Nursing for Women''s Health最新文献

{"title":"Feasibility of Telehealth and Innovative Technologies to Limit Excessive Gestational Weight Gain","authors":"Rebecca Mattson PhD, PHN, RN,&nbsp;Mary K. Barger PhD, MPH, CNM","doi":"10.1016/j.nwh.2023.08.002","DOIUrl":"10.1016/j.nwh.2023.08.002","url":null,"abstract":"<div><h3>Objective</h3><p><span><span>To test the feasibility of using telehealth to deliver </span>nutritional counseling by tracking </span>gestational weight gain remotely using Bluetooth weight scales.</p></div><div><h3>Design</h3><p>Quasi-experimental feasibility study.</p></div><div><h3>Setting</h3><p>One-on-one nutritional counseling was conducted remotely via a telehealth platform using a registered dietitian.</p></div><div><h3>Participants</h3><p><span>Twenty-nine pregnant individuals ages 18 years or older, between 12 and 27 weeks’ gestation, with a prepregnancy body mass index of ≥30 kg/m</span>², singleton fetus, and English proficiency were recruited for the study. Among the 29 potential participants, 20 completed the initial survey and met the criteria; 11 completed the study.</p></div><div><h3>Methods</h3><p>This study tested the feasibility of using telehealth to deliver nutritional counseling for 30 minutes, once a week, for 6 weeks. Self-weighing was tracked through a preconfigured Bluetooth scale given to study participants that enabled weight data to be automatically uploaded each time the scale was used.</p></div><div><h3>Results</h3><p>Among the 11 study participants receiving Bluetooth scales, adherence to self-weighing was high (81%). All five participants randomized to nutritional counseling found that telehealth visits with a registered dietitian were easy to use and helpful. Although participants who received nutritional counseling gained 2.5 lb less than those who did not receive nutritional counseling (<em>p</em> = .523), there was no significant difference between the intervention group and historical control individuals (<em>p</em> = .716).</p></div><div><h3>Conclusion</h3><p>Incorporating telehealth for nutrition counseling and accurate remote weight data collection may be part of a comprehensive strategy to address gestational weight gain in high-risk pregnant populations. Further research with larger samples is needed.</p></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 1","pages":"Pages 30-40"},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138292027","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 Novel Nonhormonal Treatment for Vasomotor Symptoms of Menopause","authors":"Julie A. Javernick","doi":"10.1016/j.nwh.2023.11.005","DOIUrl":"10.1016/j.nwh.2023.11.005","url":null,"abstract":"<div><p>Vasomotor<span><span><span> symptoms of menopause, more commonly called hot flashes and night sweats, affect up to 80% of individuals going through the </span>menopausal transition<span><span>. Hormone therapy with estrogen and often </span>progesterone<span> is the most effective treatment for these symptoms. Many people, however, cannot take estrogen or do not want to take hormones. Many individuals seek nonhormonal, over-the-counter treatment options that have little safety and efficacy information to support their use. In March 2023, the U.S. Food and Drug Administration approved fezolinetant (Veozah), a </span></span></span>neurokinin 3 receptor antagonist for the treatment of vasomotor symptoms of menopause. This article presents an overview of fezolinetant, including appropriate usage, adverse effects, its use in special populations, and implications for nursing practice.</span></p></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 1","pages":"Pages 80-84"},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139075406","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)00005-9","DOIUrl":"https://doi.org/10.1016/S1751-4851(24)00005-9","url":null,"abstract":"","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 1","pages":"Page A4"},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139675175","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":"Nirsevimab Immunization to Prevent Respiratory Syncytial Virus–Associated Lower Respiratory Tract Infections in Infants and Children up to 24 Months of Age","authors":"Chelsea M. Cieslak","doi":"10.1016/j.nwh.2023.11.002","DOIUrl":"10.1016/j.nwh.2023.11.002","url":null,"abstract":"<div><p><span><span>Respiratory syncytial virus (RSV) infects nearly all infants in their first year of life and is the leading cause of hospitalization for infants younger than 1 year of age in the United States. Historically, the only option for RSV prevention was </span>palivizumab<span>. However, not all infants are eligible for palivizumab, it requires multiple doses per RSV season, and it is costly. In July 2023, the U.S. Food and Drug Administration approved </span></span>nirsevimab<span> for the prevention of RSV-associated lower respiratory tract infections<span> for all infants. Nirsevimab inhibits RSV from fusing to cellular membranes and thereby neutralizes the virus in the body. Nirsevimab is expected to significantly reduce the health and economic burdens of RSV. This article provides an overview of nirsevimab, potential adverse effects, and implications for nursing practice.</span></span></p></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 1","pages":"Pages 75-79"},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138618711","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":"Increasing U.S. Maternal Health Equity Among Immigrant Populations Through Community Engagement","authors":"Maryum Zaidi,&nbsp;Heidi Collins Fantasia,&nbsp;Rebecca Penders,&nbsp;Ainat Koren,&nbsp;Comfort Enah","doi":"10.1016/j.nwh.2023.09.004","DOIUrl":"10.1016/j.nwh.2023.09.004","url":null,"abstract":"<div><p><span><span>Immigrant women in the United States are at an elevated risk of poor maternal health outcomes due to cultural, linguistic, or socioeconomic barriers that may lead to critical delays in obtaining adequate health care<span>. Ensuring access to high-quality, culturally appropriate perinatal health care is crucial to improve the health and well-being of immigrant mothers and their children. Various aspects of perinatal health care for immigrant women can be improved through community engagement strategies. Barriers can be addressed by involving community members in designing and delivering culturally appropriate maternal health services. Some strategies discussed in this commentary include working with </span></span>community health<span> workers, encouraging telehealth through community health workers, providing breastfeeding and </span></span>mental health support<span> within cultural norms, and involving community-based doulas and midwives.</span></p></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 1","pages":"Pages 11-22"},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138610468","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":"How to Get Your Doctor of Nursing Practice Scholarly Project Published","authors":"Heidi Collins Fantasia","doi":"10.1016/j.nwh.2023.11.006","DOIUrl":"10.1016/j.nwh.2023.11.006","url":null,"abstract":"","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 1","pages":"Pages 1-3"},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138810757","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":"Decreased Fetal Movement: AWHONN Practice Brief #20","authors":"The Association of Women’s Health, Obstetric and Neonatal Nurses","doi":"10.1016/j.nwh.2023.11.004","DOIUrl":"10.1016/j.nwh.2023.11.004","url":null,"abstract":"","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 1","pages":"Pages e1-e3"},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138832083","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 Respectful Maternity Care Guideline During Childbirth Experiences","authors":"Catherine M. Hill,&nbsp;Heidi Collins Fantasia,&nbsp;Shawana Burnette","doi":"10.1016/j.nwh.2023.09.006","DOIUrl":"10.1016/j.nwh.2023.09.006","url":null,"abstract":"<div><h3>Objective</h3><p>To measure the impact of an evidence-based guideline on respectful maternity care on nurses’ attitudes and beliefs about childbirth practices.</p></div><div><h3>Design</h3><p><span>A quality improvement pilot project with a pretest/posttest design examining the attitudes and beliefs of </span>intrapartum nurses about childbirth practices of respectful care.</p></div><div><h3>Setting</h3><p>High-risk intrapartum unit at a tertiary care center in the southeastern United States.</p></div><div><h3>Participants</h3><p>A convenience sample of 130 registered nurses were invited to participate, and nine completed the pre- and posttests.</p></div><div><h3>Intervention/Measurements</h3><p>The intervention included a recorded webinar, access to printed and electronic copies of the guideline, discussions in daily huddles, and a virtual journal club. Data were collected using the 42-item Nurse Attitudes and Beliefs Questionnaire–Revised. Lower scores are reflective of attitudes and beliefs that support a medical model of care, whereas higher scores are reflective of a physiologic model of care. Descriptive statistics and the Wilcoxon signed rank test were used to analyze changes in attitudes and beliefs based on the aggregate scores of the nurse participants.</p></div><div><h3>Results</h3><p>Although there was no change in nurse attitude and beliefs about childbirth practices after 3 months (<em>p =</em> .058), the aggregate scores on a scale of 42 to 168 increased by 5.6 points. Two subscales of the Nurse Attitudes and Beliefs Questionnaire–Revised—Medical Model of Conflict and Women’s Autonomy—had the greatest increase in aggregate scores.</p></div><div><h3>Conclusion</h3><p>Understanding nurses’ attitudes and beliefs can assist in identifying barriers to the provision of respectful care, particularly during labor and birth, when patients are most vulnerable. Measurement of nurse attitudes and beliefs regarding respectful maternity care may require a longer immersion in a respectful maternity care program to allow for changes over time.</p></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 1","pages":"Pages 50-57"},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139479486","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":"Taking Action to Prevent Congenital Syphilis","authors":"","doi":"10.1016/S1751-4851(24)00009-6","DOIUrl":"https://doi.org/10.1016/S1751-4851(24)00009-6","url":null,"abstract":"","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 1","pages":"Pages 4-10"},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139675176","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 Evidence-Based Practice Project to Provide Standardized Education on Skin-to-Skin Contact and Neonatal Hypoglycemia","authors":"Brittany Motter","doi":"10.1016/j.nwh.2023.08.003","DOIUrl":"10.1016/j.nwh.2023.08.003","url":null,"abstract":"<div><h3>Objective</h3><p><span><span>To develop and examine the implications of formalized education with staff and familial caregivers on skin-to-skin in relation to neonatal hypoglycemia, including the impact on </span>NICU admission rate, </span>exclusive breastfeeding, and glucose gel administration.</p></div><div><h3>Design</h3><p>Evidence-based practice (EBP) project with a comparison of data pre-/postintervention.</p></div><div><h3>Setting/Local Problem</h3><p>Implemented at a large health system<span><span> in the mid-Atlantic, including four hospitals with postpartum care units. The EBP implementation site had approximately 19,400 </span>births in 2021.</span></p></div><div><h3>Participants</h3><p>Participants included 320 postpartum nurses in addition to the familial neonatal caregivers these nurses provided care for.</p></div><div><h3>Intervention/Measurement</h3><p>All team members were provided with online education via the HealthStream learning platform, a microlearning introduction video, weekly huddle messages, and unit-specific champions who shared a champion information sheet that included information such as the hypoglycemia protocol, how to perform safe skin-to-skin care, and how to effectively administer glucose gel. Familial caregiver education included a handout given upon admission with an explanation from the postpartum nurse if the neonate met the criteria for the hospital system’s neonatal hypoglycemia protocol.</p></div><div><h3>Results</h3><p>We observed a 4% system-wide increase in exclusive breastfeeding rates, a decrease in NICU admissions by 17.3% at 1-month postimplementation at the smallest hospital site (Hospital A), and a 12.3% reduction in NICU admission rates at the largest hospital site (Hospital B). Two hospitals reported a decrease in the need for glucose gel administration to neonates after the educational intervention.</p></div><div><h3>Conclusion</h3><p>This nurse-led project detailed the process of a system-wide EBP project to implement consistent and standardized education regarding neonatal protocols. Although the benefits of skin-to-skin contact are widely known, this project demonstrated that focused, targeted education on skin-to-skin protocols for neonates at risk for neonatal hypoglycemia may be effective at improving outcomes.</p></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 1","pages":"Pages 58-65"},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138626281","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}