Nursing for Women''s Health最新文献

{"title":"Contraception and Abortion","authors":"Association of Women’s Health, Obstetric and Neonatal Nurses","doi":"10.1016/j.nwh.2023.12.001","DOIUrl":"10.1016/j.nwh.2023.12.001","url":null,"abstract":"","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 3","pages":"Pages e13-e16"},"PeriodicalIF":0.0,"publicationDate":"2024-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S175148512300257X/pdfft?md5=886a036b6ca76d577e0f77dd151d47fe&pid=1-s2.0-S175148512300257X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140784515","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":"Are Providers Adequately Screening for Anxiety Symptoms During Pregnancy?","authors":"Rebecca Koerner,&nbsp;Kaitlyn Rechenberg,&nbsp;Kailey Rinaldi,&nbsp;Allyson Duffy","doi":"10.1016/j.nwh.2023.09.007","DOIUrl":"10.1016/j.nwh.2023.09.007","url":null,"abstract":"<div><h3>Objective</h3><p>To examine the difference in prevalence of self-reported anxiety symptoms throughout pregnancy compared to clinical diagnosis of an anxiety disorder by a provider.</p></div><div><h3>Design</h3><p>Secondary data analysis of a prospective cohort study of 50 pregnant individuals.</p></div><div><h3>Setting/Local Problem</h3><p>Pregnant individuals commonly experience heightened anxiety symptoms, which are associated with adverse perinatal outcomes. However, a diagnosis of an anxiety disorder by a health care provider is less common, which may result in insufficient mental health intervention.</p></div><div><h3>Participants</h3><p>Pregnant individuals were recruited at their first prenatal appointment and followed until birth.</p></div><div><h3>Intervention/Measurements</h3><p>We examined anxiety symptoms using the Edinburgh Postnatal Depression Scale Anxiety subscale. We conducted a medical record review to examine if pregnant individuals were clinically diagnosed with an anxiety disorder.</p></div><div><h3>Results</h3><p>Based on an Edinburgh Postnatal Depression Scale Anxiety subscale cutoff score of ≥5, 40% (<em>n</em> = 20) of individuals experienced anxiety symptoms during pregnancy. However, only 16% (<em>n</em> = 8) of participants were diagnosed with an anxiety disorder by a health care provider.</p></div><div><h3>Conclusion</h3><p>Anxiety symptoms are prevalent throughout pregnancy and may be underdiagnosed by health care providers. An intervention to increase clinical diagnosis of an anxiety disorder and subsequent referral to a mental health specialist may be indicated.</p></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 2","pages":"Pages 109-116"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139567508","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":"Norgestrel (Opill) Is the First Over-the-Counter Oral Contraceptive Pill Approved in the United States","authors":"Jennifer Shiroff","doi":"10.1016/j.nwh.2024.01.002","DOIUrl":"10.1016/j.nwh.2024.01.002","url":null,"abstract":"<div><p>Just less than half of the pregnancies in the United States are unintended. Unintended pregnancy rates are greatest among women younger than 24 years, women of color, and those who have incomes less than 200% of the federal poverty level. Additionally, options to terminate a pregnancy are restricted or limited in some states. In July 2023, the U.S. Food and Drug Administration approved norgestrel (Opill) as the first over-the-counter oral contraceptive pill available in the United States. Norgestrel is indicated specifically for the prevention of pregnancy, contains only progesterone, and is indicated for daily oral use. This article provides an overview of over-the-counter norgestrel, including administration, adverse effects, contraindications, and practice implications for women’s health nurses.</p></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 2","pages":"Pages 148-151"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139724382","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":"Unit-Based Nurses’ Development of a Couplet Care Acuity Scoring Tool","authors":"Cheryl Roth,&nbsp;Kathy Priester,&nbsp;Wendy Rosen,&nbsp;Melissa Reardon,&nbsp;Kristen Ramsey,&nbsp;Sandra L. Hering,&nbsp;R. Curtis Bay","doi":"10.1016/j.nwh.2023.09.008","DOIUrl":"10.1016/j.nwh.2023.09.008","url":null,"abstract":"<div><h3>Objective</h3><p>To evaluate content validity (CV) and interrater reliability (IRR) of an acuity scoring tool developed for the couplet care/postpartum/nursery patient population and to determine if there was agreement between supervisor or director scoring and staff scoring.</p></div><div><h3>Design</h3><p>A scoring tool to assess the acuity of the couplet care/postpartum/nursery patients was developed.</p></div><div><h3>Setting</h3><p>Two hospitals: one Level 2 hospital, one Level 3 hospital. Unit-based patient care councils participated in the development, and all couplet care nurses participated in scoring patients for testing.</p></div><div><h3>Measurements</h3><p>The final tool was evaluated for CV and IRR using expert review, universal agreement scores, and discriminant content validation.</p></div><div><h3>Results</h3><p>Regarding CV for the Couplet Care Acuity Scoring Tool, the average of the number of experts in agreement divided by the total number of experts across all items was 1.00. Regarding IRR, the intraclass correlation coefficient was 0.85, indicating that the tool is valid and reliable for the study sample.</p></div><div><h3>Conclusion</h3><p>The tool was reliable and valid in this study. Future testing is needed with larger samples and different health care facilities.</p></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 2","pages":"Pages 96-100"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139571653","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 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,&nbsp;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> &lt; .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,&nbsp;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}

{"title":"Providers’ Perspectives of a Culturally Adapted CenteringPregnancy Intervention for Marshallese Women in Arkansas","authors":"Ijanae Holman-Allgood,&nbsp;Chloe Cline,&nbsp;Chanelle Durand,&nbsp;Rachel S. Purvis,&nbsp;Philmar Mendoza Kabua,&nbsp;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,&nbsp;Luz Stella Bueno-Robles,&nbsp;Martha Patricia Bejarano Beltrán,&nbsp;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}