{"title":"The Folkloric Practices of Dominican Women in Managing Bacterial Vaginosis","authors":"Sandra Maldonado","doi":"10.1016/j.nwh.2023.10.003","DOIUrl":"10.1016/j.nwh.2023.10.003","url":null,"abstract":"<div><p>Bacterial vaginosis (BV) is characterized by changes in the vaginal flora caused by an elevated pH, resulting in symptoms of vaginal discharge, odor, and irritation. BV affects all women, including Dominican women who have specific cultural beliefs regarding vaginal health hygiene. Due to the prevalence of this condition and cultural norms that may influence how women respond to the diagnosis of BV, it is important to understand the factors that may promote the development of BV and that may influence women’s choices of treatment options. Amsel’s criteria are the most commonly used clinical approach for the diagnosis of BV. Recurrent BV is common and affects women’s lives to varying degrees. Discussion about cultural norms and hygienic practices may provide information that may decrease the recurrence of BV. Nurses can provide support and evidence-based information in a culturally sensitive manner to help Dominican women manage BV.</p></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 2","pages":"Pages 143-147"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139825755","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":"Implementation of a Perinatal Substance Use Screening Protocol in the Outpatient Setting","authors":"Kristine DiCarlo, Lisa Whiffen","doi":"10.1016/j.nwh.2023.09.009","DOIUrl":"10.1016/j.nwh.2023.09.009","url":null,"abstract":"<div><h3>Objective</h3><p>To implement the 5Ps Screen for Alcohol/Substance Use tool and the screening, brief intervention, and referral to treatment (SBIRT) process into clinical practice to determine if enhanced training would improve perinatal providers’ adherence to universal screening.</p></div><div><h3>Design</h3><p>A quality improvement project using a pre- and postintervention design.</p></div><div><h3>Setting/Local Problem</h3><p>Three community-based, outpatient obstetrics and gynecology clinics in southeastern Massachusetts. The local problem identified was that no validated screening tool was being used for universal screening of substance use in pregnancy.</p></div><div><h3>Interventions/Measurements</h3><p>Training consisted of two phases that reviewed the SBIRT process, the 5Ps screening tool, brief intervention conversations, and the process for referral to treatment. Pre- and postimplementation screening rates were compared and analyzed using descriptive statistics and chi-square tests of independence.</p></div><div><h3>Results</h3><p>Preimplementation screening rates were 14.4%. Screening rates measured 1 month after implementation were 44.6% (<em>p</em> < .001). Universal screening was not achieved.</p></div><div><h3>Conclusion</h3><p>Short-term improvement in screening for perinatal substance use was observed. Whether these results are sustainable beyond the project time frame is unknown. Future work should examine longer-term outcomes and continued barriers to universal uptake of the screening protocol.</p></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 2","pages":"Pages 101-108"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139571627","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":"Information for Readers","authors":"","doi":"10.1016/S1751-4851(24)00053-9","DOIUrl":"https://doi.org/10.1016/S1751-4851(24)00053-9","url":null,"abstract":"","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 2","pages":"Page A3"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140344143","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":"Fetal Heart Rate Auscultation, 4th Edition","authors":"Kirsten Wisner PhD, RNC-OB, CNS, C-EFM, NE-BC, Carrie Holschuh PHD, CNM, WHNP, RN","doi":"10.1016/j.nwh.2023.11.001","DOIUrl":"10.1016/j.nwh.2023.11.001","url":null,"abstract":"<div><p>Intermittent auscultation (IA) is an evidence-based method of fetal surveillance during labor for birthing people with low-risk pregnancies. It is a central component of efforts to reduce the primary cesarean rate and promote vaginal birth (<span>American College of Obstetricians and Gynecologists, 2019</span>; <span>Association of Women’s Health, Obstetric and Neonatal Nurses, 2022a</span>). The use of intermittent IA decreased with the introduction of electronic fetal monitoring, while the increased use of electronic fetal monitoring has been associated with an increase of cesarean births. This practice monograph includes information on IA techniques; interpretation and documentation; clinical decision-making and interventions; communication; education, staffing, legal issues; and strategies to implement IA.</p></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 2","pages":"Pages e1-e39"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139742266","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}
Ijanae Holman-Allgood, Chloe Cline, Chanelle Durand, Rachel S. Purvis, Philmar Mendoza Kabua, Britni L. Ayers
{"title":"Providers’ Perspectives of a Culturally Adapted CenteringPregnancy Intervention for Marshallese Women in Arkansas","authors":"Ijanae Holman-Allgood, Chloe Cline, Chanelle Durand, Rachel S. Purvis, Philmar Mendoza Kabua, Britni L. Ayers","doi":"10.1016/j.nwh.2023.09.010","DOIUrl":"10.1016/j.nwh.2023.09.010","url":null,"abstract":"<div><h3>Objective</h3><p>To explore health care providers’ perspectives on the successes, challenges, and suggestions for future directions regarding the implementation of CenteringPregnancy for Marshallese women in Arkansas.</p></div><div><h3>Design</h3><p>A descriptive qualitative design was used as an exploratory method.</p></div><div><h3>Setting/Local Problem</h3><p>This study took place in northwest Arkansas. Arkansas is home to the largest Marshallese Pacific Islander population in the United States. Marshallese Pacific Islanders residing in the United States have disproportionally high rates of poor maternal and infant health outcomes, even compared to other Pacific Islanders.</p></div><div><h3>Participants</h3><p>Seven CenteringPregnancy providers from the University of Arkansas for Medical Sciences Northwest.</p></div><div><h3>Intervention/Measurements</h3><p>Individual interviews were conducted from February to March of 2023. Data were managed using MAXQDA12 software. Content analysis was used to analyze the data. Initial coding was completed to identify each data segment with short summations of emergent themes. The focused thematic codes that emerged were used to identify and develop the most salient thematic categories of the data, which became the thematic codes.</p></div><div><h3>Results</h3><p>Three overarching themes emerged: <em>Implementation Successes</em>, <em>Challenges to Implementation</em>, and <em>Future Suggestions to Improve Implementation and Sustainability</em>. Each theme had representative subthemes.</p></div><div><h3>Conclusion</h3><p>Findings provide insight for future implementation of CenteringPregnancy for Marshallese and other Pacific Islander individuals.</p></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 2","pages":"Pages 117-127"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140068796","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 of Women With Breast Cancer and Their Partners in Achieving Coherence as a Couple During the Disease Journey","authors":"Luz Patricia Díaz-Heredia, Luz Stella Bueno-Robles, Martha Patricia Bejarano Beltrán, Myriam Patricia Pardo Torres","doi":"10.1016/j.nwh.2023.10.005","DOIUrl":"10.1016/j.nwh.2023.10.005","url":null,"abstract":"<div><h3>Objective</h3><p>To describe the experiences of female patients with breast cancer and their partners in achieving coherence as a couple during the disease journey.</p></div><div><h3>Design</h3><p>Qualitative study.</p></div><div><h3>Setting</h3><p>Colombia, South America.</p></div><div><h3>Participants</h3><p>Women diagnosed with breast cancer in the last 2 years and their intimate partners with whom they lived during the 6 months before study enrollment. In total, 16 heterosexual couples participated in individual interviews and focus groups.</p></div><div><h3>Method</h3><p>Interviews and focus groups were analyzed using content analysis.</p></div><div><h3>Results</h3><p>Four themes were identified: <em>The Diagnosis: A Moment That Destabilizes the Couple</em>, <em>Couple’s Sexuality: Seeking the Best Conditions Between Desire and Reality, Generating Mutually Supportive Dynamics in the Face of Cancer</em>, and <em>The Transformation of a Negative Situation Into a Positive One and Achieving Coherence Within the Couple</em>. The first theme represents the initial moment of uncertainty and emotional reactions due to the confirmation of the diagnosis of breast cancer. The second captures the physical and emotional effects in the couple’s sexuality generated by the treatment and diagnosis as well as the strategies used to strengthen the couple’s relationship. The third reflects how the couple’s support is based on commitment, companionship, and the performance of daily actions. The last describes how the adaptation process allows couples experiencing the disease to achieve coherence.</p></div><div><h3>Conclusion</h3><p>These findings highlight that couples experiencing breast cancer can transform the negative situation into an opportunity to strengthen their relationship by achieving coherence. Future research is needed to investigate the antecedents, attributes, and outcomes related to couples’ coherence. Moreover, health professionals should perform periodic assessments on the dynamics, coping strategies, and resources at couples’ disposal to help promote couples’ adaptation and coherence.</p></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 2","pages":"Pages 135-142"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139984136","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":"Attitudes of First-Time Fathers in South India Toward Their Role in Their Wives’ Prenatal Period","authors":"Arenlila Jamir, Sangeeta Kharde, Anita Dalal","doi":"10.1016/j.nwh.2024.01.001","DOIUrl":"10.1016/j.nwh.2024.01.001","url":null,"abstract":"<div><h3>Objective</h3><p>To assess the attitudes of first-time fathers toward their role during their wives’ prenatal period.</p></div><div><h3>Design</h3><p>Cross-sectional study.</p></div><div><h3>Setting</h3><p>Tertiary care hospital in South India.</p></div><div><h3>Participants</h3><p>First-time fathers accompanying their pregnant wives to an antenatal clinic.</p></div><div><h3>Methods</h3><p>Participants were surveyed to collect information on their attitudes toward their role during the prenatal period. The survey captured attitudes about fathers’ role in pregnancy care; role as financial provider; and need to provide physical, emotional, moral, and social support.</p></div><div><h3>Results</h3><p>Two hundred fathers were included in the sample<strong>.</strong> Approximately 17.5% (<em>n</em> = 35) had a positive attitude toward their role in the prenatal period, whereas 40% (<em>n</em> = 80) had a negative attitude. Having a joint family (i.e., husband, wife, children, and husband’s parents) was found to be negatively associated with fathers’ attitudes toward their role during the prenatal period (<em>p</em> < .05).</p></div><div><h3>Conclusion</h3><p>The findings revealed that the presence of a joint family structure was associated with a more negative attitude among fathers toward their role in their wives’ pregnancies. Antenatal care should include education programs aimed at enhancing husbands’ knowledge, awareness, and active participation during the prenatal period.</p></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 2","pages":"Pages 128-134"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139724381","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 People You Meet and the Books You Read: The Importance of Geographic Diversity in Nursing Research and Journals","authors":"Kortney Floyd James","doi":"10.1016/j.nwh.2024.02.002","DOIUrl":"10.1016/j.nwh.2024.02.002","url":null,"abstract":"","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 2","pages":"Pages 89-92"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140022872","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}
Robie Victoria (Vickie) Hughes, Krysia Warren Hudson, Erin Wright, Sandra M. Swoboda, Jihane Frangieh, Rita F. D’Aoust
{"title":"Cultivating Self-Compassion to Protect Nurses From Burnout and Secondary Traumatic Stress","authors":"Robie Victoria (Vickie) Hughes, Krysia Warren Hudson, Erin Wright, Sandra M. Swoboda, Jihane Frangieh, Rita F. D’Aoust","doi":"10.1016/j.nwh.2024.01.003","DOIUrl":"10.1016/j.nwh.2024.01.003","url":null,"abstract":"<div><p>Nursing burnout, a result of prolonged occupational stress, has always been a challenge in health care, but recently the COVID-19 pandemic made this issue into a national priority. In fact, burnout among health care workers is one of the four priorities of the U.S. Surgeon General. Health care leaders and organizations are eager to implement strategies to improve nurses’ well-being and, thus, enhance their mental health. Much of the literature has focused on the antecedents and consequences of nursing burnout, but there is limited information on strategies that protect perinatal nurses from burnout. Self-compassion is emerging as one strategy that has a positive correlation with nurse well-being and a negative association with burnout, depression, and anxiety. In this article, we identify and translate strategies to promote self-compassion in perinatal nurses.</p></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 2","pages":"Pages 159-167"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140089652","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":"Lessons From Birth","authors":"Bridget J. Frese","doi":"10.1016/j.nwh.2023.08.004","DOIUrl":"10.1016/j.nwh.2023.08.004","url":null,"abstract":"","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 2","pages":"Pages 168-170"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139571629","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}