{"title":"Adjuvanted Vaccine to Prevent Respiratory Syncytial Virus in Adults Ages 60 Years and Older","authors":"Annmarie Gennattasio","doi":"10.1016/j.nwh.2024.01.005","DOIUrl":"10.1016/j.nwh.2024.01.005","url":null,"abstract":"<div><p>Respiratory syncytial virus (RSV) is a prevalent cause of acute lower respiratory tract illness that disproportionately affects older adults, young children, and infants, which can lead to hospitalizations and death. The health impact on the elderly and infants accentuates the need for effective preventive strategies. Arexvy is the first approved vaccine to prevent lower respiratory tract illness caused by RSV in older adults ages 60 and older. It contains recombinant respiratory syncytial virus glycoprotein F stabilized in the prefusion conformation. Arexvy offers approximately 83% protection in adults and appears to maintain effectiveness for up to two RSV seasons. The vaccine was generally well tolerated in clinical trials, with the most frequently observed and reported adverse events being mild to moderate injection site pain, fatigue, myalgia, headache, and arthralgia. This article includes a description of Arexvy, the target population, contraindications, side effects, and clinical implications when considering the use of this vaccine.</p></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 3","pages":"Pages 242-246"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140869405","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}
Sarah M. Westberg, Regina Arellano, Nicole E. Cieri-Hutcherson, Natalie T. Heinrich, Alexandra M. Herman, Nicole M. Lodise, Sarah McBane, Theresa U. Ofili, Niamh O’Grady, Kjersten H. Sankey
{"title":"Pharmacotherapy of Chronic Neuropsychiatric Conditions During Pregnancy","authors":"Sarah M. Westberg, Regina Arellano, Nicole E. Cieri-Hutcherson, Natalie T. Heinrich, Alexandra M. Herman, Nicole M. Lodise, Sarah McBane, Theresa U. Ofili, Niamh O’Grady, Kjersten H. Sankey","doi":"10.1016/j.nwh.2023.12.003","DOIUrl":"10.1016/j.nwh.2023.12.003","url":null,"abstract":"<div><p>Many pregnant persons will experience neuropsychiatric conditions during pregnancy, including migraine, attention deficit disorder, depression, and anxiety. Treatment of each of these conditions requires shared decision-making among the individual, family, and health care team. Although medications may include risk, the benefits often outweigh the potential fetal risks. In this article, we review pharmacologic treatment options for each of these conditions and appropriate use in pregnancy to maintain the stability of conditions and to optimize maternal and fetal outcomes.</p></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 3","pages":"Pages 227-241"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140872757","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 Personal Story of White Privilege","authors":"Maureen Dempsey","doi":"10.1016/j.nwh.2023.10.006","DOIUrl":"10.1016/j.nwh.2023.10.006","url":null,"abstract":"","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 3","pages":"Pages 247-248"},"PeriodicalIF":0.0,"publicationDate":"2024-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140774827","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}
Association of Women’s Health, Obstetric and Neonatal Nurses
{"title":"Contraception and Abortion","authors":"Association of Women’s Health, Obstetric and Neonatal Nurses","doi":"10.1016/j.nwh.2023.12.001","DOIUrl":"10.1016/j.nwh.2023.12.001","url":null,"abstract":"","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 3","pages":"Pages e13-e16"},"PeriodicalIF":0.0,"publicationDate":"2024-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S175148512300257X/pdfft?md5=886a036b6ca76d577e0f77dd151d47fe&pid=1-s2.0-S175148512300257X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140784515","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":"Are Providers Adequately Screening for Anxiety Symptoms During Pregnancy?","authors":"Rebecca Koerner, Kaitlyn Rechenberg, Kailey Rinaldi, Allyson Duffy","doi":"10.1016/j.nwh.2023.09.007","DOIUrl":"10.1016/j.nwh.2023.09.007","url":null,"abstract":"<div><h3>Objective</h3><p>To examine the difference in prevalence of self-reported anxiety symptoms throughout pregnancy compared to clinical diagnosis of an anxiety disorder by a provider.</p></div><div><h3>Design</h3><p>Secondary data analysis of a prospective cohort study of 50 pregnant individuals.</p></div><div><h3>Setting/Local Problem</h3><p>Pregnant individuals commonly experience heightened anxiety symptoms, which are associated with adverse perinatal outcomes. However, a diagnosis of an anxiety disorder by a health care provider is less common, which may result in insufficient mental health intervention.</p></div><div><h3>Participants</h3><p>Pregnant individuals were recruited at their first prenatal appointment and followed until birth.</p></div><div><h3>Intervention/Measurements</h3><p>We examined anxiety symptoms using the Edinburgh Postnatal Depression Scale Anxiety subscale. We conducted a medical record review to examine if pregnant individuals were clinically diagnosed with an anxiety disorder.</p></div><div><h3>Results</h3><p>Based on an Edinburgh Postnatal Depression Scale Anxiety subscale cutoff score of ≥5, 40% (<em>n</em> = 20) of individuals experienced anxiety symptoms during pregnancy. However, only 16% (<em>n</em> = 8) of participants were diagnosed with an anxiety disorder by a health care provider.</p></div><div><h3>Conclusion</h3><p>Anxiety symptoms are prevalent throughout pregnancy and may be underdiagnosed by health care providers. An intervention to increase clinical diagnosis of an anxiety disorder and subsequent referral to a mental health specialist may be indicated.</p></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 2","pages":"Pages 109-116"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139567508","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":"Norgestrel (Opill) Is the First Over-the-Counter Oral Contraceptive Pill Approved in the United States","authors":"Jennifer Shiroff","doi":"10.1016/j.nwh.2024.01.002","DOIUrl":"10.1016/j.nwh.2024.01.002","url":null,"abstract":"<div><p>Just less than half of the pregnancies in the United States are unintended. Unintended pregnancy rates are greatest among women younger than 24 years, women of color, and those who have incomes less than 200% of the federal poverty level. Additionally, options to terminate a pregnancy are restricted or limited in some states. In July 2023, the U.S. Food and Drug Administration approved norgestrel (Opill) as the first over-the-counter oral contraceptive pill available in the United States. Norgestrel is indicated specifically for the prevention of pregnancy, contains only progesterone, and is indicated for daily oral use. This article provides an overview of over-the-counter norgestrel, including administration, adverse effects, contraindications, and practice implications for women’s health nurses.</p></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 2","pages":"Pages 148-151"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139724382","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}
Cheryl Roth, Kathy Priester, Wendy Rosen, Melissa Reardon, Kristen Ramsey, Sandra L. Hering, R. Curtis Bay
{"title":"Unit-Based Nurses’ Development of a Couplet Care Acuity Scoring Tool","authors":"Cheryl Roth, Kathy Priester, Wendy Rosen, Melissa Reardon, Kristen Ramsey, Sandra L. Hering, R. Curtis Bay","doi":"10.1016/j.nwh.2023.09.008","DOIUrl":"10.1016/j.nwh.2023.09.008","url":null,"abstract":"<div><h3>Objective</h3><p>To evaluate content validity (CV) and interrater reliability (IRR) of an acuity scoring tool developed for the couplet care/postpartum/nursery patient population and to determine if there was agreement between supervisor or director scoring and staff scoring.</p></div><div><h3>Design</h3><p>A scoring tool to assess the acuity of the couplet care/postpartum/nursery patients was developed.</p></div><div><h3>Setting</h3><p>Two hospitals: one Level 2 hospital, one Level 3 hospital. Unit-based patient care councils participated in the development, and all couplet care nurses participated in scoring patients for testing.</p></div><div><h3>Measurements</h3><p>The final tool was evaluated for CV and IRR using expert review, universal agreement scores, and discriminant content validation.</p></div><div><h3>Results</h3><p>Regarding CV for the Couplet Care Acuity Scoring Tool, the average of the number of experts in agreement divided by the total number of experts across all items was 1.00. Regarding IRR, the intraclass correlation coefficient was 0.85, indicating that the tool is valid and reliable for the study sample.</p></div><div><h3>Conclusion</h3><p>The tool was reliable and valid in this study. Future testing is needed with larger samples and different health care facilities.</p></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 2","pages":"Pages 96-100"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139571653","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 Folkloric Practices of Dominican Women in Managing Bacterial Vaginosis","authors":"Sandra Maldonado","doi":"10.1016/j.nwh.2023.10.003","DOIUrl":"10.1016/j.nwh.2023.10.003","url":null,"abstract":"<div><p>Bacterial vaginosis (BV) is characterized by changes in the vaginal flora caused by an elevated pH, resulting in symptoms of vaginal discharge, odor, and irritation. BV affects all women, including Dominican women who have specific cultural beliefs regarding vaginal health hygiene. Due to the prevalence of this condition and cultural norms that may influence how women respond to the diagnosis of BV, it is important to understand the factors that may promote the development of BV and that may influence women’s choices of treatment options. Amsel’s criteria are the most commonly used clinical approach for the diagnosis of BV. Recurrent BV is common and affects women’s lives to varying degrees. Discussion about cultural norms and hygienic practices may provide information that may decrease the recurrence of BV. Nurses can provide support and evidence-based information in a culturally sensitive manner to help Dominican women manage BV.</p></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 2","pages":"Pages 143-147"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139825755","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 a Perinatal Substance Use Screening Protocol in the Outpatient Setting","authors":"Kristine DiCarlo, Lisa Whiffen","doi":"10.1016/j.nwh.2023.09.009","DOIUrl":"10.1016/j.nwh.2023.09.009","url":null,"abstract":"<div><h3>Objective</h3><p>To implement the 5Ps Screen for Alcohol/Substance Use tool and the screening, brief intervention, and referral to treatment (SBIRT) process into clinical practice to determine if enhanced training would improve perinatal providers’ adherence to universal screening.</p></div><div><h3>Design</h3><p>A quality improvement project using a pre- and postintervention design.</p></div><div><h3>Setting/Local Problem</h3><p>Three community-based, outpatient obstetrics and gynecology clinics in southeastern Massachusetts. The local problem identified was that no validated screening tool was being used for universal screening of substance use in pregnancy.</p></div><div><h3>Interventions/Measurements</h3><p>Training consisted of two phases that reviewed the SBIRT process, the 5Ps screening tool, brief intervention conversations, and the process for referral to treatment. Pre- and postimplementation screening rates were compared and analyzed using descriptive statistics and chi-square tests of independence.</p></div><div><h3>Results</h3><p>Preimplementation screening rates were 14.4%. Screening rates measured 1 month after implementation were 44.6% (<em>p</em> < .001). Universal screening was not achieved.</p></div><div><h3>Conclusion</h3><p>Short-term improvement in screening for perinatal substance use was observed. Whether these results are sustainable beyond the project time frame is unknown. Future work should examine longer-term outcomes and continued barriers to universal uptake of the screening protocol.</p></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 2","pages":"Pages 101-108"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139571627","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(24)00053-9","DOIUrl":"https://doi.org/10.1016/S1751-4851(24)00053-9","url":null,"abstract":"","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 2","pages":"Page A3"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140344143","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}