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

{"title":"Factors Associated With Palliative Care Birth Planning at a Pediatric Hospital","authors":"Gwendolyn J. Richner,&nbsp;Catherine A. Kelly-Langen,&nbsp;Stephanie S. Allen,&nbsp;Miraides F. Brown,&nbsp;Daniel H. Grossoehme,&nbsp;Sarah Friebert","doi":"10.1016/j.jogn.2024.06.004","DOIUrl":"10.1016/j.jogn.2024.06.004","url":null,"abstract":"<div><h3>Objective</h3><div>To identify factors associated with the receipt, completion, and goals of palliative care birth plans during the prenatal period.</div></div><div><h3>Design</h3><div>Retrospective observational study of medical record data.</div></div><div><h3>Setting</h3><div>Midwestern U.S. quaternary pediatric hospital.</div></div><div><h3>Participants</h3><div>Maternal–fetal dyads who received maternal–fetal medicine and palliative care from July 2016 through June 2021 (<em>N</em> = 128).</div></div><div><h3>Methods</h3><div>Using demographic and clinical predictors, we performed descriptive statistics, group comparisons (chi-square or Fisher exact test and Wilcoxon rank sum test or Student <em>t</em> test), and logistic regression for three outcomes: birth plan offered, birth plan completed, and goals of care (comfort-focused vs. other).</div></div><div><h3>Results</h3><div>Of 128 dyads, 60% (<em>n</em> = 77) received birth plans, 30% (<em>n</em> = 23) completed them, and 31% (<em>n</em> = 40) expressed comfort-focused goals. Participants with comfort-focused goals compared to other goals were more likely to receive birth plans, odds ratio (OR) = 7.20, 95% confidence interval (CI) [1.73, 29.9], <em>p</em> = .01. Participants of non-Black minority races had lower odds of being offered birth plans when compared to White participants, OR = 0.11, 95% CI [0.02, 0.68], <em>p</em> = .02. Odds of being offered (OR = 11.54, 95% CI [2.12, 62.81], <em>p</em> = .005) and completing (OR = 4.37, 95% CI [1.71, 11.17], <em>p</em> &lt; .001) the birth plan increased with each prenatal palliative care visit. Compared to those without, those with neurological (OR = 9.32, 95% CI [2.60, 33.38], <em>p</em> &lt; .001) and genetic (OR = 4.21, 95% CI [1.04, 17.06], <em>p</em> = .04) diagnoses had increased odds of comfort-focused goals.</div></div><div><h3>Conclusion</h3><div>Quality improvement efforts should address variation in the frequency at which birth plans are offered. Increasing palliative care follow-up may improve completion of the birth plan.</div></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"53 6","pages":"Pages 625-634"},"PeriodicalIF":1.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141753403","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 Racial Discrimination, Perceived Stress, and Birth Satisfaction in Black Women in the Postpartum Period","authors":"Amanda de la Serna,&nbsp;Rui Xie,&nbsp;Jean W. Davis,&nbsp;Susan Quelly,&nbsp;Dawn P. Misra,&nbsp;Carmen Giurgescu","doi":"10.1016/j.jogn.2024.08.005","DOIUrl":"10.1016/j.jogn.2024.08.005","url":null,"abstract":"<div><h3>Objective</h3><div>To examine associations among experiences of racial discrimination, perceived stress, and birth satisfaction and to test if perceived stress mediates the relationship between racial discrimination and birth satisfaction among Black women in the postpartum period.</div></div><div><h3>Design</h3><div>Secondary analysis of data from the Biosocial Impact on Black Births study.</div></div><div><h3>Setting</h3><div>A postpartum unit of a large hospital in Central Florida.</div></div><div><h3>Participants</h3><div>Black women (<em>N</em> = 154) in the postpartum period.</div></div><div><h3>Methods</h3><div>Participants completed the lifetime Experiences of Discrimination scale, Perceived Stress Scale and Birth Satisfaction Scale–Revised between 24 hours and 23 days after birth. We calculated descriptive statistics and Spearman’s ρ correlation coefficients to evaluate associations among variables. We used multiple linear regression to evaluate perceived stress as a mediator between racial discrimination and birth satisfaction.</div></div><div><h3>Results</h3><div>Racial discrimination had a positive association with perceived stress (β = 2.445, <em>p</em> = .03), and perceived stress had a negative association with birth satisfaction (β = –0.221, <em>p</em> = .02). Racial discrimination had no significant direct effect on birth satisfaction (β = –0.091, <em>p</em> = .94); therefore, perceived stress did not mediate the relationship.</div></div><div><h3>Conclusion</h3><div>More experiences of discrimination over the life span were associated with higher levels of perceived stress. Participants who reported higher levels of perceived stress reported lower levels of birth satisfaction. Our study adds to the body of knowledge regarding associations between racial discrimination and perceived stress and perceived stress and birth satisfaction.</div></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"53 6","pages":"Pages 658-668"},"PeriodicalIF":1.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142332609","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(24)00308-3","DOIUrl":"10.1016/S0884-2175(24)00308-3","url":null,"abstract":"","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"53 6","pages":"Page A4"},"PeriodicalIF":1.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142663742","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":"Supporting Authors for Whom English Is an Additional Language to Promote Diversity Inclusion and Equity in Nursing Scholarship","authors":"Forgive Avorgbedor,&nbsp;Jamille Nagtalon-Ramos,&nbsp;Abby Britt,&nbsp;Natasha Nurse-Clarke,&nbsp;Deepika Goyal","doi":"10.1016/j.jogn.2024.08.003","DOIUrl":"10.1016/j.jogn.2024.08.003","url":null,"abstract":"","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"53 6","pages":"Pages 585-589"},"PeriodicalIF":1.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301330","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":"Heel Warming in Very-Low-Birth-Weight Newborns for Capillary Blood Sampling.","authors":"Joke Maria Wielenga, April Pascual, Kiki Ruhe, Christ Jan van Ganzewinkel","doi":"10.1016/j.jogn.2024.09.007","DOIUrl":"10.1016/j.jogn.2024.09.007","url":null,"abstract":"<p><strong>Objective: </strong>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.</p><p><strong>Design: </strong>Noninferiority randomized control trial.</p><p><strong>Setting: </strong>The study took place in two Level 3 NICUs in The Netherlands.</p><p><strong>Participants: </strong>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 (N = 100).</p><p><strong>Methods: </strong>We randomized participants to undergo a heel stick procedure in one of two groups: without heel warming (n = 50) and heel warming with a washcloth warmed with 37 °C tap water (n = 25) or with a microwaved hot pack (n = 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.</p><p><strong>Results: </strong>We observed no differences in background characteristics between groups and found no statistically significant or clinically relevant differences in primary or secondary outcomes.</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-10-22","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":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evidence-Based Education Programs to Improve Maternal Outcomes.","authors":"Susan Hale","doi":"10.1016/j.jogn.2024.09.006","DOIUrl":"10.1016/j.jogn.2024.09.006","url":null,"abstract":"<p><p>The author describes and compares current education offerings to improve the quality of maternity care.</p>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481216","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":"Elective Induction of Labor May Have Negative Effects at the Hospital Level.","authors":"Sean Mann, Kortney Floyd James","doi":"10.1016/j.jogn.2024.09.003","DOIUrl":"10.1016/j.jogn.2024.09.003","url":null,"abstract":"<p><p>Labor induction increased in the United States after the publication of A Randomized Trial of Induction Versus Expectant Management (ARRIVE) in 2018. During this trial, investigators found that elective induction at 39 weeks in low-risk nulliparous women led to similar perinatal outcomes when compared to expectant management. However, other researchers have since linked rising labor induction rates to worse hospital- and population-level outcomes. It is possible that elective induction of labor has a neutral effect on patients who are induced while at the same time lessening hospital capacity to care for other maternity patients, which leads to a negative effect on patient outcomes overall. During a trial, this represents a form of negative spillover, in which an intervention indirectly harms the comparison group and leads to overestimation of intervention benefit. Although further research is needed, evidence from ARRIVE and subsequent studies provides preliminary support for this possibility.</p>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481215","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, Pyrola Bäcke, Linda Björkman, Karin Holmgren, Lena Ingelsson, Ylva Thernström Blomqvist","doi":"10.1016/j.jogn.2024.09.004","DOIUrl":"10.1016/j.jogn.2024.09.004","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-10-10","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":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Breast Milk Feeding for Infants Who Required Major Surgery.","authors":"Mary Ann D'Ambrosio, Madalynn Neu","doi":"10.1016/j.jogn.2024.09.002","DOIUrl":"10.1016/j.jogn.2024.09.002","url":null,"abstract":"<p><strong>Objective: </strong>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.</p><p><strong>Design: </strong>Descriptive qualitative.</p><p><strong>Setting: </strong>An 80-bed, Level 4 NICU of a regional pediatric hospital in the western United States.</p><p><strong>Participants: </strong>Fourteen mothers who provided MOM for their infants who required surgery within 1 week of age.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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: Value of Breast Milk, Challenges of Providing MOM, Emotional Fluctuation, and Coping With Reality of Circumstances.</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-10-10","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":"Erratum.","authors":"","doi":"10.1016/j.jogn.2024.09.005","DOIUrl":"10.1016/j.jogn.2024.09.005","url":null,"abstract":"","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142332666","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}