Effective management of gestational diabetes hinges on careful regulation of diet, carbohydrate intake, and weight. Self-Care Theory plays a pivotal role by empowering patients to take active control of their health decisions, leading to improved outcomes. This review explores the impact of applying personalized diet plans and carbohydrate tracking, guided by Self-Care Theory, on weight regulation and overall management of gestational diabetes. A comprehensive literature review was conducted, drawing from databases such as PubMed, Scopus, and Google Scholar to identify relevant studies published between 2018 and 2024. Findings indicate that personalized diet plans, when coupled with carbohydrate tracking, lead to significant improvements in weight management and glycemic control in patients with gestational diabetes. Furthermore, the application of Self-Care Theory fosters greater patient engagement, resulting in sustained behavioral changes and enhanced long-term outcomes. In conclusion, the integration of Self-Care Theory with tailored diet plans and carbohydrate monitoring offers a promising strategy for effective gestational diabetes management, promoting better self-management and overall health.
{"title":"Applying diet plans and carbohydrate tracking using self-care theory to address weight regulation challenges in gestational diabetes for improved outcomes","authors":"Olaolorunpo Olorunfemi , Gbemisola Bolanle Ogbeye , Adekemi Eunice Olowokere , Omolola Irinoye","doi":"10.1016/j.wcn.2024.12.005","DOIUrl":"10.1016/j.wcn.2024.12.005","url":null,"abstract":"<div><div>Effective management of gestational diabetes hinges on careful regulation of diet, carbohydrate intake, and weight. Self-Care Theory plays a pivotal role by empowering patients to take active control of their health decisions, leading to improved outcomes. This review explores the impact of applying personalized diet plans and carbohydrate tracking, guided by Self-Care Theory, on weight regulation and overall management of gestational diabetes. A comprehensive literature review was conducted, drawing from databases such as PubMed, Scopus, and Google Scholar to identify relevant studies published between 2018 and 2024. Findings indicate that personalized diet plans, when coupled with carbohydrate tracking, lead to significant improvements in weight management and glycemic control in patients with gestational diabetes. Furthermore, the application of Self-Care Theory fosters greater patient engagement, resulting in sustained behavioral changes and enhanced long-term outcomes. In conclusion, the integration of Self-Care Theory with tailored diet plans and carbohydrate monitoring offers a promising strategy for effective gestational diabetes management, promoting better self-management and overall health.</div></div>","PeriodicalId":101283,"journal":{"name":"Women and Children Nursing","volume":"3 2","pages":"Pages 36-40"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144517101","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-06-01DOI: 10.1016/j.wcn.2025.02.003
Amina Suleiman Rajah, Abdulrashid Idris, Umar Yunusa, Muhammad Awwal Ladan, Chioma Judith Mba
Background
Childbirth significantly affects maternal and neonatal outcomes, with negative experiences leading to consequences such as postpartum depression, self-care neglect, sleeping problems, post-traumatic stress disorder, and reluctance to use health facilities and recommend hospital deliveries to other women.
Aim
This study aimed to explore the maternal experiences of intrapartum care in Kano, Nigeria.
Methods
This study used a qualitative narrative inquiry design that adhered to the consolidated criteria for reporting qualitative research (COREQ) guidelines. In-depth interviews with 11 postpartum women who delivered via spontaneous vaginal delivery were conducted using a pretested interview guide on maternal experiences of intrapartum care. Two trained female research assistants and a lead researcher facilitated the interviews, which were audio-recorded, transcribed, and translated. Thematic analysis, supported by NVivo software, was used to identify patterns and themes that reflected participants’ experiences.
Results
Three main themes emerged: (1) dignified care during birth, which emphasized positive experiences with midwives and healthcare personnel; (2) intense pain and search for relief, which highlighted the challenging nature of labor; and (3) inadequate care and neglect, which captured negative experiences with wait times, lack of support, and verbal abuse.
Conclusion
This study highlights the diverse range of maternal experiences during childbirth in Kano, Nigeria, including the positive and negative aspects of intrapartum care. The findings emphasize the importance of respectful, patient-centered care in enhancing maternal satisfaction and emotional well-being. Implications for nursing practice include strengthening training in compassionate care, improving pain management practices, increasing the presence of companions during childbirth, and addressing systemic gaps that contribute to neglectful care, thereby promoting better maternal experiences and outcomes.
{"title":"“Heard or unheard?”: A qualitative inquiry into the nuanced experiences of mothers with intrapartum care in Kano, Nigeria","authors":"Amina Suleiman Rajah, Abdulrashid Idris, Umar Yunusa, Muhammad Awwal Ladan, Chioma Judith Mba","doi":"10.1016/j.wcn.2025.02.003","DOIUrl":"10.1016/j.wcn.2025.02.003","url":null,"abstract":"<div><h3>Background</h3><div>Childbirth significantly affects maternal and neonatal outcomes, with negative experiences leading to consequences such as postpartum depression, self-care neglect, sleeping problems, post-traumatic stress disorder, and reluctance to use health facilities and recommend hospital deliveries to other women.</div></div><div><h3>Aim</h3><div>This study aimed to explore the maternal experiences of intrapartum care in Kano, Nigeria.</div></div><div><h3>Methods</h3><div>This study used a qualitative narrative inquiry design that adhered to the consolidated criteria for reporting qualitative research (COREQ) guidelines. In-depth interviews with 11 postpartum women who delivered via spontaneous vaginal delivery were conducted using a pretested interview guide on maternal experiences of intrapartum care. Two trained female research assistants and a lead researcher facilitated the interviews, which were audio-recorded, transcribed, and translated. Thematic analysis, supported by NVivo software, was used to identify patterns and themes that reflected participants’ experiences.</div></div><div><h3>Results</h3><div>Three main themes emerged: (1) dignified care during birth, which emphasized positive experiences with midwives and healthcare personnel; (2) intense pain and search for relief, which highlighted the challenging nature of labor; and (3) inadequate care and neglect, which captured negative experiences with wait times, lack of support, and verbal abuse.</div></div><div><h3>Conclusion</h3><div>This study highlights the diverse range of maternal experiences during childbirth in Kano, Nigeria, including the positive and negative aspects of intrapartum care. The findings emphasize the importance of respectful, patient-centered care in enhancing maternal satisfaction and emotional well-being. Implications for nursing practice include strengthening training in compassionate care, improving pain management practices, increasing the presence of companions during childbirth, and addressing systemic gaps that contribute to neglectful care, thereby promoting better maternal experiences and outcomes.</div></div>","PeriodicalId":101283,"journal":{"name":"Women and Children Nursing","volume":"3 2","pages":"Pages 43-49"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144517103","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-03-01DOI: 10.1016/j.wcn.2025.01.003
Narisa Timsin , Supichaya Wangpitipanit
Background
Premature birth, defined as delivery before 37 weeks of gestation, is a critical global health issue that poses significant risks to maternal and neonatal well-being. Although substantial research has been conducted on interventions to prevent preterm births in high-income countries, evidence on culturally adapted strategies tailored for pregnant women in low- and middle-income settings, such as Thailand, remains limited. This study addresses this gap by evaluating a culturally tailored health literacy promotion program developed using Nutbeam's health literacy model to enhance health literacy and risk perception among Thai pregnant women.
Methods
A quasi-experimental one-group pretest-posttest study was conducted from March to September 2024 at health promotion hospitals in Thailand. Thirty-one pregnant women receiving prenatal care were recruited through convenience sampling. The intervention was a 12-week health literacy program based on Nutbeam's health literacy model and prenatal care standards, emphasizing cognitive, behavioral, and motivational aspects of health literacy. The program included a care booklet, risk screening manual, assessment stickers, and educational materials. Weekly interactive "4-Checks" sessions (20–45 min) and personalized counseling every four weeks were central components. Health literacy and risk perception were assessed using validated questionnaires with a content validity index of 0.90 and high reliability (Cronbach's alpha = 0.85, health literacy; 0.87, risk perception). Measurements were taken before and after the program to assess baseline levels and immediate effects of the intervention. Statistical analyses, including Wilcoxon signed-rank tests, were performed using IBM SPSS Statistics version 29.0.2.0.
Results
The mean age of participants was 30.23 years (SD = 5.26), with 51.6% in their second or subsequent pregnancies. Key information sources included hospital staff, healthcare providers, relatives, and social media. The program significantly improved health literacy scores (0–64 to 40–80; Z = −4.01, P < 0.001) and risk perception scores (10–50 to 33–50; Z = −3.54, P < 0.001).
Conclusion
The health literacy program effectively enhanced health literacy and risk perception among Thai pregnant women, providing a viable framework for reducing premature birth risks. Future research should incorporate control groups and longitudinal assessments to evaluate sustained effects and long-term program impacts.
{"title":"The effects of a health literacy promotion program for prevention of preterm birth among pregnant women who received antenatal care services in the hospital-based","authors":"Narisa Timsin , Supichaya Wangpitipanit","doi":"10.1016/j.wcn.2025.01.003","DOIUrl":"10.1016/j.wcn.2025.01.003","url":null,"abstract":"<div><h3>Background</h3><div>Premature birth, defined as delivery before 37 weeks of gestation, is a critical global health issue that poses significant risks to maternal and neonatal well-being. Although substantial research has been conducted on interventions to prevent preterm births in high-income countries, evidence on culturally adapted strategies tailored for pregnant women in low- and middle-income settings, such as Thailand, remains limited. This study addresses this gap by evaluating a culturally tailored health literacy promotion program developed using Nutbeam's health literacy model to enhance health literacy and risk perception among Thai pregnant women.</div></div><div><h3>Methods</h3><div>A quasi-experimental one-group pretest-posttest study was conducted from March to September 2024 at health promotion hospitals in Thailand. Thirty-one pregnant women receiving prenatal care were recruited through convenience sampling. The intervention was a 12-week health literacy program based on Nutbeam's health literacy model and prenatal care standards, emphasizing cognitive, behavioral, and motivational aspects of health literacy. The program included a care booklet, risk screening manual, assessment stickers, and educational materials. Weekly interactive \"4-Checks\" sessions (20–45 min) and personalized counseling every four weeks were central components. Health literacy and risk perception were assessed using validated questionnaires with a content validity index of 0.90 and high reliability (Cronbach's alpha = 0.85, health literacy; 0.87, risk perception). Measurements were taken before and after the program to assess baseline levels and immediate effects of the intervention. Statistical analyses, including Wilcoxon signed-rank tests, were performed using IBM SPSS Statistics version 29.0.2.0.</div></div><div><h3>Results</h3><div>The mean age of participants was 30.23 years (SD = 5.26), with 51.6% in their second or subsequent pregnancies. Key information sources included hospital staff, healthcare providers, relatives, and social media. The program significantly improved health literacy scores (0–64 to 40–80; <em>Z</em> = −4.01, <em>P</em> < 0.001) and risk perception scores (10–50 to 33–50; <em>Z</em> = −3.54, <em>P</em> < 0.001).</div></div><div><h3>Conclusion</h3><div>The health literacy program effectively enhanced health literacy and risk perception among Thai pregnant women, providing a viable framework for reducing premature birth risks. Future research should incorporate control groups and longitudinal assessments to evaluate sustained effects and long-term program impacts.</div></div>","PeriodicalId":101283,"journal":{"name":"Women and Children Nursing","volume":"3 1","pages":"Pages 20-26"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143918526","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-03-01DOI: 10.1016/j.wcn.2024.12.004
Yuxi Du , Zhihong Zuo , Lina Qiao , Shaoyu Su , Qin Zeng , Fan Yang
Aims
In this study, we used data drawn from one- and two-child families with children aged between three and six years in Shanghai, China. We (a) examined the status of parenting self-efficacy and parent–child relationships in Chinese families, (b) checked for heterogeneity in parenting self-efficacy and investigated how it relates to the number of children, and (c) explored the relationship between parenting self-efficacy and parent–child relationships to provide guidance for childcare services and nursing.
Method
This quantitative, cross-sectional study examined 378 one-child parents and 372 two-child parents in Shanghai, China, who were tested separately on their parenting self-efficacy and parent–child relationships using the Parenting Tasks Index–Toddler Scale and Parent–Child Relationship Scale in June 2021 (with a 94% response rate). We analyzed parenting self-efficacy via a latent profile analysis and classified it by type and distribution. Furthermore, we explored the differences between the one- and two-child parents in parenting self-efficacy, latent type score, and relevance to the parent–child relationship using an independent samples t-test, variance analysis, and logistic regression.
Results
Parenting self-efficacy was divided into three latent types: low, medium, and high (entropy = 0.839/0.840, Lo–Mendell–Rubin adjusted likelihood ratio test = 223.222/257.495). The higher the parents’ parent–child relationship score, the more likely they were to be classified as a medium or high self-efficacy type (odds ratio = 46.924/37.721). One-child parents accounted for a higher proportion of high self-efficacy types than two-child parents (37.5% vs. 31.0%), and their parenting self-efficacy was significantly higher than that of two-child parents (4.53 > 4.45, P < 0.05).
Conclusion
Having a second child led to differences in parenting self-efficacy and the distribution of latent types with one-child parents. The lower self-efficacy among two-child parents should be addressed by promoting parenting self-efficacy through the parent–child relationship. Customized intervention strategies are recommended given the heterogeneity of the self-efficacy profiles.
在这项研究中，我们使用的数据来自中国上海的一个和两个孩子的家庭，孩子的年龄在3到6岁之间。我们(a)研究了中国家庭中父母自我效能感和亲子关系的现状，(b)检查了父母自我效能感的异质性，并研究了其与子女数量的关系，(c)探讨了父母自我效能感与亲子关系的关系，为托儿服务和护理提供指导。方法采用定量横断面研究方法，于2021年6月在上海对378名独生子女父母和372名二孩父母分别进行了育儿自我效能感和亲子关系的测试，问卷回复率为94%。我们通过潜在剖面分析来分析父母自我效能感，并将其按类型和分布进行分类。此外，我们采用独立样本t检验、方差分析和逻辑回归分析，探讨了独生子女父母和二孩父母在育儿自我效能感、潜在类型得分和亲子关系相关性方面的差异。结果父母自我效能感分为低、中、高3个潜型（熵值= 0.839/0.840，Lo-Mendell-Rubin校正似然比检验= 223.222/257.495）。父母的亲子关系得分越高，越有可能被归为中、高自我效能型（优势比= 46.924/37.721）。独生子女父母的高自我效能类型占比高于二孩父母（37.5% vs. 31.0%），且独生子女父母的育儿自我效能显著高于二孩父母(4.53 >；4.45, P <；0.05)。结论二孩导致独生子女父母的自我效能感和潜在类型分布存在差异。二孩父母自我效能感较低的问题应通过亲子关系提升父母自我效能感来解决。鉴于自我效能档案的异质性，建议采用定制的干预策略。
{"title":"Association between parenting efficacy and parent–child relationships for parents with one or two preschool children","authors":"Yuxi Du , Zhihong Zuo , Lina Qiao , Shaoyu Su , Qin Zeng , Fan Yang","doi":"10.1016/j.wcn.2024.12.004","DOIUrl":"10.1016/j.wcn.2024.12.004","url":null,"abstract":"<div><h3>Aims</h3><div>In this study, we used data drawn from one- and two-child families with children aged between three and six years in Shanghai, China. We (a) examined the status of parenting self-efficacy and parent–child relationships in Chinese families, (b) checked for heterogeneity in parenting self-efficacy and investigated how it relates to the number of children, and (c) explored the relationship between parenting self-efficacy and parent–child relationships to provide guidance for childcare services and nursing.</div></div><div><h3>Method</h3><div>This quantitative, cross-sectional study examined 378 one-child parents and 372 two-child parents in Shanghai, China, who were tested separately on their parenting self-efficacy and parent–child relationships using the Parenting Tasks Index–Toddler Scale and Parent–Child Relationship Scale in June 2021 (with a 94% response rate). We analyzed parenting self-efficacy via a latent profile analysis and classified it by type and distribution. Furthermore, we explored the differences between the one- and two-child parents in parenting self-efficacy, latent type score, and relevance to the parent–child relationship using an independent samples <em>t</em>-test, variance analysis, and logistic regression.</div></div><div><h3>Results</h3><div>Parenting self-efficacy was divided into three latent types: low, medium, and high (entropy = 0.839/0.840, Lo–Mendell–Rubin adjusted likelihood ratio test = 223.222/257.495). The higher the parents’ parent–child relationship score, the more likely they were to be classified as a medium or high self-efficacy type (odds ratio = 46.924/37.721). One-child parents accounted for a higher proportion of high self-efficacy types than two-child parents (37.5% vs. 31.0%), and their parenting self-efficacy was significantly higher than that of two-child parents (4.53 > 4.45, <em>P</em> < 0.05).</div></div><div><h3>Conclusion</h3><div>Having a second child led to differences in parenting self-efficacy and the distribution of latent types with one-child parents. The lower self-efficacy among two-child parents should be addressed by promoting parenting self-efficacy through the parent–child relationship. Customized intervention strategies are recommended given the heterogeneity of the self-efficacy profiles.</div></div>","PeriodicalId":101283,"journal":{"name":"Women and Children Nursing","volume":"3 1","pages":"Pages 1-7"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143918524","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-03-01DOI: 10.1016/j.wcn.2025.02.001
Maryam Abdulsalam , Merafe Tessema , Mohammad Mohsin , Tabarak Malik , Fatima Ibrahim Abdulsalam
Introduction
Anaemia during pregnancy is associated with maternal death, premature birth, low birth weight, and infant death. In Ethiopia, the prevalence of anaemia among pregnant women is high. Owing to differences in nutritional, cultural, educational, and economic status, the determinants of anaemia may vary from one geographical area to another. This study aimed to identify the determinants of anaemia among pregnant women visiting the antenatal care (ANC) unit of St. Paul Millennium Medical College Hospital, Addis Ababa.
Methods
An unmatched case-control study was conducted between September and October 2020 at St. Paul's Hospital, Addis Ababa, Ethiopia. A total of 114 cases and 228 controls were selected based on haemoglobin levels (cases: <11 g/dl; controls: ≥11 g/dl) at the first ANC visit. Data were collected using structured questionnaires and analysed using logistic regression models with an adjusted odds ratio (AOR) of 95% confidence interval (CI) and P < 0.05.
Results
Most participants in both groups were within the age range of 25–29 years. Significant risk factors of anaemia in pregnant women included having a history of contraceptive use (AOR = 0.55, 95% CI: 0.32–1.07), eating less than three meals per day (AOR = 1.97, 95% CI: 1.09–3.22), and having an average monthly income of ≤1500 birr (AOR = 10.13, 95% CI: 4.21–24.35).
Conclusion
Addressing dietary habits, socioeconomic disparities, and strengthening health education on family planning could reduce anaemia among pregnant women in Addis Ababa. Policymakers should ensure the implementation and evaluation of such tailor-made interventions.
{"title":"Determining factors associated with anaemia in pregnant women visiting the antenatal care unit at St. Paul’s Hospital, Addis Ababa, Ethiopia: Unmatched case-control study","authors":"Maryam Abdulsalam , Merafe Tessema , Mohammad Mohsin , Tabarak Malik , Fatima Ibrahim Abdulsalam","doi":"10.1016/j.wcn.2025.02.001","DOIUrl":"10.1016/j.wcn.2025.02.001","url":null,"abstract":"<div><h3>Introduction</h3><div>Anaemia during pregnancy is associated with maternal death, premature birth, low birth weight, and infant death. In Ethiopia, the prevalence of anaemia among pregnant women is high. Owing to differences in nutritional, cultural, educational, and economic status, the determinants of anaemia may vary from one geographical area to another. This study aimed to identify the determinants of anaemia among pregnant women visiting the antenatal care (ANC) unit of St. Paul Millennium Medical College Hospital, Addis Ababa.</div></div><div><h3>Methods</h3><div>An unmatched case-control study was conducted between September and October 2020 at St. Paul's Hospital, Addis Ababa, Ethiopia. A total of 114 cases and 228 controls were selected based on haemoglobin levels (cases: <11 g/dl; controls: ≥11 g/dl) at the first ANC visit. Data were collected using structured questionnaires and analysed using logistic regression models with an adjusted odds ratio (AOR) of 95% confidence interval (CI) and <em>P</em> < 0.05.</div></div><div><h3>Results</h3><div>Most participants in both groups were within the age range of 25–29 years. Significant risk factors of anaemia in pregnant women included having a history of contraceptive use (AOR = 0.55, 95% CI: 0.32–1.07), eating less than three meals per day (AOR = 1.97, 95% CI: 1.09–3.22), and having an average monthly income of ≤1500 birr (AOR = 10.13, 95% CI: 4.21–24.35).</div></div><div><h3>Conclusion</h3><div>Addressing dietary habits, socioeconomic disparities, and strengthening health education on family planning could reduce anaemia among pregnant women in Addis Ababa. Policymakers should ensure the implementation and evaluation of such tailor-made interventions.</div></div>","PeriodicalId":101283,"journal":{"name":"Women and Children Nursing","volume":"3 1","pages":"Pages 27-34"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143918527","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-03-01DOI: 10.1016/j.wcn.2025.01.002
Yafang Deng , Liping Wu , Linlin Cao , Hong Zhao , Ran Song
Aims
This study aimed to construct a core competency index system for breastfeeding consultant nurses based on the Onion Model to improve their consulting abilities and promote breastfeeding rates.
Design
This study adopted a phenomenological approach to explore the experiences of breastfeeding consultant nurses and lactating women through semi-structured interviews. The Delphi method was then used for expert validation of the initial competency framework. We focused on the core competencies of nurses and midwives who provide breastfeeding consultation in clinics, maternity wards, and Internet hospitals in China to improve their breastfeeding consultation ability and promote the improvement of breastfeeding rates.
Methods
Through a literature review, competency items were extracted based on the clinical competencies of International Board-Certified Lactation Consultants (IBCLCs), and an initial competency framework was developed. In this study, 18 breastfeeding consultant nurses and 11 lactating women participated in semi-structured interviews to provide in-depth feedback on their experiences and challenges in breastfeeding consultation. Two rounds of Delphi expert consultations were conducted, and the Analytic Hierarchy Process (AHP) was used to determine the core competency indices and their weights.
Results
The final core competency index system for breastfeeding consultant nurses in China consisted of four first-level, 15 second-level, and 95 third-level indices. The positive coefficients of the two rounds of expert consultation were both 100%; expert authority (Cr = 0.92) was high, and Kendall's W values were 0.206 (χ2 = 293.69) and 0.296 (χ2 = 62.07), with statistical significance (P < 0.01). The weight rankings of the first-level indices were as follows: core knowledge and skills (0.3498), professional ability (0.2858), maintenance of professional standards (0.1915), and professional and personal traits (0.1728). All consistency tests were passed (CR < 0.10).
Conclusions
The core competency index system for breastfeeding consultant nurses developed in this study is scientifically grounded, systematic, and authoritative. It provides strong support for the education and practice of breastfeeding consultant nurses in China and offers a theoretical foundation and practical framework to improve breastfeeding rates and nursing quality.
{"title":"Constructing a core competency index system for breastfeeding consultant nurses in China: A phenomenological study using the Delphi method","authors":"Yafang Deng , Liping Wu , Linlin Cao , Hong Zhao , Ran Song","doi":"10.1016/j.wcn.2025.01.002","DOIUrl":"10.1016/j.wcn.2025.01.002","url":null,"abstract":"<div><h3>Aims</h3><div>This study aimed to construct a core competency index system for breastfeeding consultant nurses based on the Onion Model to improve their consulting abilities and promote breastfeeding rates.</div></div><div><h3>Design</h3><div>This study adopted a phenomenological approach to explore the experiences of breastfeeding consultant nurses and lactating women through semi-structured interviews. The Delphi method was then used for expert validation of the initial competency framework. We focused on the core competencies of nurses and midwives who provide breastfeeding consultation in clinics, maternity wards, and Internet hospitals in China to improve their breastfeeding consultation ability and promote the improvement of breastfeeding rates.</div></div><div><h3>Methods</h3><div>Through a literature review, competency items were extracted based on the clinical competencies of International Board-Certified Lactation Consultants (IBCLCs), and an initial competency framework was developed. In this study, 18 breastfeeding consultant nurses and 11 lactating women participated in semi-structured interviews to provide in-depth feedback on their experiences and challenges in breastfeeding consultation. Two rounds of Delphi expert consultations were conducted, and the Analytic Hierarchy Process (AHP) was used to determine the core competency indices and their weights.</div></div><div><h3>Results</h3><div>The final core competency index system for breastfeeding consultant nurses in China consisted of four first-level, 15 second-level, and 95 third-level indices. The positive coefficients of the two rounds of expert consultation were both 100%; expert authority (Cr = 0.92) was high, and Kendall's W values were 0.206 (<em>χ</em><sup>2</sup> = 293.69) and 0.296 (<em>χ</em><sup>2</sup> = 62.07), with statistical significance (<em>P</em> < 0.01). The weight rankings of the first-level indices were as follows: core knowledge and skills (0.3498), professional ability (0.2858), maintenance of professional standards (0.1915), and professional and personal traits (0.1728). All consistency tests were passed (CR < 0.10).</div></div><div><h3>Conclusions</h3><div>The core competency index system for breastfeeding consultant nurses developed in this study is scientifically grounded, systematic, and authoritative. It provides strong support for the education and practice of breastfeeding consultant nurses in China and offers a theoretical foundation and practical framework to improve breastfeeding rates and nursing quality.</div></div>","PeriodicalId":101283,"journal":{"name":"Women and Children Nursing","volume":"3 1","pages":"Pages 8-19"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143918525","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-12-01DOI: 10.1016/j.wcn.2024.12.002
Kristiina Heinonen
Aim
To describe the lived experiences of fathers of twins and to contribute to the understanding of twin fatherhood and the need for support. A further aim was to increase knowledge of multiple-birth parenthood and situations among health and social care professionals.
Design
Qualitative and a hermeneutic phenomenological approach.
Methods
The data comprised the diaries and notes of fathers of twins and in-depth interviews.
Results
The phenomenon of being a father of twins consist of four themes: “Fatherhood of twins grows gradually,” “Strengthening of twin fatherhood by being present and involved,” “Fathers develop their relationship with each and both of the twins” and “Making space for twin fatherhood.” This article deals with the first two themes. Fatherhood of twins gradually develops during pregnancy and after the births through being actively present with the twins. It involves responsibility, protection, interaction, and the creation of a bond with each child. Getting to know the children better as individuals also means spending time with each child separately. Fathers sought more support and information from midwives and nurses to help them as fathers of twins. There is a need for multidisciplinary collaboration and more research on this topic, such as intervention and impact studies.
{"title":"Fathers’ experiences of becoming and being a father of twins in a multiple-birth family","authors":"Kristiina Heinonen","doi":"10.1016/j.wcn.2024.12.002","DOIUrl":"10.1016/j.wcn.2024.12.002","url":null,"abstract":"<div><h3>Aim</h3><div>To describe the lived experiences of fathers of twins and to contribute to the understanding of twin fatherhood and the need for support. A further aim was to increase knowledge of multiple-birth parenthood and situations among health and social care professionals.</div></div><div><h3>Design</h3><div>Qualitative and a hermeneutic phenomenological approach.</div></div><div><h3>Methods</h3><div>The data comprised the diaries and notes of fathers of twins and in-depth interviews.</div></div><div><h3>Results</h3><div>The phenomenon of being a father of twins consist of four themes: “Fatherhood of twins grows gradually,” “Strengthening of twin fatherhood by being present and involved,” “Fathers develop their relationship with each and both of the twins” and “Making space for twin fatherhood.” This article deals with the first two themes. Fatherhood of twins gradually develops during pregnancy and after the births through being actively present with the twins. It involves responsibility, protection, interaction, and the creation of a bond with each child. Getting to know the children better as individuals also means spending time with each child separately. Fathers sought more support and information from midwives and nurses to help them as fathers of twins. There is a need for multidisciplinary collaboration and more research on this topic, such as intervention and impact studies.</div></div>","PeriodicalId":101283,"journal":{"name":"Women and Children Nursing","volume":"2 4","pages":"Pages 90-96"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145876036","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-12-01DOI: 10.1016/j.wcn.2024.12.003
Gu Ruirui, Ye Jing, Zhang Zhijuan, Han Xiaoning, Wang Jie, Zheng Yimei
Systemic lupus erythematosus (SLE) with pulmonary arterial hypertension (PAH) is a rare disease with a poor prognosis and high mortality, which also threatens the puerpera. Nursing care focuses on hemodynamic changes and timely termination of pregnancy when complications occur. This case study reports the nursing experiences of a puerpera with SLE-related PAH who treat with the venoarterial extracorporeal membrane oxygenation (VA-ECMO). Based on the patient's treatment method, we highlight that ECMO-related care measures and pay attention to the hemodynamic changes. At the same time, attention should be paid to rehabilitation training and psychological support.
{"title":"Intensive care nurses’ experiences of VA-ECMO support for systemic lupus erythematosus-related pulmonary arterial hypertension complicated with pregnancy: A case report","authors":"Gu Ruirui, Ye Jing, Zhang Zhijuan, Han Xiaoning, Wang Jie, Zheng Yimei","doi":"10.1016/j.wcn.2024.12.003","DOIUrl":"10.1016/j.wcn.2024.12.003","url":null,"abstract":"<div><div>Systemic lupus erythematosus (SLE) with pulmonary arterial hypertension (PAH) is a rare disease with a poor prognosis and high mortality, which also threatens the puerpera. Nursing care focuses on hemodynamic changes and timely termination of pregnancy when complications occur. This case study reports the nursing experiences of a puerpera with SLE-related PAH who treat with the venoarterial extracorporeal membrane oxygenation (VA-ECMO). Based on the patient's treatment method, we highlight that ECMO-related care measures and pay attention to the hemodynamic changes. At the same time, attention should be paid to rehabilitation training and psychological support.</div></div>","PeriodicalId":101283,"journal":{"name":"Women and Children Nursing","volume":"2 4","pages":"Pages 97-100"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145876035","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-12-01DOI: 10.1016/j.wcn.2024.12.001
Jiasi Yao , Heike Roth , Debra Anderson , Hong Lu , Huijuan Rong , Kathleen Baird
Objectives
To explore Chinese women’s experiences of spontaneous pushing during the second stage of labor.
Methods
Women were recruited antenatally during late pregnancy and encouraged to push spontaneously during labor. A postnatal survey was conducted to examine their experiences of spontaneous pushing.
Results
The study recruited 112 women, of whom 102 completed the postnatal survey, including 14 primiparous and 88 multiparous women. Multiparous women reported different pushing experiences in this birth compared with previous instances of directed pushing, noting that they were able to follow their body's urges and felt in control of their body and the overall process. The results of the Childbirth Experience Questionnaire (Chinese version) revealed that a high average score for women's childbirth experiences, with a mean score of 61.22 (SD = 7.863). Multiparous women had higher total scores (P < 0.05, d = 0.736) and higher scores for dimension 1 (professional support) (P < 0.05, d = 1.068). Primiparous women reported higher pain levels during spontaneous pushing (P < 0.05, d = 0.636). There was no statistically significant difference in pushing experience between primiparous and multiparous women (P > 0.05).
Conclusions
Women reported an overall positive childbirth experience with spontaneous pushing during labor. Additional attention should be given to primiparous women to improve their perceived professional support during the second stage of labor compared to multiparous women.
目的探讨中国产妇在产程第二阶段自然分娩的经验。方法对妊娠晚期妇女进行产前招募，并鼓励她们在分娩时自然分娩。一项产后调查被用来检查他们自发分娩的经历。结果本研究共招募112名妇女，其中102人完成了产后调查，包括14名初产妇女和88名多胎妇女。与之前的直接分娩相比，多次分娩的女性在这次分娩中报告了不同的分娩体验，注意到她们能够跟随身体的冲动，感觉可以控制自己的身体和整个过程。中文版分娩体验问卷调查结果显示，女性分娩体验得分较高，平均得分为61.22分（SD = 7.863）。多产妇女总分较高（P < 0.05, d = 0.736），第1维度（专业支持）得分较高（P < 0.05, d = 1.068）。初产妇在自然分娩时疼痛程度更高（P < 0.05, d = 0.636）。初产妇女与多产妇女的推压经验差异无统计学意义（P > 0.05）。结论妇女报告了分娩过程中自发推压的总体积极体验。应该对初产妇女给予额外的关注，以改善她们在分娩第二阶段的专业支持，而不是多产妇女。
{"title":"The experience of spontaneous pushing during labor among Chinese women: A cross-sectional questionnaire survey","authors":"Jiasi Yao , Heike Roth , Debra Anderson , Hong Lu , Huijuan Rong , Kathleen Baird","doi":"10.1016/j.wcn.2024.12.001","DOIUrl":"10.1016/j.wcn.2024.12.001","url":null,"abstract":"<div><h3>Objectives</h3><div>To explore Chinese women’s experiences of spontaneous pushing during the second stage of labor.</div></div><div><h3>Methods</h3><div>Women were recruited antenatally during late pregnancy and encouraged to push spontaneously during labor. A postnatal survey was conducted to examine their experiences of spontaneous pushing.</div></div><div><h3>Results</h3><div>The study recruited 112 women, of whom 102 completed the postnatal survey, including 14 primiparous and 88 multiparous women. Multiparous women reported different pushing experiences in this birth compared with previous instances of directed pushing, noting that they were able to follow their body's urges and felt in control of their body and the overall process. The results of the Childbirth Experience Questionnaire (Chinese version) revealed that a high average score for women's childbirth experiences, with a mean score of 61.22 (SD = 7.863). Multiparous women had higher total scores (<em>P</em> < 0.05, <em>d</em> = 0.736) and higher scores for dimension 1 (professional support) (<em>P</em> < 0.05, <em>d</em> = 1.068). Primiparous women reported higher pain levels during spontaneous pushing (<em>P</em> < 0.05, <em>d</em> = 0.636). There was no statistically significant difference in pushing experience between primiparous and multiparous women (<em>P</em> > 0.05).</div></div><div><h3>Conclusions</h3><div>Women reported an overall positive childbirth experience with spontaneous pushing during labor. Additional attention should be given to primiparous women to improve their perceived professional support during the second stage of labor compared to multiparous women.</div></div>","PeriodicalId":101283,"journal":{"name":"Women and Children Nursing","volume":"2 4","pages":"Pages 84-89"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145876033","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-12-01DOI: 10.1016/j.wcn.2024.09.001
John Batani , Manoj Sewak Maharaj
<div><h3>Purpose</h3><div>Despite the various interventions by governments and partnering organisations, many children the age of five years continue to lose their lives to preventable causes. Therefore, the purpose of this study was to investigate, from healthcare professionals' perspectives, the strategies implemented to fight under-five mortality in Zimbabwe's public healthcare system and to propose a rethinking of the strategies towards emerging technologies-driven interventions to advance the attainment of the United Nations Sustainable Development Goals (UN SDGs) 3.2.</div></div><div><h3>Design/methodology/approach</h3><div>This study was part of a broader study that used a sequential exploratory mixed-methods research design, in which interviews and focus groups were used in the qualitative phase, followed by questionnaires in the quantitative phase. However, this paper only reports the findings of the exploratory (qualitative) phase, in which 20 participants from a public provincial hospital and clinics participated in online interviews and focus group discussions. Participants were selected using purposive sampling and snowballing. The NVivo software facilitated data analysis.</div></div><div><h3>Findings</h3><div>Findings revealed that the current under-five mortality containment strategies in Zimbabwe include free access to care for under-fives and expectant mothers in public health facilities, provision of nutritional supplements, prevention of mother-to-child transmission, child immunization programs, maternal and child health programs, health education and behaviour change programs, integrated management of childhood illnesses, and community-based health initiatives. However, the under-five mortality rate in Zimbabwe, as in many sub-Saharan African countries, remains high. The poor under-five mortality outcomes are in part, due to challenges like high off-facility (home) births, late bookings for antenatal care services, inconsistent and insufficient supply of medicinal drugs, especially in hard-to-reach areas like rural areas, and an unresponsive national medicinal drug supply chain. The paper recommends rethinking the current strategies to address these challenges by harnessing emerging digital technologies to enhance sustainable child health., with the recent deployment of the electronic health record system in the country providing a facilitating condition for the successful implementation of a technology-driven public child healthcare system.</div></div><div><h3>Practical implications</h3><div>This study seeks to provide an alternative, technology-driven approach to ending preventable child deaths and enhance the achievement of UN SDG 3.2. Although one could argue about the practicality of implementing emerging technologies in a resource-constrained setting, it should be noted that such settings have numerous nongovernmental players (such as the UNDP, World Bank, UNICEF and others) funding various programs to promote child and
{"title":"Harnessing emerging technologies for sustainable child health: Rethinking strategies for advancing SDG 3.2 in resource-constrained environments","authors":"John Batani , Manoj Sewak Maharaj","doi":"10.1016/j.wcn.2024.09.001","DOIUrl":"10.1016/j.wcn.2024.09.001","url":null,"abstract":"<div><h3>Purpose</h3><div>Despite the various interventions by governments and partnering organisations, many children the age of five years continue to lose their lives to preventable causes. Therefore, the purpose of this study was to investigate, from healthcare professionals' perspectives, the strategies implemented to fight under-five mortality in Zimbabwe's public healthcare system and to propose a rethinking of the strategies towards emerging technologies-driven interventions to advance the attainment of the United Nations Sustainable Development Goals (UN SDGs) 3.2.</div></div><div><h3>Design/methodology/approach</h3><div>This study was part of a broader study that used a sequential exploratory mixed-methods research design, in which interviews and focus groups were used in the qualitative phase, followed by questionnaires in the quantitative phase. However, this paper only reports the findings of the exploratory (qualitative) phase, in which 20 participants from a public provincial hospital and clinics participated in online interviews and focus group discussions. Participants were selected using purposive sampling and snowballing. The NVivo software facilitated data analysis.</div></div><div><h3>Findings</h3><div>Findings revealed that the current under-five mortality containment strategies in Zimbabwe include free access to care for under-fives and expectant mothers in public health facilities, provision of nutritional supplements, prevention of mother-to-child transmission, child immunization programs, maternal and child health programs, health education and behaviour change programs, integrated management of childhood illnesses, and community-based health initiatives. However, the under-five mortality rate in Zimbabwe, as in many sub-Saharan African countries, remains high. The poor under-five mortality outcomes are in part, due to challenges like high off-facility (home) births, late bookings for antenatal care services, inconsistent and insufficient supply of medicinal drugs, especially in hard-to-reach areas like rural areas, and an unresponsive national medicinal drug supply chain. The paper recommends rethinking the current strategies to address these challenges by harnessing emerging digital technologies to enhance sustainable child health., with the recent deployment of the electronic health record system in the country providing a facilitating condition for the successful implementation of a technology-driven public child healthcare system.</div></div><div><h3>Practical implications</h3><div>This study seeks to provide an alternative, technology-driven approach to ending preventable child deaths and enhance the achievement of UN SDG 3.2. Although one could argue about the practicality of implementing emerging technologies in a resource-constrained setting, it should be noted that such settings have numerous nongovernmental players (such as the UNDP, World Bank, UNICEF and others) funding various programs to promote child and ","PeriodicalId":101283,"journal":{"name":"Women and Children Nursing","volume":"2 4","pages":"Pages 75-83"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145876034","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
扫码关注我们
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号