Nursing for Women''s Health最新文献

{"title":"Comparing Brazilian Guidelines for Normal Birth Care to Other National and International Guidelines.","authors":"Eneida Patrícia Teixeira, Rita de Cassia Teixeira Rangel, Anna Carolina Raduenz Huf Souza, Cristina M G de L Parada, Fiona A Lynn, Maria de Lourdes de Souza","doi":"10.1016/j.nwh.2025.02.003","DOIUrl":"https://doi.org/10.1016/j.nwh.2025.02.003","url":null,"abstract":"<p><strong>Objective: </strong>To compare the Brazilian national guidelines for normal birth care to guidelines from the National Institute for Health and Care Excellence (NICE) and the World Health Organization (WHO) on levels of evidence, quality, and applicability for the prevention of maternal mortality.</p><p><strong>Design: </strong>A review and evaluation of guidelines was conducted using the Appraisal of Guidelines for Research & Evaluation II instrument translated and validated for Brazilian Portuguese.</p><p><strong>Setting: </strong>Guidelines were selected using criteria such as national or international use and interest, scope, and whether they were a source for other clinical guidelines. Three guidelines and supporting documents related to the guidelines' development were included in the review and evaluation.</p><p><strong>Methods: </strong>Data were narratively synthesized under four dimensions: (a) quality and applicability of the guidelines, (b) score of each domain in the guidelines, (c) interrater agreement index, and (d) evidence on the consideration of risk and prevention of maternal mortality.</p><p><strong>Results: </strong>The Brazilian guidelines presented weaknesses in two domains: (a) Accuracy in Development and (b) Applicability. The overall evaluation of the Brazilian guidelines had a rating of 33%, which is lower than the rating for the NICE and WHO guidelines. These scores reflect limitations in systematic evidence gathering, the transparency of recommendations, and the lack of tools and guidance for practical implementation.</p><p><strong>Conclusion: </strong>The Brazilian guidelines should be reformulated following a process of appropriate planning and development that aligns with international standards.</p>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144086727","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":"Maternal Health Implications of Overturning Roe v. Wade in the United States.","authors":"Samantha Russell","doi":"10.1016/j.nwh.2024.12.002","DOIUrl":"https://doi.org/10.1016/j.nwh.2024.12.002","url":null,"abstract":"<p><p>The 2022 overturning of Roe v. Wade by the U.S. Supreme Court has profound implications for maternal health in the United States, exacerbating existing disparities in maternal mortality, particularly among Black American women and all women of color. With the rollback of federal abortion protections, numerous states have implemented restrictive abortion laws, leading to reduced access to safe and timely care. Women who are marginalized and historically excluded, especially women of color who already face disproportionately higher rates of maternal mortality compared to their White counterparts, are particularly vulnerable to the consequences of these restrictions. The decision to limit access to abortion exacerbates these challenges, and women are more likely to be forced into carrying high-risk pregnancies to term, further increasing their risk of maternal mortality.</p>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081242","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 Couple in the Parking Lot.","authors":"Melanie Chichester","doi":"10.1016/j.nwh.2025.04.001","DOIUrl":"https://doi.org/10.1016/j.nwh.2025.04.001","url":null,"abstract":"<p><p>As nurses, we never know how a chance encounter with a patient might lead to a significant moment, for the family and for ourselves.</p>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041045","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":"Collaboration Through Interdisciplinary Education on Fetal Heart Monitoring in the Perinatal Setting.","authors":"Jennifer Kendrick, Amy D Bell, Cyril Amoin, James deVente, Kathy Shaffer","doi":"10.1016/j.nwh.2024.10.006","DOIUrl":"https://doi.org/10.1016/j.nwh.2024.10.006","url":null,"abstract":"<p><strong>Objective: </strong>To conduct interdisciplinary fetal monitoring education focused on communication strategies to improve attitudes toward collaboration among members of the perinatal team.</p><p><strong>Design: </strong>Participants received interdisciplinary fetal monitoring education from the Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN) and were surveyed preclass, at the immediate conclusion of the in-person interdisciplinary class, and within 60 days postclass using the Jefferson Survey of Attitudes Toward Physician-Nurse Collaboration (JSAPNC). Scores were calculated and analyzed by applying the scale provided by the JSAPNC's author.</p><p><strong>Setting: </strong>An academic medical center providing level IV maternal care located in the southeast region of the United States.</p><p><strong>Participants: </strong>Physicians, registered nurses, and certified nurse-midwives attending AWHONN's Intermediate Fetal Heart Monitoring (FHM) Course from January 2024 through March 2024.</p><p><strong>Intervention/measurements: </strong>The reliable and validated JSAPNC tool was used to survey participants. Survey scores were compared for the total scores and four identified constructs (shared education and collaborative relationships, caring versus curing, nurse's autonomy, and physician's authority) to better understand collaboration and interdisciplinary education.</p><p><strong>Results: </strong>Attitudes toward collaboration demonstrated statistically significant improvement among the perinatal team after participation in an interdisciplinary AWHONN Intermediate FHM Course.</p><p><strong>Conclusion: </strong>The findings establish that interdisciplinary education is associated with improved attitudes around collaboration.</p>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144057183","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":"Erosion of Scientific Integrity and Implications for Public Health.","authors":"Heidi Collins Fantasia","doi":"10.1016/j.nwh.2025.03.002","DOIUrl":"https://doi.org/10.1016/j.nwh.2025.03.002","url":null,"abstract":"<p><p>The erosion of scientific integrity is a public health crisis that threatens the health of individuals and communities.</p>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144037751","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":"Implementing a Clinical Risk Assessment Tool to Improve Bone Health in Postmenopausal Women.","authors":"Bailey D Mosley, Terrie Platt, Tracy Brown","doi":"10.1016/j.nwh.2024.11.003","DOIUrl":"https://doi.org/10.1016/j.nwh.2024.11.003","url":null,"abstract":"<p><strong>Objective: </strong>To improve staff knowledge of osteoporosis and increase the identification of fracture risk in postmenopausal women by implementing use of the Fracture Risk Assessment Tool (FRAX) in an outpatient setting.</p><p><strong>Design: </strong>Quality improvement project guided using the Plan-Do-Study-Act cycle.</p><p><strong>Setting/local problem: </strong>In a low-income primary care clinic, no standardized fracture risk assessment tool was being used, leading to inconsistency in referrals for dual-energy X-ray absorptiometry (DXA).</p><p><strong>Participants: </strong>Office staff and postmenopausal women ages 50 to 64 years.</p><p><strong>Interventions/measurements: </strong>A standardized process was designed to promote appropriate osteoporosis management to improve the assessment, diagnosis, and treatment of osteoporosis in postmenopausal women. Staff training was provided before project implementation. Outcome measures included pre-post Revised Osteoporosis Knowledge Test, FRAX adherence, and DXA referrals.</p><p><strong>Results: </strong>Staff knowledge improved by 25.8% after completion of staff training. During the 2-month implementation period, FRAX adherence was 96.3% (n = 156) among the 162 eligible women, and 98.6% of DXA referrals (n = 70) were completed for the 71 women identified with a major osteoporotic fracture risk greater than 8.4%.</p><p><strong>Conclusion: </strong>With this quality improvement project, we successfully implemented the FRAX tool in the outpatient setting. Initial high adherence rates for FRAX screenings and DXA referrals demonstrated advancements made in clinical practice to provide evidence-based care to postmenopausal women at the greatest risk for an osteoporotic fracture.</p>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144040628","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 Health Benefits of Tai Chi Practice for Managing Pain After Breast Cancer Treatment.","authors":"Frankie B Hale, Allyssa L Harris","doi":"10.1016/j.nwh.2024.11.004","DOIUrl":"https://doi.org/10.1016/j.nwh.2024.11.004","url":null,"abstract":"<p><p>This short review summarizes a recent U.S.-based study in which researchers evaluated the impact of tai chi mind-body exercises on health outcomes of breast cancer survivors. The researchers examined the efficacy of a tai chi intervention for managing aromatase inhibitor arthralgia in patients with breast cancer. They concluded that mind-body-related practices likely contributed to improved health outcomes. Nurses can guide patients about the impact that mind-body practices may have on the health and well-being of breast cancer survivors.</p>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144064899","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":"Perinatal Nurse Leader: Clinical Competencies and Education Guide.","authors":"","doi":"10.1016/j.nwh.2025.02.002","DOIUrl":"https://doi.org/10.1016/j.nwh.2025.02.002","url":null,"abstract":"","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144044740","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":"Community Voices Matter","authors":"Brenda Jones","doi":"10.1016/j.nwh.2025.01.001","DOIUrl":"10.1016/j.nwh.2025.01.001","url":null,"abstract":"","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"29 2","pages":"Pages 136-138"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494127","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":"Experiences With Cancer Screenings Among Arabic-Speaking Refugee Women","authors":"Maryum Zaidi,&nbsp;Heidi Collins Fantasia,&nbsp;Rasha Ahmed,&nbsp;Donghee Nicole Lee,&nbsp;Olga Valdman,&nbsp;Hermine Poghosyan,&nbsp;Mary E. Cooley,&nbsp;Stephenie C. Lemon","doi":"10.1016/j.nwh.2024.09.004","DOIUrl":"10.1016/j.nwh.2024.09.004","url":null,"abstract":"<div><h3>Objective</h3><div>To explore breast, colorectal, and cervical cancer screening experiences among Arabic-speaking refugee women in Massachusetts.</div></div><div><h3>Design</h3><div>Qualitative descriptive.</div></div><div><h3>Setting</h3><div>The research was conducted in central Massachusetts, an area with a large refugee population from the Middle East. Despite cancer being the leading cause of death among Middle Eastern women aged 40 to 79 years, refugees experience significant disparities in cancer screenings. These refugees often pass through intermediary countries before permanently resettling, leading to preventive care becoming a lower priority as other life stressors take precedence.</div></div><div><h3>Participants</h3><div>Eleven women participated. Participants had an average age of 47 years; had come from Iraq, Syria, and Egypt; and had been in the United States an average of 7 years.</div></div><div><h3>Methods</h3><div>In 2022, semistructured individual interviews were conducted in person or via Zoom. An interview guide, constructed based on components of the Health Equity Implementation Science Framework and an expert panel of partners, refugee women, and medical providers, was used. Conventional content analysis was used to analyze the data.</div></div><div><h3>Results</h3><div>Three themes emerged: <em>Facilitators of Cancer Screening</em>, <em>Barriers to Cancer Screening</em>, and <em>Interpreter-Related Factors</em>. Women positively described providers’ efforts to provide knowledge regarding screenings; however, language barriers, the invasive nature of some screenings, and scheduling appointments for screening posed significant obstacles.</div></div><div><h3>Conclusion</h3><div>This study highlights the unique health challenges faced by Arabic-speaking refugee women, focusing on their beliefs, experiences in clinical encounters, and communication regarding cancer screenings. Nurses can address these challenges by providing culturally sensitive care and building relationships with community resources.</div></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"29 2","pages":"Pages 109-119"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143415629","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}