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

{"title":"Breast Milk Feeding for Infants Who Required Major Surgery","authors":"Mary Ann D’Ambrosio,&nbsp;Madalynn Neu","doi":"10.1016/j.jogn.2024.09.002","DOIUrl":"10.1016/j.jogn.2024.09.002","url":null,"abstract":"<div><h3>Objective</h3><div>To identify barriers or facilitators that influenced mothers to provide mother’s own milk (MOM) for 6 months to their infants who were hospitalized in the NICU after major surgery.</div></div><div><h3>Design</h3><div>Descriptive qualitative.</div></div><div><h3>Setting</h3><div>An 80-bed, Level 4 NICU of a regional pediatric hospital in the western United States.</div></div><div><h3>Participants</h3><div>Fourteen mothers who provided MOM for their infants who required surgery within 1 week of age.</div></div><div><h3>Methods</h3><div>We conducted in-person interviews upon admission and discharge of the infant, phone interviews 1 and 2 weeks after discharge, and phone interviews monthly for 6 months or until discontinuance of the provision of MOM. We analyzed interviews using the Brooks thematic template analysis method.</div></div><div><h3>Results</h3><div>Eleven infants received exclusive MOM at discharge, and nine infants remained on exclusive MOM at 6 months. We generated four principal themes from the participants’ comments: <em>Value of Breast Milk</em>, <em>Challenges of Providing MOM</em>, <em>Emotional Fluctuation</em>, and <em>Coping With Reality of Circumstances</em>.</div></div><div><h3>Conclusion</h3><div>Internalizing the value of MOM, family support, and coping with barriers were key factors that influenced participants to provide MOM for at least 4 months. Findings of this study suggest that prenatal education with anticipatory guidance and lactation support in the NICU can help mothers achieve the goal of extended provision of MOM to infants with serious conditions that require surgery. Education and support may be especially helpful for young, first-time mothers.</div></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"54 2","pages":"Pages 189-200"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481214","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":"Protocol to Support Skin-to-Skin Care and Closeness Between Parents and Neonates in the NICU","authors":"Victoria Karlsson,&nbsp;Pyrola Bäcke,&nbsp;Linda Björkman,&nbsp;Karin Holmgren,&nbsp;Lena Ingelsson,&nbsp;Ylva Thernström Blomqvist","doi":"10.1016/j.jogn.2024.09.004","DOIUrl":"10.1016/j.jogn.2024.09.004","url":null,"abstract":"<div><div>Skin-to-skin care (SSC) is essential, can help to prevent separation of parents and the neonate in the NICU, and should be a standard practice. It can safely be integrated into the routine care of preterm neonates, those who require surgery, and those who require all levels of intensive care. Years of experience with the provision of SSC in our NICU influenced our approach to care and resulted in practice guidelines for the safe provision of SSC. In this article, we present our clinical practical guidelines that support SSC and closeness between parents and the neonate to ensure the use of these practices for all neonates in the NICU.</div></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"54 2","pages":"Pages 249-257"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481218","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":"Scoping Review of Women’s Experiences of Breastfeeding Associated With Maternity Care in Hospitals That Implement Baby-Friendly Policies","authors":"Keri Durocher,&nbsp;Kimberley T. Jackson,&nbsp;Richard Booth,&nbsp;Panagiota Tryphonopoulos,&nbsp;Kelly A. Kennedy","doi":"10.1016/j.jogn.2024.11.005","DOIUrl":"10.1016/j.jogn.2024.11.005","url":null,"abstract":"<div><h3>Objective</h3><div>To explore what is currently known about women’s breastfeeding experiences associated with maternity care in facilities that implement policies supported by the Baby-Friendly Hospital Initiative (BFHI).</div></div><div><h3>Data Sources</h3><div>We used the scoping review methodology of JBI. We searched the Scopus, CINAHL, Embase, MEDLINE (Ovid), and PsycINFO databases and gray literature.</div></div><div><h3>Study Selection</h3><div>We considered articles published during or after 1991 in English. Inclusion criteria were based on the participant, concept, and context framework and included women who gave birth and initiated breastfeeding during or after maternity care in facilities that were certified through the BFHI, were working toward certification, or were implementing BFHI-aligned policies.</div></div><div><h3>Data Extraction</h3><div>We extracted the following data from each report: author(s), year/country of publication, study design, research aim, patient population/sample size, clinical setting, BFHI status, and outcomes. We further extracted relevant outcomes by using concepts from the interactive theory of breastfeeding.</div></div><div><h3>Data Synthesis</h3><div>We included 44 reports of studies conducted in 19 countries in the review: 27 quantitative, 9 qualitative, and 8 mixed-methods studies. We mapped the extracted data to 10 concepts from the interactive theory of breastfeeding to classify patient experiences, including dynamic interaction between mother and child; stress; time; woman’s and child’s biological conditions; woman’s and child’s perception; woman’s decision-making; family and social authority; woman’s body image; space; and organizational systems for the protection, promotion, and support of breastfeeding.</div></div><div><h3>Conclusion</h3><div>We found that various interrelated factors in addition to BFHI-specific policies influenced women’s experiences. Based on these results, we suggest that awareness of women’s personal breastfeeding experiences is crucial to delivering optimal care and developing evidence-based policies. Breastfeeding practice guidelines and policies should be developed to encompass women’s experiences to enhance future inpatient breastfeeding support.</div></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"54 2","pages":"Pages 176-188.e29"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792729","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":"Heel Warming in Very-Low-Birth-Weight Newborns for Capillary Blood Sampling","authors":"Joke Maria Wielenga,&nbsp;April Pascual,&nbsp;Kiki Ruhe,&nbsp;Christ Jan van Ganzewinkel","doi":"10.1016/j.jogn.2024.09.007","DOIUrl":"10.1016/j.jogn.2024.09.007","url":null,"abstract":"<div><h3>Objective</h3><div>To determine if performing heel stick procedures for capillary blood sampling without prior heel warming is noninferior to the standard practice of warming the heel in very-low-birth-weight newborns.</div></div><div><h3>Design</h3><div>Noninferiority randomized control trial.</div></div><div><h3>Setting</h3><div>The study took place in two Level 3 NICUs in The Netherlands.</div></div><div><h3>Participants</h3><div>Newborns born at less than 32 weeks gestation in their second or third week of life without an arterial line in situ or known coagulopathy (<em>N</em> = 100).</div></div><div><h3>Methods</h3><div>We randomized participants to undergo a heel stick procedure in one of two groups: without heel warming (<em>n</em> = 50) and heel warming with a washcloth warmed with 37 °C tap water (<em>n</em> = 25) or with a microwaved hot pack (<em>n</em> = 25). The primary outcome was length of time for obtaining the required blood sample. The secondary outcomes were number of attempts, reliability of the blood sample, newborn comfort, and adverse events.</div></div><div><h3>Results</h3><div>We observed no differences in background characteristics between groups and found no statistically significant or clinically relevant differences in primary or secondary outcomes.</div></div><div><h3>Conclusion</h3><div>Among participants, not warming the heel before a heel stick was noninferior to warming the heel. Therefore, preheating the heel as a standard of care may be an unnecessary nursing intervention.</div></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"54 2","pages":"Pages 201-209"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142513248","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":"Nursing Safety on the Job: Workplace Violence and Personal Protection","authors":"Association of Women’s Health, Obstetric and Neonatal Nurses","doi":"10.1016/j.jogn.2024.11.001","DOIUrl":"10.1016/j.jogn.2024.11.001","url":null,"abstract":"","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"54 2","pages":"Pages e1-e3"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143082301","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":"Barriers to Diagnosis and Innovations in Care for Endometriosis","authors":"Summer Sherburne Hawkins","doi":"10.1016/j.jogn.2025.01.002","DOIUrl":"10.1016/j.jogn.2025.01.002","url":null,"abstract":"<div><div>An estimated 190 million women are affected by endometriosis worldwide yet delays in diagnosis and treatment and validation of patient symptoms remain significant barriers to care. While a lack of data and gaps in research are central to understanding and addressing this disease, researchers are developing some promising innovations. In this column, I review prevalence and symptoms, barriers to diagnosis, and new innovations in care for endometriosis and the implications for research, practice, and policy. I conclude with information from professional organizations and the need for updated clinical guidelines.</div></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"54 2","pages":"Pages 151-163"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143384144","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":"Ventilatory Assistance Before Umbilical Cord Clamping in Extremely Preterm Infants: A Randomized Clinical Trial","authors":"Ellise D. Adams PhD, RN","doi":"10.1016/j.jogn.2025.01.003","DOIUrl":"10.1016/j.jogn.2025.01.003","url":null,"abstract":"","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"54 2","pages":"Pages 146-150"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143392510","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":"Recommendations From Arizona Budtenders to Mystery Callers Regarding Morning Sickness.","authors":"Michael J Madson, Unnati Srivastava, Yoshita Gade","doi":"10.1016/j.jogn.2025.02.001","DOIUrl":"10.1016/j.jogn.2025.02.001","url":null,"abstract":"<p><strong>Objective: </strong>To explore the recommendations for managing morning sickness made by Arizona budtenders, including types of products suggested and frequency of referrals to medical professionals.</p><p><strong>Design: </strong>Descriptive observational study using mystery calling.</p><p><strong>Setting: </strong>Eligible dispensaries in 12 of Arizona's 15 counties.</p><p><strong>Participants: </strong>Budtenders (N = 104) who answered the phone during regular business hours.</p><p><strong>Methods: </strong>Two researchers mystery called eligible dispensaries between February and April 2024 and documented budtender responses on a standardized form. We used counts, percentages, and 95% confidence intervals to analyze the data.</p><p><strong>Results: </strong>The response rate was 67%. Most budtenders (71.2%, n = 74) recommended cannabis products for morning sickness, especially cannabidiol and edibles. One fifth of these budtenders (18.9%, n = 14) recommended tinctures, one eighth (12.2%, n = 9) recommended inhalation products such as vapes and joints, and a few (5.4%, n = 4) recommended topicals. Most budtenders (85.6%, n = 89) encouraged a medical consultation, but relatively few (34.6%, n = 36) did so without prompting.</p><p><strong>Conclusion: </strong>Future researchers should investigate whether these trends are similar in other regions where cannabis is legal. Obstetrics and gynecology nurses should counsel patients proactively about prenatal cannabis use. Policymakers should consider mandating budtender training on cannabis risks during pregnancy as well as pregnancy-specific product warnings.</p>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544223","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":"Evaluation of Universal Screening for Substance Use Risk on a Labor and Delivery Unit in Rural Pennsylvania.","authors":"Mary R Habashy, Karena M Moran, Kelly Gallagher, Sandra Halbruner","doi":"10.1016/j.jogn.2025.01.005","DOIUrl":"10.1016/j.jogn.2025.01.005","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate a newly implemented universal screening process for substance use on a labor and delivery (L&D) unit.</p><p><strong>Design: </strong>Focused program evaluation using the Centers for Disease Control and Prevention Framework for Program Evaluation in Public Health.</p><p><strong>Setting/local problem: </strong>An L&D unit in a community hospital that was part of a larger health system located in rural Pennsylvania with higher than state average rates of perinatal substance and opioid use.</p><p><strong>Participants: </strong>Women (n = 570) admitted to the L&D unit between July 2021 and July 2022 and the maternity care providers (i.e., nurses, certified nurse-midwives, and physicians; n = 22) on the L&D unit.</p><p><strong>Intervention/measurements: </strong>We analyzed screening rates; provider follow-up rates for at-risk screens; and staff perception of acceptability, appropriateness, and feasibility of the National Institute on Drug Abuse Quick Screen and the modified Alcohol, Smoking, and Substance Involvement Screening Test (NIDA Quick Screen/ASSIST). We also collected staff feedback with open-ended questions in a survey.</p><p><strong>Results: </strong>The screening rate on the L&D unit during the study period was 89%. Maternity care providers ordered the appropriate follow-up on at-risk screens 88% of the time. Nurses and providers found the NIDA Quick Screen/ASSIST to be an acceptable, appropriate, and feasible screening tool for identifying substance use risk.</p><p><strong>Conclusion: </strong>The screening rate on the L&D unit was greater than the health system goal of 80%, whereas the provider follow-up rate was less than the goal of 100%. In open-ended feedback, staff identified ways to streamline the screening process; improve nurse, provider, and patient education; and enhance patient follow-up.</p>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143538182","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":"Patient-Provider Prenatal Nutrition Conversations Using a Human Factors Approach.","authors":"Katherine Erbe, Elizabeth Lerner Papautsky, Kylea Liese, Chang Park, Julienne Rutherford, Lisa Tussing-Humphreys, Yanqiao Li, Arissara Sawatpanich, Mary Dawn Koenig","doi":"10.1016/j.jogn.2025.01.001","DOIUrl":"10.1016/j.jogn.2025.01.001","url":null,"abstract":"<p><strong>Objective: </strong>To examine patient-provider nutrition conversations at initial prenatal visits.</p><p><strong>Design: </strong>Convergent mixed methods observational study.</p><p><strong>Setting: </strong>Two large metropolitan clinics in the midwestern United States.</p><p><strong>Participants: </strong>Sixteen providers and 20 racially diverse pregnant women.</p><p><strong>Methods: </strong>Guided by the Systems Engineering Initiative for Patient Safety (SEIPS) 2.0 model, we observed and audio-recorded initial prenatal visits with obstetric providers. Patients completed post-visit surveys and interviews, and providers completed post-visit interviews. Finally, we sent a practice-wide electronic survey to all providers. We completed quantitative data analysis for descriptive statistics of observation and survey results. We completed qualitative thematic analysis of visit and interview transcripts and combined and categorized results into components of the SEIPS 2.0 model.</p><p><strong>Results: </strong>We identified multiple dynamic and interacting factors relevant to the work system and processes in the SEIPS 2.0 model in patient-provider conversations about nutrition. Although nutrition was covered in all visits, most conversations were provider-centered and covered basic, general recommendations related to a limited number of topics. Few individualized collaborative discussions that addressed contextual factors occurred.</p><p><strong>Conclusion: </strong>Finding ways to incorporate and address contextual factors into patient-centered conversations about nutrition is vital to optimize the dietary habits of women, especially those from vulnerable populations. To do this, multidisciplinary teams that include nurse practitioners, nurses, obstetricians, and registered dietitians who can address the multiple social determinants of health that affect dietary choices are needed.</p>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048856","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}