Nursing for Women''s Health最新文献

{"title":"A Quality Improvement Project Evaluating the Effects of Eat, Sleep, Console on Nurses and on Neonates With Neonatal Abstinence Syndrome","authors":"Tia Cooney,&nbsp;Jacqueline Larizza,&nbsp;Ursula Cote,&nbsp;Anne-Sophie Gervais,&nbsp;Lindsey Rae,&nbsp;Joel Warkentin,&nbsp;Sacha Dubois","doi":"10.1016/j.nwh.2024.02.009","DOIUrl":"10.1016/j.nwh.2024.02.009","url":null,"abstract":"<div><h3>Objective</h3><div>To improve neonatal outcomes through the implementation of an eat, sleep, console (ESC) assessment and change in hospital policy regarding the monitoring requirements for pharmacologic treatment of neonates with neonatal abstinence syndrome (NAS).</div></div><div><h3>Design</h3><div>Retrospective chart review and descriptive survey design.</div></div><div><h3>Setting/Local Problem</h3><div>A hospital in Northwestern Ontario, where an evidence-based practice change was undertaken to improve care for neonates with NAS.</div></div><div><h3>Participants</h3><div>Neonates being screened for NAS during the Modified Finnegan Neonatal Abstinence Syndrome Scoring System (MFNASSS) protocol (<em>n</em> = 75) and ESC protocol (<em>n</em> = 40). Nurses working in the departments after the implementation of ESC were surveyed.</div></div><div><h3>Measurements</h3><div>Length of stay (LOS) and morphine administration by intervention status using unadjusted hazard and risk ratios, respectively. Descriptive statistics are also presented. A one-sample <em>t</em> test was completed for the nurses’ perspectives survey questions.</div></div><div><h3>Results</h3><div>Reduced rate of LOS (<em>HR</em> = 1.66, 95% confidence interval [1.1, 2.51]) was observed for participants receiving the ESC intervention (4.53, <em>SD</em> = 1.94), compared to the MFNASSS control (7.45, <em>SD</em> = 6.35). Although the ESC group appeared to have a greater proportion of neonates administered morphine (42.5% ESC vs. 26.7% MFNASSS), the relative risk was not statistically significant (<em>RR</em> = 1.28, 95% confidence interval [0.95, 1.72]). Morphine doses per day were reduced in the ESC group (0.37, <em>SD</em> = 1.50) compared to the MFNASSS group (5.16, <em>SD</em> = 1.02). Overall, the nurses had a positive perspective on the policy change.</div></div><div><h3>Conclusion</h3><div>ESC was successfully implemented in a Northwestern Ontario hospital. The overall LOS of neonates with NAS decreased. Nurses found the policy change to be safe and attainable.</div></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 5","pages":"Pages 329-338"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141914251","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":"Educating Nurses to Improve Awareness and Use of a Human Milk Feeding Care Pathway for Opioid-Exposed Neonates","authors":"Alexandria L. Tasket,&nbsp;Makenna R. Black,&nbsp;Tracy L. Brewer,&nbsp;Megan Lacy Young","doi":"10.1016/j.nwh.2024.04.004","DOIUrl":"10.1016/j.nwh.2024.04.004","url":null,"abstract":"<div><h3>Objective</h3><div>To increase nurses’ awareness and use of a human milk feeding (HMF) and opioid use disorder (OUD) standardized care pathway to improve rates of HMF at discharge in opioid-exposed neonates (OENs).</div></div><div><h3>Design</h3><div>Quality improvement project.</div></div><div><h3>Setting/Local Problem</h3><div>Underutilizing an HMF and OUD standardized care pathway in an academic medical center led to declining HMF rates at discharge.</div></div><div><h3>Participants</h3><div>Staff nurses in the women and infants department (<em>N</em> = 311).</div></div><div><h3>Intervention/Measurements</h3><div>Nurses completed an asynchronous online educational module regarding awareness and use of the HMF and OUD standardized care pathway for supporting HMF in OENs. Monthly infographics were placed in each nursing unit to reinforce content. Nurses completed pre- and posteducation surveys to evaluate their knowledge and use of the pathway. After the education, rates of OENs receiving human milk at discharge were collected from the electronic health record.</div></div><div><h3>Results</h3><div>A total of 240 (77.2%) nurses participated in the educational module; awareness of the pathway increased from 91.5% to 97.3%. HMF rate at discharge significantly increased from 29.8% to 59.4% (<em>p</em> = .03).</div></div><div><h3>Conclusion</h3><div>Improved awareness among nurses of a standardized HMF and OUD care pathway was associated with a doubling of HMF rates at discharge in OENs.</div></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 5","pages":"Pages 339-348"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141996637","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":"Women’s Experiences With a Pregnancy Relapse Prevention Plan to Prevent Mental Health Symptom Relapse","authors":"Hanneke J.W. Verboom,&nbsp;Peter J.J. Goossens,&nbsp;Sanne M. Hendriks,&nbsp;Bart Geerling","doi":"10.1016/j.nwh.2024.04.005","DOIUrl":"10.1016/j.nwh.2024.04.005","url":null,"abstract":"<div><h3>Objective</h3><div>To describe the experiences of women with a mental health diagnosis with making and using a pregnancy relapse prevention plan (PRPP) in an effort to prevent mental health symptom relapse during the period of pregnancy, birth, and postpartum.</div></div><div><h3>Design</h3><div>Qualitative design with a phenomenological approach.</div></div><div><h3>Setting</h3><div>Participants were recruited from an outpatient clinic within a “psychiatry and pregnancy” mental health institute in the Netherlands.</div></div><div><h3>Participants</h3><div>Twelve women with a mental health diagnosis who gave birth.</div></div><div><h3>Measurements</h3><div>Data were collected by individual semistructured interviews supported by a topic list.</div></div><div><h3>Results</h3><div>Four categories/themes of findings emerged from the data: <em>Making and Advantage of the PRPP</em>, <em>Using the PRPP</em>, <em>Cooperation</em>, and <em>Care After Childbirth</em>.</div></div><div><h3>Conclusion</h3><div>Making and using a PRPP provided pregnant women with overview, predictability, and feelings of tranquility on all aspects related to pregnancy, childbirth, and the postpartum period. Participants appreciated the support and recognition the PRPP provided. The signal function of the PRPP for all who were involved (professional and nonprofessional caregivers) was described as an added value. Involvement of women’s partners and caretakers was essential. An evaluation afterward is recommended.</div></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 5","pages":"Pages 349-355"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142113131","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":"Perceptions of Supportive Factors for Reducing Risk of Maternal Mortality Among Women With Substance Use Disorders in a Rural Setting","authors":"Kalyn M. Renbarger,&nbsp;Greta Slater,&nbsp;Barbara Phelps,&nbsp;Leann Brewer","doi":"10.1016/j.nwh.2024.03.004","DOIUrl":"10.1016/j.nwh.2024.03.004","url":null,"abstract":"<div><h3>Objective</h3><div>To describe perceptions of supportive factors for reducing the risk of maternal mortality among women with substance use disorders (SUDs) in a rural setting.</div></div><div><h3>Design</h3><div>Qualitative descriptive design.</div></div><div><h3>Setting/Local Problem</h3><div>Participants were recruited from a rural setting in a U.S. Midwest state where rates of maternal substance use and maternal mortality are high.</div></div><div><h3>Participants</h3><div>Sixteen participants were recruited from a maternal residential substance use treatment center.</div></div><div><h3>Intervention/Measurements</h3><div>Semistructured interviews were used during which participants described their perceptions of maternal mortality and their related experiences. We analyzed the transcribed interviews using a basic inductive content analysis to yield themes and subthemes.</div></div><div><h3>Results</h3><div>We identified three main themes: <em>Social Networks</em>, <em>Respectful Perinatal Care</em>, and <em>Residential Substance Use Treatment</em>.</div></div><div><h3>Conclusion</h3><div>Our findings suggest that nurses and other health care providers should be knowledgeable of resources to increase the social networks of women with SUD, recognize and manage the biases and judgments they may hold against women with SUD, and advocate for and refer women with SUD to residential substance use treatment.</div></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 5","pages":"Pages 356-365"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141972048","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 Cross-Sectional Comparative Study of Vaginal Microbiota and Spontaneous Abortion at a Tertiary Care Hospital in North Karnataka, India","authors":"Babita Belgundkar,&nbsp;Sangeeta Kharde,&nbsp;Suneel Dodamani,&nbsp;Shivani Tendulkar","doi":"10.1016/j.nwh.2024.04.006","DOIUrl":"10.1016/j.nwh.2024.04.006","url":null,"abstract":"<div><h3>Objective</h3><div>To compare the vaginal microbiome in women who have undergone spontaneous abortion with a gestational age of less than 20 weeks to that of women who have a continued pregnancy of the same gestational age.</div></div><div><h3>Design</h3><div>Cross-sectional comparative research design.</div></div><div><h3>Setting</h3><div>The study was conducted in a tertiary care hospital of North Karnataka, India. In this rural area, many women lack awareness of prenatal care and women’s health information. Given rising rates of spontaneous abortion, studying the impact of the vaginal microbiome on pregnancy outcomes is crucial for raising local awareness.</div></div><div><h3>Participants</h3><div>Two hundred women; 100 experienced spontaneous abortion within 20 weeks’ gestation, and 100 maintained pregnancy with the same gestational age.</div></div><div><h3>Measures</h3><div>Vaginal swab was used to detect participants’ vaginal microbiota. DNA was extracted from the vaginal samples; the 16S ribosomal RNA sequencing method was used to identify the organisms present.</div></div><div><h3>Results</h3><div>A pathogen detection rate of 13.15% (<em>n</em> = 200 women) was found in vaginal cultures. The percentages of bacterial detection in women who had spontaneous abortion and those whose pregnancies continued were 19.9% and 7.9%, respectively (<em>p</em> &lt; .05). Compared to women who sustained their pregnancy, women who experienced spontaneous abortion had five common species: <em>Escherichia coli</em> (48%), <em>Enterococcus faecalis</em> (28%), <em>Enterococcus faecium</em> (12%), <em>Pseudomonas fluorescens</em> (7%), and <em>Pseudomonas cedrina</em> (5%); the most prevalent species among those with sustained pregnancy were <em>Lactobacillus iners</em> (58%), <em>Lactobacillus crispatus</em> (32 %), and <em>E. coli</em> (10%; <em>p</em> &lt; .05).</div></div><div><h3>Conclusion</h3><div>The vaginal microbiomes of women with spontaneous abortion were more varied and irregularly distributed with bacteria. The bacteria identified could affect a woman’s pregnancy outcome and perhaps be associated with spontaneous abortion. It is vital for nurses to provide education to women who are in the fertile period regarding prenatal screening, sexually transmitted infections, and perineal care.</div></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 5","pages":"Pages 375-380"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142113128","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":"Optimizing Maternal and Neonatal Outcomes in Perinatal Patients With Diabetes: AWHONN Practice Brief Number 21","authors":"An official practice brief from the Association of Women’s Health, Obstetric and Neonatal Nurses.","doi":"10.1016/j.nwh.2024.05.001","DOIUrl":"10.1016/j.nwh.2024.05.001","url":null,"abstract":"","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 5","pages":"Pages e14-e16"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142297926","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)00134-X","DOIUrl":"10.1016/S1751-4851(24)00134-X","url":null,"abstract":"","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 4","pages":"Page A4"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141952392","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":"Exploring the Feasibility, Acceptability, and Potential Benefits of the Mom Movement Intervention (MOMmi)","authors":"","doi":"10.1016/j.nwh.2024.01.006","DOIUrl":"10.1016/j.nwh.2024.01.006","url":null,"abstract":"<div><h3>Objective</h3><p>To explore the feasibility, acceptability, and potential benefits associated with a mind–body intervention and varied delivery styles among women during the postpartum period.</p></div><div><h3>Design</h3><p>Mixed-methods feasibility study.</p></div><div><h3>Setting</h3><p>Fraser Valley, British Columbia, Canada.</p></div><div><h3>Participants</h3><p>Forty-three women (93% White), with an average age of 32.1 (<em>SD</em> = 2.9) years, who had given birth within the last 6 months.</p></div><div><h3>Methods</h3><p>Participants were randomized to three physical activity groups. Validated questionnaires were administered before and after the 12-week intervention. Attendance and feasibility metrics and qualitative semistructured interviews were conducted to assess the intervention.</p></div><div><h3>Results</h3><p>The intervention and trial were partially feasible, and retention to the intervention was high; however, adherence as assessed by attendance was lower than expected. There was high acceptability among those in the group-based, in-person intervention. There was moderate acceptability among those in the individual, home-based asynchronous program.</p></div><div><h3>Conclusion</h3><p>Findings highlight the necessity of better understanding what is desired by this population or simply providing more options to participants so that we can tailor physical activity to their needs and provide the necessary support.</p></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 4","pages":"Pages 264-276"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1751485124000850/pdfft?md5=97cd9817aaf179d430dae8b3039da175&pid=1-s2.0-S1751485124000850-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141088983","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":"Assessment and Care of the Late Preterm Infant","authors":"","doi":"10.1016/j.nwh.2024.02.004","DOIUrl":"10.1016/j.nwh.2024.02.004","url":null,"abstract":"","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 4","pages":"Pages e13-e74"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141433066","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":"Having Enough Milk to Sustain a Lactation Journey: A Call to Action","authors":"","doi":"10.1016/j.nwh.2024.02.007","DOIUrl":"10.1016/j.nwh.2024.02.007","url":null,"abstract":"<div><p>The rates of human milk feeding are suboptimal worldwide. Recommendations for healthy, term mother–infant dyads include early breastfeeding initiation, frequent skin-to-skin contact, and frequent breastfeeding. The normal physiology of lactation can be affected by prenatal factors such as diabetes, obesity, and excessive gestational weight gain. Furthermore, birth-related factors such as early-term gestation, stressful labor, unscheduled cesarean birth, and postpartum hemorrhage can additionally disrupt recommended practices such as early initiation of breastfeeding and skin-to-skin contact. Given that the first 2 to 3 days postpartum are critical to achieving timely secretory activation and establishing an adequate volume of milk, a proactive approach to care can include building awareness of risk factors and development of protocols for the effective early initiation of lactation.</p></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 4","pages":"Pages 256-263"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1751485124000904/pdfft?md5=a7e0fc89dda1d0d51b4360dbc994d732&pid=1-s2.0-S1751485124000904-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141186981","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}