d ​= ​−0.965), communication (3.39 ​± ​0.53, &lt;em&gt;P&lt;/em&gt; ​= ​0.012, Cohen’s d ​= ​−0.764), teaching (3.30 ​± ​0.40, &lt;em&gt;P&lt;/em&gt; ​= ​0.001, Cohen’s d ​= ​−1.049), and comprehensive knowledge ability (3.36 ​± ​0.69, &lt;em&gt;P&lt;/em&gt; ​= ​0.010, Cohen’s d ​= ​−0.766), and critical thinking ability (3.09 ​± ​0.61 vs. 2.67 ​± ​0.56, &lt;em&gt;P&lt;/em&gt; ​= ​0.018, Cohen’s d ​= ​−0.731) scores of the experimental group were significantly higher than those of the control group. These findings suggest that the dialectical dynamic dual-main teaching theory significantly improves training outcomes for newly hired nurses.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;The dialectical dynamic dual-main teaching model significantly improved the training of new neonatal nurses and enhanced their theoretical, practical, and comprehensive nursing assessment scores as ","PeriodicalId":101283,"journal":{"name":"Women and Children Nursing","volume":"3 4","pages":"Pages 98-105"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145874948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Parents' perspectives on the quality of life of adolescents living with autism spectrum disorder in Ghana","authors":"Khadija Atchulo ,&nbsp;Kwadwo Ameyaw Korsah ,&nbsp;Ahmed Farhan Abubakr","doi":"10.1016/j.wcn.2025.05.002","DOIUrl":"10.1016/j.wcn.2025.05.002","url":null,"abstract":"<div><h3>Background</h3><div>Autism Spectrum Disorder (ASD) is a challenging public health condition with significant impacts on the wellbeing and quality of life of adolescents. This study uses Betty Ferrel's Quality of Life Model (1996) to investigate Parents' perspectives on the quality of life of adolescents living with ASD. The study focuses on three main constructs: physical wellbeing, social wellbeing, and support systems. The study explores the challenges faced by children with ASD through parental perspectives and offers insights into coping mechanisms.</div></div><div><h3>Methodology</h3><div>An exploratory descriptive qualitative design was employed to investigate the physical, and social wellbeing of adolescents with ASD. Thirteen participants from the Accra Metropolis were interviewed using a semi-structured guide, with participants’ consent. The interviews were recorded, transcribed, coded, and analyzed using thematic content analysis. Three major themes and 11 subthemes were identified.</div></div><div><h3>Results</h3><div>A thematic content analysis identified three main themes and eleven sub-themes. The findings revealed that adolescents with autism experienced varying degrees of quality of life across different domains: physical wellbeing, social wellbeing, and support systems. Adolescents with autism exhibited low physical wellbeing, marked by significant dependency and co-existing conditions, and an inability to perform basic life functions independently. Despite poor oral communication skills, they maintained good social wellbeing with cordial relationships. A notable absence of support systems was identified. Additionally, Muslim respondents were absent due to cultural practices, highlighting a need for future research in this area.</div></div><div><h3>Conclusion</h3><div>The study highlights the multifaceted challenges faced by adolescents with autism, particularly in physical wellbeing, while also noting their capacity for social engagement. The absence of Muslim participants underscores the need for culturally sensitive research to address gaps in understanding. Public education and sensitization about ASD are imperative. Moreover, governmental and non-governmental organizations should establish training and educational support systems for autistic adolescents to enhance their quality of life. Findings revealed barriers to education, social integration, and access to healthcare.</div></div>","PeriodicalId":101283,"journal":{"name":"Women and Children Nursing","volume":"3 3","pages":"Pages 64-74"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145183574","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}