Nursing for Women''s Health最新文献

英文中文

I Do It for Her 我这样做是为了她。

IF 1.5

Nursing for Women''s Health

Pub Date : 2026-02-01 DOI: 10.1016/j.nwh.2025.10.002

Emily Meneau BSN, RNC-OB, C-EFM, C-OBE

引用次数: 0

Maternal Perceptions and Utilization of Peripheral Intravenous Access in the Postpartum Period 产后产妇对外周静脉通路的认知和利用。

IF 1.5

Nursing for Women''s Health

Pub Date : 2026-02-01 DOI: 10.1016/j.nwh.2025.08.003

David Monasor-Ortolá, Antonio Esteve-Ríos, Arturo Garcia-Garcia, Úrsula Cruz-Andreu, Daniel Monasor-Ortolá, Sofía García-Sanjuán

Objective

To report use characteristics and maternal perceptions related to peripheral intravenous catheters in the postpartum period, and the relationship between catheter presence and postpartum activities.

Design

A cross-sectional descriptive study.

Setting/Local Problem

This study was conducted in a maternal and pediatric unit of a regional hospital in Spain.

Participants

A total of 497 women who had a vaginal birth were included.

Methods

Data on the use of peripheral intravenous catheters and women’s perceptions were collected by trained nurses from medical records and an ad hoc questionnaire at the time of hospital discharge. A descriptive analysis of the data was performed. Categorical variables were analyzed using the chi-square test, with statistical significance set at p < .05.

Results

Most peripheral intravenous catheters (91.5%, n = 455) remained unused after childbirth. Furthermore, 71.6% of women would have preferred to have the catheter in place for a shorter time during the postpartum period, and 60.4% found the insertion site uncomfortable. Moreover, 68.2% reported that the catheter interfered with care and breastfeeding activities. Statistically significant relationships were found between comfort with the catheter and interference in self-care (χ² [2, N = 497] = 59.107; p < .001), neonatal care (χ² [2, N = 497] = 72.537; p < .001), and breastfeeding (χ² [2, N = 497] = 89.084; p < .001).

Conclusion

A high percentage of peripheral intravenous catheters remain unused during the postpartum period. Furthermore, women reported that these catheters were a hindrance to maternal and neonatal care, as well as breastfeeding. Critically assessing the need to maintain or remove these catheters in the postpartum period, particularly after low-risk births, may enhance women’s perceptions during their hospital stay.

目的：报道产后外周静脉留置管的使用特点和产妇的相关认知，以及留置管与产后活动的关系。设计：横断面描述性研究。环境/当地问题：本研究是在西班牙一家地区医院的妇幼部门进行的。参与者：共包括497名阴道分娩的妇女。方法：由训练有素的护士从病历和出院时的临时问卷中收集外周静脉留置管的使用情况和妇女的看法。对数据进行描述性分析。分类变量分析采用卡方检验，差异有统计学意义，p < 0.05。结果：分娩后仍未使用外周静脉导管的占91.5% （n = 455）。此外，71.6%的女性希望在产后放置导管的时间更短，60.4%的女性认为插入部位不舒服。此外，68.2%的人报告导管干扰了护理和母乳喂养活动。导管舒适度与自我护理干扰（χ2 [2, N = 497] = 59.107; p < .001）、新生儿护理（χ2 [2, N = 497] = 72.537; p < .001）、母乳喂养（χ2 [2, N = 497] = 89.084; p < .001）之间存在统计学意义。结论：产后外周静脉留置管使用率高。此外，妇女报告说，这些导尿管阻碍了产妇和新生儿护理以及母乳喂养。严格评估产后，特别是低风险分娩后维持或移除这些导管的必要性，可能会提高妇女在住院期间的认识。

{"title":"Maternal Perceptions and Utilization of Peripheral Intravenous Access in the Postpartum Period","authors":"David Monasor-Ortolá, Antonio Esteve-Ríos, Arturo Garcia-Garcia, Úrsula Cruz-Andreu, Daniel Monasor-Ortolá, Sofía García-Sanjuán","doi":"10.1016/j.nwh.2025.08.003","DOIUrl":"10.1016/j.nwh.2025.08.003","url":null,"abstract":"<div><h3>Objective</h3><div>To report use characteristics and maternal perceptions related to peripheral intravenous catheters in the postpartum period, and the relationship between catheter presence and postpartum activities.</div></div><div><h3>Design</h3><div>A cross-sectional descriptive study.</div></div><div><h3>Setting/Local Problem</h3><div>This study was conducted in a maternal and pediatric unit of a regional hospital in Spain.</div></div><div><h3>Participants</h3><div>A total of 497 women who had a vaginal birth were included.</div></div><div><h3>Methods</h3><div>Data on the use of peripheral intravenous catheters and women’s perceptions were collected by trained nurses from medical records and an ad hoc questionnaire at the time of hospital discharge. A descriptive analysis of the data was performed. Categorical variables were analyzed using the chi-square test, with statistical significance set at <em>p</em> < .05.</div></div><div><h3>Results</h3><div>Most peripheral intravenous catheters (91.5%, <em>n</em> = 455) remained unused after childbirth. Furthermore, 71.6% of women would have preferred to have the catheter in place for a shorter time during the postpartum period, and 60.4% found the insertion site uncomfortable. Moreover, 68.2% reported that the catheter interfered with care and breastfeeding activities. Statistically significant relationships were found between comfort with the catheter and interference in self-care (χ<sup>2</sup> [2, <em>N</em> = 497] = 59.107; <em>p</em> < .001), neonatal care (χ<sup>2</sup> [2, <em>N</em> = 497] = 72.537; <em>p</em> < .001), and breastfeeding (χ<sup>2</sup> [2, <em>N</em> = 497] = 89.084; <em>p</em> < .001).</div></div><div><h3>Conclusion</h3><div>A high percentage of peripheral intravenous catheters remain unused during the postpartum period. Furthermore, women reported that these catheters were a hindrance to maternal and neonatal care, as well as breastfeeding. Critically assessing the need to maintain or remove these catheters in the postpartum period, particularly after low-risk births, may enhance women’s perceptions during their hospital stay.</div></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"30 1","pages":"Pages 44-50"},"PeriodicalIF":1.5,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145764085","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}

引用次数: 0

Scoping Review of Factors Associated With Treatment of Bacterial Sexually Transmitted Infections 细菌性传播感染治疗相关因素的范围综述。

IF 1.5

Nursing for Women''s Health

Pub Date : 2026-02-01 DOI: 10.1016/j.nwh.2025.08.004

Susan Mueller, Jodi L. Sutherland, Melissa A. Sutherland

Objective

To explore experiences related to sexually transmitted infection (STI) treatment guidelines and the influence of social determinants of health (SDOH) on the treatment of STIs.

Data Sources

We followed the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews) protocol. Three databases (CINAHL, MEDLINE, APA PsycInfo) were searched.

Study Selection

We identified peer-reviewed articles focused on treatment in the United States published from 2014 to 2024 in English. Titles and abstracts of 247 articles were reviewed; 16 were included in this synthesis.

Data Extraction

We extracted data based on methodology, population, infection, and key findings related to individual-, interpersonal-, and ecological-level factors that impact effective treatment.

Data Synthesis

Twelve articles (75%) were quantitative, three (19%) were qualitative, and one (6%) was mixed-methods. Four themes were identified: Medication Adherence, Partner Notification/Treatment, SDOH/Social Context, and Interventions. Five articles described patient medication adherence challenges, and 13 articles focused on partner notification and treatment. Of the 14 articles that examined specific SDOH/social context, intimate partner violence was most frequently explored. Language barriers, sexual gender minority identity, and income-related barriers were also identified as relevant to STI treatment. No articles addressed abstinence from intercourse during the treatment period.

Conclusion

Findings suggest that SDOH/social context influence patient treatment adherence and bacterial STI outcomes. Of the SDOH, intimate partner violence was commonly highlighted as a barrier to partner notification, medication adherence, and treatment completion. Systems-level interventions were more effective than individual-level interventions. A syndemic framework may improve STI treatment outcomes by addressing sociocultural and structural factors alongside biomedical priorities.

目的：探讨性传播感染（STI）治疗指南的相关经验及健康社会决定因素（SDOH）对STI治疗的影响。数据来源：我们遵循PRISMA-ScR（用于系统评价的首选报告项目和用于范围评价的元分析扩展）协议。检索三个数据库（CINAHL， MEDLINE, APA PsycInfo）。研究选择：我们确定了2014年至2024年在美国发表的同行评议的英文治疗文章。对247篇论文的题目和摘要进行了综述；这一综合包括16个。数据提取：我们根据方法学、人群、感染以及与影响有效治疗的个人、人际和生态水平因素相关的关键发现提取数据。数据综合：定量文献12篇（75%），定性文献3篇（19%），混合方法文献1篇（6%）。确定了四个主题：药物依从性，伴侣通知/治疗，SDOH/社会背景和干预措施。5篇文章描述了患者药物依从性挑战，13篇文章关注伴侣通知和治疗。在14篇研究特定的SDOH/社会背景的文章中，最常探讨的是亲密伴侣暴力。语言障碍、性少数性别认同和收入相关障碍也被认为与性传播感染治疗有关。在治疗期间没有文章提到禁欲。结论：研究结果表明，SDOH/社会背景影响患者的治疗依从性和细菌性性传播感染的结局。在SDOH中，亲密伴侣暴力通常被强调为伴侣通知、药物依从性和治疗完成的障碍。系统层面的干预比个人层面的干预更有效。综合框架可以通过解决社会文化和结构因素以及生物医学优先事项来改善性传播感染的治疗结果。

{"title":"Scoping Review of Factors Associated With Treatment of Bacterial Sexually Transmitted Infections","authors":"Susan Mueller, Jodi L. Sutherland, Melissa A. Sutherland","doi":"10.1016/j.nwh.2025.08.004","DOIUrl":"10.1016/j.nwh.2025.08.004","url":null,"abstract":"<div><h3>Objective</h3><div>To explore experiences related to sexually transmitted infection (STI) treatment guidelines and the influence of social determinants of health (SDOH) on the treatment of STIs.</div></div><div><h3>Data Sources</h3><div>We followed the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews) protocol. Three databases (CINAHL, MEDLINE, APA PsycInfo) were searched.</div></div><div><h3>Study Selection</h3><div>We identified peer-reviewed articles focused on treatment in the United States published from 2014 to 2024 in English. Titles and abstracts of 247 articles were reviewed; 16 were included in this synthesis.</div></div><div><h3>Data Extraction</h3><div>We extracted data based on methodology, population, infection, and key findings related to individual-, interpersonal-, and ecological-level factors that impact effective treatment.</div></div><div><h3>Data Synthesis</h3><div>Twelve articles (75%) were quantitative, three (19%) were qualitative, and one (6%) was mixed-methods. Four themes were identified: <em>Medication Adherence</em>, <em>Partner Notification/Treatment</em>, <em>SDOH/Social Context</em>, and <em>Interventions</em>. Five articles described patient medication adherence challenges, and 13 articles focused on partner notification and treatment. Of the 14 articles that examined specific SDOH/social context, intimate partner violence was most frequently explored. Language barriers, sexual gender minority identity, and income-related barriers were also identified as relevant to STI treatment. No articles addressed abstinence from intercourse during the treatment period.</div></div><div><h3>Conclusion</h3><div>Findings suggest that SDOH/social context influence patient treatment adherence and bacterial STI outcomes. Of the SDOH, intimate partner violence was commonly highlighted as a barrier to partner notification, medication adherence, and treatment completion. Systems-level interventions were more effective than individual-level interventions. A syndemic framework may improve STI treatment outcomes by addressing sociocultural and structural factors alongside biomedical priorities.</div></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"30 1","pages":"Pages 51-60"},"PeriodicalIF":1.5,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145795193","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}

引用次数: 0

A Multicomponent, Team-Based Quality Improvement Project for Improving Cervical Cancer Screenings in Primary Care 一项多成分、以团队为基础的品质改善计划，以改善基层医疗的子宫颈癌筛检。

IF 1.5

Nursing for Women''s Health

Pub Date : 2026-02-01 DOI: 10.1016/j.nwh.2025.08.002

Michelle Flanagan, Heidi Collins Fantasia

Objective

To increase cervical cancer screening (CCS) adherence by 10% over 4 months and improve provider knowledge and use of evidence-based guidelines, as measured by the Evidence-Based Medicine Questionnaire.

Design

An evidence-based, 10-min slide presentation on improving CCS was delivered to clinicians, medical assistants, and front desk staff at internal medicine offices.

Setting/Local Problem

Cervical cancer is highly curable, with a 5-year relative survival rate of 91% when detected at a localized stage. In 2023, a multisite primary care group in northeast Massachusetts reported a CCS adherence rate of 60.5%, well below the national average of 73.9%.

Participants

Ninety-seven staff members across six sites were eligible to participate, including 40 clinicians (18 physicians, 22 advance practice providers), 43 medical assistants, and 14 front desk staff. All 40 clinicians participated, but medical assistants and front desk staff were not surveyed.

Methods

Using a pretest and posttest design with convenience sampling, internal medicine clinicians completed the Evidence-Based Medicine Questionnaire 1 month before and 3 months after watching the slide presentation.

Results

CCS adherence increased from 58% in June 2024 to 62% in October 2024, a 4% gain. The number of Papanicolaou smears performed also rose by 4%, from 618 in 2023 to 640 in 2024. With the highest possible Evidence-Based Medicine Questionnaire score of 205 representing high knowledge of evidence-based guidelines, pretest scores (n = 9) ranged from 122 to 194 (mean = 157) and posttest scores (n = 8) ranged from 125 to 198 (mean = 166), suggesting a modest improvement in knowledge and application of evidence-based guidelines with fewer perceived barriers.

Conclusion

Continued use of evidence-based practices may further improve CCS adherence rates across this multisite primary care group, bringing them closer to national benchmarks.

目的：通过循证医学问卷调查，在4个月内将宫颈癌筛查（CCS）的依从性提高10%，并提高提供者对循证指南的了解和使用。设计：对临床医生、医疗助理和内科办公室的前台工作人员进行了一个基于证据的、10分钟的关于改进CCS的幻灯片演示。环境/局部问题：子宫颈癌的治愈率很高，如果在局部阶段发现，5年相对存活率为91%。2023年，马萨诸塞州东北部的一个多站点初级保健小组报告的CCS依从率为60.5%，远低于73.9%的全国平均水平。参与者：来自6个站点的97名工作人员有资格参加，包括40名临床医生（18名医生，22名高级执业提供者），43名医疗助理和14名前台工作人员。所有40名临床医生都参与了调查，但没有对医疗助理和前台工作人员进行调查。方法：采用方便抽样的前测和后测设计，内科临床医生分别在观看幻灯片前1个月和后3个月填写循证医学问卷。结果：CCS依从性从2024年6月的58%增加到2024年10月的62%，增加了4%。Papanicolaou涂片的数量也增加了4%，从2023年的618例增加到2024年的640例。循证医学问卷得分最高的205分代表对循证指南的高度了解，前测得分（n = 9）范围为122至194分（平均= 157），后测得分（n = 8）范围为125至198分（平均= 166），表明循证指南的知识和应用有适度的提高，感知障碍较少。结论：继续使用循证实践可以进一步提高该多站点初级保健组的CCS依从率，使其更接近国家基准。

{"title":"A Multicomponent, Team-Based Quality Improvement Project for Improving Cervical Cancer Screenings in Primary Care","authors":"Michelle Flanagan, Heidi Collins Fantasia","doi":"10.1016/j.nwh.2025.08.002","DOIUrl":"10.1016/j.nwh.2025.08.002","url":null,"abstract":"<div><h3>Objective</h3><div>To increase cervical cancer screening (CCS) adherence by 10% over 4 months and improve provider knowledge and use of evidence-based guidelines, as measured by the Evidence-Based Medicine Questionnaire.</div></div><div><h3>Design</h3><div>An evidence-based, 10-min slide presentation on improving CCS was delivered to clinicians, medical assistants, and front desk staff at internal medicine offices.</div></div><div><h3>Setting/Local Problem</h3><div>Cervical cancer is highly curable, with a 5-year relative survival rate of 91% when detected at a localized stage. In 2023, a multisite primary care group in northeast Massachusetts reported a CCS adherence rate of 60.5%, well below the national average of 73.9%.</div></div><div><h3>Participants</h3><div>Ninety-seven staff members across six sites were eligible to participate, including 40 clinicians (18 physicians, 22 advance practice providers), 43 medical assistants, and 14 front desk staff. All 40 clinicians participated, but medical assistants and front desk staff were not surveyed.</div></div><div><h3>Methods</h3><div>Using a pretest and posttest design with convenience sampling, internal medicine clinicians completed the Evidence-Based Medicine Questionnaire 1 month before and 3 months after watching the slide presentation.</div></div><div><h3>Results</h3><div>CCS adherence increased from 58% in June 2024 to 62% in October 2024, a 4% gain. The number of Papanicolaou smears performed also rose by 4%, from 618 in 2023 to 640 in 2024. With the highest possible Evidence-Based Medicine Questionnaire score of 205 representing high knowledge of evidence-based guidelines, pretest scores (<em>n</em> = 9) ranged from 122 to 194 (mean = 157) and posttest scores (<em>n</em> = 8) ranged from 125 to 198 (mean = 166), suggesting a modest improvement in knowledge and application of evidence-based guidelines with fewer perceived barriers.</div></div><div><h3>Conclusion</h3><div>Continued use of evidence-based practices may further improve CCS adherence rates across this multisite primary care group, bringing them closer to national benchmarks.</div></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"30 1","pages":"Pages 25-32"},"PeriodicalIF":1.5,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145843977","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}

引用次数: 0

Validation of the Newborn Warning Signs Handout 新生儿警告标志讲义的验证

IF 1.5

Nursing for Women''s Health

Pub Date : 2026-02-01 DOI: 10.1016/j.nwh.2025.08.006

Katie Swinyer, Angela Lober, Teresa Johnson

Objective

To test the content validity of the Newborn Warning Signs (NBWS) handout.

Design

A mixed-methods approach was used to validate the NBWS handout. Following the methods for patient education validation of Betschart et al. (2019), the research team conducted a phased process to develop and revise the handout.

Setting

Validation procedures occurred via online surveys with content experts and in person with people who were expecting to care or were already caring for newborns.

Participants

Content validation included 32 content experts and 10 parents. Thirty-seven pregnant people completed the Consumer Information Rating Form (CIRF).

Methods

Content experts evaluated the handout items via an online survey. Concurrently, newborn caregivers participated in semistructured interviews and provided their perceptions of handout items. Once revisions were made based on feedback, parents of newborns completed the NBWS CIRF. Based on findings from the previous phases, a validated handout was finalized.

Results

Participants in each phase provided feedback for revision of the NBWS handout to enhance clarity and ease of reading. The CIRF composite scores were 1.15 for comprehensibility, 1.21 for utility, and 1.84 for design quality; a score below 2.0 indicated no need for further revision.

Conclusion

The NBWS caregiver handout is a valid health education tool aimed at reducing newborn morbidity and mortality.

目的检验新生儿警示标志（NBWS）资料的内容效度。设计采用混合方法验证NBWS讲义。根据Betschart等人（2019）的患者教育验证方法，研究团队进行了分阶段的过程来开发和修改讲义。设置验证程序通过与内容专家进行在线调查，并亲自与期望照顾或已经照顾新生儿的人进行调查。参与者内容验证包括32名内容专家和10名家长。37名孕妇完成了消费者信息评分表（CIRF）。方法content专家通过在线调查对分发的内容进行评估。同时，新生儿护理人员参加了半结构化访谈，并提供了他们对讲义项目的看法。一旦根据反馈进行了修订，新生儿的父母就完成了NBWS CIRF。根据前几个阶段的调查结果，最后确定了一份经过验证的讲义。结果每个阶段的参与者都对NBWS讲义的修订提供了反馈，以提高其清晰度和易阅读性。CIRF综合得分为可理解性1.15，实用性1.21，设计质量1.84；分数低于2.0表示无需进一步修订。结论NBWS照护人员讲义是一种有效的健康教育工具，旨在降低新生儿的发病率和死亡率。

{"title":"Validation of the Newborn Warning Signs Handout","authors":"Katie Swinyer, Angela Lober, Teresa Johnson","doi":"10.1016/j.nwh.2025.08.006","DOIUrl":"10.1016/j.nwh.2025.08.006","url":null,"abstract":"<div><h3>Objective</h3><div>To test the content validity of the Newborn Warning Signs (NBWS) handout.</div></div><div><h3>Design</h3><div>A mixed-methods approach was used to validate the NBWS handout. Following the methods for patient education validation of <span><span>Betschart et al. (2019)</span></span>, the research team conducted a phased process to develop and revise the handout.</div></div><div><h3>Setting</h3><div>Validation procedures occurred via online surveys with content experts and in person with people who were expecting to care or were already caring for newborns.</div></div><div><h3>Participants</h3><div>Content validation included 32 content experts and 10 parents. Thirty-seven pregnant people completed the Consumer Information Rating Form (CIRF).</div></div><div><h3>Methods</h3><div>Content experts evaluated the handout items via an online survey. Concurrently, newborn caregivers participated in semistructured interviews and provided their perceptions of handout items. Once revisions were made based on feedback, parents of newborns completed the NBWS CIRF. Based on findings from the previous phases, a validated handout was finalized.</div></div><div><h3>Results</h3><div>Participants in each phase provided feedback for revision of the NBWS handout to enhance clarity and ease of reading. The CIRF composite scores were 1.15 for comprehensibility, 1.21 for utility, and 1.84 for design quality; a score below 2.0 indicated no need for further revision.</div></div><div><h3>Conclusion</h3><div>The NBWS caregiver handout is a valid health education tool aimed at reducing newborn morbidity and mortality.</div></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"30 1","pages":"Pages 14-24"},"PeriodicalIF":1.5,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146116544","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}

引用次数: 0

Exploring Breast Health Through the Lived Experiences of Burmese American Immigrant Women 通过缅甸裔美国移民妇女的生活经历探索乳房健康。

IF 1.5

Nursing for Women''s Health

Pub Date : 2026-02-01 DOI: 10.1016/j.nwh.2025.08.005

May M. San-Rozano

Objective

To explore the unique meanings and cultural and societal challenges influencing breast health awareness and practices among Burmese American immigrant women, highlighting their personal narratives and how they find meaning through their experiences.

Design

This qualitative study used interpretive phenomenological analysis by employing the hermeneutic circle to understand the dynamic relationship between a person’s background or previous experiences and the present moment, perceived meaning in the interrelationship between a person and a situation, and a person’s perceived purpose of being-in-the-world in a circular fashion.

Setting

Burmese American immigrant women who reside in the United States were recruited and interviewed in person or virtually in community settings.

Participants

Ten participants were interviewed. Convenience and snowball sampling methods were used, and data were collected using a structured interview.

Method

Interpretive phenomenological analysis was the qualitative method used in this research.

Results

Five major themes emerged: Invisible Boundaries; Maladaptive Health Narratives Shaped by the Past; Lost in the Gap, Surrounded yet Unsupported; Cultural Modesty and Private Battles, Guided by Fate; and Resilient Voices and Empowered Choices.

Conclusion

The information gained from the study offers nurses and other health care providers important perspectives and insights into the experiences of Burmese American immigrant women, an understudied group. Findings can contribute to current knowledge in the development of culturally tailored approaches that support patient-provider communication and improve breast health preventive care engagement of Burmese American immigrant women with diverse sociocultural and migration backgrounds.

目的：探讨影响缅甸裔美国移民妇女乳房健康意识和实践的独特意义以及文化和社会挑战，突出她们的个人叙述以及她们如何通过自己的经历找到意义。设计：本定性研究采用解释性现象学分析，通过使用解释性循环来理解一个人的背景或以前的经历与现在时刻之间的动态关系，一个人与情境之间相互关系的感知意义，以及一个人以循环方式存在于世界的感知目的。环境：居住在美国的缅甸裔美国移民妇女被招募并亲自或虚拟地在社区环境中接受采访。参与者：访谈了10名参与者。采用便利抽样法和滚雪球抽样法，采用结构化访谈法收集数据。方法：定性研究采用解释现象学分析方法。结果：出现了五大主题：无形边界；由过去塑造的不适应健康叙事；迷失在隘口，被包围却无人支持；以命运为导向的文化谦逊与私人战斗有弹性的声音和被授权的选择。结论：从研究中获得的信息为护士和其他卫生保健提供者提供了重要的视角和见解，了解缅甸裔美国移民妇女的经历，这是一个未被充分研究的群体。研究结果有助于制定适合不同文化的方法，以支持患者与提供者之间的沟通，并改善具有不同社会文化和移民背景的缅甸裔美国移民妇女的乳房健康预防保健参与。

{"title":"Exploring Breast Health Through the Lived Experiences of Burmese American Immigrant Women","authors":"May M. San-Rozano","doi":"10.1016/j.nwh.2025.08.005","DOIUrl":"10.1016/j.nwh.2025.08.005","url":null,"abstract":"<div><h3>Objective</h3><div>To explore the unique meanings and cultural and societal challenges influencing breast health awareness and practices among Burmese American immigrant women, highlighting their personal narratives and how they find meaning through their experiences.</div></div><div><h3>Design</h3><div>This qualitative study used interpretive phenomenological analysis by employing the hermeneutic circle to understand the dynamic relationship between a person’s background or previous experiences and the present moment, perceived meaning in the interrelationship between a person and a situation, and a person’s perceived purpose of being-in-the-world in a circular fashion.</div></div><div><h3>Setting</h3><div>Burmese American immigrant women who reside in the United States were recruited and interviewed in person or virtually in community settings.</div></div><div><h3>Participants</h3><div>Ten participants were interviewed. Convenience and snowball sampling methods were used, and data were collected using a structured interview.</div></div><div><h3>Method</h3><div>Interpretive phenomenological analysis was the qualitative method used in this research.</div></div><div><h3>Results</h3><div>Five major themes emerged: <em>Invisible Boundaries</em>; <em>Maladaptive Health Narratives Shaped by the Past</em>; <em>Lost in the Gap, Surrounded yet Unsupported</em>; <em>Cultural Modesty and Private Battles, Guided by Fate</em>; and <em>Resilient Voices and Empowered Choices</em>.</div></div><div><h3>Conclusion</h3><div>The information gained from the study offers nurses and other health care providers important perspectives and insights into the experiences of Burmese American immigrant women, an understudied group. Findings can contribute to current knowledge in the development of culturally tailored approaches that support patient-provider communication and improve breast health preventive care engagement of Burmese American immigrant women with diverse sociocultural and migration backgrounds.</div></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"30 1","pages":"Pages 33-43"},"PeriodicalIF":1.5,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145795158","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}

引用次数: 0

Reviewer Acknowledgement 评论家承认

IF 1.5

Nursing for Women''s Health

Pub Date : 2026-02-01 DOI: 10.1016/S1751-4851(26)00020-6

引用次数: 0

Marking the 30th Anniversary of Nursing for Women’s Health 纪念妇女保健护理工作30周年

IF 1.5

Nursing for Women''s Health

Pub Date : 2026-02-01 DOI: 10.1016/j.nwh.2025.11.002

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 : 2026-02-01 DOI: 10.1016/S1751-4851(26)00005-X

引用次数: 0

Clinical Considerations in the Use of Glucagon-Like Peptide-1 Receptor Agonists for Obesity Management 胰高血糖素样肽-1受体激动剂治疗肥胖的临床考虑

IF 1.5

Nursing for Women''s Health

Pub Date : 2026-02-01 DOI: 10.1016/j.nwh.2025.09.003

Victoria Phan, Briana Bethune, Breanna Lathrop

As the prevalence of severe obesity continues to rise, glucagon-like peptide-1 receptor agonists (GLP-1 RAs) and GLP-1/glucose-dependent insulinotropic polypeptide receptor agonist combination medications offer potential for substantial weight loss. Weight loss achieved varies by individual, ranging from an expected weight loss of 10 to 33.7 lb, depending on the product chosen. Their use is limited by cost, adverse effects, and potential for weight gain after discontinuing treatment. Nurses can maximize the benefit of these agents by counseling patients about their appropriate use, adverse effect management, and ongoing lifestyle modifications to maximize weight loss. Patients should also be counseled on pregnancy prevention while using these medications.

随着严重肥胖的患病率持续上升，胰高血糖素样肽-1受体激动剂（GLP-1 RAs）和GLP-1/葡萄糖依赖性胰岛素性多肽受体激动剂联合用药提供了大量减肥的潜力。减肥效果因人而异，根据所选产品的不同，预期体重减轻10磅到33.7磅不等。它们的使用受到成本、不良反应和停止治疗后体重增加的可能性的限制。护士可以通过向患者咨询这些药物的适当使用、不良反应管理和持续的生活方式改变来最大限度地减轻体重，从而最大限度地发挥这些药物的益处。患者在使用这些药物时也应被告知如何预防怀孕。

引用次数: 0

下一页尾页

类型

全部化学•材料生命科学医学物理工程技术环境•农林材料科学地球科学法学管理学化学环境科学与生态学计算机科学教育学经济学农林科学人文科学生物学数学物理与天体物理心理学综合性期刊其他工业工程理学历史学农学文学信息工程

数据库

全部 ACS Publications Elsevier ieeexplore Springer The Royal Society of Chemistry Wiley

期刊

Nursing for Women''s Health

全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.

﹀