Nursing for Women''s Health最新文献

{"title":"Pain Care During Intrauterine Device Insertion: Nurses Taking the Lead","authors":"Brenna Morse","doi":"10.1016/j.nwh.2025.12.004","DOIUrl":"10.1016/j.nwh.2025.12.004","url":null,"abstract":"<div><div>Pain during intrauterine device (IUD) insertion is often inadequately managed, as both a consequence and a reflection of systemic and historical gaps in women’s pain care. Although IUDs are safe, effective, and widely recommended, narratives emphasizing pain and trauma combined with real experiences of inadequate pain management can discourage uptake of IUDs. Evidence-based pain management strategies are available but underused. This article identifies current approaches to pain care and equips nurses with actionable strategies to improve practice. Beyond individual impact, nurses can lead team-based and systems-level changes that standardize pain discussions, expand education about pain management for patients and providers, and increase access to effective pain care.</div></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"30 3","pages":"Pages 234-247"},"PeriodicalIF":1.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147663414","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 Qualitative Meta-synthesis Describing the Psychosocial Impacts After Birth Trauma","authors":"Alissa Fox,&nbsp;Brenna McGinn,&nbsp;Shelly A. Fischer,&nbsp;Heather Coats","doi":"10.1016/j.nwh.2025.11.006","DOIUrl":"10.1016/j.nwh.2025.11.006","url":null,"abstract":"<div><h3>Objective</h3><div>To synthesize qualitative research on the psychosocial impacts of birth trauma.</div></div><div><h3>Data Sources</h3><div>PubMed, PsycInfo, and Embase.</div></div><div><h3>Study Selection</h3><div>Qualitative studies were included if published from January 2015 through January 2025, in English, with data focusing on the postpartum psychosocial impact of birth trauma. The final sample resulted in the inclusion of five articles.</div></div><div><h3>Data Extraction</h3><div>Quality appraisal was specific to assess qualitative rigor. Findings were extracted from included articles and synthesized, providing insight into the psychological impacts of birth trauma.</div></div><div><h3>Data Synthesis</h3><div>We analyzed and synthesized data from the included articles using quality appraisal, article characteristic synthesis, and reciprocal translation analysis, a method that enables the translation of themes and concepts to synthesize findings into a comprehensive understanding of a specific phenomenon. This revealed that birth trauma has significant negative and positive psychosocial effects on women in the postpartum period. Themes included birth trauma affecting their self-perceptions, mental health, relationships with the infant and partner, and trust in health care.</div></div><div><h3>Conclusion</h3><div>Birth trauma produces enduring harm across a woman’s identity, mental health, relationships, bonding, reproductive decision-making, and trust in health care, although some women report posttraumatic growth over time. Notably, in our sample, the only study including ethnically diverse participants reported no growth, suggesting that obstetric racism may blunt positive growth trajectories for women of color and warrants an explicit, equity-focused systemic response. Culturally competent trauma-informed care frameworks emphasizing comprehension of consent, individualized care, postpartum debriefing, prenatal screening for previous trauma, and cross-disciplinary coordination can mitigate these effects and equitably support families. Health systems should standardize debriefing and train staff in trauma-informed care and perinatal posttraumatic stress disorder recognition with antiracism competencies. Focused efforts to identify and support mothers equitably can improve maternal–infant outcomes and rebuild trust.</div></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"30 3","pages":"Pages 224-233"},"PeriodicalIF":1.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147663498","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":"Practices of and Barriers to Essential Newborn Care Among Nurses in Tertiary Hospitals in Bangladesh","authors":"Beauty Ara,&nbsp;Khursheda Akhtar,&nbsp;Mst Fatiha Eyasmin Shipa,&nbsp;Lita Bose,&nbsp;Samina Akter Sanda","doi":"10.1016/j.nwh.2025.11.008","DOIUrl":"10.1016/j.nwh.2025.11.008","url":null,"abstract":"<div><h3>Objective</h3><div>To investigate the practices of nurses and related barriers regarding essential newborn care in tertiary hospitals.</div></div><div><h3>Design</h3><div>Cross-sectional study.</div></div><div><h3>Setting</h3><div>M. Abdur Rahim Medical College Hospital and Rangpur Medical College Hospital.</div></div><div><h3>Participants</h3><div>Three hundred seventy-nine nurses.</div></div><div><h3>Methods</h3><div>Data were collected using convenience sampling techniques. The study period was from January 1 through December 31, 2023. The association between two categorical variables was determined by chi-square test and Fisher’s exact test. A <em>p</em> &lt; .05 was considered significant.</div></div><div><h3>Results</h3><div>Of 379 respondents, 95.5% were female, 81.8% were Muslim, and 78.6% were married. In terms of professional qualifications, 72.8% held a diploma in nursing and 27.2% were pursuing graduation and above. Regarding work experience, 40.9% of respondents (<em>n</em> = 155) were novices, 25.1% (<em>n</em> = 95) were advanced beginners, 21.1% (<em>n</em> = 80) were competent, 12.1% (<em>n</em> = 46) were proficient, and 0.8% (<em>n</em> = 3) were experts. High adherence was observed for thermal care and cord care, and lower adherence occurred for Apgar scoring (62.3%), application of tetracycline eye ointment (51.5%), and handwashing counseling (77.6%). Approximately two thirds of the respondents (<em>n</em> = 252) demonstrated a good level of practice. Good practice was significantly and positively associated with female gender (<em>p</em> &lt; .001), higher education level (<em>p</em> &lt; .001), and increasing work experience (<em>p</em> &lt; .040). Commonly reported barriers included staffing shortages (86.0%), poor work environment (85.2%), inadequate equipment (79.4%), insufficient medicines (80.2%), communication gaps (83.9%), and lack of training (66.2%). Several barriers, including lack of training, inadequate supplies, and communication gaps, were significantly associated with poorer practice.</div></div><div><h3>Conclusion</h3><div>Despite generally good essential newborn care practices, critical gaps persist. Improving training, strengthening resources, and addressing organizational challenges are essential to enhance neonatal health outcomes in Bangladesh.</div></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"30 3","pages":"Pages 214-223"},"PeriodicalIF":1.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147784633","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":"Navigating the Use of Artificial Intelligence in Manuscripts","authors":"Heidi Collins Fantasia","doi":"10.1016/j.nwh.2026.03.001","DOIUrl":"10.1016/j.nwh.2026.03.001","url":null,"abstract":"","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"30 3","pages":"Pages 171-173"},"PeriodicalIF":1.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147718436","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":"Resuscitative Care for the Obstetric and Neonatal Patient","authors":"Association of Women’s Health, Obstetric and Neonatal Nurses","doi":"10.1016/j.nwh.2026.02.001","DOIUrl":"10.1016/j.nwh.2026.02.001","url":null,"abstract":"","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"30 3","pages":"Pages e1-e3"},"PeriodicalIF":1.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147784672","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)00097-8","DOIUrl":"10.1016/S1751-4851(26)00097-8","url":null,"abstract":"","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"30 3","pages":"Page A4"},"PeriodicalIF":1.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148193179","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":"Sustainable Postpartum Hemorrhage Training for Rural Obstetric Nurses in the Absence of Routine Patient Care Experiences","authors":"Karry Pepper","doi":"10.1016/j.nwh.2025.12.001","DOIUrl":"10.1016/j.nwh.2025.12.001","url":null,"abstract":"<div><div>Critical access birthing units are essential for the well-being of maternal and neonatal patients in rural areas; however, many rural hospitals are closing their birthing units due to a variety of complex factors, including the difficulty of maintaining highly trained staff. These closures worsen the already vast “maternity care deserts” found across much of the rural United States. Postpartum hemorrhage is one of the most common complications during childbirth, but nurses providing care at low-birth-volume hospitals in rural areas often lack routine exposure to postpartum hemorrhage and have limited opportunity to gain proficiency in postpartum hemorrhage prevention, identification, and management. Sustainable and accessible training modalities help to support rural obstetric nurses, sustain rural birthing units, and improve maternal and neonatal health outcomes.</div></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"30 3","pages":"Pages 180-185"},"PeriodicalIF":1.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147662624","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":"Importance of Buy-In From Nurses When Integrating Doulas Into Clinical Settings From the Perspectives of Doulas and Other Clinical Stakeholders","authors":"Heather A. Olden,&nbsp;Thamarah Crevecoeur,&nbsp;Kayla Kinsler,&nbsp;Ndidiamaka N. Amutah-Onukagha,&nbsp;Christina Gebel","doi":"10.1016/j.nwh.2025.12.002","DOIUrl":"10.1016/j.nwh.2025.12.002","url":null,"abstract":"<div><h3>Objective</h3><div>To assess the role that nurses could have in partnering with doulas in clinical settings from the perspective of doulas, doula service program administrators, and other clinical providers (obstetric physicians, certified nurse-midwives, and nurses).</div></div><div><h3>Design</h3><div>Focus groups were conducted virtually by hospital and payer site.</div></div><div><h3>Setting</h3><div>Participating hospitals and payer sites in Boston, MA, from the parent project (R01 MD016026) were used in this analysis.</div></div><div><h3>Participants</h3><div>Focus group participants were eligible if they were a doula, doula service program manager, or clinical provider on the labor and delivery units of the participating hospitals in Boston.</div></div><div><h3>Methods</h3><div>We conducted six focus groups, one at each of the five participating hospital and payer sites and one doula-only focus group. Focus groups were conducted using a guide adapted from the Consolidated Framework for Implementation Research Interview Guide Tool. We generated themes deductively, and notable similarities and differences were examined across sites.</div></div><div><h3>Results</h3><div>There were 3 to 8 participants in each group for a total of 23 participants. Four major themes emerged: (a) <em>Tensions Between Doulas and Nurses in the Labor and Delivery Setting</em>, (b) <em>Doulas of Color and Intersectionality in Clinical Settings,</em> (c) <em>Nursing as Integral in the Culture of Change,</em> and (d) <em>Valuing the Inclusivity of Doulas by Teaming</em>.</div></div><div><h3>Conclusion</h3><div>Nurses are critical champions to effectively integrate doulas into care teams in clinical settings.</div></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"30 3","pages":"Pages 193-202"},"PeriodicalIF":1.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147582600","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":"Paradigm Shift in Nonhormonal Treatment Options for Vasomotor Symptoms of Menopause","authors":"Michelle R. Flanagan","doi":"10.1016/j.nwh.2026.01.004","DOIUrl":"10.1016/j.nwh.2026.01.004","url":null,"abstract":"<div><div>Menopause is a natural physiologic process that typically occurs during the midlife years. Menopause may present with a variety of symptoms, with up to 80% of people reporting vasomotor symptoms (VMS). Although hormonal therapy is the most effective for bothersome VMS, some individuals cannot take hormones due to a contraindication or may prefer alternative methods. With only three U.S. Food and Drug Administration–approved nonhormonal treatment options for bothersome VMS of menopause, the newer options of neurokinin receptor antagonists may offer additional benefits with improved sleep and quality of life. Nurses play a critical role in being up-to-date with treatments for bothersome menopausal symptoms to provide care that optimizes the health span.</div></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"30 3","pages":"Pages 248-253"},"PeriodicalIF":1.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147718604","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":"Menstruation and Pain from","authors":"","doi":"10.1016/S1751-4851(26)00100-5","DOIUrl":"10.1016/S1751-4851(26)00100-5","url":null,"abstract":"","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"30 3","pages":"Pages 174-179"},"PeriodicalIF":1.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148193178","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}