Nursing for Women''s Health最新文献

{"title":"Did Universal Alcohol Screening and Brief Interventions Delivered in the Context of Reproductive Health Care Universally Reach Demographically Diverse Patients?","authors":"Megan Waddell,&nbsp;Janice Vendetti,&nbsp;Corrie B. Whitmore,&nbsp;Faith Ozer Green,&nbsp;Bonnie G. McRee,&nbsp;Karen Steinberg Gallucci,&nbsp;Diane K. King","doi":"10.1016/j.nwh.2024.09.003","DOIUrl":"10.1016/j.nwh.2024.09.003","url":null,"abstract":"<div><h3>Objective</h3><div>To identify demographic disparities in rates of alcohol screening and brief intervention (ASBI) aimed at reducing the risk of alcohol-exposed pregnancy (AEP).</div></div><div><h3>Design</h3><div>Electronic health record data were analyzed to examine documented ASBI rates and contraceptive methods for patients who had wellness visits between June 1, 2020, and October 31, 2022.</div></div><div><h3>Setting/Local Problem</h3><div>This study included 15 health centers affiliated with Planned Parenthood of Southern New England (PPSNE) and 35 health centers affiliated with Planned Parenthood of the Great Northwest, Hawaii, Alaska, Indiana, Kentucky (PPGNHAIK). Affiliates collaborated on a 4-year project implementing universal ASBI to reduce risky alcohol use and prevent AEPs.</div></div><div><h3>Participants</h3><div>Data included 29,659 patients assigned female at birth, ages 18 to 49 years, who completed a wellness visit at a participating health center.</div></div><div><h3>Intervention/Measurements</h3><div>Electronic health record data encompassed demographic characteristics, contraception method, patient-completed alcohol screening score, and clinician-documented brief interventions.</div></div><div><h3>Results</h3><div>Although alcohol screening rates exceeded 85% of eligible visits, brief intervention completion rates for those at risk for AEP were low: 70.5% were missed at PPSNE and 78.2% were missed at PPGNHAIK. At PPSNE, Hispanic patients at risk for AEP were least likely to receive a brief intervention (75.9% missed) compared to Black (67.7%) or white (67.5%) patients (<em>p</em> &lt; .001). At PPGNHAIK, Asian/Pacific Islander patients were most likely to miss receiving a brief intervention (92.2%) compared to Black (72.9%), race unknown (79.5%), white (77.9%), and multiracial/other (78.4%) patients (<em>p</em> &lt; .003).</div></div><div><h3>Conclusion</h3><div>Universal ASBI is recommended to normalize asking about alcohol in reproductive health care, reduce subjectivity, and ensure that all patients benefit from alcohol education or intervention. Variation in screening rates and contraception type contribute to demographic differences in risk of AEP.</div></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"29 2","pages":"Pages 99-108"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143415625","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":"Unlocking the Mysteries of Sudden Infant Death Syndrome","authors":"","doi":"10.1016/S1751-4851(25)00060-1","DOIUrl":"10.1016/S1751-4851(25)00060-1","url":null,"abstract":"","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"29 2","pages":"Pages 78-82"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143768021","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":"Knowledge and Use of Emergency Contraception Among Female College Students in Ghana","authors":"Nuheila Ibrahim,&nbsp;Sun S. Kim,&nbsp;Alberta Yemotsoo Lomotey,&nbsp;Gifty Ekua Merdiemah,&nbsp;Akyea Ato-Brewoo","doi":"10.1016/j.nwh.2024.09.002","DOIUrl":"10.1016/j.nwh.2024.09.002","url":null,"abstract":"<div><h3>Objective</h3><div>To assess the knowledge and use of emergency contraception (EC) and to identify factors associated with the perceptions of EC use among female college students in Ghana.</div></div><div><h3>Design</h3><div>A descriptive cross-sectional study.</div></div><div><h3>Setting</h3><div>Nursing-midwifery and teacher-training colleges in Ghana.</div></div><div><h3>Participants</h3><div>A convenience sample of 400 female college students.</div></div><div><h3>Methods</h3><div>Data were collected using a four-part structured questionnaire. Descriptive statistics, chi-square tests, and univariable and multivariable regression analyses were performed.</div></div><div><h3>Results</h3><div>Most participants (<em>n</em> = 352; 88.0%) reported hearing about EC. However, only 10.0% (<em>n</em> = 40) knew about the copper-bearing intrauterine device as an EC. Friends (<em>n</em> = 216; 54.0%) were reportedly the primary source of information about EC. Concerns about serious adverse effects were the top reason for not using EC (<em>n</em> = 354; 88.5%). In contrast, facilitators for use included availability, easy access, partner agreement, affordability, and family discussions. Teacher-training college students who were single were more likely to have negative perceptions of EC use than nursing-midwifery students who were married or living with a partner.</div></div><div><h3>Conclusion</h3><div>Although the results highlight the limited knowledge and use of EC among female college students in Ghana, they also point to the potential for more effective education to improve knowledge and use of EC.</div></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"29 2","pages":"Pages 120-128"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143415633","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":"Comparative Analysis of Two Fall Risk Assessment Tools in the Obstetric Population","authors":"Anna Weigand,&nbsp;Julie Kathman,&nbsp;Janet Colton,&nbsp;James Davis","doi":"10.1016/j.nwh.2024.10.005","DOIUrl":"10.1016/j.nwh.2024.10.005","url":null,"abstract":"<div><h3>Objective</h3><div>To examine the relative accuracy of the Morse Fall Scale (MFS) and the Obstetric Fall Risk Assessment System (OFRAS) in predicting obstetric patients’ fall risk.</div></div><div><h3>Design</h3><div>Retrospective comparative analysis of the MFS and the OFRAS in obstetric inpatients.</div></div><div><h3>Setting</h3><div>A 575-bed urban teaching hospital in Hawaii.</div></div><div><h3>Participants</h3><div>Eighty-five records of people hospitalized for childbirth.</div></div><div><h3>Methods</h3><div>Adequate power modeling and statistical analyses were completed using the programs R packages Version 4.0.1 and SAS Version 9.4. Subsequently, a ratio of 17 fall records to 68 nonfall records (1:4) with similar dates of admission were reviewed. Investigators collected the MFS score/risk level as documented and the required data points to obtain the OFRAS fall risk score/level. Logistic regression models were fit using the MFS and OFRAS as predictors of falls. Results are expressed as odds ratios with 95% confidence intervals and <em>p</em> values to test for statistical significance. Receiver operating characteristic (ROC) curves were derived from logistic regression results and graphed to compare the instruments. Areas under ROC curve (AUROCs) were calculated to display the specificity and sensitivity of the risk assessment tools.</div></div><div><h3>Results</h3><div>Data for 85 pregnant or postpartum people were included in the sample. Analysis of AUROCs demonstrated that the OFRAS is more sensitive and specific for obstetric patients than the MFS. The OFRAS showed significance (<em>p</em> &lt; .001) in predicting falls compared to the MFS (<em>p</em> = .40). Associations between fall scores and falls were examined in separate conditional logistic regression models.</div></div><div><h3>Conclusion</h3><div>The OFRAS demonstrated higher sensitivity and specificity in fall risk prediction. The MFS performed similarly to random chance regarding obstetric fall risk prediction. The potential exists to better anticipate patient falls, protect staff from injury related to patient fall, and decrease organizational risk using a population-specific tool.</div></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"29 2","pages":"Pages 83-90"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484319","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":"Co-creation of a Maternal Health Equity Quality Improvement Project With Black Maternal Health Stakeholders","authors":"Molly Grinstead,&nbsp;Zsakeba Henderson,&nbsp;Jessica Mack,&nbsp;Beth McGovern,&nbsp;Elena Schmidt,&nbsp;Andrea L. DeMaria,&nbsp;Kathryn Mishkin","doi":"10.1016/j.nwh.2024.10.003","DOIUrl":"10.1016/j.nwh.2024.10.003","url":null,"abstract":"<div><div>In March 2021, the March of Dimes, U.S. Department of Health and Human Services, and Reproductive Health Impact convened a group of leading maternal health experts to offer guidance and ensure accountability for the design and implementation of the Maternal HealthCARE project, a quality improvement (QI) collaborative to address racial equity and the disparity gap in maternal health outcomes. The Black Maternal Health Stakeholder Group (BMHSG) provided recommendations and insights that served as the foundation of the QI project. From the BMHSG meeting, four themes emerged, which highlighted the underlying causes of maternal health disparities: racism, lack of accountability, poor data transparency, and inadequate patient-centered care. The BMHSG’s recommendations provide actionable ways for hospitals to drive change and advance equity within their organizations. These insights offer a roadmap for QI work that places the experience and expertise of Black maternal health experts at the forefront, offering a promising way for hospitals to dismantle systemic and institutional racism in maternity care.</div></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"29 2","pages":"Pages 129-135"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143415623","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":"Addressing Alcohol Use and Cancer Risk","authors":"Heidi Collins Fantasia","doi":"10.1016/j.nwh.2025.02.001","DOIUrl":"10.1016/j.nwh.2025.02.001","url":null,"abstract":"","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"29 2","pages":"Pages 75-77"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587566","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(25)00046-7","DOIUrl":"10.1016/S1751-4851(25)00046-7","url":null,"abstract":"","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"29 2","pages":"Page A3"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143768020","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 Communication Boards at the Bedside to Improve Patient-Centered Care in an Inpatient Obstetric Unit","authors":"Beth Anne Chapin,&nbsp;Meghan Duck","doi":"10.1016/j.nwh.2024.10.004","DOIUrl":"10.1016/j.nwh.2024.10.004","url":null,"abstract":"<div><h3>Objective</h3><div>To implement use of custom whiteboards to improve bedside communication and shared knowledge between clinicians and patients.</div></div><div><h3>Design</h3><div>Quality improvement project using a seven-step evidence-based practice framework and Plan-Do-Study-Act cycles to redesign custom communication boards for specific patient (antepartum, labor, postpartum) populations.</div></div><div><h3>Setting/Local Problem</h3><div>Two California university medical center inpatient obstetric units where Hospital Consumer Assessment of Healthcare Providers and Systems scores in nursing communication had trended down at a time when whiteboards were being underused in patient rooms.</div></div><div><h3>Participants</h3><div>Staff of approximately 170 nurses, 30 physicians, and 8 midwives.</div></div><div><h3>Intervention/Measurements</h3><div>The project was implemented from January 2020 through July 2020; the first phase was completed in the postpartum unit, and the second phase was completed in the antepartum unit. Staff surveys and board use audits were used to collect preimplementation and postimplementation data. Third-phase labor boards were designed but were not yet implemented due to budget constraints.</div></div><div><h3>Results</h3><div>Project data supported that the new boards encouraged more complete information and facilitated bedside communication better than the previous iteration.</div></div><div><h3>Conclusion</h3><div>A customized communication board designed for a specific patient population is an effective tool to promote patient-centered care. Communication boards can reinforce safe nursing practice, facilitate discussion, and improve the patient experience.</div></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"29 2","pages":"Pages 91-98"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143374582","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":"Nursing Safety on the Job: Workplace Violence and Personal Protection","authors":"Association of Women’s Health, Obstetric and Neonatal Nurses","doi":"10.1016/j.nwh.2024.11.001","DOIUrl":"10.1016/j.nwh.2024.11.001","url":null,"abstract":"","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"29 2","pages":"Pages e1-e3"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081489","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":"Effect of Endometriosis on Disease-Specific Quality of Life.","authors":"Katherine E Pinto, Helen L Graham, Judith M Scott, Melissa J Benton","doi":"10.1016/j.nwh.2024.09.005","DOIUrl":"10.1016/j.nwh.2024.09.005","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate disease-specific quality of life (QOL) in women with endometriosis and assess concurrent validity of the Endometriosis Impact Questionnaire (EIQ).</p><p><strong>Design: </strong>Observational, cross-sectional design.</p><p><strong>Setting: </strong>Online survey.</p><p><strong>Participants: </strong>Women ages 18 to 49 years who self-reported a diagnosis of endometriosis.</p><p><strong>Measurement: </strong>Disease-specific QOL was measured with the EIQ and the Endometriosis Health Profile-5 (EHP-5). Health-related QOL was measured with two WHOQOL-BREF questions.</p><p><strong>Results: </strong>There were 413 participants with complete data included in the analysis. Mean (SD) age at participation was 33.9 (7.1) years and at diagnosis was 28.9 (7.0) years. Responses to the EIQ demonstrated that endometriosis had the greatest effect on QOL through physical-psychosocial symptoms and fertility problems. Lifestyle behaviors related to alcohol and tobacco use were the least affected by endometriosis. Scores on the EHP-5 demonstrated similar results, with social support, self-image, and feelings of control being most impacted. Health-related QOL was also found to be impaired. Participants rated their overall QOL as neither poor nor good and their overall satisfaction with their health as dissatisfied. Concurrent validity for the EIQ was acceptable. Women who reported worse disease-specific QOL on the EIQ also had worse disease-specific QOL on the EHP-5 (p ˂ .01) and worse health-related QOL on the WHOQOL-BREF questions (p ˂ .01).</p><p><strong>Conclusion: </strong>Endometriosis significantly impairs disease-specific QOL in addition to general health-related QOL. The EIQ is a valid measure of disease-specific QOL and can be used to assess the impact of endometriosis on the multiple dimensions of women's lives. It is recommended that providers use this tool to obtain a more in-depth understanding of the effect on QOL and tailor patient-specific care that targets the multidimensions of endometriosis.</p>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143693871","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}