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

{"title":"Scoping Review of the Needs and Roles of Grandparents of Infants in the NICU.","authors":"Valérie Lebel, Isabelle Landry, Anna Axelin, Paméla Hamel-Hilaréguy, Alexandra Breton-Piette, Nancy Feeley","doi":"10.1016/j.jogn.2026.02.001","DOIUrl":"10.1016/j.jogn.2026.02.001","url":null,"abstract":"<p><strong>Objective: </strong>To map existing evidence on the needs and roles of grandparents of infants in the NICU.</p><p><strong>Data sources: </strong>We searched five databases: CINAHL, MEDLINE, Scopus, APA PsycNet, and ProQuest Dissertations and Theses Global. We also reviewed reference lists and explored unpublished studies and gray literature. We included sources in which the authors described the needs and roles of grandparents of infants in the NICU as described by grandparents, parents, and health care professionals.</p><p><strong>Study selection: </strong>Two independent reviewers screened titles and abstracts and then assessed full texts using predefined inclusion and exclusion criteria. We resolved disagreements through discussion or adjudication by the first author. We selected 22 publications, including quantitative, qualitative, and mixed-methods studies; a meta-review; and opinion papers.</p><p><strong>Data extraction and synthesis: </strong>We extracted the following data: authors, publication year, country, aims, study design, methods, sample, data collection tools, and key findings. We created a summary table and wrote a narrative synthesis to connect findings with our objective.</p><p><strong>Conclusion: </strong>Through the scoping review, we found that grandparents needed to be involved in the care of their grandchildren and to understand the NICU environment. As they sought to bond with their grandchildren, grandparents also provided key emotional and practical support for parents. To meet the needs of grandparents, health care professionals in the NICU should answer their questions within the bounds of privacy limitations and offer tailored interventions. Because recent research on this topic remains limited, we recommend further studies to address this gap and strengthen family-centered care in NICUs.</p>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147461227","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":"Implementation of the POST-BIRTH Warning Signs Program in Varied Clinical Sites.","authors":"Carrie Morgan Eaton, Eileen Magri, Jessica Irrobali, Catherine Hill","doi":"10.1016/j.jogn.2026.02.004","DOIUrl":"https://doi.org/10.1016/j.jogn.2026.02.004","url":null,"abstract":"<p><strong>Objective: </strong>To explore the factors that influence the implementation of the Association of Women's Health, Obstetric and Neonatal Nurses POST-BIRTH Warning Signs education program.</p><p><strong>Design: </strong>Qualitative focus groups.</p><p><strong>Setting: </strong>Online focus groups conducted via Microsoft Teams in the United States.</p><p><strong>Participants: </strong>A purposive sample of 23 registered nurses from 17 states who implemented the POST-BIRTH Warning Signs (PBWS) education program.</p><p><strong>Methods: </strong>Participants represented a variety of practice settings, including critical access hospitals (n = 14), a freestanding emergency department (n = 1), maternity care deserts (n = 2), high-resource emergency departments (n = 5), and a high-resource obstetric unit (n = 1). We conducted six focus groups and analyzed the data using Krippendorff's method for qualitative content analysis to cluster data units and identify emergent themes.</p><p><strong>Results: </strong>We identified five convergent themes and ranked them in descending order based on the number of participants who described each thematic construct: Mountains to Climb in Achieving PBWS Implementation Success, Getting It Right Before They Go Home, The Cost of Unrecognized Warning Signs, Bridging the Gap Between Emergency Department and Obstetric Divides, and The Forgotten Year.</p><p><strong>Conclusion: </strong>We found that implementing the PBWS education program exposed systemic challenges and presented pathways to progress. Participants highlighted the need for collaboration, timely education, and sustained support to ensure successful implementation. Our findings can guide future implementation and strategies to improve safety after birth in a variety of practice settings.</p>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147461214","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":"Potential Harm of the Use of the Word \"Benign\" in Gynecologic Care.","authors":"Mary G Hoberg, Lacey W Heinsberg","doi":"10.1016/j.jogn.2026.02.005","DOIUrl":"10.1016/j.jogn.2026.02.005","url":null,"abstract":"<p><p>\"Benign gynecologic conditions\" is an umbrella term widely used to describe prevalent conditions such as endometriosis, adenomyosis, uterine fibroids, and genitourinary syndrome of menopause in clinical guidelines, research, reviews, and health policy. However, this term is nonspecific, clinically misleading, and potentially harmful. Although these conditions are not cancerous, they can be chronic, painful, and life-disrupting, which renders the term inappropriate because it does not reflect women's experiences. In this article, we trace the historical origins of the term \"benign\" and explore how its continued use may contribute to delays in diagnosis, minimization of symptoms, and disinvestment in women's health research and education. Replacing the term benign with more precise and respectful phrases, such as \"chronic gynecologic conditions,\" is an essential part of efforts to improve patient-centered care, restore trust, and advance equity in women's health.</p>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147461206","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":"Care Coordination During Pregnancy and Maternal Health Outcomes in a Medicaid Population","authors":"David C. Mallinson,&nbsp;Kate H. Gillespie,&nbsp;Yamikani B. Nkhoma-Mussa,&nbsp;Madelyne Z. Greene","doi":"10.1016/j.jogn.2025.10.011","DOIUrl":"10.1016/j.jogn.2025.10.011","url":null,"abstract":"<div><h3>Objective</h3><div>To test the association between Prenatal Care Coordination (PNCC) participation during pregnancy and maternal health outcomes among Medicaid beneficiaries in Wisconsin.</div></div><div><h3>Design</h3><div>Retrospective cohort study using data from birth records linked to Medicaid claims.</div></div><div><h3>Setting</h3><div>Wisconsin, United States.</div></div><div><h3>Participants</h3><div>Beneficiaries with live births funded by Medicaid from 2011 to 2019 (full sample: <em>N</em> = 192,511 births; sibling sample: <em>n</em> = 91,329 births).</div></div><div><h3>Methods</h3><div>We used conventional and sibling fixed effects (FE) linear probability models to test associations between PNCC (none, assessment/care plan only, or service receipt) and maternal health outcomes, including severe maternal morbidity (SMM), any postpartum visit (within 30 days after birth or within 90 days after birth), emergency department (ED) admission within 30 days after birth, and the Kotelchuck Index of prenatal care adequacy. We adjusted our regression models for demographic, health, and birth characteristics.</div></div><div><h3>Results</h3><div>In conventional models, PNCC service receipt was positively associated with the likelihood of having a 30-day postpartum visit (7.2 percentage points (pp); 95% confidence interval (CI) [6.5, 7.8pp]), a 90-day postpartum visit (7.1pp; 95% CI [6.5, 7.7pp]), and an ED admission (2.3pp; 95% CI [1.8, 2.7pp]). In bias-limiting sibling FE models, PNCC service receipt was positively associated with having a 30-day postpartum visit (2.6pp; 95% CI [1.4, 3.9pp]) and an ED admission (1.1pp; 95% CI [0.3, 2.0pp]), and it was negatively associated with having SMM (−0.4pp; 95% CI [−0.6, −0.1pp]) and having adequate prenatal care (−1.3pp; 95% CI [−2.2, −0.4pp]).</div></div><div><h3>Conclusion</h3><div>The mixed evidence regarding the benefit of PNCC indicates the program’s potential and opportunities for improvement as well as the need to evaluate similar programs in other states.</div></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"55 2","pages":"Pages 191-206.e13"},"PeriodicalIF":2.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145490784","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":"Citation Integrity and the Responsible Use of References in the Age of Artificial Intelligence","authors":"","doi":"10.1016/j.jogn.2026.01.004","DOIUrl":"10.1016/j.jogn.2026.01.004","url":null,"abstract":"","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"55 2","pages":"Pages 107-110"},"PeriodicalIF":2.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146183376","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":"Federal Policy Changes Endanger Medicaid’s Critical Role in Perinatal Care and Health Equity","authors":"Abigail Reese,&nbsp;Nicholas Edwardson,&nbsp;Sharon Ruyak,&nbsp;Mindy B. Tinkle","doi":"10.1016/j.jogn.2026.01.002","DOIUrl":"10.1016/j.jogn.2026.01.002","url":null,"abstract":"<div><div>Medicaid is the nation’s largest public health insurer and the primary payer of perinatal care; it covers more than 70 million low-income residents and 41% of births. The One Big Beautiful Bill Act (OBBBA), which was signed into law on July 4, 2025, introduced the largest Medicaid funding reductions in the program’s history—an estimated $1.1 trillion over 10 years. In this article, we describe the major OBBBA provisions related to eligibility and Medicaid financing and the anticipated effects of these provisions on the delivery of perinatal care services and related outcomes. Although pregnant women are exempt from some of these provisions, systemwide coverage losses and structural changes in Medicaid financing are expected to increase the numbers of uninsured individuals; increase administrative burdens for states, providers, and families; increase financial strain on health care organizations; and reduce access to care. These effects will vary across states and compound longstanding challenges in perinatal health, including persistent racial and geographic inequities, widespread closure of obstetric units, and lagging maternal and infant outcomes. Collectively, these policy shifts threaten to worsen maternal and infant morbidity and mortality, particularly in underserved communities. We conclude with recommendations for practice and policy to safeguard perinatal health amid deep structural reductions in Medicaid support.</div><div><em>The purpose of this series is to critically examine emerging federal and state health policy changes and their implications for the health and well-being of women, childbearing families, and young children and to provide evidence-based analyses that inform the nurses who care for these populations. The author solicitation and preparation of each article are overseen by series coordinators Mindy B. Tinkle, PhD, RN, WHNP-BC, CNE, FAAN, associate professor, and Nick Edwardson, PhD, MS, associate professor, College of Nursing, University of New Mexico, Albuquerque, NM.</em></div></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"55 2","pages":"Pages 130-142"},"PeriodicalIF":2.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146183420","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":"Emergency and All-Hazards Preparedness: AWHONN Practice Brief Number 22","authors":"An official practice brief from the Association of Women’s Health, Obstetric and Neonatal Nurses","doi":"10.1016/j.jogn.2025.11.004","DOIUrl":"10.1016/j.jogn.2025.11.004","url":null,"abstract":"","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"55 2","pages":"Pages e5-e8"},"PeriodicalIF":2.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145821919","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":"Efficacy of Birthing Ball Exercises to Reduce Labor Pain and Cesarean Rates: An Updated Meta-Analysis of Randomized Controlled Trials","authors":"Ellise D. Adams","doi":"10.1016/j.jogn.2026.01.003","DOIUrl":"10.1016/j.jogn.2026.01.003","url":null,"abstract":"","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"55 2","pages":"Pages 113-116"},"PeriodicalIF":2.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146144764","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 Ongoing Imperative to Recognize and Support Maternal–Infant Interaction","authors":"June Andrews Horowitz,&nbsp;Carol Shieh,&nbsp;Linda Clark Amankwaa,&nbsp;Azza H. Ahmed,&nbsp;Dorothy Vittner,&nbsp;Wilaiporn Rojjanasrirat","doi":"10.1016/j.jogn.2025.09.002","DOIUrl":"10.1016/j.jogn.2025.09.002","url":null,"abstract":"<div><div>High-quality maternal–infant interaction is essential to promote the optimal growth and development of children. The role of the nurse in providing assessment, interventions, and guidance to mothers of infants from birth to 1 year of age is vital to enhance maternal–infant interactions. In this article, we highlight the significance of maternal–infant interaction and examine challenges families face in developing high-quality maternal–infant interaction. Evidence-based recommendations for health and social policies for nursing and clinical practice are provided to mitigate challenges to the development of maternal–infant interaction.</div></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"55 2","pages":"Pages 207-220"},"PeriodicalIF":2.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145309888","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 the Experiences of Midwifery Preceptors Using the Differentiated Job Demands–Resources Model","authors":"Amy Alspaugh,&nbsp;E. Brie Thumm,&nbsp;Julie Blumenfeld,&nbsp;Laura D. Lindberg","doi":"10.1016/j.jogn.2025.10.002","DOIUrl":"10.1016/j.jogn.2025.10.002","url":null,"abstract":"<div><h3>Objective</h3><div>To explore midwives’ experiences of precepting in relation to the demands of clinical practice.</div></div><div><h3>Design</h3><div>Secondary, supplementary qualitative data analysis.</div></div><div><h3>Setting</h3><div>Virtual interviews.</div></div><div><h3>Participants</h3><div>A total of 18 midwives (16 certified nurse-midwives and 2 certified midwives) who practiced in New Jersey.</div></div><div><h3>Methods</h3><div>We used data from a primary study of in-depth, semistructured interviews conducted from June 2023 to February 2024. We used qualitative description methodology and analyzed data using content analysis. We organized relevant codes using the major categories of the differentiated job demands–resources model, in which job demands are classified as hindrances or challenges and resources that can mitigate strain are identified.</div></div><div><h3>Results</h3><div>We found that precepting had a paradoxical effect on respondents’ well-being. In the absence of adequate resources, precepting exacerbated exhaustion and in some cases led respondents to reduce or withdraw from teaching responsibilities. Conversely, when supported by collegial collaboration, shared responsibility, and personal agency in accepting students, precepting was a meaningful source of professional purpose and renewal.</div></div><div><h3>Conclusions</h3><div>Although precepting can foster professional engagement and renewal, it may also increase strain and contribute to burnout, particularly within health systems already facing staffing shortages and high turnover. The dual nature of precepting in midwifery underscores the role of system-level support in sustaining the midwifery workforce and clinical education.</div></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"55 2","pages":"Pages 173-182.e2"},"PeriodicalIF":2.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145423476","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}