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

{"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}

{"title":"Moderating Effects of Coping Styles on the Relationship Between Nursing Stress and Mental Health Among NICU Nurses.","authors":"Peter Barr","doi":"10.1016/j.jogn.2024.12.006","DOIUrl":"10.1016/j.jogn.2024.12.006","url":null,"abstract":"<p><strong>Objective: </strong>To examine whether coping styles moderate the relationship between nursing stress and mental health in NICU nurses.</p><p><strong>Design: </strong>Cross-sectional observational study.</p><p><strong>Setting: </strong>Four Level 3 and 4 NICUs in New South Wales, Australia.</p><p><strong>Participants: </strong>A total of 123 NICU nurses.</p><p><strong>Methods: </strong>Participants completed self-report questionnaire measures of nursing stress (Nursing Stress Scale), dispositional stress coping styles (Brief Coping Orientation to Problems Experienced Inventory [Brief COPE]), and mental health (Mental Health Inventory-21). I conducted exploratory factor analysis of the Brief COPE to show that it comprises four factors: support-oriented coping, problem-oriented coping, emotion-oriented coping, and denial-oriented coping. I used hierarchical multiple regressions with interactions and simple slopes analyses to conduct moderation analyses.</p><p><strong>Results: </strong>I found that the interaction between nursing stress and problem-oriented coping style (i.e., positive reframing, planning, religion, and active coping) was significant and explained further variance in psychological distress (ΔR² = .05, p = .013), emotional well-being (ΔR² = .03, p = .027), and hopelessness (ΔR² = .06, p = .005). The moderation effects on mental health were significantly different at high versus low levels of problem-oriented coping for psychological distress (t = 2.55, p = .011), emotional well-being (t = 2.26, p = .024), and hopelessness (t = 2.89, p = .004). The other coping styles did not have significant moderator effects.</p><p><strong>Conclusion: </strong>Problem-oriented coping buffered the ill effects of nursing stress on positive and negative dimensions of mental health in NICU nurses. Accordingly, cognitive behavioral therapy may be the most effective counseling modality for NICU nurses. Understanding how and why problem-oriented coping might not be effective in certain clinical situations that are controllable and theoretically solvable should inform further mixed methods research in NICU nurses.</p>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142911201","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 Vaginal Breech Birth.","authors":"Emily Malloy, Lisa Hanson, Kari Schmidt Oliver, Anne Rivelli, Cassandra Belotti, Callie Cox Bauer","doi":"10.1016/j.jogn.2024.12.005","DOIUrl":"10.1016/j.jogn.2024.12.005","url":null,"abstract":"<p><p>In this case report, we describe a successful unplanned vaginal breech birth (VBB) for a primigravid woman who presented to the hospital in labor. This woman transferred to our hospital from an attempted home birth and was highly motivated to achieve a vaginal birth. The staff were recently trained on the provision of physiologic breech birth support, and after receiving informed consent, they facilitated a successful VBB. Planned VBB services are largely unavailable in the United States. Offering women the option to undergo VBB involves screening for good candidates, obtaining informed consent, and ensuring the availability of clinically skilled birth attendants and staff who can provide support and emergency management. The increased availability of physiologic VBB training programs and simulation experiences may enhance collaboration among nurses, midwives, and physicians and facilitate the support of VBB in hospital settings. The purpose of this report is to describe how physiologic VBB care may increase options for women with positive maternal and neonatal outcomes.</p>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142924072","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":"Perceptions of Provider Inquiry Regarding Housing Status Among Pregnant Women Experiencing Housing Instability.","authors":"Kelley N Robinson, Ashley Gresh, Crystal Trent-Paultre, Ndidiamaka Amutah-Onukagha","doi":"10.1016/j.jogn.2024.11.009","DOIUrl":"10.1016/j.jogn.2024.11.009","url":null,"abstract":"<p><strong>Objective: </strong>To explore and describe perceptions of provider inquiry regarding housing status among pregnant women experiencing housing instability.</p><p><strong>Design: </strong>Secondary qualitative analysis using analytic expansion.</p><p><strong>Setting: </strong>In-person and online interviews in the Mid-Atlantic and Washington, DC, region.</p><p><strong>Participants: </strong>English-speaking women who were pregnant or gave birth within the past year, 18 years or older, and experiencing housing instability (N = 14).</p><p><strong>Methods: </strong>We undertook a secondary analysis of primary data collected via semistructured interviews in the mid-Atlantic and Washington, DC, region between February 2020 and December 2021. In this secondary analysis, we used reflexive thematic analyses to interpret data and discover themes.</p><p><strong>Results: </strong>Fourteen participants answered the question regarding provider inquiry. Nine participants (64%) expressed no inquiry about their housing status and reported that visits were too short or focused more on fetal health. Disclosing housing status depended on the patient-provider relationship and belief in the provider's ability to help and support. Three overarching themes emerged: Provider Inquiry About Housing, The Value of Relationships, and Improving Access to Housing Support and Services.</p><p><strong>Conclusion: </strong>The current service delivery model for pregnant women does not adequately address social determinants of health. Future researchers should focus on the intersection of pregnancy and housing instability to determine whether restructuring of policy and practice is needed. Nurse-midwives and other maternity care providers can be key points of contact in facilitating housing support for pregnant women with unstable housing status.</p>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142900527","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":"Reviewer Acknowledgment","authors":"","doi":"10.1016/S0884-2175(24)00371-X","DOIUrl":"10.1016/S0884-2175(24)00371-X","url":null,"abstract":"","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"54 1","pages":"Pages 13-14"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143149582","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":"Racial Categorization in Women’s Mental Health Research Fails to Meet the Needs of Multiracial, Biracial, and Mixed-Race Women in the United States","authors":"Karen M. Tabb PhD, MSW","doi":"10.1016/j.jogn.2024.12.002","DOIUrl":"10.1016/j.jogn.2024.12.002","url":null,"abstract":"","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"54 1","pages":"Pages 5-8"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142873479","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":"Strategies to Improve Women’s Mental Health Across the Life Course","authors":"Shannon D. Simonovich PhD, RN,&nbsp;Janna Stephens PhD, RN,&nbsp;Hsiang Huang MD, MPH,&nbsp;Karen M. Tabb PhD, MSW","doi":"10.1016/j.jogn.2024.12.001","DOIUrl":"10.1016/j.jogn.2024.12.001","url":null,"abstract":"","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"54 1","pages":"Pages 9-12"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142873497","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}