Nursing for Women''s Health最新文献

{"title":"Pediatric Providers' Perceptions of Their Role in the Early Detection of Postpartum Depression.","authors":"Laura A Gonzalez, Emily G Chin","doi":"10.1016/j.nwh.2024.08.005","DOIUrl":"https://doi.org/10.1016/j.nwh.2024.08.005","url":null,"abstract":"<p><strong>Objective: </strong>To explore pediatric health care providers' perceptions of their role in screening mothers for postpartum depression (PPD).</p><p><strong>Design: </strong>Descriptive, qualitative methodology.</p><p><strong>Setting: </strong>Pediatric care providers from five different institutions in the Chicagoland area.</p><p><strong>Participants: </strong>Eleven providers who see infants within their first year of life were interviewed.</p><p><strong>Intervention/measurements: </strong>Participants were interviewed regarding their perceptions of their role in the early detection of PPD.</p><p><strong>Results: </strong>During the interviews and coding, six themes were identified: Screening Formally and Informally, Providers Perceiving Their Role, I Think There Should Be More Education, Falling Through the Cracks, Clinical Missed Pathways, and A Supportive Organization Has an Impact on the Role of the Provider.</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-31","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":"An Educational Intervention to Improve Clinician Vitamin D Teaching for Parents of Human Milk-Fed Infants.","authors":"Sheilajane Cincotta, Lisa Marchand, Francine Hennessey","doi":"10.1016/j.nwh.2024.07.005","DOIUrl":"https://doi.org/10.1016/j.nwh.2024.07.005","url":null,"abstract":"<p><strong>Objective: </strong>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.</p><p><strong>Design: </strong>Quality improvement project using a quasi-experimental, pretest-posttest design.</p><p><strong>Setting/local problem: </strong>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.</p><p><strong>Participants: </strong>Three pediatricians and two pediatric nurse practitioners.</p><p><strong>Interventions/measurements: </strong>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.</p><p><strong>Results: </strong>Descriptive statistics and t tests were used to analyze the data. There was a statistically significant 55% change in clinician-parent vitamin D education after the intervention (p = .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.</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-31","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":"Breastfeeding Experiences of Women With Gestational Diabetes Mellitus.","authors":"Kimberly N Doughty, Jenna A LoGuidice, Jennifer Schindler-Ruwisch, Kelsi McCarthy, Emily Bower","doi":"10.1016/j.nwh.2024.07.006","DOIUrl":"https://doi.org/10.1016/j.nwh.2024.07.006","url":null,"abstract":"<p><strong>Objective: </strong>To understand the perinatal experiences of women with gestational diabetes mellitus (GDM) who intended to breastfeed.</p><p><strong>Design: </strong>Qualitative descriptive study.</p><p><strong>Setting/local problem: </strong>Women with GDM and their infants benefit from breastfeeding but have lower exclusive breastfeeding rates than women without GDM, and the reasons for these differences are not entirely clear.</p><p><strong>Participants: </strong>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.</p><p><strong>Intervention/measurements: </strong>Virtual focus groups were held between November 2022 and August 2023. Focus group transcripts were coded and analyzed to identify major themes and subthemes.</p><p><strong>Results: </strong>Three major themes and 14 subthemes emerged: (a) Challenges, including subthemes of GDM Diagnosis, Doubt, Physical Challenges, Balancing Demands, Lack of Support, and Pressure or Judgment; (b) Lack of Information From Health Care Providers, with subthemes of Separation of GDM From Breastfeeding, Inadequate Information or Support, and Provider Neutrality; and (c) Facilitating or Motivating Factors, including subthemes of Knowledge; Intention, Confidence, and Determination; and Positive Support.</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-27","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":"Obstetric Violence From the Perspectives of Midwife Leaders in Hospitals in Nigeria.","authors":"Adetunmise Oluseyi Olajide, Racheal Toyin Ogbomoso, Omolola Yetunde Oyedeji","doi":"10.1016/j.nwh.2024.09.001","DOIUrl":"https://doi.org/10.1016/j.nwh.2024.09.001","url":null,"abstract":"<p><strong>Objective: </strong>To describe midwife leaders' (i.e., midwives in managerial positions) perspectives on the forms of obstetric violence (OV) women experience in hospitals in Nigeria.</p><p><strong>Design: </strong>An interpretative qualitative phenomenological approach and the community readiness model (CRM) were used.</p><p><strong>Setting: </strong>Three hospitals in Nigeria, where OV is recognized as a violation of fundamental human rights that negatively affects maternal and child health outcomes.</p><p><strong>Participants: </strong>Six midwife leaders were purposively selected, with two representatives from select government-owned hospitals throughout Nigeria.</p><p><strong>Intervention/measurement: </strong>Data collection was carried out through key informant interviews and analyzed thematically using NVivo software.</p><p><strong>Results: </strong>Six themes emerged, highlighting various forms of OV observed by midwife leaders: Physical Abuse, Verbal Abuse, Discrimination Based on Specific Patient Attributes, Nonconsented Care, Nonconfidential Care During Pregnancy, and Detainment of Women in Health Facilities.</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-13","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":"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":"<p><p>When a grieving patient needed support, a nurse did her very best to provide it.</p>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-12","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":"Evaluation of Labor Mirror Use During the Active Pushing Phase of the Second Stage of Labor.","authors":"Robin L Driver, Lynn Shaffer, Jennifer L Doyle","doi":"10.1016/j.nwh.2024.07.004","DOIUrl":"https://doi.org/10.1016/j.nwh.2024.07.004","url":null,"abstract":"<p><strong>Objective: </strong>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.</p><p><strong>Design: </strong>Retrospective observational cohort study.</p><p><strong>Setting/local problem: </strong>Community hospital in the midwestern United States with a Level 3 maternity center and approximately 2,000 births annually.</p><p><strong>Participants: </strong>Four hundred fifty-three women ≥18 years old who had a singleton pregnancy at term (37-41 weeks' gestation) with a spontaneous vaginal birth.</p><p><strong>Intervention/measurements: </strong>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.</p><p><strong>Results: </strong>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; p = .0298). Among nulliparous women who used the mirror, second stage labor duration was shortened by an average of 19.4 minutes (p = .0198). This effect was not seen in multiparous women (p = .2208). Mirror users and nonusers did not differ on rates of postpartum hemorrhage (p = .5498) or chorioamnionitis (p = .6528). Among nulliparous and multiparous women, Apgar scores and NICU admission rates did not differ between mirror users and nonusers.</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-11","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":"Erratum.","authors":"","doi":"10.1016/j.nwh.2024.08.001","DOIUrl":"10.1016/j.nwh.2024.08.001","url":null,"abstract":"","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":" ","pages":"398"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142056867","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":"Integrative Review of Opioid Use and Protocol Adherence in Hospitals After Implementing Enhanced Recovery After Surgery Protocols for Cesarean Birth.","authors":"Laura Senn, Sulekha Anand","doi":"10.1016/j.nwh.2024.05.004","DOIUrl":"10.1016/j.nwh.2024.05.004","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the enhanced recovery after surgery (ERAS) protocols used and amount of opioids administered during hospitalization for cesarean birth after the ERAS protocols were implemented.</p><p><strong>Data sources: </strong>A search was conducted in CINAHL Complete, Scopus, and PubMed for sources published in English between January 2018 and December 2023. Search terms were cesarean AND opioid∗ AND eras OR erac OR enhanced recovery.</p><p><strong>Study selection: </strong>Eligible studies were conducted in the United States, used key pain management components from the ERAS guidelines, and reported results for in-patient postsurgical opioid use.</p><p><strong>Data extraction: </strong>Data obtained were for post-ERAS implementation only and included authors, date, sample size, study location, participant inclusion and exclusion criteria, methods, interventions used (ERAS guideline components), and morphine milligram equivalents (MME) used during the hospital stay.</p><p><strong>Data synthesis: </strong>Weighted averages were calculated for results reported as means and percentages. Descriptive summaries were used for the remainder of the results.</p><p><strong>Results: </strong>Twenty-six studies were found, accounting for 19,961 individuals' post-ERAS experiences. Although 30% of participants experienced a scheduled cesarean birth, 70% experienced all types of cesarean births, including scheduled, urgent, or emergent. There was substantial heterogeneity of the data reported, especially for how opioid use was measured and analyzed and time frames for opioid use. In 11 studies that reported MME as means, the weighted average for in-patient opioid use was 54 MME per stay. In only 17 studies, researchers reported the number of women who experienced an opioid-free recovery, which averaged 40% of the women.</p><p><strong>Conclusion: </strong>While implementation of key components of the ERAS protocol is associated with reduced opioid exposure for women experiencing scheduled and nonscheduled cesarean births, a benchmark for the amount of in-patient opioid use was not established. Still, this review offers evidence regarding best practices, lessons learned, and outcome analysis strategies. These findings can support perinatal teams who are considering implementing ERAS for cesarean birth, or those looking for further improvements.</p>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":" ","pages":"473-484"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142381951","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":"Thematic Synthesis of the Experiences of Intimate Partner Violence Among Mothers Who Use Substances.","authors":"Jane Anyango, Kalyn M Renbarger","doi":"10.1016/j.nwh.2024.04.002","DOIUrl":"10.1016/j.nwh.2024.04.002","url":null,"abstract":"<p><strong>Objective: </strong>To integrate the findings of qualitative research to describe the experiences of intimate partner violence (IPV) among mothers who use substances.</p><p><strong>Data sources: </strong>A systematic search of the literature was conducted using the databases of the American Psychological Association PsycINFO, CINAHL, and PubMed along with a manual search of Google Scholar.</p><p><strong>Study selection: </strong>The Joanne Briggs Institute critical appraisal checklist for qualitative research criteria was used to assess the studies for selection. Inclusion criteria comprised (a) qualitative research, (b) available in English, (c) published in peer-reviewed journals, (d) inclusive of descriptions of IPV experienced by mothers who use substances, (e) conducted in the United States, and (f) published between January 2013 and October 2023.</p><p><strong>Data extraction: </strong>The researchers highlighted and extracted data from studies that met the inclusion criteria. Data describing IPV among mothers who use substances were extracted.</p><p><strong>Data synthesis: </strong>A thematic synthesis was used to integrate the findings using three stages and included (a) free line-by-line coding of the findings of the primary studies, (b) the development of the free codes into associated areas to construct descriptive subthemes, and (c) the development of overarching analytic themes.</p><p><strong>Conclusion: </strong>Findings from 11 qualitative studies were synthesized. Four descriptive subthemes emerged to delineate the experiences of IPV in mothers who use substances: Experience of Various Types of IPV, Lack of Structures to Identify and Address IPV, Coping With Violence by Taking Substances, and Substance Use Influences Behaviors of IPV. Nurses who work with mothers who use substances should be knowledgeable about local resources for IPV, complete ongoing educational training for IPV screening, and be familiar with recommended guidelines for the routine assessment of IPV.</p>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":" ","pages":"464-472"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141186987","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":"The Power of a Dry-Erase Marker.","authors":"Meredith Hunter Elischer","doi":"10.1016/j.nwh.2024.07.001","DOIUrl":"10.1016/j.nwh.2024.07.001","url":null,"abstract":"<p><p>A certified nurse-midwife describes how the TeamBirth approach has helped open up lines of communication between birthing families and care teams.</p>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":" ","pages":"493-494"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142376145","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}