Nursing for Women''s Health最新文献

英文中文

Continuous Labor Support Position Statement. 持续劳动支持职位声明。

IF 1.5

Nursing for Women''s Health

Pub Date : 2025-12-05 DOI: 10.1016/j.nwh.2025.10.001

引用次数: 0

A Scoping Review of Approaches to Extragenital Chlamydia and Gonorrhea Screening for Adolescents and Young Adults in the United States 美国青少年和年轻人生殖器外衣原体和淋病筛查方法的范围审查。

IF 1.5

Nursing for Women''s Health

Pub Date : 2025-12-01 DOI: 10.1016/j.nwh.2025.06.002

Loren M. Dobkin, Barbara L. Brush, Erin M. Kahle, Patricia Drenth, Yasamin Kusunoki

Objective

To identify effective strategies for extragenital sexually transmitted infection screening among adolescents and young adults (AYAs).

Data Sources

Following the Joanna Briggs Institute method, searches were conducted in PubMed and the Cumulative Index to Nursing and Allied Health Literature (CINAHL) for relevant, peer-reviewed articles published from January 2000 through December 2024.

Study Selection

The search strategy identified studies pertaining to chlamydia, gonorrhea, extragenital sites, screening, and AYAs. Studies were included if most participants were 12 to 24 years old or if their outcomes were disaggregated. Selected studies described at least one approach to extragenital screening, reporting corresponding measures of uptake, preferability, or acceptability. Nine studies met the inclusion criteria.

Data Extraction

Data on study characteristics, sampled populations, approaches, relative successes, infection prevalence, and correlates were extracted, critically appraised, and descriptively synthesized.

Data Synthesis

Included studies demonstrated higher extragenital screening uptake in research studies (89%–100%) compared to routine care (0%–74%) and when standardized protocols and health care staff trainings were incorporated. Extragenital infections were prevalent among female AYAs with genital infection, as well as sexual and gender minority individuals assigned male at birth.

Conclusion

Increasing clinical standardization as well as enhancing health care and nursing staff training may improve detection of common extragenital infections and help prevent associated sexual and reproductive health complications.

目的：探讨青少年和青壮年（AYAs）生殖器外性传播感染筛查的有效策略。数据来源：采用乔安娜布里格斯研究所的方法，在PubMed和CINAHL（护理和相关健康文献累积索引）中搜索2000年1月至2024年12月发表的相关同行评审文章。研究选择：搜索策略确定了与衣原体、淋病、外生殖器部位、筛查和AYAs有关的研究。如果大多数参与者年龄在12岁到24岁之间，或者他们的研究结果是分类的，那么这些研究就会被纳入。选定的研究描述了至少一种外阴筛查的方法，报告了相应的吸收、首选或可接受性措施。9项研究符合纳入标准。数据提取：提取有关研究特征、抽样人群、方法、相对成功、感染流行率和相关因素的数据，并进行严格评估和描述性综合。数据综合：纳入的研究表明，与常规护理（0%-74%）和纳入标准化方案和卫生保健人员培训时相比，研究性研究的外阴筛查接受率（89%-100%）更高。生殖器外感染在患有生殖器感染的女性未成年人以及出生时被指定为男性的性和性别少数群体中普遍存在。结论：加强临床规范，加强卫生保健和护理人员培训，可提高常见生殖器外感染的检出率，有助于预防相关的性健康和生殖健康并发症。

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引用次数: 0

Access to Health Care 获得医疗保健。

IF 1.5

Nursing for Women''s Health

Pub Date : 2025-12-01 DOI: 10.1016/j.nwh.2025.07.001

Association of Women’s Health, Obstetric and Neonatal Nurses

引用次数: 0

Nurses’ Perceptions of Comfort, Competence, and Barriers to Informed Consent in Labor and Delivery 护士在分娩过程中对舒适、能力和知情同意障碍的认知。

IF 1.5

Nursing for Women''s Health

Pub Date : 2025-12-01 DOI: 10.1016/j.nwh.2025.05.003

Alexis Zehler, Caitlin Jeanmougin, Riley Costello

Objective

To identify barriers to patient inclusion in decision-making regarding obstetric care, as witnessed by registered nurses, with a focus on the provision of informed consent in labor and delivery.

Design

Descriptive study.

Setting

Online distribution from September 2023 to March 2024.

Participants

One hundred twenty-five registered nurses with more than 6 months of experience caring for obstetric patients in level I through IV maternal care centers in the United States.

Methods

Data collection was completed using a 20-question online survey. Analysis of quantitative data included descriptive and inferential statistics, and analysis of qualitative data included review of all narrative survey responses, grouping by commonality, and identification of categories of concern related to research aims.

Results

Most participants reported high levels of competence and comfort in providing the patient education necessary to achieve informed consent; however, level of comfort decreased if the education included evidence-based options that go against standard medical advice or provider recommendation. Nearly half of the participants reported experiencing retaliation as a result of providing patient education in efforts to support informed consent, and more than 70% reported witnessing patients be coerced by providers, denied care options, and experience negative care outcomes resulting from insufficient informed consent practices. Eleven categories of concern were identified that represent participants’ experiences regarding barriers to patient inclusion in decision-making and insufficient informed consent practices.

Conclusion

Standardized education and protocols for obtaining informed consent in labor and delivery and advocacy for patient inclusion in decision-making may improve informed consent practices, provision of high-quality care, and perceived patient experiences.

目的：通过注册护士的见证，确定患者参与产科护理决策的障碍，重点是在分娩和分娩过程中提供知情同意。设计：描述性研究。设定：2023年9月至2024年3月在线发行。参与者：125名注册护士，具有6个月以上在美国一级到四级产妇护理中心护理产科患者的经验。方法：采用20个问题的在线调查完成数据收集。定量数据的分析包括描述性和推断性统计，定性数据的分析包括对所有叙述性调查反应的回顾，按共性分组，并确定与研究目标相关的关注类别。结果：大多数参与者报告了在提供必要的患者教育以实现知情同意方面的高水平能力和舒适度；然而，如果教育包含了与标准医疗建议或提供者建议相反的循证选择，则舒适程度降低。近一半的参与者报告说，由于为患者提供支持知情同意的教育而遭受报复，超过70%的参与者报告说，他们目睹了患者被提供者胁迫，拒绝了护理选择，并因知情同意实践不足而经历了负面的护理结果。确定了11种关注类别，代表了参与者在将患者纳入决策和知情同意实践不足方面的障碍方面的经验。结论：在分娩和分娩过程中获得知情同意的标准化教育和协议，以及倡导患者参与决策，可能会改善知情同意实践，提供高质量的护理，并改善患者体验。

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引用次数: 0

Sleepy But Supported: Helping Caregivers Navigate Newborn Sleep 困倦但有支持：帮助护理人员引导新生儿睡眠。

IF 1.5

Nursing for Women''s Health

Pub Date : 2025-12-01 DOI: 10.1016/j.nwh.2025.07.005

Brenna Morse

Normal newborn sleep is significantly disruptive to caregiver routines because of shortened total sleep duration, fragmented sleep, and longer periods of nighttime wakefulness. Although these disruptions may be normal and healthy for a newborn, they can make it difficult for caregivers to meet their own daily demands. Nurses can promote health among caregivers of newborns through emotional support, proactive education, and discussion of evidence-based strategies to support sleep and the newborn adjustment period. Beyond individual family care, nurses have a critically important role in advocating for policy changes that support caregivers of newborns. Efforts in both the clinical setting and policy arena are essential to supporting healthy sleep patterns for caregivers of newborns.

新生儿的正常睡眠对护理人员的日常工作有明显的干扰，因为新生儿的总睡眠时间缩短，睡眠碎片化，夜间清醒时间延长。虽然这些干扰对新生儿来说可能是正常和健康的，但它们可能使护理人员难以满足自己的日常需求。护士可以通过情感支持、积极教育和讨论支持睡眠和新生儿调整期的循证策略来促进新生儿照顾者的健康。除了个人家庭护理之外，护士在倡导支持新生儿护理人员的政策变革方面发挥着至关重要的作用。临床环境和政策领域的努力对于支持新生儿护理人员的健康睡眠模式至关重要。

引用次数: 0

Impact Factor and Other Updates to Nursing for Women’s Health 妇女健康护理的影响因素和其他更新

IF 1.5

Nursing for Women''s Health

Pub Date : 2025-12-01 DOI: 10.1016/j.nwh.2025.09.001

Heidi Collins Fantasia

引用次数: 0

Information for Readers 读者资讯

IF 1.5

Nursing for Women''s Health

Pub Date : 2025-12-01 DOI: 10.1016/S1751-4851(25)00185-0

引用次数: 0

Facilitating Culturally Safe Conversations Around Substance Use Disorder and Contraception to Provide Inclusive Care for Neurodiverse and Neurotypical Populations 促进围绕物质使用障碍和避孕的文化安全对话，为神经多样性和神经典型人群提供包容性护理

IF 1.5

Nursing for Women''s Health

Pub Date : 2025-12-01 DOI: 10.1016/j.nwh.2025.07.006

Lily R.Kelyn Bastian, Faith A. Ozer Green, Corrie B. Whitmore, Kassandra S. Greci, Alexandra E. Edwards

Nurses are vital to facilitating patient-centered discussions on alcohol use, substance use, and contraception, yet they face significant barriers to effective communication, including time constraints, stigma, and implicit bias. This article presents an inclusive framework to support culturally safe, patient-centered dialogue, with attention to neurodiverse populations, including those with fetal alcohol spectrum disorders. Drawing on the Model of the Five Principles of Cultural Safety and the Respectful Maternity Care Framework and Evidence-Based Clinical Practice Guideline from the Association of Women’s Health, Obstetric and Neonatal Nurses, we offer actionable strategies for improving communication, reducing bias, and enhancing patient trust. Training in culturally safe communication improves nurses’ confidence in sensitive conversations, promotes patient-centered care, reduces stigma, and improves patient experiences. Integrating these principles into nursing education and practice equips nurses to meet patients’ complex needs, advancing equitable, compassionate, and effective reproductive health care.

护士对于促进以患者为中心的关于酒精使用、药物使用和避孕的讨论至关重要，但他们面临着有效沟通的重大障碍，包括时间限制、耻辱和隐性偏见。本文提出了一个包容性框架，以支持文化安全，以患者为中心的对话，并关注神经多样性人群，包括胎儿酒精谱系障碍患者。根据妇女健康、产科和新生儿护士协会的“文化安全五原则”模式、“尊重产妇护理框架”和“循证临床实践指南”，我们提供了改善沟通、减少偏见和增强患者信任的可行策略。文化安全沟通方面的培训可以提高护士在敏感对话中的信心，促进以患者为中心的护理，减少耻辱感，改善患者体验。将这些原则纳入护理教育和实践，使护士能够满足患者的复杂需求，促进公平、富有同情心和有效的生殖卫生保健。

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引用次数: 0

Health Equity in Maternal-Newborn Care: A Sub-Analysis of Interventions for Birthing Women from the Middle East and North Africa 母婴保健中的卫生公平：中东和北非分娩妇女干预措施的亚分析

IF 1.5

Nursing for Women''s Health

Pub Date : 2025-12-01 DOI: 10.1016/j.nwh.2025.07.003

Shokoufeh Modanloo, Liquaa Wazni, Wendy Gifford, Zahra Hakimi, Shahnaz Shahid Ali

Objective

To identify evidence-informed interventions that support maternal and newborn health among birthing women from the Middle East and North Africa (MENA), and to explore existing gaps in knowledge related to health equity for this population and their infants.

Data Sources

This subgroup analysis forms part of a broader scoping review. A systematic search was conducted across several electronic databases—Medline, CINAHL, Cochrane, ProQuest, ABI Inform Global, PsycINFO, and the Canada Statute Service. Reference lists of identified articles were also manually reviewed to capture additional relevant sources.

Study Selection

Of 46 studies included in the larger scoping review, 6 met the criteria for this subgroup analysis. These studies focused specifically on maternal–newborn interventions targeting migrant women and families from the MENA region.

Data Extraction

Relevant data were extracted and compiled into summary tables detailing study characteristics, intervention components, and health outcomes.

Data Synthesis

The six interventions targeted a range of maternal and newborn health outcomes. Programs such as Moms Matter and Happy Mothers, Happy Babies aimed to improve maternal knowledge and awareness. Culturally safe educational films supported informed decision-making during prenatal screening. Parenting skills and maternal confidence were strengthened through the Mom-to-Mom program and FIRST STEPS initiative. Mental health was also addressed, with both the Parent Buddy for Preterm Infants and FIRST STEPS interventions reducing postpartum depression symptoms. Collectively, the studies emphasized the need for culturally safe, evidence-based care.

Conclusion

This analysis highlights the importance of tailored, holistic interventions to improve maternal and newborn outcomes for MENA migrant women. It highlighted the need for further research to refine and evaluate specific strategies that address the diverse needs of this population.

目的：确定支持中东和北非（MENA）产妇和新生儿健康的循证干预措施，并探索该人群及其婴儿健康公平相关知识的现有差距。数据来源：此子组分析是更广泛的范围审查的一部分。在medline、CINAHL、Cochrane、ProQuest、ABI Inform Global、PsycINFO和Canada Statute Service等几个电子数据库中进行了系统的搜索。还手动审查了已确定文章的参考书目，以获取其他相关来源。研究选择：纳入大范围综述的46项研究中，有6项符合本亚组分析的标准。这些研究特别侧重于针对中东和北非地区移民妇女和家庭的孕产妇-新生儿干预措施。数据提取：提取相关数据并汇编成汇总表，详细说明研究特征、干预成分和健康结果。数据综合：六项干预措施针对一系列孕产妇和新生儿健康结果。“妈妈很重要”和“快乐妈妈，快乐宝宝”等节目旨在提高母亲的知识和意识。文化安全教育影片支持产前筛查期间的知情决策。通过“妈妈对妈妈”项目和“第一步”倡议，育儿技巧和母亲的信心得到了加强。心理健康问题也得到了解决，“早产儿父母伙伴”和“第一步”干预措施都减少了产后抑郁症状。总的来说，这些研究强调了文化上安全、循证护理的必要性。结论：该分析强调了量身定制的整体干预措施对改善中东和北非地区移民妇女孕产妇和新生儿结局的重要性。它强调需要进一步研究，以完善和评价满足这一人口不同需要的具体战略。

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引用次数: 0

Breast Swelling and Chest Wall Swelling as a Symptom Cluster Associated With Emotional Distress in Women with Breast Cancer–Related Lymphedema 乳房肿胀和胸壁肿胀是与乳腺癌相关淋巴水肿妇女情绪困扰相关的症状群

IF 1.5

Nursing for Women''s Health

Pub Date : 2025-12-01 DOI: 10.1016/j.nwh.2025.07.004

Amy Swartz

Objective

To explore the emotional health of women with breast cancer–related lymphedema, focusing on the symptom cluster of breast swelling and chest wall swelling.

Design

A descriptive correlational design was used for this secondary analysis.

Setting

Patients were recruited from a breast cancer center in New York City.

Participants

Women aged 21 years and older were recruited after initial breast cancer treatment. A sample size of 568 participants participated in the original study. The secondary analysis included 57 participants with breast swelling and chest wall swelling.

Methods

The Breast Cancer and Lymphedema Symptom Experience Index plus demographic information were collected. Four groups were created including the symptom cluster group of breast swelling and chest wall swelling for comparison. Parametric and nonparametric tests, such as descriptive statistics, chi-square, and Kruskal-Wallis H tests, were used to assess the data.

Results

Results revealed a 10% prevalence of the symptom cluster among participants. The median score on the emotional distress subscale was 9 out of 48. The emotional health of those with the symptom cluster showed a significant difference compared to those without the cluster.

Conclusion

These findings underscore the emotional distress burden associated with this symptom cluster, offering insights for the future development of targeted interventions and supportive care for affected individuals.

目的：探讨乳腺癌相关淋巴水肿患者的情绪健康状况，以乳房肿胀和胸壁肿胀为主要症状群。设计：二级分析采用描述性相关设计。环境：从纽约市的乳腺癌中心招募患者。参与者：年龄在21岁及以上的女性在最初的乳腺癌治疗后被招募。原始研究的样本量为568人。二次分析包括57名乳房肿胀和胸壁肿胀的参与者。方法：收集乳腺癌及淋巴水肿症状经历指数及人口统计学资料。分为乳房肿胀症状组和胸壁肿胀症状组四组进行比较。使用参数检验和非参数检验，如描述性统计、卡方检验和Kruskal-Wallis H检验来评估数据。结果：结果显示，10%的患病率的症状群的参与者。情绪困扰子量表的中位数得分为9分（总分48分）。有症状群集者的情绪健康状况与无症状群集者相比有显著差异。结论：这些发现强调了与该症状群相关的情绪困扰负担，为未来发展有针对性的干预措施和受影响个体的支持性护理提供了见解。

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