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

{"title":"Support Needs of Labor and Delivery Nurses After Traumatic Experiences","authors":"Catherine Crawford,&nbsp;Jessica R. Williams","doi":"10.1016/j.jogn.2024.01.008","DOIUrl":"10.1016/j.jogn.2024.01.008","url":null,"abstract":"<div><h3>Objective</h3><p>To examine the effect of psychological distress, overall distress, and institutional support following a traumatic workplace event on absenteeism, turnover intention, and resilience among labor and delivery nurses.</p></div><div><h3>Design</h3><p>A quantitative cross-sectional survey.</p></div><div><h3>Setting</h3><p>Online distribution from January 13, 2021, to February 2, 2021.</p></div><div><h3>Participants</h3><p>A nationwide convenience sample of labor and delivery nurses recruited from the Association of Women’s Health, Obstetric and Neonatal Nurses (<em>N</em> = 171).</p></div><div><h3>Methods</h3><p>Participants completed a survey that included the Second Victim Experience and Support Tool–Revised and the Second Victim Support Desirability survey. We compared available versus desired support options using descriptive analyses. We examined levels of psychological distress and lack of institutional support in relation to turnover intention, absenteeism, and resilience using multiple regression analyses.</p></div><div><h3>Results</h3><p>Participants identified and described various traumatic experiences in the workplace, including neonatal and maternal death, complicated births, and workplace violence. Participants indicated that the available support services did not meet their needs. Psychological distress, overall distress, and lack of institutional support were associated with absenteeism and turnover, whereas only institutional support was associated with resilience.</p></div><div><h3>Conclusion</h3><p>Labor and delivery nurses encounter various traumatic events in the workplace, and the support services provided after an event do not meet their needs. Additional research is needed to understand the scope of the problem and investigate best practices to assist labor and delivery nurses following traumatic events.</p></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"53 4","pages":"Pages 383-396"},"PeriodicalIF":1.8,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139887479","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":"Sex Workers’ Experiences of Screening for Intimate Partner Violence","authors":"Jessica L. Zemlak,&nbsp;Kamila A. Alexander,&nbsp;Deborah Wilson,&nbsp;Randi Singer,&nbsp;Joni S. Williams,&nbsp;Susan G. Sherman","doi":"10.1016/j.jogn.2024.02.005","DOIUrl":"10.1016/j.jogn.2024.02.005","url":null,"abstract":"<div><h3>Objective</h3><p>To examine experiences of intimate partner violence (IPV) screening among women who sell sex.</p></div><div><h3>Design</h3><p>A qualitative descriptive study.</p></div><div><h3>Setting</h3><p>Telephone interviews during the COVID-19 pandemic (June 2020 to October 2020).</p></div><div><h3>Participants</h3><p>Women aged 18 to 49 years who sold or traded sex for food, drugs, money, or shelter at least three times during the past 3 months before recruitment (<em>N</em> = 22).</p></div><div><h3>Methods</h3><p>We used individual, semistructured telephone interviews to collect data about participants’ experiences with IPV and IPV screening during health care encounters. We used reflexive thematic analysis to examine these data.</p></div><div><h3>Results</h3><p>We identified two overarching themes related to IPV screening experiences: <em>Preferences for IPV Screening</em> and <em>Barriers to Disclosure of IPV Experiences</em>. Participants described a preference for IPV screening done face-to-face with providers who show a genuine interest in their responses. Stigma was a barrier of IPV disclosure.</p></div><div><h3>Conclusion</h3><p>Health care providers are a trusted safety net for disclosure of IPV experiences. Providing screening in a trauma-informed, nonstigmatizing manner may facilitate disclosure of IPV by women who sell sex. Future research among marginalized populations is needed to examine ways to address IPV in clinical settings with a harm reduction empowerment lens.</p></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"53 4","pages":"Pages 397-405"},"PeriodicalIF":1.8,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140126846","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 Justice as an Alternative to the Pregnancy Planning Paradigm for Teens","authors":"Lee SmithBattle,&nbsp;Louise H. Flick","doi":"10.1016/j.jogn.2024.02.009","DOIUrl":"10.1016/j.jogn.2024.02.009","url":null,"abstract":"<div><p>In this critical commentary, we describe the many limitations of the pregnancy planning paradigm as applied to pregnant and parenting teens. We describe how this paradigm, in characterizing pregnancies as intended or unintended, has shaped campaigns to prevent teen pregnancy and remains largely embedded in formal sex education and family planning programs in the United States. We argue that a paradigm shift is long overdue and describe how the reproductive justice framework addresses the limitations of the pregnancy planning paradigm. Although reproductive justice is endorsed by a growing number of organizations, recommended policies face formidable obstacles given that comprehensive sex education, contraception, and legal abortion are increasingly at risk in a post-<em>Dobbs</em> world.</p></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"53 4","pages":"Pages 345-354"},"PeriodicalIF":1.8,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140598544","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)00233-8","DOIUrl":"https://doi.org/10.1016/S0884-2175(24)00233-8","url":null,"abstract":"","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"53 4","pages":"Page A4"},"PeriodicalIF":1.8,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141593976","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":"Mixed-Methods Assessment of Maternal Anxiety During the First 8 Weeks After Birth","authors":"Mary G. Hoberg,&nbsp;Jill R. Demirci,&nbsp;Susan M. Sereika,&nbsp;Michele D. Levine,&nbsp;Annette DeVito Dabbs","doi":"10.1016/j.jogn.2024.01.003","DOIUrl":"10.1016/j.jogn.2024.01.003","url":null,"abstract":"<div><h3>Objective</h3><p>To describe and compare the experiences of postpartum anxiety among women with generalized anxiety and postpartum-specific anxiety.</p></div><div><h3>Design</h3><p>Prospective, longitudinal, mixed methods.</p></div><div><h3>Setting</h3><p>Academic tertiary center in the mid-Atlantic United States. Study activities were remote.</p></div><div><h3>Participants</h3><p>Women at 1 to 8 weeks after birth (<em>N</em> = 34).</p></div><div><h3>Methods</h3><p>We used mobile surveys to measure daily anxiety ratings and responses to open-ended, theory-driven questions about anxiety. We used the cutoff scores on the State–Trait Anxiety Inventory and Postpartum Specific Anxiety Scale administered 8 weeks after birth to determine the presence of generalized and postpartum-specific anxiety. Participants’ responses were analyzed with qualitative description and sorted by anxiety questionnaire scores at 8 weeks after birth. We compared qualitative findings between participants with generalized anxiety and postpartum-specific anxiety.</p></div><div><h3>Results</h3><p>Participants with generalized anxiety had high levels of overwhelm and felt ill-equipped to handle daily stressors, whereas those with postpartum-specific anxiety felt adept at coping. Participants with generalized anxiety lacked emotional and physical support, and those with postpartum-specific anxiety reported more physical but variable emotional support. Sources of daily anxiety in participants with postpartum-specific anxiety were infant-centric (e.g., infant health, end of maternity leave, breastfeeding), whereas anxiety sources for participants with generalized anxiety were varied (e.g., self-health, partner concerns). Participants with generalized anxiety versus postpartum-specific anxiety were more likely to be multiparous and have comorbid depression symptoms.</p></div><div><h3>Conclusion</h3><p>Symptoms, levels of perceived support, and sources of anxiety differed between participants with generalized versus postpartum-specific anxiety. Our findings can inform postpartum anxiety screening strategies and support interventions.</p></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"53 4","pages":"Pages 368-382"},"PeriodicalIF":1.8,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139677425","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":"Midwives’ Experiences of Intact Cord Resuscitation in Nonvigorous Neonates After Vaginal Birth in Sweden","authors":"Katarina Patriksson,&nbsp;Ola Andersson,&nbsp;Filippa Stierna,&nbsp;Kristina Haglund,&nbsp;Li Thies-Lagergren","doi":"10.1016/j.jogn.2023.12.003","DOIUrl":"10.1016/j.jogn.2023.12.003","url":null,"abstract":"<div><h3>Objective</h3><p>To describe midwives’ experiences of intact cord resuscitation close to the mother for nonvigorous neonates after vaginal birth.</p></div><div><h3>Design</h3><p>Descriptive qualitative.</p></div><div><h3>Setting</h3><p>Four labor wards in Sweden.</p></div><div><h3>Participants</h3><p>Midwives (<em>N</em> = 13) currently or previously employed in labor wards where the Sustained Cord Circulation and Ventilation (SAVE) study was conducted.</p></div><div><h3>Methods</h3><p>We analyzed semistructured interviews using reflexive thematic analysis.</p></div><div><h3>Results</h3><p>Participants’ experiences are presented in an overarching theme: <em>Midwives balance knowledge with doing the right thing in a challenging work environment during intact cord resuscitation.</em> Three primary themes emerged: <em>A New Workflow, Zero Separation: The Big Advantage,</em> and <em>The Midwife: Guardian of Childbirth.</em></p></div><div><h3>Conclusion</h3><p>The participants were keen to keep the umbilical cord intact even for nonvigorous neonates. They wanted to work with the neonate close to the mother to facilitate zero separation and family participation. Ventilation with an intact umbilical cord was considered a routine to be implemented in the future, but the participants identified certain difficulties with the design of the SAVE study.</p></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"53 3","pages":"Pages 255-263"},"PeriodicalIF":1.8,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0884217523002939/pdfft?md5=fba22bf650ca5791d1a71c14a33bd199&pid=1-s2.0-S0884217523002939-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139458930","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":"Relationships Among Individual and Hospital Characteristics and Self-Efficacy in Labor Support Among Intrapartum Nurses in Texas","authors":"Lisette Saleh","doi":"10.1016/j.jogn.2023.12.006","DOIUrl":"10.1016/j.jogn.2023.12.006","url":null,"abstract":"<div><h3>Objective</h3><p>To explore the relationships among individual and workplace characteristics and self-efficacy in labor support among intrapartum nurses.</p></div><div><h3>Design</h3><p>Cross-sectional survey.</p></div><div><h3>Setting</h3><p>Online distribution from April to August 2020.</p></div><div><h3>Participants</h3><p>Members of the Texas section of the Association for Women's Health, Obstetric, and Neonatal Nurses (<em>N</em> = 106).</p></div><div><h3>Methods</h3><p>I conducted descriptive analysis on individual and workplace characteristics, including scores on the Self-Efficacy Labor Support Scale. I conducted backward stepwise multivariate linear regression to assess the factors associated with self-efficacy in providing labor support.</p></div><div><h3>Results</h3><p>Years as an intrapartum nurse had a positive association with self-efficacy in labor support. Experience with open-glottis pushing, the overall cesarean birth rate, and the use of upright positioning during labor and birth were also positively associated with self-efficacy in labor support. Conversely, lack of recognition by providers was negatively associated with self-efficacy in labor support.</p></div><div><h3>Conclusion</h3><p>Findings suggest that modifiable factors at the individual and hospital levels are associated with nurses’ self-efficacy in labor support. Hospitals must work to engage in obstetric practices that are congruent with providing labor support, including the use of experienced nurses to mentor new nurses and the creation of a unit culture to reinforce the intent of individual nurses to provide labor support.</p></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"53 3","pages":"Pages 272-284"},"PeriodicalIF":1.8,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139414358","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":"Opioid Use Disorder and Patient-Centered Perinatal Care","authors":"Jennifer Peterman BSN, RN, IBCLC,&nbsp;Elizabeth Harbuck MSN RN CBC","doi":"10.1016/j.jogn.2024.05.006","DOIUrl":"https://doi.org/10.1016/j.jogn.2024.05.006","url":null,"abstract":"","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"53 4","pages":"Page S4"},"PeriodicalIF":1.8,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141428963","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":"Maternity Deserts: Breaking Down Barrier to Quality Care","authors":"Christi Burns BSN, RN, C-EFM, C-ONQS,&nbsp;Angela Hogan BSN, RN, C-EFM","doi":"10.1016/j.jogn.2024.05.032","DOIUrl":"https://doi.org/10.1016/j.jogn.2024.05.032","url":null,"abstract":"","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"53 4","pages":"Page S20"},"PeriodicalIF":1.8,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141429053","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":"A Phenomenological Approach to Training Perinatal Nurse Preceptors","authors":"Katherine Kroes MSN, RN, RNC-NIC, IBCLC","doi":"10.1016/j.jogn.2024.05.135","DOIUrl":"https://doi.org/10.1016/j.jogn.2024.05.135","url":null,"abstract":"","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"53 4","pages":"Pages S25-S26"},"PeriodicalIF":1.8,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141428980","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}