Research in Nursing & Health最新文献

{"title":"Maternal Mental Health and Labor Dysfunction: Prenatal Posttraumatic Stress Disorder, Labor Dystocia, and Unplanned Cesarean in a Cohort of Black Pregnant People.","authors":"Abby Britt, Nicole Carlson, Alexis Dunn-Amore, Madelyn Houser, Alicia Smith, Abigail Powers Lott, Natalie Merrill, Vasiliki Michopoulos","doi":"10.1002/nur.70073","DOIUrl":"10.1002/nur.70073","url":null,"abstract":"<p><p>Labor dysfunction, defined as labor dystocia or unplanned cesarean, is a significant contributor to maternal morbidity for Black pregnant people in the United States. Exposure to trauma and posttraumatic stress disorder (PTSD) has been shown to increase risk for poor perinatal outcomes; however, the physiological mechanisms responsible are largely unexplored. The purpose of this study was to evaluate relationships between PTSD symptom severity, provisional PTSD diagnosis, and labor dysfunction in a cohort of Black pregnant people. This is a secondary data analysis of two prospective cohort studies involving Black pregnant people recruited from one academic medical center and one midwife-led care birth center in the same geographic area. Participants had term labor, a singleton fetus in cephalic presentation, and reached active phase labor (N = 238). Prenatal PTSD symptoms were measured by the Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5). Labor dystocia and mode of birth were abstracted from medical records. Associations were examined between PTSD symptom severity, provisional PTSD diagnosis by PCL-5 score cutoff, and labor dysfunction outcomes after stratification by mode of labor onset and prenatal care site. No associations were found between PTSD symptom severity or provisional PTSD diagnosis and labor dysfunction in the total sample. However, in the group of participants with induced labor at the academic medical center, higher total PTSD symptom severity and provisional PTSD diagnosis increased the odds of labor dystocia, even after adjusting for sociodemographic and labor factors. Further research is needed to understand the potential relationships between PTSD symptom severity and labor dysfunction to inform interventions toward birth equity.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"399-410"},"PeriodicalIF":2.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13369824/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147663395","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"President's Pen-Nurse Scientists as Leaders and Catalysts.","authors":"Mercy Mumba","doi":"10.1002/nur.70086","DOIUrl":"10.1002/nur.70086","url":null,"abstract":"","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"305-306"},"PeriodicalIF":2.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13369826/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148044391","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinicians' Experiences and Recommendations for Implementing Trauma-Informed Care in Perinatal Settings.","authors":"Ellen Goldstein, Yanqiao Li, Sara Johnson, Alana Biggers, Megha Shankar, Mary Dawn Koenig","doi":"10.1002/nur.70077","DOIUrl":"10.1002/nur.70077","url":null,"abstract":"<p><p>Although trauma-informed care (TIC) is increasingly recognized as essential, its inclusion in perinatal care remains limited. Over 50% of reproductive-age individuals in the United States report experiencing childhood adversity, highlighting a critical need for TIC. The contextual factors shaping TIC implementation in perinatal settings remain underexplored. This study seeks to understand perinatal clinicians' experiences of the implementation determinants that influence TIC integration at system- and practice-levels. Between June 2024 and October 2024, we conducted in-depth, semi-structured interviews with perinatal clinicians practicing in an urban academic health system about their perspectives on incorporating TIC into perinatal services. Interviews were audio- and video-recorded and transcribed verbatim. The Consolidated Framework for Implementation Research (CFIR) was used as the theoretical framework for the analysis. Transcripts were analyzed inductively to identify emergent themes, and then deductively mapped to CFIR's 5 inner setting factors. Among 23 clinicians interviewed, there were certified nurse-midwives, obstetrician-gynecologists, advanced practice registered nurses, and a family physician. Most participants (95.7%) identified as women with an average of 11.8 years in practice (SD = 9.4). Participants shared that challenges to implementing TIC are largely systemic and rooted in system inflexibility, which is reflected by a lack of supportive structures, standardized processes, and dedicated resources. Perinatal clinicians' responses illuminated best practices in addition to insights and opportunities to improve clinical practice and organizational culture in providing TIC for pregnant individuals. Despite persistent challenges, leveraging identified facilitators, such as enhanced institutional support, and promoting interprofessional collaboration can inform strategies to more effectively embed TIC in perinatal care and improve outcomes for pregnant and postpartum individuals.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"411-423"},"PeriodicalIF":2.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13369829/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147663407","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nurses' Experiences of Workplace Flourishing in Healthcare: A Qualitative Study.","authors":"Annanolli Josefiina, Mäenpää Tiia, Kuha Suvi, Kanste Outi","doi":"10.1002/nur.70109","DOIUrl":"https://doi.org/10.1002/nur.70109","url":null,"abstract":"<p><p>To describe nurses' experiences of workplace flourishing in healthcare. A qualitative descriptive design using content analysis. Semi-structured remote individual interviews were conducted with 16 nurses between January and April 2023 in a private occupational healthcare organization in Finland. The data were analyzed using a deductive-inductive content analysis approach informed by the Flourishing at Work framework, which addresses the emotional, psychological, and social dimensions of workplace flourishing. Emotional well-being included experiencing mixed work-related emotions and energizing work performance. Psychological well-being included fostering employee engagement, supporting professional growth, developing professional self-awareness, recognizing the broader significance of work, and enhancing personal well-being at work. Social well-being included building an inclusive workplace environment, guiding actions through core values, fostering communality in the workplace, promoting mutual respect in the workplace, and experiencing human-centered leadership. A positive work community was a central driver of all WF dimensions, highlighting its social aspect. Human-centered leadership, characterized by coaching, empowerment, and interpersonal support, was essential for fostering WF. Nurses' WF was further shaped by personal values, meaningful work, and growth opportunities. Influence over one's work and organizational support for work-life balance also contributed significantly, underscoring the need to embed these elements in organizational practices. Findings highlight the need for human-centered leadership and supportive work communities to enhance nurse retention and well-being. Nurse supervisors play a key role in recognizing individual needs and supporting holistic well-being of nurses. The reporting is based on the Consolidated Criteria for Reporting Qualitative Research (COREQ).</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148654894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perinatal Clinicians' Perspectives on Addressing Clinician Psychological Trauma and Well-Being in Perinatal Care.","authors":"Mary Dawn Koenig, Sara Johnson, Megha Shankar, Ellen Goldstein","doi":"10.1002/nur.70101","DOIUrl":"10.1002/nur.70101","url":null,"abstract":"<p><p>Clinicians who regularly work with trauma survivors are at heightened risk for vicarious trauma and burnout. This study explores the often overlooked toll of trauma exposure among clinicians working in perinatal care settings. We performed one-to-one semi-structured interviews with 23 perinatal clinicians to understand their perspectives on addressing psychological trauma and well-being among clinicians. Study results reveal that clinicians are affected by primary (i.e., personal or direct) experiences of trauma, vicarious trauma, and burnout. Many clinicians reported distress rooted in their lived experience, which can be reactivated in clinical interactions and exacerbated by systemic barriers. Participant-reported themes highlight the resilience, well-being, and self-care strategies clinicians used to cope with this demanding work, including work-life boundaries, supportive workplace culture, therapeutic support and wellness routines, and advocacy as a form of self-preservation. These findings underscore the critical need for health care systems to recognize and address the impact of trauma exposure on clinicians to safeguard their well-being and ensure the benefits of trauma-informed perinatal care for clinicians.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"486-501"},"PeriodicalIF":2.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13369802/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148406842","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"Holding Space in Chaos\": Nurses' Experiences Delivering Trauma-Informed Care in Emergency Departments.","authors":"Abdulrhman Khaled Al Abdulqader, Sayed Ibrahim Ali, Samah Anwar Shalaby, Mostafa Shaban","doi":"10.1002/nur.70042","DOIUrl":"10.1002/nur.70042","url":null,"abstract":"<p><p>Emergency departments (EDs) frequently serve individuals who have experienced acute or cumulative trauma. While trauma-informed care (TIC) offers a framework to support healing and psychological safety, little is known about how nurses implement these principles in high-acuity emergency settings. This study explored how emergency nurses understand, deliver, and emotionally navigate trauma-informed care in the context of a tertiary hospital in Saudi Arabia. A qualitative phenomenological design was employed. Seventeen registered nurses from the emergency department of King Faisal university Hospital participated in in-depth, semi-structured interviews. Data were analyzed thematically using Braun and Clarke's six-phase framework and managed with NVivo 14 software. Four interrelated themes were identified: (1) Holding Emotional Space in Clinical Chaos-nurses created micro-moments of psychological safety amid trauma and time pressure; (2) Systemic Misalignment with Trauma-Informed Values-organizational structures constrained relational care; (3) Protective Empathy and Adaptive Strategies-nurses developed emotional boundaries and grounding rituals to sustain compassion; and (4) The Accumulated Emotional Toll-ongoing exposure to trauma resulted in moral injury and emotional exhaustion, countered by reflection and peer support. Trauma-informed care in emergency settings is relational, emotionally taxing, and often constrained by systemic factors. Institutions must invest in trauma-informed systems, staff supports, and educational infrastructure to sustain ethical, emotionally attuned care in acute environments. Patients were not directly involved in this study, which focused on healthcare provider perspectives. Findings may inform institutional strategies to enhance patient-centered, trauma-informed practice.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"379-389"},"PeriodicalIF":2.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13369833/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145745800","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring Prolonged Grief Experiences of Ethnoracial Minoritized Caregivers: An Emic Perspective.","authors":"Vinisha Flavia Dsouza, Brandy Reardon, Cheryl L Woods Giscombé","doi":"10.1002/nur.70092","DOIUrl":"10.1002/nur.70092","url":null,"abstract":"<p><p>Grief is a stressful experience following the death of a loved one that differs among cultures. For decades, researchers have explored the connections between grief and culture, as well as their contextual influences. Our research question is: how do ethnoracial minoritized caregivers in the United States experiencing grief articulate their bereavement experiences and how might their experiences inform improved approaches to therapeutic relationships (e.g., fostering trust) when healthcare providers are working with ethnorocial minoritized clients? To address this question, we conducted a qualitative descriptive study to explore experiences of traumatic loss in the United States. Interviews were conducted until meaning saturation was reached. Nineteen ethnoracial minoritized caregivers completed the Prolonged Grief-13-Revised scale and the Multidimensional Existential Meaning Scale to assess their grief and meaning-making. Semi-structured interviews were conducted from April to July 2024. Participants were predominantly male (63.2%), married (73.68%), and had bachelor's degrees or higher (63.16%). Analysis revealed themes of different grief experiences and their associated contextual and emotional antecedents. Together, these themes illustrate ways in which bereaved caregivers face challenges with self-care, and this, alongside specific expressions of family grief, results in functional impairments. The study highlights the complexities of relationships, stigma, and resistance to grief therapy and the potential benefits of focusing on family dynamics to improve the treatment of prolonged grief disorder at an individual level.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"455-466"},"PeriodicalIF":2.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13369841/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148363812","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perceived Everyday Discrimination, Dysfunctional Attitudes, and Their Influence on Depressive Symptoms and Inflammation in Youth.","authors":"Iouliana Ossipova, Patrick Pössel, Rafael Fernandez-Botran","doi":"10.1002/nur.70019","DOIUrl":"10.1002/nur.70019","url":null,"abstract":"<p><p>Depressive symptoms in youth are influenced by psychosocial stressors and cognitive vulnerabilities. Perceived everyday discrimination (PED) is a common stressor linked to mental health issues, while dysfunctional attitudes (DAs), per Beck's cognitive theory of depression, may mediate these effects. Additionally, depressive symptoms have been associated with physical health outcomes, such as inflammation. We examined relationships between PED, DAs, depressive symptoms, and interleukin-6 (IL-6), a marker of inflammation, in a sample of 98 youth (13-16 years old; 36.4% female, 63.6% male) from diverse racial/ethnic backgrounds (41.4% Black/African American, 34.8% White/European American, 7.1% Multiracial, 2% Hispanic, 1% Native American, 1% Other). Measures included the Everyday Discrimination Scale, Dysfunctional Attitudes Scale, Center for Epidemiological Studies Depression Scale, and saliva samples. Our regression analyses demonstrated that PED was significantly associated with both DAs and depressive symptoms as well as that DAs were significantly associated with depressive symptoms and IL-6, while neither PED nor depressive symptoms were significantly associated with IL-6. Consistent with the regressions, our mediation analyses revealed no significant indirect effects of PED on IL-6 through DAs, depressive symptoms, or their sequential combination. Our findings support the role of PED as a stressor within Beck's cognitive theory and expand the theory's application by linking DAs to inflammatory processes. Given these connections, nurses can play a crucial role in implementing cognitive interventions to mitigate the effects of DAs and advocating for systemic change to reduce discrimination.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"309-319"},"PeriodicalIF":2.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13369843/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978876","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Comparison of Post-Traumatic Stress and Depressive Symptoms by Suicidal Ideation Among Black Transgender Women.","authors":"Athena D F Sherman, Monique S Balthazar, Diane Berish, Sarah Wishloff, Brenice Duroseau, Molly Szczech, Jordan Pelkmans, Dominique M Samuels, Arlette Hernandez, Wenhui Zhang, Andrea N Cimino, Yufen Lin, Zahra A Barandouzi, Jason S Schneider, Don Operario","doi":"10.1002/nur.70095","DOIUrl":"10.1002/nur.70095","url":null,"abstract":"<p><p>Black transgender women in the United States (US) report a significant burden of minority stress contributing to high post-traumatic stress disorder (PTSD) and depressive symptom severity and suicidality. Literature suggests Black Americans are less likely than White peers to report suicidal ideation (SI) but more likely to attempt suicide in the last year. Limited research exists to identify specific symptoms that may indicate increased risk of suicidality among Black transgender women who do not disclose SI-limiting clinicians' ability to identify those at risk of suicidality. Our study aimed to compare the prevalence and severity of PTSD and depressive symptoms among Black transgender women who endorse or do not endorse SI. We analyzed cross-sectional online survey data from a convenience sample of Black transgender women in the US (N = 153). Symptoms were measured using the PTSD Symptom Checklist - DSM-V version and the Beck Depression Inventory-II. Statistical analyses included Wilcoxon Rank Sum Tests, Fischer's Exact Tests, and logistic regression. Worthlessness, changes in appetite, and severity of total Beck Depression Inventory II (BDI-II) scores were consistently significantly higher or more prominent in those endorsing SI compared to those who did not. Findings highlight those two symptoms and the total depressive symptom score as potential indicators of suicidality, which highlights opportunities for providers to further assess for SI and consider safety planning even in the absence of SI disclosure. More research is needed with larger samples of gender-expansive people to further explore these findings.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"467-485"},"PeriodicalIF":2.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13369850/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148363819","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Impact of Stress, Trauma, and Violence on Well-Being and Physical Health.","authors":"Jada L Brooks, Carmen Alvarez, Sara F Jacoby, Elizabeth G NeSmith","doi":"10.1002/nur.70097","DOIUrl":"10.1002/nur.70097","url":null,"abstract":"","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"301-304"},"PeriodicalIF":2.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13369840/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148370907","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}