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

{"title":"Factors Associated With Gestational Weight Gain Among Nurses in Korea","authors":"Sook Jung Kang,&nbsp;Woon Young Hwang,&nbsp;Hyunju Dan,&nbsp;Sue Kim,&nbsp;Kwang-Pil Ko","doi":"10.1016/j.jogn.2025.06.005","DOIUrl":"10.1016/j.jogn.2025.06.005","url":null,"abstract":"<div><h3>Objective</h3><div>To identify risk factors associated with inadequate and excessive gestational weight gain (GWG) among nurses in Korea.</div></div><div><h3>Design</h3><div>Secondary analysis of data from the Korea Nurses' Health Study, a nationwide prospective cohort study.</div></div><div><h3>Setting</h3><div>Online surveys distributed from 2014 to 2023 in Korea.</div></div><div><h3>Participants</h3><div>Nurses (<em>N</em> = 296) who gave birth in the past year.</div></div><div><h3>Methods</h3><div>We categorized GWG using guidelines from the Institute of Medicine and conducted bivariate and logistic regression analyses to identify factors associated with inadequate and excessive GWG.</div></div><div><h3>Results</h3><div>Among participants, 40.2% had inadequate GWG, 36.1% had adequate GWG, and 23.7% had excessive GWG. We found significant differences in GWG based on pre-pregnancy body mass index (BMI) and weekly overtime hours worked. As age increased, the odds of excessive GWG decreased (odds ratio (OR) = 0.89, 95% confidence interval (CI) [0.79, 0.99]), whereas higher levels of fatigue were associated with increased odds (OR = 1.08, 95% CI [1.01, 1.15]) of excessive GWC.</div></div><div><h3>Conclusion</h3><div>Our study suggests that health care providers should consider ethnicity, pre-pregnancy BMI, overtime work hours, age, and fatigue levels when educating and caring for pregnant nurses. Although the findings reflect a specific maternal population of Korean nurses, they may inform care for similar working women. We recommend that information about GWG be incorporated into prenatal education, visits, checklists, and counseling for women who are pregnant or planning to become pregnant.</div></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"54 5","pages":"Pages 543-552"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144669025","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":"Reproductive Agency in an Era of Falling Fertility Rates","authors":"Joyce K. Edmonds (Editor in Chief)","doi":"10.1016/j.jogn.2025.07.002","DOIUrl":"10.1016/j.jogn.2025.07.002","url":null,"abstract":"","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"54 5","pages":"Pages 473-476"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144719178","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":"At Your Service","authors":"","doi":"10.1016/S0884-2175(25)00238-2","DOIUrl":"10.1016/S0884-2175(25)00238-2","url":null,"abstract":"","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"54 5","pages":"Page A3"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145050753","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":"Discrimination and Regular Source of Care as Equity Factors Associated With Health and Stress During the Extended Postpartum Period","authors":"Lorraine O. Walker,&nbsp;Nicole Murry,&nbsp;Heather Becker","doi":"10.1016/j.jogn.2025.06.004","DOIUrl":"10.1016/j.jogn.2025.06.004","url":null,"abstract":"<div><h3>Objective</h3><div>To estimate the frequency of racial/ethnic and gender discrimination and lack of a regular source of care in the postpartum period and to examine how these factors were related to health and stress in the postpartum period.</div></div><div><h3>Design</h3><div>Cross-sectional survey study.</div></div><div><h3>Setting</h3><div>Online research panels in the United States.</div></div><div><h3>Participants</h3><div>Survey respondents (<em>N</em> = 427: 424 women, 1 transgender man, 1 non-binary individual, and 1 individual for whom gender was missing).</div></div><div><h3>Methods</h3><div>Equity items included racial/ethnic discrimination, gender discrimination, and lack of a regular care source. Health outcomes included a global measure of physical and mental health, perceived stress, and postpartum-specific stress. We analyzed the data using correlational and hierarchical regression analyses adjusted for covariates.</div></div><div><h3>Results</h3><div>Racial/ethnic discrimination was reported by 15.2% of respondents, gender discrimination was reported by 45.9% of respondents, and lack of a regular source of care was reported by 13.8% of respondents. After adjusting for covariates, equity factors accounted for 1.8% of the variance in physical health (<em>p</em> &lt; .05), 3.4% in mental health (<em>p</em> = .001), 5.0% in perceived stress (<em>p</em> &lt; .001), and 7.8% in postpartum-specific stress (<em>p</em> &lt; .001). The only significant equity factor significantly associated with physical and mental outcomes was gender discrimination.</div></div><div><h3>Conclusion</h3><div>Nearly half of respondents reported that they experienced gender discrimination. Gender discrimination was significantly related to worse health and higher stress. Nurses can aid women in dealing with gender discrimination by providing information about rights and resources.</div></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"54 5","pages":"Pages 530-542.e4"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144661095","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":"Effects of Sociospatial Inequality on Exposure to Stress, Symptoms of Depression, and Cortisol Rhythms in Pregnancy","authors":"Crystal Modde Epstein,&nbsp;Thomas P. McCoy,&nbsp;Angela M. Kabbe,&nbsp;Kierra Sattler","doi":"10.1016/j.jogn.2025.06.002","DOIUrl":"10.1016/j.jogn.2025.06.002","url":null,"abstract":"<div><h3>Objective</h3><div>To investigate the effect of sociospatial inequality on exposure to stress, symptoms of depression, and cortisol rhythms during pregnancy.</div></div><div><h3>Design</h3><div>Secondary analysis of a cross-sectional observational study.</div></div><div><h3>Setting</h3><div>Outpatient women’s health clinic in an urban midwestern region of the United States.</div></div><div><h3>Participants</h3><div>Pregnant women in the second trimester of pregnancy (<em>N</em> = 67).</div></div><div><h3>Methods</h3><div>We performed a secondary analysis of salivary cortisol samples to compute average daily cortisol rhythms (diurnal slope, area under the curve, mesor, amplitude, and acrophase). We measured sociospatial inequality using the index of concentration at the extremes based on zip-code-level data from the American Community Survey. We used mixed-effects cosinor regression to examine the association among sociospatial inequality, exposure to stress, symptoms of depression, and cortisol rhythms, adjusting for multiple covariates.</div></div><div><h3>Results</h3><div>Sociospatial inequality was significantly associated with demographic variables (age, race, and education) and mental health variables (exposure to stress and symptoms of depression). We found a statistically significant curvilinear association between income-related sociospatial inequality and cortisol rhythms.</div></div><div><h3>Conclusions</h3><div>Participants who lived in areas of extreme income-related deprivation and privilege had higher amplitude cortisol rhythms, which potentially reflects heightened biological sensitivity to context, whereas women living in more moderate environments showed buffered cortisol rhythms.</div></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"54 5","pages":"Pages 516-529.e8"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585701","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":"Common Methodological Challenges in Health Care Quality and Improvement Studies and Related Solutions","authors":"Oliwier Dziadkowiec PhD","doi":"10.1016/j.jogn.2025.08.001","DOIUrl":"10.1016/j.jogn.2025.08.001","url":null,"abstract":"","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"54 5","pages":"Pages 482-487"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144979176","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 Evolution of Grounded Theory.","authors":"Cheryl Tatano Beck","doi":"10.1016/j.jogn.2025.08.002","DOIUrl":"10.1016/j.jogn.2025.08.002","url":null,"abstract":"<p><p>▪▪▪.</p>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144979160","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":"Cervical Ripening and Labor Induction and Augmentation, 6th Edition.","authors":"Kathleen Rice Simpson","doi":"10.1016/j.jogn.2025.03.002","DOIUrl":"10.1016/j.jogn.2025.03.002","url":null,"abstract":"<p><p>Cervical ripening and induction and augmentation of labor are common procedures in labor and birth units. The potential risks and benefits of the procedures should be explained to women so they can make an informed decision. Nurses should be knowledgeable about the methods and medications used and be skilled in maternal-fetal assessment. Adequate nurse staffing as per the AWHONN (2022c)Standards for Professional Registered Nurse Staffing for Perinatal Units is required to monitor the woman and fetus to promote the best possible outcomes. This practice monograph includes information on mechanical and pharmacologic methods for cervical ripening; labor induction and augmentation with oxytocin, a high alert drug; and nurse staffing levels needed to provide safe and effective care during cervical ripening and labor induction and augmentation.</p>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144979068","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":"Case Report of Piperacillin-Induced Toxic Epidermal Necrolysis During Pregnancy.","authors":"Dongqi Yang, Liping Zhou","doi":"10.1016/j.jogn.2025.07.007","DOIUrl":"10.1016/j.jogn.2025.07.007","url":null,"abstract":"<p><p>Toxic epidermal necrolysis (TEN) is a rare condition in the general population, and its occurrence during pregnancy is even more uncommon. Toxic epidermal necrolysis is associated with a high mortality rate that necessitates prompt referral to a specialized burn center upon diagnosis to optimize patient outcomes. In the case presented, the patient was treated in the obstetrics department, where nursing staff may have had limited experience in managing TEN. Currently, no established guidelines are available for the nursing care of patients with TEN during pregnancy. In this case report, we detail the nursing care process for a patient who developed TEN during early pregnancy, provide novel insights, and contribute to the limited literature on the management of pregnancy-associated TEN.</p>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978998","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 Team Communication and Nurse Feedback to Reduce Cesarean Rates.","authors":"Jennifer L Suess, Rhoda Vandyck, Michelle Telfer","doi":"10.1016/j.jogn.2025.07.005","DOIUrl":"10.1016/j.jogn.2025.07.005","url":null,"abstract":"<p><strong>Objective: </strong>To implement an interprofessional communication tool before non-emergent cesarean births and evaluate individual nurse cesarean rates for women with low-risk pregnancies.</p><p><strong>Design: </strong>A quality improvement initiative using four Plan-Do-Study-Act cycles over a 6-month period in 2022.</p><p><strong>Setting: </strong>U.S. Mid-Atlantic maternity unit with a Level III NICU during the COVID-19 pandemic.</p><p><strong>Patients/participants: </strong>Nulliparous women with term singleton pregnancies in which the fetus was in vertex presentation (NTSV) who underwent non-emergent cesareans (N = 868) and their interprofessional clinical teams, including nurses, certified nurse midwives, attending physicians, and resident physicians.</p><p><strong>Interventions: </strong>Implementation of a validated, adapted communication tool for use by the clinical team before non-emergent cesareans. We added individual nurse cesarean rates for women with NTSV pregnancies to the existing clinical audit and feedback process. We collected compliance data through chart reviews and an Epic report.</p><p><strong>Main outcome measure(s): </strong>Rates of compliance with use of the tool and variation in individual nurse cesarean rates for women with NTSV pregnancies.</p><p><strong>Results: </strong>Compliance with use of the tool averaged 62% and peaked at 77% during active education efforts but declined to 33% after implementation. We noted wide variation in individual nurse cesarean rates for women with NTSV pregnancies (0.00%-45.45%) among nurses who managed 10 or more eligible births over 5 months. We identified positive outliers or nurses who consistently had low cesarean rates.</p><p><strong>Conclusion: </strong>Achieving high compliance with the use of an interprofessional communication tool before non-emergent cesareans requires sustained education and engagement. Integrating the communication tool into existing workflows may enhance its long-term effect. The variability in individual nurse cesarean rates that we found suggests a need for further investigation into nursing practices that support physiological birth and reduce unnecessary cesareans.</p>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144979245","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}