Nursing for Women''s Health最新文献

{"title":"Expert Witnesses in Women’s Health, Obstetric, and Neonatal Nursing","authors":"Association of Women’s Health, Obstetric and Neonatal Nurses","doi":"10.1016/j.nwh.2024.11.002","DOIUrl":"10.1016/j.nwh.2024.11.002","url":null,"abstract":"","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"29 3","pages":"Pages e1-e3"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143674667","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 Clinical Risk Assessment Tool to Improve Bone Health in Postmenopausal Women","authors":"Bailey D. Mosley,&nbsp;Terrie Platt,&nbsp;Tracy Brown","doi":"10.1016/j.nwh.2024.11.003","DOIUrl":"10.1016/j.nwh.2024.11.003","url":null,"abstract":"<div><h3>Objective</h3><div>To improve staff knowledge of osteoporosis and increase the identification of fracture risk in postmenopausal women by implementing use of the Fracture Risk Assessment Tool (FRAX) in an outpatient setting.</div></div><div><h3>Design</h3><div>Quality improvement project guided using the Plan-Do-Study-Act cycle.</div></div><div><h3>Setting/Local Problem</h3><div>In a low-income primary care clinic, no standardized fracture risk assessment tool was being used, leading to inconsistency in referrals for dual-energy X-ray absorptiometry (DXA).</div></div><div><h3>Participants</h3><div>Office staff and postmenopausal women ages 50 to 64 years.</div></div><div><h3>Interventions/Measurements</h3><div>A standardized process was designed to promote appropriate osteoporosis management to improve the assessment, diagnosis, and treatment of osteoporosis in postmenopausal women. Staff training was provided before project implementation. Outcome measures included pre-post Revised Osteoporosis Knowledge Test, FRAX adherence, and DXA referrals.</div></div><div><h3>Results</h3><div>Staff knowledge improved by 25.8% after completion of staff training. During the 2-month implementation period, FRAX adherence was 96.3% (<em>n</em> = 156) among the 162 eligible women, and 98.6% of DXA referrals (<em>n</em> = 70) were completed for the 71 women identified with a major osteoporotic fracture risk greater than 8.4%.</div></div><div><h3>Conclusion</h3><div>With this quality improvement project, we successfully implemented the FRAX tool in the outpatient setting. Initial high adherence rates for FRAX screenings and DXA referrals demonstrated advancements made in clinical practice to provide evidence-based care to postmenopausal women at the greatest risk for an osteoporotic fracture.</div></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"29 3","pages":"Pages 161-169"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144040628","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":"Perinatal Nurse Leader: Clinical Competencies and Education Guide","authors":"Association of Women’s Health, Obstetric and Neonatal Nurses","doi":"10.1016/j.nwh.2025.02.002","DOIUrl":"10.1016/j.nwh.2025.02.002","url":null,"abstract":"","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"29 3","pages":"Pages e4-e13"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144044740","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":"Erosion of Scientific Integrity and Implications for Public Health","authors":"Heidi Collins Fantasia","doi":"10.1016/j.nwh.2025.03.002","DOIUrl":"10.1016/j.nwh.2025.03.002","url":null,"abstract":"","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"29 3","pages":"Pages 139-141"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144037751","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":"Maternal Health Implications of Overturning Roe v. Wade in the United States","authors":"Samantha Russell","doi":"10.1016/j.nwh.2024.12.002","DOIUrl":"10.1016/j.nwh.2024.12.002","url":null,"abstract":"<div><div>The 2022 overturning of <em>Roe v. Wade</em> by the U.S. Supreme Court has profound implications for maternal health in the United States, exacerbating existing disparities in maternal mortality, particularly among Black American women and all women of color. With the rollback of federal abortion protections, numerous states have implemented restrictive abortion laws, leading to reduced access to safe and timely care. Women who are marginalized and historically excluded, especially women of color who already face disproportionately higher rates of maternal mortality compared to their White counterparts, are particularly vulnerable to the consequences of these restrictions. The decision to limit access to abortion exacerbates these challenges, and women are more likely to be forced into carrying high-risk pregnancies to term, further increasing their risk of maternal mortality.</div></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"29 3","pages":"Pages 148-151"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081242","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":"Community Voices Matter","authors":"Brenda Jones","doi":"10.1016/j.nwh.2025.01.001","DOIUrl":"10.1016/j.nwh.2025.01.001","url":null,"abstract":"","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"29 2","pages":"Pages 136-138"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494127","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 With Cancer Screenings Among Arabic-Speaking Refugee Women","authors":"Maryum Zaidi,&nbsp;Heidi Collins Fantasia,&nbsp;Rasha Ahmed,&nbsp;Donghee Nicole Lee,&nbsp;Olga Valdman,&nbsp;Hermine Poghosyan,&nbsp;Mary E. Cooley,&nbsp;Stephenie C. Lemon","doi":"10.1016/j.nwh.2024.09.004","DOIUrl":"10.1016/j.nwh.2024.09.004","url":null,"abstract":"<div><h3>Objective</h3><div>To explore breast, colorectal, and cervical cancer screening experiences among Arabic-speaking refugee women in Massachusetts.</div></div><div><h3>Design</h3><div>Qualitative descriptive.</div></div><div><h3>Setting</h3><div>The research was conducted in central Massachusetts, an area with a large refugee population from the Middle East. Despite cancer being the leading cause of death among Middle Eastern women aged 40 to 79 years, refugees experience significant disparities in cancer screenings. These refugees often pass through intermediary countries before permanently resettling, leading to preventive care becoming a lower priority as other life stressors take precedence.</div></div><div><h3>Participants</h3><div>Eleven women participated. Participants had an average age of 47 years; had come from Iraq, Syria, and Egypt; and had been in the United States an average of 7 years.</div></div><div><h3>Methods</h3><div>In 2022, semistructured individual interviews were conducted in person or via Zoom. An interview guide, constructed based on components of the Health Equity Implementation Science Framework and an expert panel of partners, refugee women, and medical providers, was used. Conventional content analysis was used to analyze the data.</div></div><div><h3>Results</h3><div>Three themes emerged: <em>Facilitators of Cancer Screening</em>, <em>Barriers to Cancer Screening</em>, and <em>Interpreter-Related Factors</em>. Women positively described providers’ efforts to provide knowledge regarding screenings; however, language barriers, the invasive nature of some screenings, and scheduling appointments for screening posed significant obstacles.</div></div><div><h3>Conclusion</h3><div>This study highlights the unique health challenges faced by Arabic-speaking refugee women, focusing on their beliefs, experiences in clinical encounters, and communication regarding cancer screenings. Nurses can address these challenges by providing culturally sensitive care and building relationships with community resources.</div></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"29 2","pages":"Pages 109-119"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143415629","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":"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}