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

{"title":"Longitudinal Analysis in Maternal Mental Health Research","authors":"Oliwier Dziadkowiec PhD","doi":"10.1016/j.jogn.2024.11.006","DOIUrl":"10.1016/j.jogn.2024.11.006","url":null,"abstract":"","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"54 1","pages":"Pages 15-19"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774923","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":"Associations Among Lifetime Discrimination Typologies and Psychological Health in Black and Hispanic Women After Birth","authors":"Jihye Kim Scroggins,&nbsp;Maxim Topaz,&nbsp;Se Hee Min,&nbsp;Veronica Barcelona","doi":"10.1016/j.jogn.2024.07.004","DOIUrl":"10.1016/j.jogn.2024.07.004","url":null,"abstract":"<div><h3>Objective</h3><div>To identify lifetime discrimination typologies and examine their associations with psychological health outcomes among Black and Hispanic women after birth.</div></div><div><h3>Design</h3><div>Secondary analysis of the Community and Child Health Network study data.</div></div><div><h3>Participants</h3><div>A total of 1,350 Black and 607 Hispanic women.</div></div><div><h3>Methods</h3><div>We built two latent class models for Black and Hispanic women using eight indicator variables from different life domains of discrimination (childhood, family, work, police, education, housing, health care, and loans). We used bivariate and multiple regression analyses to examine the association among the identified typologies and postpartum depression and perceived stress at 6 months postpartum.</div></div><div><h3>Results</h3><div>We selected the three-class model with best fit indices and interpretability: no lifetime discrimination (<em>n</em> = 1,029; 76.22%), high childhood–family racial discrimination (<em>n</em> = 224, 16.59%), and moderate lifetime discrimination (<em>n</em> = 97, 7.19%) among Black women and no lifetime discrimination (<em>n</em> = 493, 81.22%), high childhood–family racial discrimination (<em>n</em> = 93, 15.32%), and high education discrimination (<em>n</em> = 21, 3.46%) among Hispanic women. The adjusted postpartum depression and perceived stress scores were significantly greater in Typologies 2 and 3 than Typology 1 in Black women. The adjusted perceived stress scores were significantly greater in Typologies 2 and 3 than Typology 1 in Hispanic women.</div></div><div><h3>Conclusion</h3><div>Lifetime discrimination experiences manifested in complex patterns. Women who experienced moderate to high discrimination across all or specific life domains had worse postpartum depression and perceived stress at 6 months after birth. It is crucial to address lifetime discrimination to improve maternal mental health.</div></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"54 1","pages":"Pages 60-87"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142094229","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":"Mental Health Experiences of Muslim American Women During the Perinatal Period","authors":"Miriam Kanan,&nbsp;Nadia Quad,&nbsp;Xavier R. Ramirez,&nbsp;Nahida Nayaz Ahmed,&nbsp;Hsiang Huang,&nbsp;Karen M. Tabb,&nbsp;Shannon D. Simonovich","doi":"10.1016/j.jogn.2024.10.002","DOIUrl":"10.1016/j.jogn.2024.10.002","url":null,"abstract":"<div><h3>Objective</h3><div>To describe the mental health experiences of Muslim American women in the perinatal period.</div></div><div><h3>Design</h3><div>Qualitative descriptive.</div></div><div><h3>Setting</h3><div>Telephone interviews.</div></div><div><h3>Participants</h3><div>Eighteen Muslim American women who gave birth in the last 12 months.</div></div><div><h3>Methods</h3><div>We used a semistructured guide to conduct individual interviews and thematic network analysis to identify key themes across the interviews.</div></div><div><h3>Results</h3><div>Participants had a mean age of 32.5 years, 83% were White, and 17% were Asian. Educational attainment ranged from high school diploma to doctorate degree (83% completed a bachelor’s degree or higher), and 83% reported U.S. citizenship. We identified four organizing themes: <em>Need for Tailored Mental Health Support</em>; <em>Challenging Screening Experiences</em>; <em>Mental Health Experiences That Affect Maternal–Infant Bonding</em>; and <em>Faith, Culture, and Mental Health</em>.</div></div><div><h3>Conclusion</h3><div>Findings underscore the need for culturally responsive mental health screening and enhanced support tailored to Muslim American women during the perinatal period. Health care providers should use culturally sensitive care approaches to build trust and enhance mental health outcomes.</div></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"54 1","pages":"Pages 102-111"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632978","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":"Promoting Women’s Mental Health Across the Life Course","authors":"Shannon D. Simonovich PhD, RN,&nbsp;Kelly McGlothen-Bell PhD, RN, IBCLC, FAWHONN,&nbsp;Beverly Rossman PhD, RN","doi":"10.1016/j.jogn.2024.12.003","DOIUrl":"10.1016/j.jogn.2024.12.003","url":null,"abstract":"","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"54 1","pages":"Pages 1-4"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142873476","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":"Associations Between Menopause and Depression","authors":"Summer Sherburne Hawkins","doi":"10.1016/j.jogn.2024.12.004","DOIUrl":"10.1016/j.jogn.2024.12.004","url":null,"abstract":"<div><div>Menopause is a process of hormonal changes that typically starts in a woman’s mid- to late 40s and is associated with an increased risk of depression. However, whether the association is truly causal or purely correlational has been disputed for decades. In this column, I review the evidence on the associations between menopause and depression symptoms and diagnoses, the controversy, and the implications for research and practice. I conclude with information from professional organizations, but there are noted gaps in mental health resources for menopause.</div></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"54 1","pages":"Pages 20-31"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142840355","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 and Acceptability of the We See You, Sis Sister Circle for Black Women With Depression Symptoms","authors":"Kia Skrine Jeffers,&nbsp;Felica Jones,&nbsp;O. Kenrik Duru","doi":"10.1016/j.jogn.2024.11.002","DOIUrl":"10.1016/j.jogn.2024.11.002","url":null,"abstract":"<div><h3>Objective</h3><div>To test the feasibility and acceptability of We See You, Sis, a therapeutically grounded virtual sister circle intervention for Black women with depression symptoms.</div></div><div><h3>Design</h3><div>A two-group quasi-experimental design.</div></div><div><h3>Setting</h3><div>Virtual on the Zoom version 5.13 platform.</div></div><div><h3>Participants</h3><div>Black women who were at least 40 years of age, with current depression symptoms, who had reliable access to Zoom (<em>N</em> = 30).</div></div><div><h3>Method</h3><div>We See You, Sis is a virtual sister circle intervention that is therapeutically grounded in the core processes of Pulling Out of Fire, a culturally adapted version of acceptance and commitment therapy. Groups 1 and 2 received the 6-week intervention during Weeks 1 through 6 and 7 through 12, respectively. The main outcomes were feasibility (recruitment, retention, and completion) and acceptability. The theoretical framework of acceptability informed the focus group guide used to assess acceptability. We used thematic analysis to code the qualitative data and to identify salient themes across participants’ narratives.</div></div><div><h3>Results</h3><div>Recruitment (70%), retention (83.3%), and completion (82%) rates demonstrated that the intervention was feasible. Participants perceived the intervention to be acceptable, especially because it fit with their personal and collective values. We generated two overarching themes: <em>Becoming More Whole</em> and <em>Having a Trusted Space to Address Depression Symptoms and Related Experiences</em>, which represented the interconnected processes of personal growth and collective healing that occurred throughout the intervention.</div></div><div><h3>Conclusion</h3><div>The findings provide evidence to support the delivery of peer-delivered mental health interventions for middle-age and older Black women.</div></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"54 1","pages":"Pages 32-37.e3"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774922","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":"Expectations and Perspectives About Infant Feeding of Their First Child Among Rural Women.","authors":"Karry Weston, Allison Brandt Anbari, Tina Bloom, Kevin Everett, Linda Bullock","doi":"10.1016/j.jogn.2024.11.004","DOIUrl":"10.1016/j.jogn.2024.11.004","url":null,"abstract":"<p><strong>Objective: </strong>To explore expectations and perspectives related to infant feeding of their first child among rural women.</p><p><strong>Design: </strong>Qualitative descriptive.</p><p><strong>Setting: </strong>Rural women who were first-time mothers (N = 18).</p><p><strong>Methods: </strong>We recruited participants from the Special Supplemental Nutrition Program for Women, Infants, and Children clinics and a nurse home-visiting program in a midwestern U.S. state. Using the construct of habitus, we developed an interview guide and used semistructured interviews to explore the expectations and perspectives of participants regarding infant feeding of the first child. We analyzed the transcribed interviews using content analysis techniques to identify overall themes.</p><p><strong>Results: </strong>We identified four overarching themes and associated subthemes that represented participants' expectations and perspectives: I'm Educated but Not So Much on Breastfeeding, This Is How It Is in a Small Town, I Had Expectations, and This Area Lacks Resources for Mothers.</p><p><strong>Conclusion: </strong>Overall, participants had high expectations to breastfeed. However, most discontinued breastfeeding soon after giving birth due to a lack of pragmatic knowledge about how to breastfeed, poor understanding of infant nutritional needs in the first few weeks of life, and a nonsupportive habitus.</p>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142796489","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":"Scoping Review of Women's Experiences of Breastfeeding Associated With Maternity Care in Hospitals That Implement Baby-Friendly Policies.","authors":"Keri Durocher, Kimberley T Jackson, Richard Booth, Panagiota Tryphonopoulos, Kelly A Kennedy","doi":"10.1016/j.jogn.2024.11.005","DOIUrl":"10.1016/j.jogn.2024.11.005","url":null,"abstract":"<p><strong>Objective: </strong>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).</p><p><strong>Data sources: </strong>We used the scoping review methodology of JBI. We searched the Scopus, CINAHL, Embase, MEDLINE (Ovid), and PsycINFO databases and gray literature.</p><p><strong>Study selection: </strong>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.</p><p><strong>Data extraction: </strong>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.</p><p><strong>Data synthesis: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-12-03","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":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"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}