Nursing for Women''s Health最新文献

{"title":"Implementing Communication Boards at the Bedside to Improve Patient-Centered Care in an Inpatient Obstetric Unit.","authors":"Beth Anne Chapin, Meghan Duck","doi":"10.1016/j.nwh.2024.10.004","DOIUrl":"https://doi.org/10.1016/j.nwh.2024.10.004","url":null,"abstract":"<p><strong>Objective: </strong>To implement use of custom whiteboards to improve bedside communication and shared knowledge between clinicians and patients.</p><p><strong>Design: </strong>Quality improvement project using a seven-step evidence-based practice framework and Plan-Do-Study-Act cycles to redesign custom communication boards for specific patient (antepartum, labor, postpartum) populations.</p><p><strong>Setting/local problem: </strong>Two California university medical center inpatient obstetric units where Hospital Consumer Assessment of Healthcare Providers and Systems scores in nursing communication had trended down at a time when whiteboards were being underused in patient rooms.</p><p><strong>Participants: </strong>Staff of approximately 170 nurses, 30 physicians, and 8 midwives.</p><p><strong>Intervention/measurements: </strong>The project was implemented from January 2020 through July 2020; the first phase was completed in the postpartum unit, and the second phase was completed in the antepartum unit. Staff surveys and board use audits were used to collect preimplementation and postimplementation data. Third-phase labor boards were designed but were not yet implemented due to budget constraints.</p><p><strong>Results: </strong>Project data supported that the new boards encouraged more complete information and facilitated bedside communication better than the previous iteration.</p><p><strong>Conclusion: </strong>A customized communication board designed for a specific patient population is an effective tool to promote patient-centered care. Communication boards can reinforce safe nursing practice, facilitate discussion, and improve the patient experience.</p>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143374582","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":"Reviewer Acknowledgment","authors":"","doi":"10.1016/S1751-4851(25)00026-1","DOIUrl":"10.1016/S1751-4851(25)00026-1","url":null,"abstract":"","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"29 1","pages":"Page 71"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143129932","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":"Pediatric Providers’ Perceptions of Their Role in the Early Detection of Postpartum Depression","authors":"Laura A. Gonzalez,&nbsp;Emily G. Chin","doi":"10.1016/j.nwh.2024.08.005","DOIUrl":"10.1016/j.nwh.2024.08.005","url":null,"abstract":"<div><h3>Objective</h3><div>To explore pediatric health care providers’ perceptions of their role in screening mothers for postpartum depression (PPD).</div></div><div><h3>Design</h3><div>Descriptive, qualitative methodology.</div></div><div><h3>Setting</h3><div>Pediatric care providers from five different institutions in the Chicago metropolitan area.</div></div><div><h3>Participants</h3><div>Eleven providers who see infants within their first year of life were interviewed.</div></div><div><h3>Intervention/Measurements</h3><div>Participants were interviewed regarding their perceptions of their role in the early detection of PPD.</div></div><div><h3>Results</h3><div>During the interviews and coding, six themes were identified: <em>Screening Formally and Informally</em>, <em>Providers Perceiving Their Role</em>, <em>I Think There Should Be More Education</em>, <em>Falling Through the Cracks</em>, <em>Clinical Missed Pathways</em>, and <em>A Supportive Organization Has an Impact on the Role of the Provider</em>.</div></div><div><h3>Conclusion</h3><div>This study demonstrates the need to increase awareness and ensure that proper national guidelines are implemented by health care providers, policymakers, and organizations to secure a proper and efficient protocol to ensure the practice of screening all mothers. In addition, the results from this study have implications for public policy, nursing practice, education, and further research.</div></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"29 1","pages":"Pages 25-34"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142928151","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":"Content Validity for the NICU Caregiver Behavior Checklist","authors":"Amy Carroll,&nbsp;Cecilia Roan,&nbsp;Catherine Verrier Piersol,&nbsp;Michele Kacmarcik Savin","doi":"10.1016/j.nwh.2024.08.006","DOIUrl":"10.1016/j.nwh.2024.08.006","url":null,"abstract":"<div><h3>Objective</h3><div>To update and establish content validity for the Checklist of NICU Caregiver Behaviors.</div></div><div><h3>Design</h3><div>Structured literature review and Delphi analysis.</div></div><div><h3>Setting/Local Problem</h3><div>Neonates born prematurely or who are sick in the NICU are frequently exposed to harmful stimuli that can affect brain development and result in adverse neurodevelopmental outcomes. In response to this risk, NICU caregiving now encompasses protecting and promoting neurodevelopment to affect long-term outcomes for neonates and their families. Developmentally supportive care (DSC) includes internationally recognized best practices for the care of neonates in the NICU. Implementation and operationalization of DSC is a priority for neonatology. Although evidence-supported guidelines exist for effective DSC strategies in the NICU, no validated tool exists to support implementation at the point of care.</div></div><div><h3>Participants</h3><div>Nine expert reviewers from the United States and India including four occupational therapists, one nurse practitioner, one clinical nurse specialist, and three neonatal medicine specialists.</div></div><div><h3>Intervention/Measurements</h3><div>The Checklist of NICU Caregiver Behaviors had been updated based on a structured review of the evidence. The updated checklist was then shared with a group of professionals with DSC expertise who provided further recommendations using a modified Delphi survey process.</div></div><div><h3>Results</h3><div>The project yielded the current NICU Caregiver Behavior Checklist. Expert reviewers provided 53 actionable recommendations in Round 1 and 18 actionable recommendations in Round 2 to support clarity and use of the tool. In response, the NICU Caregiver Behavior Checklist was reformatted as a collection of five checklists, each representing a core measure of DSC; the introduction section was expanded; language was broadened; and clarifications were provided to promote observations of target behaviors and allow for more site-specific recommendations and assessments.</div></div><div><h3>Conclusion</h3><div>This evidence-based tool can be used as part of DSC education, as a self-assessment tool, and as a measure of NICU caregivers’ use and quality of DSC.</div></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"29 1","pages":"Pages 44-52"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143012570","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":"Breastfeeding Experiences of Women With Gestational Diabetes Mellitus","authors":"Kimberly N. Doughty,&nbsp;Jenna A. LoGuidice,&nbsp;Jennifer Schindler-Ruwisch,&nbsp;Kelsi McCarthy,&nbsp;Emily Bower","doi":"10.1016/j.nwh.2024.07.006","DOIUrl":"10.1016/j.nwh.2024.07.006","url":null,"abstract":"<div><h3>Objective</h3><div>To understand the perinatal experiences of women with gestational diabetes mellitus (GDM) who intended to breastfeed.</div></div><div><h3>Design</h3><div>Qualitative descriptive study.</div></div><div><h3>Setting</h3><div>Online focus groups conducted via Zoom.</div></div><div><h3>Participants</h3><div>Women who had GDM in their most recent pregnancy, had a full-term birth in the United States, and were no more than 18 months postpartum.</div></div><div><h3>Methods</h3><div>Virtual focus groups were held between November 2022 and August 2023. Focus group transcripts were coded and analyzed to identify major themes and subthemes.</div></div><div><h3>Results</h3><div>Three major themes and 14 subthemes emerged: (a) <em>Challenges</em>, including subthemes of <em>GDM Diagnosis</em>, <em>Doubt</em>, <em>Physical Challenges</em>, <em>Balancing Demands</em>, <em>Lack of Support</em>, and Pressure or <em>Judgment</em>; (b) <em>Lack of Information</em> <em>or Support</em> <em>From Health Care Providers</em>, with subthemes of <em>Separation of GDM From Breastfeeding</em>, <em>Inadequate Information or Support</em>, and <em>Provider Neutrality</em>; and (c) <em>Facilitating or Motivating Factors</em>, including subthemes of <em>Knowledge</em>; <em>Intention, Confidence, and Determination</em>; and <em>Positive Support</em>.</div></div><div><h3>Conclusion</h3><div>Women with GDM experienced many breastfeeding challenges and felt they had received little information or support from health care providers, including but not limited to nurses. They also expressed feelings of pressure or judgment about their infant feeding choices, reported a desire to know more about the connection between GDM and breastfeeding, and highlighted the value of having support systems in person or online.</div></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"29 1","pages":"Pages 8-16"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142907707","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":"Evaluation of Labor Mirror Use During the Active Pushing Phase of the Second Stage of Labor","authors":"Robin L. Driver,&nbsp;Lynn Shaffer,&nbsp;Jennifer L. Doyle","doi":"10.1016/j.nwh.2024.07.004","DOIUrl":"10.1016/j.nwh.2024.07.004","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate whether the use of a labor mirror during the active pushing phase of the second stage of labor is associated with a shorter duration of pushing. Additionally, we examined maternal and neonatal outcomes secondary to mirror use versus non–mirror use.</div></div><div><h3>Design</h3><div>Retrospective observational cohort study.</div></div><div><h3>Setting/Local Problem</h3><div>Community hospital in the midwestern United States with a Level 3 maternity center and approximately 2,000 births annually.</div></div><div><h3>Participants</h3><div>Four hundred fifty-three women ≥18 years old who had a singleton pregnancy at term (37–41 weeks’ gestation) with a spontaneous vaginal birth.</div></div><div><h3>Intervention/Measurements</h3><div>The use of a ceiling-mounted labor mirror offered before or at the beginning of the active pushing phase of the second stage of labor. Use was determined by patient choice.</div></div><div><h3>Results</h3><div>One hundred seventy-seven (39.1%) women elected use of the labor mirror. Mirror users and nonusers were similar in terms of clinical and demographic characteristics except for epidural use (93.2% vs. 86.6%, respectively; <em>p</em> = .0298). Among nulliparous women who used the mirror, second stage labor duration was shortened by an average of 19.4 minutes (<em>p</em> = .0198). This effect was not seen in multiparous women (<em>p</em> = .2208). Mirror users and nonusers did not differ on rates of postpartum hemorrhage (<em>p</em> = .5498) or chorioamnionitis (<em>p</em> = .6528). Among nulliparous and multiparous women, Apgar scores and NICU admission rates did not differ between mirror users and nonusers.</div></div><div><h3>Conclusion</h3><div>The labor mirror represents a simple, noninvasive tool for labor and delivery units. Use of the labor mirror during the active pushing phase of the second stage of labor may be associated with decreased pushing duration for nulliparous women.</div></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"29 1","pages":"Pages 17-24"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142824665","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":"A Day I Will Never Forget","authors":"Lauren Weber","doi":"10.1016/j.nwh.2024.08.004","DOIUrl":"10.1016/j.nwh.2024.08.004","url":null,"abstract":"","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"29 1","pages":"Pages 73-74"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142824663","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":"Obstetric Violence From the Perspectives of Midwife Leaders in Hospitals in Nigeria","authors":"Adetunmise Oluseyi Olajide,&nbsp;Racheal Toyin Oyebamiji,&nbsp;Omolola Yetunde Oyedeji","doi":"10.1016/j.nwh.2024.09.001","DOIUrl":"10.1016/j.nwh.2024.09.001","url":null,"abstract":"<div><h3>Objective</h3><div>To describe midwife leaders’ (i.e., midwives in managerial positions) perspectives on the forms of obstetric violence (OV) women experience in hospitals in Nigeria.</div></div><div><h3>Design</h3><div>An interpretative qualitative phenomenological approach and the community readiness model (CRM) were used.</div></div><div><h3>Setting</h3><div>Three hospitals in Nigeria, where OV is recognized as a violation of fundamental human rights that negatively affects maternal and child health outcomes.</div></div><div><h3>Participants</h3><div>Six midwife leaders were purposively selected, with two representatives from select government-owned hospitals throughout Nigeria.</div></div><div><h3>Intervention/Measurement</h3><div>Data collection was carried out through key informant interviews and analyzed thematically using NVivo software.</div></div><div><h3>Results</h3><div>Six themes emerged, highlighting various forms of OV observed by midwife leaders: <em>Physical Abuse</em>, <em>Verbal Abuse</em>, <em>Discrimination Based on Specific Patient Attributes</em>, <em>Nonconsented Care</em>, <em>Nonconfidential Care</em>, and <em>Detainment of Patients</em>.</div></div><div><h3>Conclusion</h3><div>The findings substantiate the persistent occurrence of OV in government-owned facilities, emphasizing the urgent need for preventive measures to mitigate its detrimental effects on maternal and child health outcomes.</div></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"29 1","pages":"Pages 53-62"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142839953","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":"An Educational Intervention to Improve Clinician Vitamin D Teaching for Parents of Human Milk–Fed Infants","authors":"Sheilajane Cincotta,&nbsp;Lisa Marchand,&nbsp;Francine Hennessey","doi":"10.1016/j.nwh.2024.07.005","DOIUrl":"10.1016/j.nwh.2024.07.005","url":null,"abstract":"<div><h3>Objective</h3><div>To increase the number of episodes of vitamin D teaching in the primary care setting for parents of human milk–fed infants and to explore pediatric clinicians’ knowledge of vitamin D supplementation in human milk–fed infants and their perception of project intervention usefulness.</div></div><div><h3>Design</h3><div>Quality improvement project using a quasi-experimental, pretest–posttest design.</div></div><div><h3>Setting/Local Problem</h3><div>Despite recommendations from the American Academy of Pediatrics, vitamin D supplementation adherence rates for human milk–fed infants remain low. Parents report vitamin D supplementation teaching in pediatric primary care to be inadequate.</div></div><div><h3>Participants</h3><div>Three pediatricians and two pediatric nurse practitioners.</div></div><div><h3>Interventions/Measurements</h3><div>A vitamin D educational session for clinicians and an embedded vitamin D template within the electronic health record were implemented into clinicians’ daily documentation workflow. Pre- and postintervention vitamin D adherence and clinician–parent teaching data were extracted via chart review for the first four consecutive well-infant maintenance visits. Survey questionnaires assessed clinicians’ knowledge about vitamin D supplementation guidelines and intervention content use.</div></div><div><h3>Results</h3><div>Descriptive statistics and <em>t</em> tests were used to analyze the data. There was a statistically significant 55% change in clinician–parent vitamin D education after the intervention (<em>p</em> = .05). The postintervention vitamin D adherence monitoring documentation demonstrated an increase that was clinically significant for this practice site. One hundred percent of the clinicians reported that the electronic health record template was useful for monitoring vitamin D adherence, and 80% of clinicians stated they would change their practice based on the intervention.</div></div><div><h3>Conclusion</h3><div>Clinicians’ adoption and use of the electronic health record template represents a positive impact. Clinician education and an embedded electronic health record template were associated with an increase in the number of clinician–parent teaching episodes regarding vitamin D supplementation in an infant’s first 2 months of life and were associated with clinician behavior change surrounding adherence monitoring.</div></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"29 1","pages":"Pages 35-43"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142928059","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":"What’s Ahead for NWH in 2025","authors":"Heidi Collins Fantasia","doi":"10.1016/j.nwh.2024.12.001","DOIUrl":"10.1016/j.nwh.2024.12.001","url":null,"abstract":"","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"29 1","pages":"Pages 1-2"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143129905","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}