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

{"title":"Nurse Perceptions of Barriers to Infection Prevention and Control in Labor and Delivery.","authors":"Laura E Anderson, Katelyn A White, Ronda L Cochran, Kiran M Perkins","doi":"10.1016/j.jogn.2024.10.001","DOIUrl":"10.1016/j.jogn.2024.10.001","url":null,"abstract":"<p><strong>Objective: </strong>To identify nurse perceptions of barriers to performing recommended infection prevention and control practices in labor and delivery to inform future resources tailored to this setting.</p><p><strong>Design: </strong>Qualitative focus groups.</p><p><strong>Setting: </strong>The 2023 annual convention of the Association of Women's Health, Obstetric and Neonatal Nurses, New Orleans, LA.</p><p><strong>Participants: </strong>A convenience sample of 16 labor and delivery nurses.</p><p><strong>Methods: </strong>Staff of the Centers for Disease Control and Prevention conducted two focus groups using a standardized script. Coding was performed by three reviewers using Krueger's systematic analysis process.</p><p><strong>Results: </strong>Among the 16 participants, 94% were registered nurses, and 6% were advanced practice registered nurses. From our analysis of the data, five major themes emerged, including the following: Lack of Individual and Organizational Accountability in Implementing Recommended Infection Prevention and Control Practices; Inconsistent Application of Guidance Across State, Hospital, and Specialty; The Unpredictable Nature of the Labor and Delivery Setting; Labor and Delivery Is Not Prioritized in the Hospital for Infection Prevention and Control Resources; and Lack of Coordination Across Stages of Care From Prenatal to Postpartum.</p><p><strong>Conclusion(s): </strong>We identified barriers experienced by nurses to consistently implementing infection prevention and control practices in the labor and delivery setting. These barriers can be addressed through targeted interventions and the development of obstetric-specific infection prevention and control resources.</p>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632980","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":"Planning, Implementation, and Evaluation of a Postpartum Nurse Home Visit Service to Improve Health Equity","authors":"Jennifer B. Rousseau,&nbsp;Yasmin Cavenagh,&nbsp;Kathryn Kaintz Bender","doi":"10.1016/j.jogn.2024.06.005","DOIUrl":"10.1016/j.jogn.2024.06.005","url":null,"abstract":"<div><h3>Objective</h3><div>To describe how a college of nursing and urban academic medical center partnered with the local health department to plan, implement, and evaluate a universal nurse home visit service to improve health equity in the postpartum period.</div></div><div><h3>Design</h3><div>Evidence-based practice.</div></div><div><h3>Setting/Local Problem</h3><div>Wide health disparity in rates of maternal and infant morbidity and mortality in Chicago, Illinois.</div></div><div><h3>Patients</h3><div>All patients who gave birth at the medical center and lived in Chicago.</div></div><div><h3>Intervention/Measurements</h3><div>A nurse home visit was offered after birth to all eligible patients beginning in March 2020. We used data from a Web-based platform to determine key performance indicators for the program and examined patient demographics to determine equitable delivery of the service for all visits provided in 2022.</div></div><div><h3>Results</h3><div>There were 1,488 patients eligible for a home visit and 714 who received a home visit. The average contact rate was 76%, the scheduling rate was 63%, the completion rate for scheduled visits was 76%, and the population reach was 48%. Sixty-eight percent of families visited were from high-economic-hardship zip code areas of the city. Eighty-one percent of visits resulted in at least one referral to meet a family’s need, and 98% of patients surveyed rated their visit as “very helpful.”</div></div><div><h3>Conclusion</h3><div>The successful implementation of this public–private partnership was due in part to an organizational culture that supports health equity initiatives, the inclusion of system-wide stakeholders, having a process in place to monitor outcomes, and hiring a diverse team of nurses who prioritize respectful patient-centered care.</div></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"53 6","pages":"Pages 679-688"},"PeriodicalIF":1.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141753404","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":"Latina Women’s Perinatal Experiences and Perspectives Around Discrimination, Anti-immigrant Policies, and Community Violence","authors":"Victoria F. Keeton,&nbsp;Daisy Leon-Martinez,&nbsp;Diana Ceballos Robles,&nbsp;Erica Martinez,&nbsp;Lauren Lessard,&nbsp;Mary A. Garza,&nbsp;Miriam Kuppermann,&nbsp;Brittany D. Chambers Butcher","doi":"10.1016/j.jogn.2024.07.007","DOIUrl":"10.1016/j.jogn.2024.07.007","url":null,"abstract":"<div><h3>Objective</h3><div>To describe experiences of Latina women who were currently pregnant or recently gave birth around discrimination, anti-immigrant policies, and community violence during the early COVID-19 pandemic.</div></div><div><h3>Design</h3><div>Qualitative secondary analysis.</div></div><div><h3>Setting</h3><div>Online or phone interviews.</div></div><div><h3>Participants</h3><div>Latina women who were currently pregnant or recently gave birth (<em>N</em> = 26).</div></div><div><h3>Methods</h3><div>We used reflexive thematic analysis to examine transcribed data from semistructured interviews conducted during the early COVID-19 pandemic with a subgroup of participants enrolled in a larger study related to prenatal care. Participants were English- or Spanish-speaking, Medicaid-eligible, Latina-identifying women who resided in Fresno County, California. We analyzed responses to questions about personal discrimination, the Black Lives Matter movement, and immigration policies using the theoretical frameworks of critical race theory and the political economy of health.</div></div><div><h3>Results</h3><div>We identified four major themes: <em>Avoidance of Community Engagement</em>, <em>Chronic Fear and Vigilance</em>, <em>The Role of Media</em>, and <em>Everyday Discrimination and Injustice.</em></div></div><div><h3>Conclusion</h3><div>Participant experiences reflect the pervasiveness of fear and socioeconomic inequity and call attention to the racialized structures that affect health and health care access for Latina women. These exposures during the perinatal period may have intergenerational effects. These findings underscore the need for responsive and race-conscious perinatal nursing care for Latina women, assessment of the effect of the current sociopolitical environment on well-being, and policies that support equitable access to health and social care.</div></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"53 6","pages":"Pages 635-647.e1"},"PeriodicalIF":1.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142217644","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":"Parents’ Experiences With Infant Pain Management in the NICU","authors":"Carol McNair,&nbsp;Mary McAllister,&nbsp;Linda S. Franck,&nbsp;Bonnie Stevens,&nbsp;Anna Taddio","doi":"10.1016/j.jogn.2024.08.004","DOIUrl":"10.1016/j.jogn.2024.08.004","url":null,"abstract":"<div><h3>Objectives</h3><div>To explore parents’ experiences of pain care and their participation in their infants’ pain management in the NICU and to further validate the concepts of the parental involvement in neonatal pain management model.</div></div><div><h3>Design</h3><div>Descriptive qualitative study.</div></div><div><h3>Setting</h3><div>Tertiary Level 3 NICU in an academically affiliated teaching hospital in Toronto, Canada.</div></div><div><h3>Participants</h3><div>A purposeful sample of 10 parents of infants in the NICU from 2019 to 2022.</div></div><div><h3>Methods</h3><div>We conducted one-on-one semistructured interviews with participants. We used the parental involvement in neonatal pain management framework as the conceptual model. We coded interview data using deductive thematic analysis and created inductive codes if data did not align with the conceptual model.</div></div><div><h3>Results</h3><div>We identified one overarching theme: <em>Competence and Confidence of Parents</em>. Within this overarching theme, we identified the following themes: <em>Health Care Providers as Gatekeepers</em>, <em>Beliefs of Parents</em>, <em>Information/Support</em>, <em>Parent–Infant Proximity</em>, and <em>Stress and Anxiety</em>. Data supported the relevance of elements in the parental involvement in neonatal pain management model.</div></div><div><h3>Conclusions</h3><div>Health care providers play a key role in determining when and how parents comfort their infants. In addition, the beliefs of parents, information and/or support, and their proximity to their infants affected parents’ competence and confidence in providing pain management.</div></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"53 6","pages":"Pages 648-657.e3"},"PeriodicalIF":1.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142332667","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":"Once Daily Oral Relugolix Combination Therapy Versus Placebo in Patients With Endometriosis-Associated Pain: Two Replicate Phase 3, Randomised, Double-Blind, Studies (SPIRIT 1 and 2)","authors":"Ellise D. Adams","doi":"10.1016/j.jogn.2024.09.009","DOIUrl":"10.1016/j.jogn.2024.09.009","url":null,"abstract":"","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"53 6","pages":"Pages 590-593"},"PeriodicalIF":1.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481217","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":"Perspectives on Positionality Statements in Scholarly Discourse","authors":"Cheryl Tatano Beck DNSc, CNM, FAAN (Associate Editor for Qualitative Methods)","doi":"10.1016/j.jogn.2024.09.010","DOIUrl":"10.1016/j.jogn.2024.09.010","url":null,"abstract":"","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"53 6","pages":"Pages 581-584"},"PeriodicalIF":1.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142513249","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":"Optimizing Maternal and Neonatal Outcomes in Perinatal Patients With Diabetes: AWHONN Practice Brief Number 21","authors":"An official practice brief from the Association of Women’s Health, Obstetric and Neonatal Nurses.","doi":"10.1016/j.jogn.2024.05.139","DOIUrl":"10.1016/j.jogn.2024.05.139","url":null,"abstract":"","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"53 6","pages":"Pages e4-e6"},"PeriodicalIF":1.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142260940","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":"Timing of Catheter Removal and Effect on Urinary Retention After Cesarean Birth","authors":"Corie Hoskins,&nbsp;Amy Dempsey,&nbsp;Karen Kaley,&nbsp;Lina Brou","doi":"10.1016/j.jogn.2024.05.138","DOIUrl":"10.1016/j.jogn.2024.05.138","url":null,"abstract":"<div><h3>Objective</h3><div>To determine the association between timing of indwelling catheter removal and urinary retention after cesarean.</div></div><div><h3>Design</h3><div>Retrospective cohort study.</div></div><div><h3>Setting</h3><div>Eight hospitals in suburban, rural, and urban Colorado and Montana.</div></div><div><h3>Participants</h3><div>Women who gave birth by cesarean from January 1, 2021 to April 30, 2022 (<em>N</em> = 3,493).</div></div><div><h3>Methods</h3><div>We categorized participants who gave birth between January 1, 2021 and June 30, 2021 (before implementation of the Enhanced Recovery After Surgery initiative) into Group A and participants who gave birth between July 1, 2021 and April 30, 2022 (after implementation of the Enhanced Recovery After Surgery initiative) into Group B. We used descriptive statistics to report the proportion of participants in both groups who experienced urinary retention after birth. We performed chi-square tests to determine the association between the time of catheter removal and incidence of urinary retention. We used the Wilcoxon rank sum test to determine the association between length of stay and urinary retention.</div></div><div><h3>Results</h3><div>Urinary retention rates were 5.8% in Group A and 12.6% in Group B (<em>p</em> &lt; .001). In both groups, participants who received epidural anesthesia experienced significantly more urinary retention than those who received spinal anesthesia (<em>p</em> &lt; .001). Participants who received epidural anesthesia and experienced urinary retention pushed 16.9% longer than those without urinary retention (<em>p</em> &lt; .001). The proportion of participants who experienced urinary retention after catheter removal was 19.4% at 7 hours, 4.6% at 16 hours, and 9.9% at 12 hours after birth. Length of stay was determined to be inconclusive.</div></div><div><h3>Conclusion</h3><div>We determined that the optimal time of catheter removal to minimize the rate of urinary retention was 12 to 16 hours after cesarean among women who received morphine sulfate as the anesthesia.</div></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"53 6","pages":"Pages 618-624"},"PeriodicalIF":1.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141735696","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":"Novel, Group-Based Trajectories of Labor Progress in Nulliparous Women With Low-Risk Pregnancies","authors":"Lisa M. Wesolowski,&nbsp;Janet Catov,&nbsp;Jill R. Demirci,&nbsp;Dianxu Ren,&nbsp;Yvette P. Conley","doi":"10.1016/j.jogn.2024.09.001","DOIUrl":"10.1016/j.jogn.2024.09.001","url":null,"abstract":"<div><h3>Objective</h3><div>To characterize labor progress among nulliparous women by applying group-based trajectory analysis and examining predictors of group membership.</div></div><div><h3>Design</h3><div>Retrospective observational.</div></div><div><h3>Setting</h3><div>An existing biobank and database from a birth hospital in Western Pennsylvania.</div></div><div><h3>Participants</h3><div>Nulliparous women with low-risk pregnancies at term gestation with singleton fetuses in vertex presentation (<em>N</em> = 401).</div></div><div><h3>Methods</h3><div>We characterized labor progress by applying group-based trajectory analysis. We conducted a multinomial logistic regression analysis to examine the relationships among labor trajectory groups and various demographic and clinical variables.</div></div><div><h3>Results</h3><div>We identified three trajectories of labor in the group-based trajectory analyses: precipitously progressing (<em>n</em> = 76, 20.1%), average (<em>n</em> = 245, 59.1%), and slow progress (<em>n</em> = 80, 20.7%). Only gestational age at birth significantly predicted trajectory group membership, and an increased gestational age was associated with greater odds of belonging to the slower progress group (<em>OR</em> = 1.43, 95% CI [1.06, 1.92]).</div></div><div><h3>Conclusion</h3><div>We identified multiple trajectories of labor progress in a sample of nulliparous women with low-risk pregnancies at term gestation. Gestational age may help predict the trajectory of labor.</div></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"53 6","pages":"Pages 669-678"},"PeriodicalIF":1.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142407188","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":"Adoption","authors":"Association of Women’s Health, Obstetric and Neonatal Nurses","doi":"10.1016/j.jogn.2024.06.007","DOIUrl":"10.1016/j.jogn.2024.06.007","url":null,"abstract":"","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"53 6","pages":"Pages e1-e3"},"PeriodicalIF":1.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142146902","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}