Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing最新文献

{"title":"Scoping Review of Education on Palliative and End-of-Life Care for Health Care Professionals in the NICU.","authors":"Amy Rodriquez, Ashleigh E Butler, Sidharth Vemuri, Beverly Copnell","doi":"10.1016/j.jogn.2026.10.005","DOIUrl":"https://doi.org/10.1016/j.jogn.2026.10.005","url":null,"abstract":"<p><strong>Objective: </strong>To map the published literature on education for neonatal palliative care and end-of-life care for NICU personnel and to identify educational needs and key components of existing education programs.</p><p><strong>Data sources: </strong>Medline (OVID), Embase (OVID), Emcare (OVID), PsycINFO (OVID), and CINAHL (EBSCO).</p><p><strong>Study selection: </strong>Two reviewers independently screened 2,791 records and 144 full text reports for inclusion. We included 23 reports of original research studies in which researchers focused on educational needs or the provision of education for health care staff who worked in the NICU.</p><p><strong>Data extraction: </strong>We extracted the following data from each included study: author(s), publication year, country, aims, study design, methods, sample, data collection method, learning needs, educational interventions, intervention characteristics (including content, delivery mode, and duration), and key study findings. We compiled data in an Excel spreadsheet, organized them according to study characteristics and intervention themes, and described them narratively.</p><p><strong>Data synthesis: </strong>We identified pain and symptom management, communication, and caring for the dying infant as educational needs. Education interventions comprised face-to-face workshops, online modules, case-based discussions, and PowerPoint presentations. Outcome evaluations primarily focused on self-reported confidence, knowledge, and perceived competence rather than objective changes in clinical practice or family experiences.</p><p><strong>Conclusion: </strong>The evidence base for education on neonatal palliative and end-of-life care for NICU staff remains limited and fragmented. Current initiatives may lack relevance, specificity, or practical applicability. If education is approached solely from a professional perspective, it might not reflect family-centered care principles. The development of theory-informed program evaluation is needed to ensure that training effectively addresses practical and emotional complexities of neonatal palliative care.</p>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149302225","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":"Observational Study of Cannabis Use Among Pregnant Women Who Used Nicotine.","authors":"Kristin Ashford, Lisa M Blair, Amanda Thaxton Wiggins, Biyyiah A Strickland, Delani Degrosky, Shayanna Stryd","doi":"10.1016/j.jogn.2026.09.005","DOIUrl":"https://doi.org/10.1016/j.jogn.2026.09.005","url":null,"abstract":"<p><strong>Objective: </strong>To characterize perceptions of cannabis use and motivations for use among a cohort of pregnant women who used nicotine.</p><p><strong>Design: </strong>Descriptive observational.</p><p><strong>Setting: </strong>Prenatal clinics in Kentucky where cannabis was illegal at the time of data collection.</p><p><strong>Participants: </strong>Pregnant women (N = 81) who used nicotine.</p><p><strong>Methods: </strong>We surveyed participants at each trimester. Participants completed routine clinical urine drug screening and self-report use measures for cannabis use. We report descriptive statistics.</p><p><strong>Results: </strong>Of the 81 participants, 18.5% (n = 15) self-reported cannabis use in the past 30 days and 21% (n = 17) tested positive for cannabis on routine prenatal urine drug screening. Most participants believed that cannabis use was acceptable during pregnancy (83.8%, n = 67) and not a health hazard at all (61.7%, n = 50). Common motivations for use among those who self-reported included reduced stress (93.3%, n = 14), aid for sleeping (66.7%, n = 10), and reduced fear (66.7%, n = 10). In addition, 60% (n = 9) reported use to relax or relieve physical or emotional pain.</p><p><strong>Conclusions: </strong>Changing perceptions regarding the acceptability of cannabis use in the prenatal period place pregnant women and their children at risk of harm. Our findings demonstrate a critical need for future research and clear public health messaging about the risks of cannabis use during pregnancy.</p>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149277231","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":"Coordinating Pelvic Floor Physical Therapy Care Across the Perinatal Period.","authors":"Caitlin Dreisbach","doi":"10.1016/j.jogn.2026.10.004","DOIUrl":"https://doi.org/10.1016/j.jogn.2026.10.004","url":null,"abstract":"<p><p>Perineal injury during childbirth can contribute to maternal morbidity through pain, impaired bowel control, and limitations in activities of daily living. Nurses can help patients access pelvic floor physical therapy during pregnancy and postpartum recovery. In this column, I examine evidence on pelvic floor interventions for birth preparation and rehabilitation after perineal injury. I describe opportunities for nurses to support pelvic floor care through patient education, assessment of barriers to care, and care coordination with physical therapists and obstetric clinicians. I also discuss interdisciplinary care models that nurses can adapt to support continuity of pelvic floor care across the perinatal period.</p>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149240575","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":"The Need for a National Home for Perinatal Nursing and Midwifery Research in the United States.","authors":"Joyce K Edmonds","doi":"10.1016/j.jogn.2026.10.001","DOIUrl":"https://doi.org/10.1016/j.jogn.2026.10.001","url":null,"abstract":"<p><p>The Editor in Chief describes the need for a national home for perinatal nursing and midwifery research.</p>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149229429","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":"Effect of Infant Massage in Neonates With Hyperbilirubinemia Receiving Phototherapy: A Systematic Review and Meta-Analysis.","authors":"Ellise D Adams","doi":"10.1016/j.jogn.2026.10.003","DOIUrl":"https://doi.org/10.1016/j.jogn.2026.10.003","url":null,"abstract":"","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149229453","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":"Qualitative Descriptive Exploration of Women's Experiences of Outpatient Hysteroscopy in Ireland.","authors":"Catherine Henry, Barbara Lloyd, Carmel Bradshaw","doi":"10.1016/j.jogn.2026.09.004","DOIUrl":"https://doi.org/10.1016/j.jogn.2026.09.004","url":null,"abstract":"<p><strong>Objective: </strong>To explore women's experiences of outpatient hysteroscopy (OPH) and identify factors that influenced those experiences.</p><p><strong>Design: </strong>Qualitative descriptive.</p><p><strong>Setting: </strong>Ambulatory gynecology unit in Ireland.</p><p><strong>Participants: </strong>Eleven women aged 40 to 49 years who underwent OHP at the research setting.</p><p><strong>Methods: </strong>We collected data using semistructured interviews and analyzed the data using a reflexive thematic analysis framework.</p><p><strong>Results: </strong>We identified three themes: The Experience of Pain, Preparation and the Procedure, and Importance of the Environment. Participants described a spectrum of pain experiences that ranged from mild discomfort to severe pain. They emphasized the importance of preparation for the procedure and the care provided during and after the procedure. Participants also identified environmental factors that enhanced their experience of OPH.</p><p><strong>Conclusion: </strong>Health care practitioners should explicitly discuss the possibility of pain when providing information about OPH to ensure that women can make informed choices. Researchers should further investigate the optimal type and timing of pre-procedure analgesia. Health care practitioners should also recognize the importance of the environment in shaping women's experiences of intrusive and intimate procedures from a holistic perspective. These findings are relevant to all health care practitioners involved in OPH services, particularly nursing staff who provide care to women before, during, and after these procedures.</p>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149229425","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":"Stronger Together Through DNP-PhD Collaboration for Women, Newborns, and Families.","authors":"Elizabeth Adenmosun, Karen Chambers, Nicole Pirrone, Candy Wilson","doi":"10.1016/j.jogn.2026.10.002","DOIUrl":"https://doi.org/10.1016/j.jogn.2026.10.002","url":null,"abstract":"<p><p>Collaboration between DNP and PhD nurses is needed to close the research-to-practice gap and to generate the evidence required to improve the nursing care of women, newborns, and families.</p>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149225384","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":"Feasibility of an Expanded Holding Protocol for the NICU.","authors":"Adeline Launay, Amanda Camacho, Elissa Remmer, Stephanie Mardakis, Jarred Garfinkle, Jessica Duby","doi":"10.1016/j.jogn.2026.09.003","DOIUrl":"10.1016/j.jogn.2026.09.003","url":null,"abstract":"<p><strong>Objective: </strong>To develop and evaluate the feasibility of an expanded holding protocol designed to increase opportunities for parent-infant physical contact in the NICU.</p><p><strong>Design: </strong>Quality improvement feasibility study using a pre-post implementation design.</p><p><strong>Setting: </strong>Level IV NICU at the Montreal Children's Hospital.</p><p><strong>Patients/participants: </strong>We applied the protocol to all infants admitted to the NICU. Outcome analyses included infants captured in a routinely collected data set submitted to the Montreal Regional Public Health Department.</p><p><strong>Interventions: </strong>A multidisciplinary team developed a five-category holding protocol that expanded eligibility for skin-to-skin care and introduced additional methods of holding based on each infant's clinical status. The team introduced the protocol in April 2024 and supported its introduction through multidisciplinary, simulation-based education.</p><p><strong>Main outcome measures: </strong>Holding among newly eligible infants, proportion of infants with documented holding during admission, and timing of first documented holding.</p><p><strong>Results: </strong>The expanded eligibility criteria made an additional 80 infants eligible for holding, and 26 (33%) of these infants had a documented holding episode. Documented holding increased from 71% (288/404) before introduction to 80% (365/454) after introduction (p = .002). The median day of first documented holding increased from 1 to 2 days of life (p < .001).</p><p><strong>Conclusion: </strong>The expanded holding protocol broadened eligibility for parent-infant physical contact and coincided with an increase in documented holding in the NICU. However, only one-third of newly eligible infants had a documented holding episode, which highlighted the need to address barriers to holding in addition to expanding eligibility.</p>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149128450","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":"Exploring Women's Experiences of Breastfeeding Their Infants With Cow's Milk Protein Allergy.","authors":"Jennifer Dion, Lorelli Nowell, Glynnis DuBois, Meredith Brockway","doi":"10.1016/j.jogn.2026.09.001","DOIUrl":"10.1016/j.jogn.2026.09.001","url":null,"abstract":"<p><strong>Objective: </strong>To explore the experiences of women who breastfed infants with cow's milk protein allergy (CMPA).</p><p><strong>Design: </strong>Qualitative interpretive descriptive study.</p><p><strong>Setting: </strong>A Canadian tertiary pediatric hospital that provided inpatient and outpatient services for infants with suspected or confirmed CMPA.</p><p><strong>Participants: </strong>Ten women who breastfed infants diagnosed with CMPA.</p><p><strong>Methods: </strong>We conducted semi-structured interviews to explore women's experiences of breastfeeding their infants with CMPA. We used reflexive thematic analysis to analyze interview data, and we emphasized reflexivity, transparency, and co-construction of meaning between researcher and participants.</p><p><strong>Results: </strong>We identified five interconnected themes. Carrying the Weight Alone represented disproportionate maternal responsibility for navigating clinical uncertainty, decision-making, and system gaps. The Breaking Point reflected cumulative emotional strain and vulnerability. Navigating Emotional Extremes represented fluctuating feelings of pride, guilt, hope, despair, confidence, and doubt. Emerging From the Fog represented how clearer information, validation, and practical problem solving fostered resilience and agency. Finally, Reflective Wisdom represented retrospective meaning-making and a desire to support others with similar experiences. Across themes, participants reported fragmented medical guidance, identity disruption, and the emotional complexity of breastfeeding while managing their infants' CMPA.</p><p><strong>Conclusion: </strong>Breastfeeding an infant with CMPA involved uncertainty, emotional burden, and inadequate clinical support. Although breastfeeding fostered resilience and meaning for participants, unmet expectations and inconsistent information intensified their stress. Integrating maternal perspectives into management strategies for CMPA and developing multidisciplinary, compassionate support systems may sustain breastfeeding, enhance maternal well-being, and improve family outcomes.</p>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149066104","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":"Gender Diverse, Autoethnographic Perspective of Epistemic Injustice During Endometriosis Care.","authors":"Teresa A Graziano","doi":"10.1016/j.jogn.2026.09.002","DOIUrl":"10.1016/j.jogn.2026.09.002","url":null,"abstract":"<p><strong>Objective: </strong>To examine the epistemic injustice experienced by a gender diverse individual during diagnosis for chronic pelvic pain and endometriosis.</p><p><strong>Design: </strong>Autoethnography.</p><p><strong>Setting: </strong>Five health care institutions across four northeastern states.</p><p><strong>Participant: </strong>I am a White, non-Hispanic nurse with private health care insurance who was assigned female at birth (AFAB) and identifies as gender diverse. I have chronic pelvic pain and endometriosis.</p><p><strong>Methods: </strong>I used autoethnography to situate my experience within broader social, cultural, and institutional contexts. My personal journal, text messages, e-mails, health records, and memory are the sources of data that I used. I reflexively and critically engaged with my data through reading, memo writing, and thematic analysis to balance autobiography and cultural critique.</p><p><strong>Results: </strong>I experienced many psychological consequences of a delayed diagnosis of endometriosis as a gender diverse health care professional who was AFAB. Despite my significant health care literacy and access, my persistent pain was repeatedly minimized, which led to profound self-doubt and internalized medical invalidation. I found that gender misrecognition in clinical care and documentation compounded my experiences of dismissal and exclusion. Humor with friends often served as a coping mechanism but did not address the aftereffects of frequent misgendering in clinical environments.</p><p><strong>Conclusion: </strong>Transgender and gender nonconforming individuals may be doubly affected by epistemic injustice when they seek treatment for chronic pelvic pain. Whereas many challenges are faced by cisgender women with endometriosis, my experience highlights the distinct intersection of chronic pain, delay in diagnosis, and transgender and gender nonconforming invisibility in health care systems and support spaces. Nurses can address these disparities through targeted interventions to promote inclusion.</p>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149042126","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}