Nursing for Women''s Health最新文献

{"title":"A Tool to Help Nurses Provide Health Education on Adverse Pregnancy Outcomes and Cardiovascular Health","authors":"Jesse Rattan,&nbsp;Molly B. Richardson,&nbsp;Angelina A. Toluhi,&nbsp;Henna Budhwani,&nbsp;Vivek V. Shukla,&nbsp;Colm P. Travers,&nbsp;Jonathan Steen,&nbsp;Martha Wingate,&nbsp;Alan Tita,&nbsp;Janet M. Turan,&nbsp;Waldemar A. Carlo,&nbsp;Rachel Sinkey","doi":"10.1016/j.nwh.2024.05.005","DOIUrl":"10.1016/j.nwh.2024.05.005","url":null,"abstract":"<div><div>Adverse pregnancy outcomes are associated with poor short- and long-term cardiovascular health. However, patients and their health care providers may not have knowledge of this risk or of the healthful practices that can reduce this risk. Childbirth care can be a pivotal time in the patient–clinician relationship to build awareness and spur prevention planning. As part of the American Heart Association–supported program entitled Providing an Optimized and Empowered Pregnancy for You (P³OPPY), our team collaborated with a community advisory board to create a teaching handout about adverse pregnancy outcomes for incorporation into hospital-based postpartum care. This handout can be used by pregnancy and maternity care providers, including postpartum nurses, to provide health education on how adverse pregnancy outcomes can influence risk for future cardiovascular disease and what can be done for prevention.</div></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 6","pages":"Pages 404-409"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142376144","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 Genetic Carrier Screening at Gynecologic-Related Visits","authors":"Elizabeth A. Brenner,&nbsp;Eleanor L. Stevenson,&nbsp;JeanAnn Schwark,&nbsp;Stephanie A. Gedzyk-Nieman","doi":"10.1016/j.nwh.2024.07.002","DOIUrl":"10.1016/j.nwh.2024.07.002","url":null,"abstract":"<div><h3>Objective</h3><div>To increase patients’ knowledge and access to genetic carrier screening (GCS) in a gynecologic setting by implementing a protocol to universally offer GCS education and screening to reproductive-age women during the preconception period at gynecologic-related visits.</div></div><div><h3>Design</h3><div>The model for improvement quality improvement process model was used to guide this initiative.</div></div><div><h3>Local Problem/Setting</h3><div>Screening for genetic disease has been a part of preconception and genetic care for the past 50 years. Despite its longstanding presence and better accessibility and affordability of testing, there are no established protocols to universally offer screening to reproductive-age women during preconception care in the United States. The project was implemented at an outpatient gynecology clinic in Phoenix, Arizona.</div></div><div><h3>Participants</h3><div>Fifty-one women ages 18 to 51 years.</div></div><div><h3>Intervention/Measurements</h3><div>A protocol was implemented to universally offer expanded GCS and health education to reproductive-age women during the preconception period at gynecologic-related visits. Women’s responses to being offered GCS and the rationale for their response was documented on a spreadsheet.</div></div><div><h3>Results</h3><div>All 51 participants were offered GCS during their visit. None of those 51 participants had any previous knowledge of GCS. All 51 participants declined GCS; reasons included the following: would consider it once closer to childbearing (53%), did not have any childbearing plans (31.3%), did not have any further childbearing plans (9.8%), or were not worried about the possibility of genetic disease (5.8%). None cited cost as a reason for declining GCS. After project completion, 3 of the 51 participants returned to the clinic to undergo GCS, and the clinic has adopted the intervention described here as its standard of care for patients who meet criteria for GCS.</div></div><div><h3>Conclusion</h3><div>It is imperative to provide health education about GCS to women during preconception care so that they can make informed choices about family planning.</div></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 6","pages":"Pages 410-415"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477091","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":"Diagnosis Experiences in Individuals With Lean Polycystic Ovary Syndrome","authors":"Melissa Masters,&nbsp;Kenlee Dropping,&nbsp;Amie Parry-Jones,&nbsp;Rachel Sinley","doi":"10.1016/j.nwh.2024.05.003","DOIUrl":"10.1016/j.nwh.2024.05.003","url":null,"abstract":"<div><h3>Objective</h3><div>To examine the diagnosis experience in an international sample of people with lean polycystic ovary syndrome (PCOS).</div></div><div><h3>Design</h3><div>Cross-sectional study with open-ended questions.</div></div><div><h3>Setting</h3><div>Online.</div></div><div><h3>Participants</h3><div>A total of 150 people with lean PCOS who met eligibility criteria.</div></div><div><h3>Measurements/Intervention</h3><div>An electronic survey was distributed on social media. Survey questions were adapted from previously published research. Categorical data were analyzed as count and proportions. Chi-square tests were used to examine factors associated with diagnosis experience satisfaction. Post hoc analysis was conducted using adjusted standardized residuals. Statistical significance was set at <em>p</em> &lt; .05. Qualitative data were analyzed with an inductive thematic approach.</div></div><div><h3>Results</h3><div>Approximately 49.0% (<em>n</em> = 72) of participants reported diagnosis experience dissatisfaction, 72.8% (<em>n</em> = 99) disagreed that there is adequate information about lean PCOS, and 80.2% (<em>n</em> = 109) disagreed that health professionals have adequate knowledge about lean PCOS. Significant associations were found between length of time to diagnosis and diagnosis satisfaction (<em>p</em> = .001, χ² = 18.133, <em>df</em> = 4, Cramer’s <em>V</em> = 0.258) and number of medical professionals seen and diagnosis satisfaction (<em>p</em> &lt; .001, χ² = 18.095, <em>df</em> = 2, Cramer’s <em>V</em> = 0.362). Main PCOS concerns included irregular menstrual cycles (<em>n</em> = 108, 72.0%), hormone imbalance (<em>n</em> = 97, 64.7%), and anxiety (<em>n</em> = 74, 49.3%). Qualitative analyses revealed that participants received limited PCOS management information and felt providers were dismissive of them.</div></div><div><h3>Conclusion</h3><div>The diagnosis experience for people with lean PCOS includes high feelings of dissatisfaction. Opportunities exist to expand education about lean PCOS among students and clinicians, provide quality resources to support lifestyle modification in patients with lean PCOS, and listen to the needs of each individual. Future research should further examine the lean subset of people with PCOS.</div></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 6","pages":"Pages 416-428"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142356030","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 Experiences of Pregnancy Among Adolescent Girls in Jordan","authors":"Aaliyah Momani,&nbsp;Enas A. Assaf,&nbsp;Zalikha Al-Marzouqi,&nbsp;Raghad Hussein Abduelkader,&nbsp;Bayan Ahmad Oleimat,&nbsp;Dima Abukhadra","doi":"10.1016/j.nwh.2024.07.003","DOIUrl":"10.1016/j.nwh.2024.07.003","url":null,"abstract":"<div><h3>Objective</h3><div>To explore the experience of pregnancy among adolescent girls ages 16 to 19 years in Jordan.</div></div><div><h3>Design</h3><div>Descriptive exploratory qualitative design.</div></div><div><h3>Setting</h3><div>Participants were recruited from antenatal clinics and postpartum wards in Ministry of Health primary health care clinics and hospitals across Jordan. This included a wide geographic area in Jordan that covered several cities: Amman, Zarqa, Irbid, As-Salt, and others.</div></div><div><h3>Participants</h3><div>The total number of participants was 13. Most participants were primiparous, and three were multiparous. Five participants were recruited during the postpartum period, seven in the second and third trimester, and one during the first trimester.</div></div><div><h3>Measurements</h3><div>Data were collected using semistructured and audio-recorded interviews and analyzed concurrently. Thematic analysis was used. A total of 13 interviews were conducted.</div></div><div><h3>Results</h3><div>Two core themes emerged from the study: <em>Navigating the Change</em> and <em>Reflecting on the Experience of Pregnancy</em>. The first theme included four subthemes: <em>Making Adjustments</em>, <em>Seeking Support</em>, <em>Searching for Information</em>, and <em>Feeling the Responsibility</em>.</div></div><div><h3>Conclusion</h3><div>Considering the impact of pregnancy on adolescent girls and their fetuses, early marriages should be reconsidered in legal and health policies in Jordan and worldwide. Adolescents expressed a need for more information about pregnancy. Age-appropriate comprehensive sexual education that includes discussion of gender issues and women’s empowerment is needed. Online sources of pregnancy information targeting the needs of adolescents are also recommended. More research is needed to explore the needs of pregnant adolescents in different social and cultural contexts.</div></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 6","pages":"Pages 457-463"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477093","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":"Evaluation of a Menstrual Hygiene Education Program for Adolescent Girls in Rural India","authors":"Manjunath Madhu,&nbsp;Bharath Nanjangudu Ravindra,&nbsp;Keralapura Srinivas Surabhi,&nbsp;Devappa Kengeri Raghunath,&nbsp;Manjuath Shobha,&nbsp;Venkataraman Rajesh","doi":"10.1016/j.nwh.2024.08.002","DOIUrl":"10.1016/j.nwh.2024.08.002","url":null,"abstract":"<div><h3>Objective</h3><div>To assess the impact of a pharmacist-mediated education program on menstrual hygiene among adolescent girls in and around Balagangadaranatha (BG) Nagara, India.</div></div><div><h3>Design</h3><div>Pre- and postintervention study conducted over 6 months.</div></div><div><h3>Setting/Local Problem</h3><div>Adolescent girls in India, especially in rural areas, may lack proper knowledge and a supportive atmosphere to deal with menstruation-related concerns. Many myths and taboos also make it difficult or impossible to find accurate information about menstruation and menstrual hygiene.</div></div><div><h3>Participants</h3><div>The sample included 585 female high school students who had begun menstruation and lived in and around BG Nagara, India.</div></div><div><h3>Intervention</h3><div>An educational training session provided information about the menstrual cycle, sanitary products, proper disposal practices, and menstrual disorders. Information addressed the psychological and social dimensions of menstruation to mitigate stigma. Educational leaflets about personal menstruation hygiene practices were also provided.</div></div><div><h3>Results</h3><div>Pre- and posttests were administered to assess participants’ knowledge of and practices regarding menstrual hygiene. Pretest scores indicated that 43.8% (<em>n</em> = 164) of participants had good knowledge of menstruation, 86% (<em>n</em> = 503) used sanitary pads, and 73.2% (<em>n</em> = 428) thought that increasing nutritious food was necessary during menstruation. Posttest scores indicated an increase in all areas (<em>p</em> &lt; .001).</div></div><div><h3>Conclusion</h3><div>Health education was associated with an improvement in female high school students’ knowledge of and practices related to menstrual hygiene. More menstrual health education strategies and awareness programs are needed to improve the knowledge and health of adolescent girls.</div></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 6","pages":"Pages 446-456"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142565243","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 Guide to Successfully Publishing a Clinical Practice Manuscript","authors":"Heidi Collins Fantasia","doi":"10.1016/j.nwh.2024.10.001","DOIUrl":"10.1016/j.nwh.2024.10.001","url":null,"abstract":"","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 6","pages":"Pages 395-398"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630296","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":"Perceptions of Sleep Quality, Fatigue, and Cognition Among Women Shift Workers","authors":"Kathy L. Nelson,&nbsp;Jean E. Davis,&nbsp;Michael Wirth,&nbsp;Saher Karim Choudhary,&nbsp;Karen E. Wickersham","doi":"10.1016/j.nwh.2024.06.003","DOIUrl":"10.1016/j.nwh.2024.06.003","url":null,"abstract":"<div><h3>Objective</h3><div>To explore the perceptions of sleep quality, levels of fatigue, and cognitive executive function in women shift workers.</div></div><div><h3>Design</h3><div>Qualitative, descriptive study of a sample of participants who participated in a cross-sectional, mixed-methods study.</div></div><div><h3>Setting</h3><div>Online focus groups.</div></div><div><h3>Participants</h3><div>Women shift workers (<em>N</em> = 14) recruited from the southeastern United States.</div></div><div><h3>Methods</h3><div>Four focus groups were conducted using the Zoom online videoconferencing platform. Transcripts were coded inductively, and data were analyzed using a thematic analysis approach.</div></div><div><h3>Results</h3><div>Five major themes were developed from the data: <em>Lots of Sleep Lost</em>, <em>Day Sleep Difficulties</em>, <em>Negative Consequences</em>, <em>Missing Out</em>, and <em>Not in My Own Thoughts</em>.</div></div><div><h3>Conclusion</h3><div>Shift work is associated with sleep loss, which has a negative impact on women’s emotional, mental, and physical health. Further nursing science investigation into strategies to enable women to improve their sleep quality, sleep quantity, and social/domestic environment is warranted. Education to increase sleep knowledge and decrease accidents and errors that can result from insufficient sleep is vital.</div></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 6","pages":"Pages 429-437"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142373085","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":"REVIVE Is an Evidence-Based Approach for Nurses to Universally Apply Trauma-Informed Care in Maternity Settings","authors":"Katherine Heatherington Endres,&nbsp;Geraldine M. Maurer","doi":"10.1016/j.nwh.2024.05.006","DOIUrl":"10.1016/j.nwh.2024.05.006","url":null,"abstract":"<div><div>The principles of trauma-informed care—safety, compassion, collaboration, communication, autonomy, and empowerment—are also the domains most vulnerable to implicit bias and most cited in adverse outcomes in maternal health. Perinatal nurses can practice trauma-informed care universally and thereby foster and advance person-centered care for all individuals with respect to race, ethnicity, religion, or lived experiences. In this article, we present evidence-based nursing interventions, collectively called REVIVE, that are known to promote principles of trauma-informed care. Taken together, the REVIVE interventions may improve health outcomes and reduce disparities in maternal health outcomes because they are proactive nursing interventions independent of implicit bias. REVIVE is described here and intended for use by individual nurses or health care teams to implement and evaluate in different maternity settings.</div></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 6","pages":"Pages 485-491"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477092","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":"Comparing the Effects of Lavender Aromatherapy and Mindfulness-Based Cognitive Therapy on Sexual Function in Women in Iran","authors":"Zahra Teimori,&nbsp;Firoozeh Mirzaee,&nbsp;Masumeh Ghazanfarpour,&nbsp;Maryam Azimi,&nbsp;Atefeh Ahmadi,&nbsp;Arghavan Javadi","doi":"10.1016/j.nwh.2024.03.006","DOIUrl":"10.1016/j.nwh.2024.03.006","url":null,"abstract":"<div><h3>Objective</h3><div>To compare the effects of aromatherapy with lavender and mindfulness-based cognitive therapy for sexuality (MBCT-S) on female sexual function.</div></div><div><h3>Design</h3><div>Randomized controlled trial.</div></div><div><h3>Setting</h3><div>Health centers in Roudan city, Iran.</div></div><div><h3>Participants</h3><div>Sixty married women, ages 18 to 45 years, were recruited using the Female Sexual Function Index (FSFI). Participants were selected from health centers in 2022 via convenience sampling.</div></div><div><h3>Intervention and Measurements</h3><div>Upon their completion of a demographic checklist and the FSFI as a pretest, participants were divided into three groups, including lavender aromatherapy (<em>n</em> = 20), MBCT-S (<em>n</em> = 20), and control (<em>n</em> = 20) through random selection with permutation blocks. All groups completed FSFI as a posttest. Data were analyzed by SPSS 26 using chi-square, Wilcoxon, Kruskal–Wallis, and Mann–Whitney statistical tests.</div></div><div><h3>Results</h3><div>There was no statistically significant difference among the three groups before the intervention (<em>p</em> = .652), but there was a significant difference among them after the intervention (<em>p</em> = .001). There was a significantly positive difference between the intervention groups and the control group (<em>p</em> &lt; .001). A significant relationship was observed among the three groups in sexual desire, pain, satisfaction, lubrication, and arousal. The mean scores of the posttest in sexual desire, pain, satisfaction, and lubrication were positively higher in the MBCT-S group than in the aromatherapy group, and both intervention groups showed the same effect for sexual arousal. Aromatherapy and counseling had no significant effect on improving sexual orgasm.</div></div><div><h3>Conclusion</h3><div>MBCT-S can be used to improve many aspects of female sexual function, except for orgasm disorders; aromatherapy may improve sexual arousal.</div></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 5","pages":"Pages e1-e10"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142113129","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":"Comprehensive Management of Menopausal Symptoms","authors":"Michelle R. Flanagan,&nbsp;Heidi Collins Fantasia","doi":"10.1016/j.nwh.2024.04.007","DOIUrl":"10.1016/j.nwh.2024.04.007","url":null,"abstract":"<div><div>Menopause is an inevitable physiologic process that typically occurs in women between the ages of 45 and 56 years old. It involves the permanent cessation of ovarian function and is recognized to have occurred when there has been no menstrual cycle for 12 consecutive months without another cause. Vasomotor symptoms, such as hot flushes and night sweats, and genitourinary syndrome of menopause, which includes symptoms of vaginal dryness, dyspareunia, and urinary incontinence, are common symptoms of menopause. Symptoms range from mild to severe, and for those interested in treating their symptoms, there are hormonal and nonhormonal options available. Choosing appropriate therapies is based on each individual’s health history and personal preferences. Because menopause can affect mental, physical, and emotional health, it is critical for nurses to recognize the changes that occur in menopause so that they can make appropriate inquiries to elicit symptom information. Nurses play an important role in counseling and supporting individuals through the menopause transition with evidence-based guidance.</div></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 5","pages":"Pages 381-392"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142113130","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}