Nursing for Women''s Health最新文献

{"title":"Sleepy But Supported: Helping Caregivers Navigate Newborn Sleep.","authors":"Brenna Morse","doi":"10.1016/j.nwh.2025.07.005","DOIUrl":"https://doi.org/10.1016/j.nwh.2025.07.005","url":null,"abstract":"<p><p>Normal newborn sleep is significantly disruptive to caregiver routines because of shortened total sleep duration, fragmented sleep, and longer periods of nighttime wakefulness. Although these disruptions may be normal and healthy for a newborn, they can make it difficult for caregivers to meet their own daily demands. Nurses can promote health among caregivers of newborns through emotional support, proactive education, and discussion of evidence-based strategies to support sleep and the newborn adjustment period. Beyond individual family care, nurses have a critically important role in advocating for policy changes that support caregivers of newborns. Efforts in both the clinical setting and policy arena are essential to supporting healthy sleep patterns for caregivers of newborns.</p>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145318768","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":"Breast Swelling and Chest Wall Swelling as a Symptom Cluster Associated With Emotional Distress in Women with Breast Cancer-Related Lymphedema.","authors":"Amy Swartz","doi":"10.1016/j.nwh.2025.07.004","DOIUrl":"https://doi.org/10.1016/j.nwh.2025.07.004","url":null,"abstract":"<p><strong>Objective: </strong>To explore the emotional health of women with breast cancer-related lymphedema, focusing on the symptom cluster of breast swelling and chest wall swelling.</p><p><strong>Design: </strong>A descriptive correlational design was used for this secondary analysis.</p><p><strong>Setting: </strong>Patients were recruited from a breast cancer center in New York City.</p><p><strong>Participants: </strong>Women aged 21 years and older were recruited after initial breast cancer treatment. A sample size of 568 participants participated in the original study. The secondary analysis included 57 participants with breast swelling and chest wall swelling.</p><p><strong>Methods: </strong>The Breast Cancer and Lymphedema Symptom Experience Index plus demographic information were collected. Four groups were created including the symptom cluster group of breast swelling and chest wall swelling for comparison. Parametric and nonparametric tests, such as descriptive statistics, chi-square, and Kruskal-Wallis H tests, were used to assess the data.</p><p><strong>Results: </strong>Results revealed a 10% prevalence of the symptom cluster among participants. The median score on the emotional distress subscale was 9 out of 48. The emotional health of those with the symptom cluster showed a significant difference compared to those without the cluster.</p><p><strong>Conclusion: </strong>These findings underscore the emotional distress burden associated with this symptom cluster, offering insights for the future development of targeted interventions and supportive care for affected individuals.</p>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145309589","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 Scoping Review of Approaches to Extragenital Chlamydia and Gonorrhea Screening for Adolescents and Young Adults in the United States.","authors":"Loren M Dobkin, Barbara L Brush, Erin M Kahle, Patricia Drenth, Yasamin Kusunoki","doi":"10.1016/j.nwh.2025.06.002","DOIUrl":"https://doi.org/10.1016/j.nwh.2025.06.002","url":null,"abstract":"<p><strong>Objective: </strong>To identify effective strategies for extragenital sexually transmitted infection screening among adolescents and young adults (AYAs).</p><p><strong>Data sources: </strong>Following the Joanna Briggs Institute method, searches were conducted in PubMed and CINAHL (Cumulative Index to Nursing and Allied Health Literature) for relevant, peer-reviewed articles published from January 2000 through December 2024.</p><p><strong>Study selection: </strong>The search strategy identified studies pertaining to chlamydia, gonorrhea, extragenital sites, screening, and AYAs. Studies were included if most participants were 12 to 24 years old or if their outcomes were disaggregated. Selected studies described at least one approach to extragenital screening, reporting corresponding measures of uptake, preferability, or acceptability. Nine studies met the inclusion criteria.</p><p><strong>Data extraction: </strong>Data on study characteristics, sampled populations, approaches, relative successes, infection prevalence, and correlates were extracted, critically appraised, and descriptively synthesized.</p><p><strong>Data synthesis: </strong>Included studies demonstrated higher extragenital screening uptake in research studies (89%-100%) compared to routine care (0%-74%) and when standardized protocols and health care staff trainings were incorporated. Extragenital infections were prevalent among female AYAs with genital infection, as well as sexual and gender minority individuals assigned male at birth.</p><p><strong>Conclusion: </strong>Increasing clinical standardization as well as enhancing health care and nursing staff training may improve detection of common extragenital infections and help prevent associated sexual and reproductive health complications.</p>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145281357","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":"Nurses' Perceptions of Comfort, Competence, and Barriers to Informed Consent in Labor and Delivery.","authors":"Alexis Zehler, Caitlin Jeanmougin, Riley Costello","doi":"10.1016/j.nwh.2025.05.003","DOIUrl":"https://doi.org/10.1016/j.nwh.2025.05.003","url":null,"abstract":"<p><strong>Objective: </strong>To identify barriers to patient inclusion in decision-making regarding obstetric care, as witnessed by registered nurses, with a focus on the provision of informed consent in labor and delivery.</p><p><strong>Design: </strong>Descriptive study.</p><p><strong>Setting: </strong>Online distribution from September 2023 to March 2024.</p><p><strong>Participants: </strong>One hundred twenty-five registered nurses with more than 6 months of experience caring for obstetric patients in level I through IV maternal care centers in the United States.</p><p><strong>Methods: </strong>Data collection was completed using a 20-question online survey. Analysis of quantitative data included descriptive and inferential statistics, and analysis of qualitative data included review of all narrative survey responses, grouping by commonality, and identification of categories of concern related to research aims.</p><p><strong>Results: </strong>Most participants reported high levels of competence and comfort in providing the patient education necessary to achieve informed consent; however, level of comfort decreased if the education included evidence-based options that go against standard medical advice or provider recommendation. Nearly half of the participants reported experiencing retaliation as a result of providing patient education in efforts to support informed consent, and more than 70% reported witnessing patients be coerced by providers, denied care options, and experience negative care outcomes resulting from insufficient informed consent practices. Eleven categories of concern were identified that represent participants' experiences regarding barriers to patient inclusion in decision-making and insufficient informed consent practices.</p><p><strong>Conclusion: </strong>Standardized education and protocols for obtaining informed consent in labor and delivery and advocacy for patient inclusion in decision-making may improve informed consent practices, provision of high-quality care, and perceived patient experiences.</p>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145281338","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":"Health Equity in Maternal-Newborn Care: A Sub-Analysis of Interventions for Birthing Women from the Middle East and North Africa.","authors":"Shokoufeh Modanloo, Liquaa Wazni, Wendy Gifford, Zahra Hakimi, Shahnaz Shahid Ali","doi":"10.1016/j.nwh.2025.07.003","DOIUrl":"https://doi.org/10.1016/j.nwh.2025.07.003","url":null,"abstract":"<p><strong>Objective: </strong>To identify evidence-informed interventions that support maternal and newborn health among birthing women from the Middle East and North Africa (MENA), and to explore existing gaps in knowledge related to health equity for this population and their infants.</p><p><strong>Data sources: </strong>This subgroup analysis forms part of a broader scoping review. A systematic search was conducted across several electronic databases-Medline, CINAHL, Cochrane, ProQuest, ABI Inform Global, PsycINFO, and the Canada Statute Service. Reference lists of identified articles were also manually reviewed to capture additional relevant sources.</p><p><strong>Study selection: </strong>Of 46 studies included in the larger scoping review, 6 met the criteria for this subgroup analysis. These studies focused specifically on maternal-newborn interventions targeting migrant women and families from the MENA region.</p><p><strong>Data extraction: </strong>Relevant data were extracted and compiled into summary tables detailing study characteristics, intervention components, and health outcomes.</p><p><strong>Data synthesis: </strong>The six interventions targeted a range of maternal and newborn health outcomes. Programs such as Moms Matter and Happy Mothers, Happy Babies aimed to improve maternal knowledge and awareness. Culturally safe educational films supported informed decision-making during prenatal screening. Parenting skills and maternal confidence were strengthened through the Mom-to-Mom program and FIRST STEPS initiative. Mental health was also addressed, with both the Parent Buddy for Preterm Infants and FIRST STEPS interventions reducing postpartum depression symptoms. Collectively, the studies emphasized the need for culturally safe, evidence-based care.</p><p><strong>Conclusion: </strong>This analysis highlights the importance of tailored, holistic interventions to improve maternal and newborn outcomes for MENA migrant women. It highlighted the need for further research to refine and evaluate specific strategies that address the diverse needs of this population.</p>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145281368","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":"Beyond the Screening Tool: What Maternal Mental Health Demands From Us Now","authors":"Kortney Floyd James","doi":"10.1016/j.nwh.2025.07.002","DOIUrl":"10.1016/j.nwh.2025.07.002","url":null,"abstract":"","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"29 5","pages":"Pages 269-272"},"PeriodicalIF":1.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145227854","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":"Improving Adherence to Sexually Transmitted Infection Retesting Guidelines at a Sexual Health Clinic","authors":"Emily Roseth","doi":"10.1016/j.nwh.2025.04.002","DOIUrl":"10.1016/j.nwh.2025.04.002","url":null,"abstract":"<div><h3>Objective</h3><div>To increase sexually transmitted infection (STI) retesting rates by 50% at a sexual health clinic.</div></div><div><h3>Design</h3><div>Preintervention and postintervention comparison to evaluate STI retesting rates before and after a 4-month intervention period.</div></div><div><h3>Setting/Local Problem</h3><div>A nonprofit clinic offering sexual health services to clients ages 12 to 26 years in Hennepin County, MN; this clinic had low rates of STI retesting.</div></div><div><h3>Participants</h3><div>Six registered nurses who provide direct nursing care at the clinic.</div></div><div><h3>Intervention/Measurements</h3><div>This quality improvement (QI) project implemented low-cost interventions to achieve the project goals. One set of reminder-based interventions involved implementing a new STI follow-up protocol with a shift to text message reminders and new electronic health record alerts. Another set of education-based interventions included training staff and providing clients with new education materials.</div></div><div><h3>Results</h3><div>The average STI retesting rate increased from 31.91% in the preintervention period to 46.81% in the initial intervention period and 51.51% in the full intervention period. A test of two proportions demonstrated a statistically significant change between the baseline and intervention groups at a <em>p</em> &lt; .05 level, <em>z</em> (–2.41), <em>p</em> = .02, 95% CI [–0.29, –0.03]. Qualitative data from the six nurse survey responses demonstrated positive attitudes toward the interventions.</div></div><div><h3>Conclusion</h3><div>Results of a multifaceted quality improvement project aiming to increase STI retesting rates exceeded the project goal. Nurses were receptive to the changes, and the interventions did not require excess time or money. These results demonstrate that clinics can easily integrate low-cost interventions aimed at reducing the STI disease burden in their communities.</div></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"29 5","pages":"Pages 285-292"},"PeriodicalIF":1.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144822845","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":"Improving Standardization of Care Using the Maternal-Fetal Medicine Units Network Vaginal Birth After Cesarean Calculation Tool","authors":"Jillian Jemison,&nbsp;Tracy Brown,&nbsp;Nadia Pile","doi":"10.1016/j.nwh.2025.04.004","DOIUrl":"10.1016/j.nwh.2025.04.004","url":null,"abstract":"<div><h3>Objective</h3><div>To standardize care by implementing the Maternal-Fetal Medicine Units Network vaginal birth after cesarean (VBAC) calculation tool in clinical practice.</div></div><div><h3>Design</h3><div>Quality improvement project guided by the Plan-Do-Study-Act cycle.</div></div><div><h3>Setting/Local Problem</h3><div>Two outpatient obstetrics and gynecology clinics with need for a standardized process for potential VBAC candidates.</div></div><div><h3>Interventions/Measurements</h3><div>A standardized process was developed using the Maternal-Fetal Medicine Units Network VBAC calculation tool to promote shared decision-making. This process includes interventions aimed at training 100% of perinatal providers and ensuring that providers counsel 90% of women with a previous cesarean birth on birth mode options at the initial prenatal visit, use the tool before the 28-week prenatal visit, and provide counseling on scores to 90% of potential VBAC candidates. Success was measured by assessing the percentage of individuals meeting each intervention target.</div></div><div><h3>Results</h3><div>All seven providers received training. Birth mode options were discussed with 34 of 38 women (89.5%) with a previous cesarean at the initial prenatal visit. Of 22 women interested in a VBAC, 90.9% (<em>n</em> = 20) had predicted success scores calculated and documented, with all but 1 assessed before the 28-week prenatal visit due to a transfer into the practice at the 29-week prenatal visit. Of the 20 women counseled, 95% (<em>n</em> = 19) had their scores discussed. After counseling, 16 women opted to pursue a trial of labor after cesarean (TOLAC). Birth outcomes included nine repeated cesarean births for various reasons, two failed TOLACs, and one successful VBAC. Outcomes for four women are still pending at the time of this writing.</div></div><div><h3>Conclusion</h3><div>An improvement in standardization of care surrounding counseling VBAC candidates was observed after implementation of this quality improvement project. Adherence to screening and discussion of birth mode options for women who had a previous cesarean birth demonstrates the clinics’ commitment to delivering evidence-based care.</div></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"29 5","pages":"Pages 293-300"},"PeriodicalIF":1.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144862530","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":"Cervical Ripening and Labor Induction and Augmentation, 6th Edition","authors":"Kathleen Rice Simpson","doi":"10.1016/j.nwh.2025.03.001","DOIUrl":"10.1016/j.nwh.2025.03.001","url":null,"abstract":"<div><div>Cervical ripening and induction and augmentation of labor are common procedures in labor and birth units. The potential risks and benefits of the procedures should be explained to women so they can make an informed decision. Nurses should be knowledgeable about the methods and medications used and be skilled in maternal-fetal assessment. Adequate nurse staffing as per the <span><span>AWHONN (2022c)</span></span> <em>Standards for Professional Registered Nurse Staffing for Perinatal Units</em> is required to monitor the woman and fetus to promote the best possible outcomes.</div><div>This practice monograph includes information on mechanical and pharmacologic methods for cervical ripening; labor induction and augmentation with oxytocin, a high alert drug; and nurse staffing levels needed to provide safe and effective care during cervical ripening and labor induction and augmentation.</div></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"29 5","pages":"Pages e1-e49"},"PeriodicalIF":1.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144972937","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 Overlooked Crisis: Natural Disasters and Maternal Mental Health","authors":"Rachel Sabbagh,&nbsp;Kristen R. Choi","doi":"10.1016/j.nwh.2025.04.003","DOIUrl":"10.1016/j.nwh.2025.04.003","url":null,"abstract":"<div><div>Natural disasters present significant challenges for maternal mental health, particularly among the perinatal population. The increasing frequency of these disasters often exacerbates the emotional, financial, and physical strain on affected individuals. Women in the perinatal period face unique stressors, including hormonal changes, role transitions, and the potential overwhelming responsibility of caring for their newborns, which can intensify the mental health effects of these traumatic events. Natural disasters, such as the Los Angeles wildfires of January 2025, have shown how these stressors can exacerbate anxiety and depression in this population. In this commentary, we underscore the importance of incorporating maternal mental health considerations into disaster preparedness frameworks to ensure that this population receives the support it needs to navigate the challenges posed by natural disasters and mitigate long-term mental health risks.</div></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"29 5","pages":"Pages 280-284"},"PeriodicalIF":1.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144972924","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}