Nursing for Women''s Health最新文献

Objective: To integrate the findings of qualitative research to describe the experiences of intimate partner violence (IPV) among mothers who use substances.

Data sources: A systematic search of the literature was conducted using the databases of the American Psychological Association PsycINFO, CINAHL, and PubMed along with a manual search of Google Scholar.

Study selection: The Joanne Briggs Institute critical appraisal checklist for qualitative research criteria was used to assess the studies for selection. Inclusion criteria comprised (a) qualitative research, (b) available in English, (c) published in peer-reviewed journals, (d) inclusive of descriptions of IPV experienced by mothers who use substances, (e) conducted in the United States, and (f) published between January 2013 and October 2023.

Data extraction: The researchers highlighted and extracted data from studies that met the inclusion criteria. Data describing IPV among mothers who use substances were extracted.

Data synthesis: A thematic synthesis was used to integrate the findings using three stages and included (a) free line-by-line coding of the findings of the primary studies, (b) the development of the free codes into associated areas to construct descriptive subthemes, and (c) the development of overarching analytic themes.

Conclusion: Findings from 11 qualitative studies were synthesized. Four descriptive subthemes emerged to delineate the experiences of IPV in mothers who use substances: Experience of Various Types of IPV, Lack of Structures to Identify and Address IPV, Coping With Violence by Taking Substances, and Substance Use Influences Behaviors of IPV. Nurses who work with mothers who use substances should be knowledgeable about local resources for IPV, complete ongoing educational training for IPV screening, and be familiar with recommended guidelines for the routine assessment of IPV.

A certified nurse-midwife describes how the TeamBirth approach has helped open up lines of communication between birthing families and care teams.

Objective: To explore Thai health care providers' perceptions of screening for intimate partner violence (IPV).

Design: This study used a qualitative approach to explore Thai health care providers' perceptions of IPV screening.

Setting: Four focus groups of health care providers working in secondary and tertiary hospitals in northeast Thailand.

Participants: Thirty-two health care providers (30 nurses and 2 social workers) experienced in women's health care and working in hospitals in northeast Thailand.

Results: Findings reflected four categories: The Importance of Screening for IPV, Factors Related to IPV Screening, Barriers to IPV Screening, and Strategies to Promote IPV Screening.

Conclusion: Our results highlight the significance of IPV screening in connecting survivors to help; challenges faced by providers, such as cultural norms and lack of training; and recommendations for policymakers to enhance IPV screening in Thailand.

Objective: To increase patients' knowledge and access to genetic carrier screening (GCS) in a gynecologic setting by implementing a protocol to universally offer GCS education and screening to reproductive-age women during the preconception period at gynecologic-related visits.

Design: The model for improvement quality improvement process model was used to guide this initiative.

Local problem/setting: Screening for genetic disease has been a part of preconception and genetic care for the past 50 years. Despite its longstanding presence and better accessibility and affordability of testing, there are no established protocols to universally offer screening to reproductive-age women during preconception care in the United States. The project was implemented at an outpatient gynecology clinic in Phoenix, Arizona.

Participants: Fifty-one women ages 18 to 51 years.

Intervention/measurements: A protocol was implemented to universally offer expanded GCS and health education to reproductive-age women during the preconception period at gynecologic-related visits. Women's responses to being offered GCS and the rationale for their response was documented on a spreadsheet.

Results: All 51 participants were offered GCS during their visit. None of those 51 participants had any previous knowledge of GCS. All 51 participants declined GCS; reasons included the following: would consider it once closer to childbearing (53%), did not have any childbearing plans (31.3%), did not have any further childbearing plans (9.8%), or were not worried about the possibility of genetic disease (5.8%). None cited cost as a reason for declining GCS. After project completion, 3 of the 51 participants returned to the clinic to undergo GCS, and the clinic has adopted the intervention described here as its standard of care for patients who meet criteria for GCS.

Conclusion: It is imperative to provide health education about GCS to women during preconception care so that they can make informed choices about family planning.

Adverse pregnancy outcomes are associated with poor short- and long-term cardiovascular health. However, patients and their health care providers may not have knowledge of this risk or of the healthful practices that can reduce this risk. Childbirth care can be a pivotal time in the patient-clinician relationship to build awareness and spur prevention planning. As part of the American Heart Association-supported program entitled Providing an Optimized and Empowered Pregnancy for You (P³OPPY), our team collaborated with a community advisory board to create a teaching handout about adverse pregnancy outcomes for incorporation into hospital-based postpartum care. This handout can be used by pregnancy and maternity care providers, including postpartum nurses, to provide health education on how adverse pregnancy outcomes can influence risk for future cardiovascular disease and what can be done for prevention.

Objective: To examine the diagnosis experience in an international sample of people with lean polycystic ovary syndrome (PCOS).

Design: Cross-sectional study with open-ended questions.

Setting: Online.

Participants: A total of 150 people with lean PCOS who met eligibility criteria.

Measurements/intervention: An electronic survey was distributed on social media. Survey questions were adapted from previously published research. Categorical data were analyzed as count and proportions. Chi-square tests were used to examine factors associated with diagnosis experience satisfaction. Post hoc analysis was conducted using adjusted standardized residuals. Statistical significance was set at p < .05. Qualitative data were analyzed with an inductive thematic approach.

Results: Approximately 49.0% (n = 72) of participants reported diagnosis experience dissatisfaction, 72.8% (n = 99) disagreed that there is adequate information about lean PCOS, and 80.2% (n = 109) disagreed that health professionals have adequate knowledge about lean PCOS. Significant associations were found between length of time to diagnosis and diagnosis satisfaction (p = .001, χ² = 18.133, df = 4, Cramer's V = 0.258) and number of medical professionals seen and diagnosis satisfaction (p < .001, χ² = 18.095, df = 2, Cramer's V = 0.362). Main PCOS concerns included irregular menstrual cycles (n = 108, 72.0%), hormone imbalance (n = 97, 64.7%), and anxiety (n = 74, 49.3%). Qualitative analyses revealed that participants received limited PCOS management information and felt providers were dismissive of them.

Conclusion: The diagnosis experience for people with lean PCOS includes high feelings of dissatisfaction. Opportunities exist to expand education about lean PCOS among students and clinicians, provide quality resources to support lifestyle modification in patients with lean PCOS, and listen to the needs of each individual. Future research should further examine the lean subset of people with PCOS.

Objective: To assess the impact of a pharmacist-mediated education program on menstrual hygiene among adolescent girls in and around Balagangadaranatha (BG) Nagara, India.

Design: Pre- and postintervention study conducted over 6 months.

Setting/local problem: Adolescent girls in India, especially in rural areas, may lack proper knowledge and a supportive atmosphere to deal with menstruation-related concerns. Many myths and taboos also make it difficult or impossible to find accurate information about menstruation and menstrual hygiene.

Participants: The sample included 585 female high school students who had begun menstruation and lived in and around BG Nagara, India.

Intervention: An educational training session provided information about the menstrual cycle, sanitary products, proper disposal practices, and menstrual disorders. Information addressed the psychological and social dimensions of menstruation to mitigate stigma. Educational leaflets about personal menstruation hygiene practices were also provided.

Results: Pre- and posttests were administered to assess participants' knowledge of and practices regarding menstrual hygiene. Pretest scores indicated that 43.8% (n = 164) of participants had good knowledge of menstruation, 86% (n = 503) used sanitary pads, and 73.2% (n = 428) thought that increasing nutritious food was necessary during menstruation. Posttest scores indicated an increase in all areas (p < .001).

Conclusion: Health education was associated with an improvement in female high school students' knowledge of and practices related to menstrual hygiene. More menstrual health education strategies and awareness programs are needed to improve the knowledge and health of adolescent girls.

Objective: To explore the experience of pregnancy among adolescent girls ages 16 to 19 years in Jordan.

Design: Descriptive exploratory qualitative design.

Setting: Participants were recruited from antenatal clinics and postpartum wards in Ministry of Health primary health care clinics and hospitals across Jordan. This included a wide geographic area in Jordan that covered several cities: Amman, Zarqa, Irbid, As-Salt, and others.

Participants: The total number of participants was 13. Most participants were primiparous, and three were multiparous. Five participants were recruited during the postpartum period, seven in the second and third trimester, and one during the first trimester.

Measurements: Data were collected using semistructured and audio-recorded interviews and analyzed concurrently. Thematic analysis was used. A total of 13 interviews were conducted.

Results: Two core themes emerged from the study: Navigating the Change and Reflecting on the Experience of Pregnancy. The first theme included four subthemes: Making Adjustments, Seeking Support, Searching for Information, and Feeling the Responsibility.

Conclusion: Considering the impact of pregnancy on adolescent girls and their fetuses, early marriages should be reconsidered in legal and health policies in Jordan and worldwide. Adolescents expressed a need for more information about pregnancy. Age-appropriate comprehensive sexual education that includes discussion of gender issues and women's empowerment is needed. Online sources of pregnancy information targeting the needs of adolescents are also recommended. More research is needed to explore the needs of pregnant adolescents in different social and cultural contexts.

Clinical practice manuscripts present current evidence-based information for nurses that can be incorporated into practice.

Objective: To explore the perceptions of sleep quality, levels of fatigue, and cognitive executive function in women shift workers.

Design: Qualitative, descriptive study of a sample of participants who participated in a cross-sectional, mixed-methods study.

Setting: Online focus groups.

Participants: Women shift workers (N = 14) recruited from the southeastern United States.

Methods: Four focus groups were conducted using the Zoom online videoconferencing platform. Transcripts were coded inductively, and data were analyzed using a thematic analysis approach.

Results: Five major themes were developed from the data: Lots of Sleep Lost, Day Sleep Difficulties, Negative Consequences, Missing Out, and Not in My Own Thoughts.

Conclusion: Shift work is associated with sleep loss, which has a negative impact on women's emotional, mental, and physical health. Further nursing science investigation into strategies to enable women to improve their sleep quality, sleep quantity, and social/domestic environment is warranted. Education to increase sleep knowledge and decrease accidents and errors that can result from insufficient sleep is vital.