Nursing for Women''s Health最新文献

{"title":"Perceptions of Maternal Mortality Risk and Influences Among Women of Color.","authors":"Kalyn M Renbarger, Shima Salahshoor, Jean Marie Place","doi":"10.1016/j.nwh.2026.09.004","DOIUrl":"10.1016/j.nwh.2026.09.004","url":null,"abstract":"<p><strong>Objective: </strong>The purpose of this study was to explore perceptions of maternal mortality among women of color who identify as Black, Hispanic, or multiracial, including their understanding of perceived risk factors and the influence of recent perinatal experiences on these perceptions.</p><p><strong>Design: </strong>A qualitative, descriptive design was used to conduct this study.</p><p><strong>Setting: </strong>Participants were recruited for a semistructured, virtual interview to discuss their perceptions related to maternal mortality.</p><p><strong>Participants: </strong>Thirty women of color who identify as Black, Hispanic, or multiracial and live in Indiana participated in interviews.</p><p><strong>Results: </strong>Six themes emerged: (a) limited understanding of maternal mortality, (b) increased awareness of factors related to maternal mortality after experiences of perinatal complications, (c) fear due to perceived high risk of perinatal complications, (d) feeling dismissed during perinatal care, (e) barriers to quality perinatal care and lack of trust in health care systems, and (f) social support and advocacy as protective factors for preventing maternal mortality.</p><p><strong>Conclusion: </strong>Women of color need more awareness of warning signs for maternal mortality; they frequently have negative perinatal care experiences and can benefit from social support. Nurses can improve perinatal practice by increasing knowledge of maternal mortality, promoting a respectful maternity care framework, and increasing social support.</p>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149228828","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 Systematic Review and Meta-Synthesis of Qualitative Studies on Women's Experiences of Initial Miscarriage Care at the First Point of Clinical Contact.","authors":"Nur Syafiqah Saime, Sarena Hashim, Khadizah H Abdul-Mumin","doi":"10.1016/j.nwh.2026.09.002","DOIUrl":"10.1016/j.nwh.2026.09.002","url":null,"abstract":"<p><strong>Objective: </strong>Miscarriage is a common pregnancy complication, yet women's experiences of care at the first point of clinical contact remain insufficiently understood. This systematic review and qualitative meta-synthesis examined how women experience and evaluate initial miscarriage care and what needs and priorities they identify during this early stage.</p><p><strong>Data sources: </strong>CINAHL, Scopus, and PubMed were systematically searched for qualitative and mixed methods studies published between January 2015 and December 2024 following a preregistered protocol on the Open Science Framework and PRISMA 2020 guidance.</p><p><strong>Study selection: </strong>Eligibility criteria were developed using the SPIDER framework and included studies reporting women's experiences of care at first clinical contact for miscarriage (e.g., emergency departments, early pregnancy assessment units, outpatient triage) and published in English. Of 1,091 records identified (1,035 after deduplication), 45 full-text articles were assessed for eligibility, and 10 studies, predominantly from high-income settings, met the inclusion criteria. Studies were appraised for methodological quality using the Joanna Briggs Institute checklist.</p><p><strong>Data extraction: </strong>Data relevant to women's experiences, needs, and priorities during early miscarriage care were extracted from the 10 studies involving 232 women (nurses and nurse managers interviewed alongside parents in one review were not counted, consistent with this review's inclusion criteria) and synthesized thematically.</p><p><strong>Data synthesis: </strong>Four themes were developed: Emotional Shock and Vulnerability, Communication and Information Gaps, Clinical Prioritization Versus Emotional Needs, and Navigating Discharge and Ongoing Uncertainty. Across studies, initial miscarriage services were found to prioritize physical management while frequently overlooking emotional and informational support.</p><p><strong>Conclusion: </strong>This review offers a focused synthesis of women's experiences at the earliest stages of miscarriage care, revealing a persistent gap between clinical and emotional responsiveness. The findings provide new evidence to inform more compassionate, woman-centered early miscarriage pathways that integrate timely clinical care with clear communication and psychosocial support.</p>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149197018","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":"Understanding the Needs of Spanish-Speaking First-Time Mothers in Nurse-Family Partnership: Quantitative Findings and Nurse Practice Insights.","authors":"Robin Page, Yanyan Chen, Nydia Garcia, Cassidy Doucet, Walter Page","doi":"10.1016/j.nwh.2026.08.003","DOIUrl":"10.1016/j.nwh.2026.08.003","url":null,"abstract":"<p><strong>Objective: </strong>To examine the characteristics and needs of Spanish-speaking first-time mothers enrolled in the Nurse-Family Partnership (NFP) and to contextualize quantitative findings with observations from a bilingual nurse key informant regarding barriers, challenges, and service-access needs among Spanish-speaking clients.</p><p><strong>Design: </strong>A cross-sectional observational study combining quantitative data from mothers via retrospective chart review with qualitative insights from a single key informant interview with a Spanish-speaking nurse home visitor.</p><p><strong>Setting: </strong>A Texas NFP program serving low-income, first-time mothers.</p><p><strong>Participants: </strong>Quantitative data were collected from 305 first-time mothers enrolled in NFP, including 62 Spanish-speaking and 243 non-Spanish-speaking participants. Qualitative data were collected through a recorded 50-min semistructured interview in English with a bilingual NFP nurse who primarily serves Spanish-speaking mothers.</p><p><strong>Methods: </strong>Quantitative data from routine NFP home visits were analyzed using descriptive statistics, chi-square tests, and independent-samples t tests to compare Spanish-speaking and non-Spanish-speaking participants. Measures included demographics, insurance type, health behaviors, depression, anxiety, intimate partner violence, and referrals to services. The nurse interview was analyzed using thematic analysis to contextualize the quantitative findings.</p><p><strong>Results: </strong>Quantitative analyses showed that Spanish-speaking participants differed from non-Spanish-speaking participants across several sociodemographic, insurance, health behavior, mental health, and referral outcomes. Spanish-speaking participants reported lower depression, anxiety, and intimate partner violence. The nurse interview generated four themes: complex systems navigation; trust building as the foundation for engagement; language, cultural, and structural barriers; and resilience-based nursing practice.</p><p><strong>Conclusion: </strong>This study highlights the distinct needs and contextual challenges of Spanish-speaking first-time mothers enrolled in NFP and underscores the value of bilingual, culturally responsive, and relationship-centered home-visiting practices to support system navigation, client engagement, and access to maternal health and community resources.</p>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116142","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":"Sociodemographic Correlates of Longitudinal Fitbit Sleep-Data Availability Among Women in the All of Us Research Program.","authors":"Xintong Li, Sudhir K Mummidi, Dillon J Dzikowicz, Susan W Groth, Theresa A Koleck, Katherine A Maki, Jian Kang, Caitlin Dreisbach","doi":"10.1016/j.nwh.2026.09.001","DOIUrl":"10.1016/j.nwh.2026.09.001","url":null,"abstract":"<p><strong>Objectives: </strong>To characterize sociodemographic and clinical factors associated with longitudinal Fitbit sleep-data availability among women and to descriptively compare Fitbit-derived sleep metrics by data-availability group and self-reported menstrual cessation status.</p><p><strong>Design: </strong>Secondary cross-sectional analysis of participant-level summaries derived from longitudinal Fitbit records.</p><p><strong>Setting: </strong>All of Us Research Program Registered Tier version 7 data set, using records from January 2021 through June 2022.</p><p><strong>Participants: </strong>The cohort included 7,385 participants whose sex-at-birth variable was coded as female (referred to as women throughout) and who had at least one Fitbit sleep record and an overall health survey record.</p><p><strong>Methods: </strong>Longitudinal sleep-data availability was defined as the number of months containing at least one Fitbit sleep record and categorized as low (<7 months), medium (7 to <10 months), high (10 to <13 months), or highest (≥13 months). Multinomial logistic regression used the low-availability group as the reference.</p><p><strong>Results: </strong>The cohort was predominantly White (84.1%), non-Hispanic (94.3%), and insured (98.3%); 39.6% reported household income greater than $100,000. Overall, 1,691 participants (22.9%) were in the highest-availability group. Compared to women ages 18 to 39 years, women ages 65 to 74 years had higher adjusted odds of highest versus low availability (odds ratio [OR] = 1.31, 95% confidence interval [CI] [1.07, 1.61]). Compared to household income of $50,000 to $100,000, income greater than $100,000 was associated with higher adjusted odds of highest versus low availability (OR = 1.28, 95% CI [1.07, 1.53]). Mean device-estimated time asleep was 5.4 hr in the low-availability group and 6.2 hr in the highest-availability group. Participants reporting menstrual cessation averaged 0.3 hr (18 min) less device-estimated sleep than those not reporting cessation.</p><p><strong>Conclusion: </strong>Longitudinal Fitbit sleep-data availability differed across sociodemographic groups in this bring-your-own-device cohort. These differences may affect representation, selection bias, and the generalizability of wearable-based research.</p>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116168","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":"Efficacy of Virtual Reality Glasses on Anxiety, Physiologic Parameters, and Satisfaction Among High-Risk Pregnant Women Undergoing Nonstress Testing: A Quasi-Experimental Study","authors":"Rania El-Kurdy,&nbsp;Ayman Mohamed El-Ashry,&nbsp;Samia I. Hassan,&nbsp;Khaled Samir,&nbsp;Asmaa Saber Ghaly","doi":"10.1016/j.nwh.2026.04.003","DOIUrl":"10.1016/j.nwh.2026.04.003","url":null,"abstract":"<div><h3>Objective</h3><div>To examine the efficacy of virtual reality (VR) glasses on anxiety, physiologic parameters, and satisfaction among high-risk pregnant women undergoing nonstress tests.</div></div><div><h3>Design</h3><div>A quasi-experimental pretest-posttest nonequivalent control group design was adopted.</div></div><div><h3>Setting</h3><div>This study was conducted at the nonstress test rooms of the Obstetric and Gynecologic Speciality Center at Mansoura University Hospitals.</div></div><div><h3>Participants</h3><div>A convenience sample of 106 pregnant women was recruited.</div></div><div><h3>Methods</h3><div>A structured interviewing questionnaire schedule, the State-Trait Anxiety Inventory–State subscale, and a maternal satisfaction questionnaire were used to collect data. VR glasses refers to a smartphone-based passive optical viewer that presents calming 360° nature scenes with ambient audio, requiring no interactive input or active sensors and enabling low-cost use at the point of care.</div></div><div><h3>Results</h3><div>The VR glasses group demonstrated significantly lower mean anxiety scores compared to the control group (<em>M</em> = 38.2, <em>SD</em> = 11.9 vs. <em>M</em> = 56.1, <em>SD</em> = 13.9; <em>p</em> &lt; .001). Significant improvements were also observed in maternal physiologic parameters, including systolic and diastolic blood pressure and maternal heart rate compared to the control group (all <em>p</em> &lt; .001). Furthermore, maternal satisfaction scores were significantly higher in the VR glasses group (<em>M</em> = 34.7, <em>SD</em> = 1.4) than in the control group (<em>M =</em> 23.4, <em>SD</em> = 1.8; <em>p</em> &lt; .001).</div></div><div><h3>Conclusion</h3><div>Pregnant women who used VR glasses during their nonstress test showed significantly lower anxiety scores, improved maternal physiologic parameters, and higher satisfaction scores compared to nonusers. VR glasses can be integrated into routine antenatal care as a supportive, low-cost intervention to improve maternal experience and potentially optimize nonstress test interpretation. Incorporating VR glasses into antenatal education programs can increase awareness of their benefits during nonstress tests among pregnant women.</div></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"30 5","pages":"Pages 401-411"},"PeriodicalIF":1.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148382791","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":"National Strategy to Close the Women’s Health Gap Launched","authors":"","doi":"10.1016/S1751-4851(26)00188-1","DOIUrl":"10.1016/S1751-4851(26)00188-1","url":null,"abstract":"","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"30 5","pages":"Pages 360-364"},"PeriodicalIF":1.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149094622","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 Integrative Review of Structural Interventions to Address Inequity in the Maternal Mortality Crisis Among Black Birthing People","authors":"Meghan Rowland,&nbsp;Cecília Tomori,&nbsp;Erin M. Spaulding","doi":"10.1016/j.nwh.2026.02.008","DOIUrl":"10.1016/j.nwh.2026.02.008","url":null,"abstract":"<div><h3>Objective</h3><div>To review and evaluate the literature for upstream, structural interventions that seek to improve maternal mortality rates among Black birthing people in the United States.</div></div><div><h3>Data Sources</h3><div>Searches were conducted in PubMed, Embase, and Cumulative Index of Nursing and Allied Health Literature (CINAHL) using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.</div></div><div><h3>Study Selection</h3><div>Of the 883 articles returned, 623 abstracts were screened, and 7 articles met the criteria for inclusion. Articles were eligible for inclusion if they assessed the impact of structural interventions on maternal mortality, including among Black birthing people.</div></div><div><h3>Data Extraction</h3><div>Data were extracted on study designs, intervention type, outcomes, and health equity implications using a standardized template.</div></div><div><h3>Data Synthesis</h3><div>Findings were synthesized thematically according to intervention type and included <em>Access to reproductive health care</em> and <em>Social investment as effective maternal health policy</em>. The findings revealed that maternal mortality is largely preventable and responsive to structural interventions. Interventions that addressed upstream determinants such as racism and social conditions demonstrated the greatest impact in reducing maternal mortality and improving equity.</div></div><div><h3>Conclusion</h3><div>Targeted policy and programmatic interventions that address social and structural determinants of maternal health are essential to mitigating the maternal mortality crisis. Efforts that extend health care access, invest in public health infrastructure, and promote reproductive justice are particularly effective in improving outcomes for Black birthing people.</div></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"30 5","pages":"Pages 412-419"},"PeriodicalIF":1.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148382442","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":"“I just want someone to hold me”","authors":"Seana Ellsworth DNP-RNA student, BSN, RN, TCRN, CEN","doi":"10.1016/j.nwh.2026.07.001","DOIUrl":"10.1016/j.nwh.2026.07.001","url":null,"abstract":"","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"30 5","pages":"Pages 448-449"},"PeriodicalIF":1.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148632202","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 Practical Approach to Writing a Publishable Manuscript","authors":"Heidi Collins Fantasia","doi":"10.1016/j.nwh.2026.07.003","DOIUrl":"10.1016/j.nwh.2026.07.003","url":null,"abstract":"<div><span><figure><span><img><ol><li><span><span>Download: <span>Download high-res image (300KB)</span></span></span></li><li><span><span>Download: <span>Download full-size image</span></span></span></li></ol></span></figure></span></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"30 5","pages":"Pages 357-359"},"PeriodicalIF":1.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149094621","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perinatal Bereavement Simulation for Labor and Delivery Nurses Using a Standardized Patient","authors":"Michelle Shaefer,&nbsp;Sharon Anderson","doi":"10.1016/j.nwh.2026.04.006","DOIUrl":"10.1016/j.nwh.2026.04.006","url":null,"abstract":"<div><h3>Objective</h3><div>To assess the interaction and relationship-building skills of nurses caring for an individual experiencing fetal demise, evaluate the effectiveness of simulation to reflect on these skills, and provide recommendations for revision, improvement, and future offerings of simulation experiences.</div></div><div><h3>Design</h3><div>Guided by the National League for Nursing Jeffries Simulation Theory, this evidence-based practice project provided labor and delivery nurses with an opportunity to participate in a fetal demise simulation scenario with a standardized patient (SP) and receive real-time, constructive feedback about their communication skills.</div></div><div><h3>Setting</h3><div>The project was conducted in a large academic medical center in northern New Jersey that cares for approximately 50 to 60 individuals/families experiencing fetal demises annually.</div></div><div><h3>Participants</h3><div>A convenience sample of 23 nurses participated in the experience.</div></div><div><h3>Interventions/Measurements</h3><div>A fetal demise simulation was created, implemented, and evaluated. Using the Patient–Professional Interaction Questionnaire and the Provider–Patient Relationship Questionnaire, each participant and the SP evaluated communication skills during the encounter, discussing their interaction and soliciting and receiving feedback. After the patient encounter, participants completed a survey to determine the value of the simulation as an educational experience.</div></div><div><h3>Results</h3><div>Nurses with more practice experience demonstrated stronger communication skills, but respondents' self-assessment scores, including several from experienced nurses, were higher than those provided by the SP. Regardless of years of experience, nurses valued the simulation experience, appreciated the SP feedback, and reported that the experience would improve their nursing practice.</div></div><div><h3>Conclusion</h3><div>Simulation, especially using SPs and providing structured and open-ended feedback, may improve nursing communication with individuals and families experiencing fetal demise and stillbirth. Future offerings of this and similar scenarios may provide clinicians with opportunities to practice and improve their communication skills, thereby improving the care they provide.</div></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"30 5","pages":"Pages 392-400"},"PeriodicalIF":1.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148382789","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}