Nursing for Women''s Health最新文献

{"title":"A Policy Analysis of Mandatory Implicit Bias Training for Perinatal Nurses","authors":"Beth A. Killam,&nbsp;Mary J. Dyck,&nbsp;Teresa Gulley,&nbsp;Denise Hammer,&nbsp;Doris Houston,&nbsp;John R. Blakeman","doi":"10.1016/j.nwh.2026.01.005","DOIUrl":"10.1016/j.nwh.2026.01.005","url":null,"abstract":"<div><div>Mandated maternal implicit bias training (IBT) is intended to raise awareness for health care professionals to reduce maternal health disparities. The United States has high maternal morbidity and mortality, with Black non-Hispanic women disproportionately affected. We conducted a policy analysis for maternal IBT with implications for nursing practice and developed recommendations for policy improvement. Additionally, a retrospective review was completed for the State of Illinois’ legislative adoption of the mandated IBT for health care professionals. Bardach’s Eightfold Path framework was applied to analyze Illinois’ current policy implementation. We determined that IBT should be integrated as one element of a broader ongoing quality improvement effort, together with continuous professional development, to enhance its impact.</div></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"30 4","pages":"Pages 267-275"},"PeriodicalIF":1.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147989444","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":"Should We Be Orally Feeding Infants on Continuous Positive Airway Pressure or High-Flow Nasal Cannula?","authors":"Britt Frisk Pados","doi":"10.1016/j.nwh.2026.02.004","DOIUrl":"10.1016/j.nwh.2026.02.004","url":null,"abstract":"<div><div>There has been a recent trend in NICUs to start oral feeding for infants on continuous positive airway pressure (CPAP) or high-flow nasal cannula (HFNC). The purpose of this article is to evaluate the current research on the safety of oral feeding while on CPAP or HFNC and explore whether there are data to support the idea that feeding on CPAP or HFNC reduces the time to full oral feeding or time to discharge. The current literature suggests that feeding on CPAP is unsafe. There are no data on the safety of feeding on HFNC. For most infants, starting oral feeds on CPAP and/or HFNC does not result in earlier attainment of full oral feedings or earlier discharge. Additional research is needed to further evaluate safety of oral feeding on CPAP and HFNC in a valid and reliable way.</div></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"30 4","pages":"Pages 346-353"},"PeriodicalIF":1.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148145106","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 Infertility-Related Anxiety and Depression Through Psychosocial Interventions: A Scoping Review","authors":"Kendall Deas,&nbsp;Mary Ellen Wright","doi":"10.1016/j.nwh.2026.01.007","DOIUrl":"10.1016/j.nwh.2026.01.007","url":null,"abstract":"<div><h3>Objective</h3><div>To examine the evidence of how psychosocial interventions can address anxiety and depression in individuals experiencing infertility.</div></div><div><h3>Data Sources</h3><div>Databases searched between 2020 and 2025 included MEDLINE, CINAHL, PubMed, and Web of Science. Searches used the following keywords: <em>anxiety, depression, infertile, infertility, infertility counseling, mental health, psychosocial intervention, reproductive health counseling</em>, and <em>reproductive mental health</em>.</div></div><div><h3>Study Selection</h3><div>Studies were included if they were research studies (quantitative, qualitative, or mixed methods), were published in English between 2020 and 2025, focused primarily on women with infertility undergoing fertility treatment, and examined psychosocial interventions or outcomes. Studies were excluded if they were published before 2020, were not research publications, were feasibility studies, involved populations not specific to infertility, focused on polycystic ovarian syndrome, or reported incomplete findings.</div></div><div><h3>Data Extraction</h3><div>Seven studies were included in this scoping review: one qualitative study, one one-arm pilot study, and five randomized controlled trials.</div></div><div><h3>Data Synthesis</h3><div>There are a range of psychosocial interventions, including online self-help programs, in-person counseling, lifestyle modifications, and cognitive behavior therapy, that can reduce infertility-related anxiety, depression, and stress in women.</div></div><div><h3>Conclusion</h3><div>Infertility can have an effect on mental health and psychological well-being. Psychosocial interventions can reduce infertility-related anxiety and depression.</div></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"30 4","pages":"Pages 339-345"},"PeriodicalIF":1.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148145047","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":"More Americans Traveling Farther","authors":"","doi":"10.1016/S1751-4851(26)00148-0","DOIUrl":"10.1016/S1751-4851(26)00148-0","url":null,"abstract":"","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"30 4","pages":"Pages 261-266"},"PeriodicalIF":1.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148694338","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(26)00142-X","DOIUrl":"10.1016/S1751-4851(26)00142-X","url":null,"abstract":"","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"30 4","pages":"Page A3"},"PeriodicalIF":1.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148694337","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 Capacity-Building, Multisite, Quality Improvement Project Aimed at Respectful Maternity Care","authors":"Angela Lober,&nbsp;Carrie Morgan Eaton,&nbsp;Shawana Burnette,&nbsp;Kelly McGlothen-Bell","doi":"10.1016/j.nwh.2026.02.007","DOIUrl":"10.1016/j.nwh.2026.02.007","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the impact of an evidence-based respectful maternity care program on registered nurses’ attitudes and beliefs about childbirth practices across multiple U.S. hospital maternity and neonatal units. Secondary objectives included assessing maternal perceptions of care and identifying facilitators and barriers to program adoption.</div></div><div><h3>Design</h3><div>A Plan-Do-Study-Act framework with a one-group pretest–posttest design with a qualitative strand to investigate changes in nurses’ attitudes and beliefs.</div></div><div><h3>Setting</h3><div>Nine maternity and neonatal in-patient care units located across the United States.</div></div><div><h3>Participants</h3><div>Registered nurses working in maternity and neonatal care units were recruited using purposive sampling. A patient survey was concurrently conducted for deeper insight.</div></div><div><h3>Methods</h3><div>Units implemented the Association of Women’s Health, Obstetric and Neonatal Nurses Respectful Maternity Care Framework and Evidence-Based Clinical Practice Guideline as an intervention. Quantitative and qualitative data captured the effect of the intervention. Nurses completed the 42-item Nurse Attitudes and Beliefs Questionnaire–Revised (<em>n</em> = 99). Focus groups of site coordinators (<em>N</em> = 9) were conducted to identify barriers to and facilitators of program implementation. To provide a deeper level of understanding, patients answered the Women’s Perspectives on Respectful Maternity Care questionnaire (preintervention <em>n</em> = 57, postintervention <em>n</em> = 34).</div></div><div><h3>Results</h3><div>A paired-samples <em>t</em> test showed a significant increase in nurses’ attitude and belief scores from preintervention to postintervention (<em>t</em>[98] = −2.69, <em>p</em> = .008), with a moderate correlation between paired observations (<em>r</em> = 0.68). Focus group analysis highlighted barriers such as institutional constraints, hierarchies, and lack of protected training time, whereas peer support, autonomy, and commitment to humanized care facilitated implementation. There was no significant difference in patient perspectives.</div></div><div><h3>Conclusion</h3><div>Findings suggest that positive attitude and belief shifts are supported by local culture, interdisciplinary alignment, and opportunities for reflection. An evidence-based respectful maternity care program is associated with an improvement in nurses’ attitudes and beliefs toward physiologic childbirth.</div></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"30 4","pages":"Pages 289-300"},"PeriodicalIF":1.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148145031","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 Ring in My Drawer","authors":"K. Starr Lynch","doi":"10.1016/j.nwh.2026.05.001","DOIUrl":"10.1016/j.nwh.2026.05.001","url":null,"abstract":"","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"30 4","pages":"Pages 354-355"},"PeriodicalIF":1.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148102062","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":"Federal Student Loan Regulations for Graduate Nursing Education","authors":"Heidi Collins Fantasia","doi":"10.1016/j.nwh.2026.05.002","DOIUrl":"10.1016/j.nwh.2026.05.002","url":null,"abstract":"","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"30 4","pages":"Pages 257-260"},"PeriodicalIF":1.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148680380","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":"Exploring Equitable Maternal-Newborn Care With Sub-Saharan Black African Migrant Women in Ontario, Canada.","authors":"Adebanke Afolabi, Shokoufeh Modanloo, Glourieuse Uwizeye","doi":"10.1016/j.nwh.2026.05.009","DOIUrl":"10.1016/j.nwh.2026.05.009","url":null,"abstract":"<p><strong>Objective: </strong>To explore the lived experiences of sub-Saharan Black African migrant women (SBAMW) in accessing and receiving equitable maternal-newborn health care in Ontario, Canada, and to examine how intersecting identities and structural determinants shape these experiences.</p><p><strong>Design: </strong>Interpretive descriptive qualitative design, guided by intersectionality and structural determinants of health frameworks.</p><p><strong>Setting/local problem: </strong>Ontario, Canada, where persistent inequities in maternal-newborn care are reported for SBAMW, particularly related to temporary immigration status, navigation barriers, and experiences of discrimination and lack of culturally safe care.</p><p><strong>Participants: </strong>Ten SBAMW residing in Ontario who had accessed maternal-newborn care within the past 5 years; most held temporary visas, including student and work permit holders.</p><p><strong>Methods: </strong>Semistructured interviews were conducted with field notes and audio-recorded for transcription. Data were analyzed using an iterative, inductive thematic analysis approach to generate codes, categories, and themes.</p><p><strong>Results: </strong>Three major practice-oriented insights emerged: (a) This (Canadian health care system) is not a health-care-for-all system. Women described discrimination tied to temporary visa status, barriers in navigating the system, poorly coordinated referrals and follow-ups, and limited postpartum support. (b) We are relying on Google: lack of information and compassionate care. Participants frequently reported rushed appointments, inadequate communication, insufficient information, and feeling unheard. (c) Felt less of a person: racialization, stereotypes, and cultural unsafety. Participants noted experiences of stereotyping, dismissal of pain, covert racism, lack of culturally safe care, and distrust in provider relationships.</p><p><strong>Conclusion: </strong>Findings highlight how intersecting identities (e.g., race, sex, and immigration status) produce overlapping disadvantages that exacerbate inequitable maternal-newborn care. Key strategies to mitigate these inequities include inclusive health insurance policies, enhanced provider communication, cultural safety training, and antiracism initiatives across health care organizations. Addressing these systemic barriers is critical to rebuilding trust, reducing disparities, and ensuring high-quality care.</p>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148473401","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":"Clinical, Ethical, and Practical Implications of Prenatal Genetics for Nurses: Part II.","authors":"Catleya Bedard-Dureza, Brenna Morse","doi":"10.1016/j.nwh.2026.05.007","DOIUrl":"10.1016/j.nwh.2026.05.007","url":null,"abstract":"<p><p>Prenatal genetic testing is integral to routine prenatal care, allowing for early identification of fetal anomalies and informing pregnancy care decisions. Rapidly evolving reproductive health policies have created a complex and contradictory landscape for women's health nurses. Emerging reproductive privacy policies and legal scrutiny of pregnancy loss further complicate clinical practice by introducing risks related to nurse documentation, disclosure, and liability. This article describes how policy changes impact prenatal genetic testing, counseling, and pregnancy management options. The article highlights the critical role of nurses in prenatal genetics care and the need to adopt new counseling strategies, facilitate informed decision-making, and support patients making reproductive care choices in increasingly restrictive environments.</p>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148473405","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}