Nursing for Women''s Health最新文献

{"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":"Reviewer Acknowledgment","authors":"","doi":"10.1016/S1751-4851(25)00026-1","DOIUrl":"10.1016/S1751-4851(25)00026-1","url":null,"abstract":"","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"29 1","pages":"Page 71"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143129932","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":"Pediatric Providers’ Perceptions of Their Role in the Early Detection of Postpartum Depression","authors":"Laura A. Gonzalez,&nbsp;Emily G. Chin","doi":"10.1016/j.nwh.2024.08.005","DOIUrl":"10.1016/j.nwh.2024.08.005","url":null,"abstract":"<div><h3>Objective</h3><div>To explore pediatric health care providers’ perceptions of their role in screening mothers for postpartum depression (PPD).</div></div><div><h3>Design</h3><div>Descriptive, qualitative methodology.</div></div><div><h3>Setting</h3><div>Pediatric care providers from five different institutions in the Chicago metropolitan area.</div></div><div><h3>Participants</h3><div>Eleven providers who see infants within their first year of life were interviewed.</div></div><div><h3>Intervention/Measurements</h3><div>Participants were interviewed regarding their perceptions of their role in the early detection of PPD.</div></div><div><h3>Results</h3><div>During the interviews and coding, six themes were identified: <em>Screening Formally and Informally</em>, <em>Providers Perceiving Their Role</em>, <em>I Think There Should Be More Education</em>, <em>Falling Through the Cracks</em>, <em>Clinical Missed Pathways</em>, and <em>A Supportive Organization Has an Impact on the Role of the Provider</em>.</div></div><div><h3>Conclusion</h3><div>This study demonstrates the need to increase awareness and ensure that proper national guidelines are implemented by health care providers, policymakers, and organizations to secure a proper and efficient protocol to ensure the practice of screening all mothers. In addition, the results from this study have implications for public policy, nursing practice, education, and further research.</div></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"29 1","pages":"Pages 25-34"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142928151","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":"Content Validity for the NICU Caregiver Behavior Checklist","authors":"Amy Carroll,&nbsp;Cecilia Roan,&nbsp;Catherine Verrier Piersol,&nbsp;Michele Kacmarcik Savin","doi":"10.1016/j.nwh.2024.08.006","DOIUrl":"10.1016/j.nwh.2024.08.006","url":null,"abstract":"<div><h3>Objective</h3><div>To update and establish content validity for the Checklist of NICU Caregiver Behaviors.</div></div><div><h3>Design</h3><div>Structured literature review and Delphi analysis.</div></div><div><h3>Setting/Local Problem</h3><div>Neonates born prematurely or who are sick in the NICU are frequently exposed to harmful stimuli that can affect brain development and result in adverse neurodevelopmental outcomes. In response to this risk, NICU caregiving now encompasses protecting and promoting neurodevelopment to affect long-term outcomes for neonates and their families. Developmentally supportive care (DSC) includes internationally recognized best practices for the care of neonates in the NICU. Implementation and operationalization of DSC is a priority for neonatology. Although evidence-supported guidelines exist for effective DSC strategies in the NICU, no validated tool exists to support implementation at the point of care.</div></div><div><h3>Participants</h3><div>Nine expert reviewers from the United States and India including four occupational therapists, one nurse practitioner, one clinical nurse specialist, and three neonatal medicine specialists.</div></div><div><h3>Intervention/Measurements</h3><div>The Checklist of NICU Caregiver Behaviors had been updated based on a structured review of the evidence. The updated checklist was then shared with a group of professionals with DSC expertise who provided further recommendations using a modified Delphi survey process.</div></div><div><h3>Results</h3><div>The project yielded the current NICU Caregiver Behavior Checklist. Expert reviewers provided 53 actionable recommendations in Round 1 and 18 actionable recommendations in Round 2 to support clarity and use of the tool. In response, the NICU Caregiver Behavior Checklist was reformatted as a collection of five checklists, each representing a core measure of DSC; the introduction section was expanded; language was broadened; and clarifications were provided to promote observations of target behaviors and allow for more site-specific recommendations and assessments.</div></div><div><h3>Conclusion</h3><div>This evidence-based tool can be used as part of DSC education, as a self-assessment tool, and as a measure of NICU caregivers’ use and quality of DSC.</div></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"29 1","pages":"Pages 44-52"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143012570","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}