Nursing for Women''s Health最新文献

英文中文

Chronic Hypertension in Pregnacy 妊娠期慢性高血压

Nursing for Women''s Health

Pub Date : 2024-10-01 DOI: 10.1016/S1751-4851(24)00204-6

引用次数: 0

A “Normal” Ultrasound 正常 "的超声波

Nursing for Women''s Health

Pub Date : 2024-10-01 DOI: 10.1016/j.nwh.2024.05.002

Melanie Chichester, Ethan Zerpa, Teresa C. Logue

引用次数: 0

Adoption 收养。

Nursing for Women''s Health

Pub Date : 2024-10-01 DOI: 10.1016/j.nwh.2024.06.001

Association of Women’s Health, Obstetric and Neonatal Nurses

引用次数: 0

The Role of Nurses in Political Advocacy 护士在政治宣传中的作用。

Nursing for Women''s Health

Pub Date : 2024-10-01 DOI: 10.1016/j.nwh.2024.08.003

Heidi Collins Fantasia

引用次数: 0

Experiences of Academic Women in Jordan on Their Return to Work After Childbirth 约旦女学者产后重返工作岗位的经历。

Nursing for Women''s Health

Pub Date : 2024-10-01 DOI: 10.1016/j.nwh.2024.03.005

Ruqayya S. Zeilani, Alia Mahadeen, Khadeejeh Y. Aldasoqi, Maysoon S. Abdalrahim, Elham H. Othman

Objective

To describe the experiences of women living in Jordan returning to work at their academic positions after giving birth to their first newborns.

Design

Qualitative descriptive phenomenological design.

Setting

Various schools within a governmental university in Jordan. This study describes the challenges women in academia experience in the context of Jordan’s Arabic patriarchal communities.

Participants

A purposive sample of 15 women returning to their academic positions.

Methods

Unstructured, face-to-face, in-depth interviews of women returning to their academic positions within 3 months after giving birth to their first newborns. The recorded interviews were analyzed using Braun and Clarke’s thematic analysis process.

Results

Three major themes emerged: Living in Chaos, The Urgent Need for Transitional Time, and Calling for Help and Support. Participants described their return to work as a period marked by a sense of chaos and instability, in which they felt a loss of control over their lives. They expressed a pressing need for a transitional period before resuming full-time academic roles, highlighting the importance of a gradual return. Finally, participants shared their struggles with the extra demands added to their daily routine. As working mothers, participants experienced extreme distress while attempting to fulfill their daily responsibilities. They emphasized the lack of adequate support in this challenging period.

Conclusion

Women returning to their academic work after giving birth to their first newborns need to be prepared physically and emotionally for the changes and responsibilities of their new life. A longer period of maternity leave or a transitional period may help women working in academia to manage the demands of multiple maternal roles alongside their professional commitments. These findings highlight the absence of formal policies needed to support women in academia in their return to work after maternity leave.

目的描述生活在约旦的妇女在生育第一个新生儿后重返学术岗位工作的经历：设计：定性描述现象学设计：环境：约旦一所公立大学的各个学院。本研究描述了约旦阿拉伯父权制社区背景下学术界女性所经历的挑战：15 名重返学术岗位的女性：方法：对产后 3 个月内重返学术岗位的女性进行非结构化、面对面的深入访谈。采用布劳恩和克拉克的主题分析方法对访谈记录进行分析：结果：出现了三大主题：生活在混乱中、迫切需要过渡时间以及寻求帮助和支持。参与者将重返工作岗位描述为一个充满混乱和不稳定感的时期，在这一时期，他们感到失去了对生活的控制。他们表示，在重新担任全职学术职务之前，迫切需要一个过渡时期，并强调了逐步重返职场的重要性。最后，与会者分享了她们在日常工作中遇到的额外需求。作为职业母亲，学员们在努力履行日常职责的过程中经历了极大的痛苦。她们强调在这一充满挑战的时期缺乏足够的支持：结论：产后重返工作岗位的妇女需要为新生活的变化和责任做好身心准备。较长的产假或过渡时期可能有助于在学术界工作的妇女在履行其职业承诺的同时应对多重母亲角色的要求。这些调查结果表明，缺乏必要的正式政策来支持学术界妇女在休完产假后重返工作岗位。

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引用次数: 0

Information for Readers 读者信息

Nursing for Women''s Health

Pub Date : 2024-10-01 DOI: 10.1016/S1751-4851(24)00176-4

引用次数: 0

A Quality Improvement Project Evaluating the Effects of Eat, Sleep, Console on Nurses and on Neonates With Neonatal Abstinence Syndrome 一项质量改进项目，评估 "吃、睡、控制 "对护士和患有新生儿戒断综合症的新生儿的影响。

Nursing for Women''s Health

Pub Date : 2024-10-01 DOI: 10.1016/j.nwh.2024.02.009

Tia Cooney, Jacqueline Larizza, Ursula Cote, Anne-Sophie Gervais, Lindsey Rae, Joel Warkentin, Sacha Dubois

Objective

To improve neonatal outcomes through the implementation of an eat, sleep, console (ESC) assessment and change in hospital policy regarding the monitoring requirements for pharmacologic treatment of neonates with neonatal abstinence syndrome (NAS).

Design

Retrospective chart review and descriptive survey design.

Setting/Local Problem

A hospital in Northwestern Ontario, where an evidence-based practice change was undertaken to improve care for neonates with NAS.

Participants

Neonates being screened for NAS during the Modified Finnegan Neonatal Abstinence Syndrome Scoring System (MFNASSS) protocol (n = 75) and ESC protocol (n = 40). Nurses working in the departments after the implementation of ESC were surveyed.

Measurements

Length of stay (LOS) and morphine administration by intervention status using unadjusted hazard and risk ratios, respectively. Descriptive statistics are also presented. A one-sample t test was completed for the nurses’ perspectives survey questions.

Results

Reduced rate of LOS (HR = 1.66, 95% confidence interval [1.1, 2.51]) was observed for participants receiving the ESC intervention (4.53, SD = 1.94), compared to the MFNASSS control (7.45, SD = 6.35). Although the ESC group appeared to have a greater proportion of neonates administered morphine (42.5% ESC vs. 26.7% MFNASSS), the relative risk was not statistically significant (RR = 1.28, 95% confidence interval [0.95, 1.72]). Morphine doses per day were reduced in the ESC group (0.37, SD = 1.50) compared to the MFNASSS group (5.16, SD = 1.02). Overall, the nurses had a positive perspective on the policy change.

Conclusion

ESC was successfully implemented in a Northwestern Ontario hospital. The overall LOS of neonates with NAS decreased. Nurses found the policy change to be safe and attainable.

目的通过对患有新生儿禁欲综合征（NAS）的新生儿实施 "吃、睡、控制"（ESC）评估并改变医院对药物治疗监测要求的政策，改善新生儿的预后：背景/当地问题：安大略省西北部的一家医院决定实施一项循证实践变革，以更好地护理患有 NAS 的新生儿：在改良芬尼根新生儿窒息综合征评分系统（MFNASSS）方案（n = 75）和ESC方案（n = 40）中接受NAS筛查的新生儿。对实施 ESC 后在这些科室工作的护士进行了调查：测量：住院时间（LOS）和吗啡用量，按干预状态分别使用未经调整的危险比和风险比。此外还提供了描述性统计数字。对护士的观点调查问题进行了单样本 t 检验：与 MFNASSS 对照组（7.45，SD = 6.35）相比，接受 ESC 干预（4.53，SD = 1.94）的参与者的 LOS 率有所降低（HR = 1.66，95% 置信区间 [1.1，2.51]）。虽然ESC组使用吗啡的新生儿比例更高（42.5% ESC vs. 26.7% MFNASSS），但相对风险在统计学上并不显著（RR = 1.28，95% 置信区间 [0.95，1.72]）。与 MFNASSS 组（5.16，SD = 1.02）相比，ESC 组每天的吗啡剂量减少了（0.37，SD = 1.50）。总的来说，护士们对政策变化持积极态度：安大略省西北部的一家医院成功实施了ESC。患有 NAS 的新生儿的总住院日有所缩短。护士们认为政策改变是安全和可实现的。

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引用次数: 0

Educating Nurses to Improve Awareness and Use of a Human Milk Feeding Care Pathway for Opioid-Exposed Neonates 教育护士提高对接触阿片类药物的新生儿母乳喂养护理路径的认识和使用。

Nursing for Women''s Health

Pub Date : 2024-10-01 DOI: 10.1016/j.nwh.2024.04.004

Alexandria L. Tasket, Makenna R. Black, Tracy L. Brewer, Megan Lacy Young

Objective

To increase nurses’ awareness and use of a human milk feeding (HMF) and opioid use disorder (OUD) standardized care pathway to improve rates of HMF at discharge in opioid-exposed neonates (OENs).

Design

Quality improvement project.

Setting/Local Problem

Underutilizing an HMF and OUD standardized care pathway in an academic medical center led to declining HMF rates at discharge.

Participants

Staff nurses in the women and infants department (N = 311).

Intervention/Measurements

Nurses completed an asynchronous online educational module regarding awareness and use of the HMF and OUD standardized care pathway for supporting HMF in OENs. Monthly infographics were placed in each nursing unit to reinforce content. Nurses completed pre- and posteducation surveys to evaluate their knowledge and use of the pathway. After the education, rates of OENs receiving human milk at discharge were collected from the electronic health record.

Results

A total of 240 (77.2%) nurses participated in the educational module; awareness of the pathway increased from 91.5% to 97.3%. HMF rate at discharge significantly increased from 29.8% to 59.4% (p = .03).

Conclusion

Improved awareness among nurses of a standardized HMF and OUD care pathway was associated with a doubling of HMF rates at discharge in OENs.

目标：提高护士对母乳喂养（HMF）和阿片类药物使用障碍（OUD）标准化护理路径的认识和使用，以提高暴露于阿片类药物的新生儿（OENs）出院时的母乳喂养率：环境/当地问题：一家学术医疗中心未充分利用HMF和OUD标准化护理路径，导致出院时HMF率下降：干预/测量：护士们完成了一个异步在线教育模块，内容涉及对 HMF 和 OUD 标准化护理路径的认识和使用，以支持 OEN 中的 HMF。每月在每个护理单元放置信息图表以强化内容。护士们完成了教育前和教育后调查，以评估她们对路径的了解和使用情况。教育结束后，从电子健康记录中收集了出院时母乳喂养率：共有 240 名护士（77.2%）参加了教育模块；对该途径的认知度从 91.5% 提高到 97.3%。出院时的 HMF 率从 29.8% 显著上升至 59.4%（p = .03）：结论：提高护士对标准化 HMF 和 OUD 护理路径的认识与 OENs 出院时 HMF 率翻倍有关。

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引用次数: 0

Women’s Experiences With a Pregnancy Relapse Prevention Plan to Prevent Mental Health Symptom Relapse 妇女使用妊娠复发预防计划防止心理健康症状复发的经验。

Nursing for Women''s Health

Pub Date : 2024-10-01 DOI: 10.1016/j.nwh.2024.04.005

Hanneke J.W. Verboom, Peter J.J. Goossens, Sanne M. Hendriks, Bart Geerling

Objective

To describe the experiences of women with a mental health diagnosis with making and using a pregnancy relapse prevention plan (PRPP) in an effort to prevent mental health symptom relapse during the period of pregnancy, birth, and postpartum.

Design

Qualitative design with a phenomenological approach.

Setting

Participants were recruited from an outpatient clinic within a “psychiatry and pregnancy” mental health institute in the Netherlands.

Participants

Twelve women with a mental health diagnosis who gave birth.

Measurements

Data were collected by individual semistructured interviews supported by a topic list.

Results

Four categories/themes of findings emerged from the data: Making and Advantage of the PRPP, Using the PRPP, Cooperation, and Care After Childbirth.

Conclusion

Making and using a PRPP provided pregnant women with overview, predictability, and feelings of tranquility on all aspects related to pregnancy, childbirth, and the postpartum period. Participants appreciated the support and recognition the PRPP provided. The signal function of the PRPP for all who were involved (professional and nonprofessional caregivers) was described as an added value. Involvement of women’s partners and caretakers was essential. An evaluation afterward is recommended.

目的描述被诊断出患有精神疾病的妇女在制定和使用孕期复发预防计划（PRPP），以防止在怀孕、分娩和产后期间精神疾病症状复发的经历：设计：采用现象学方法进行定性设计：环境：从荷兰一家 "精神病与怀孕 "精神健康研究所的门诊诊所招募参与者：12名被诊断患有精神疾病的产妇：测量方法：通过个人半结构式访谈收集数据，并辅以主题列表：结果：从数据中发现了四个类别/主题：结果：从数据中发现了四个类别/主题：PRPP的制定和优势、PRPP的使用、合作以及产后护理：制定和使用 "产前计划 "为孕妇提供了有关怀孕、分娩和产后各方面的概况、可预测性和宁静感。参与者对 "分娩前计划 "提供的支持和认可表示感谢。PRPP 对所有参与人员（专业和非专业护理人员）的信号功能被视为一种附加价值。妇女的伴侣和照顾者的参与至关重要。建议事后进行评估。

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引用次数: 0

A Tool to Help Nurses Provide Health Education on Adverse Pregnancy Outcomes and Cardiovascular Health. 帮助护士提供有关不良妊娠结局和心血管健康教育的工具。

Nursing for Women''s Health

Pub Date : 2024-10-01 DOI: 10.1016/j.nwh.2024.05.005

Jesse Rattan, Molly B Richardson, Angelina A Toluhi, Henna Budhwani, Vivek V Shukla, Colm P Travers, Jonathan Steen, Martha Wingate, Alan Tita, Janet M Turan, Waldemar A Carlo, Rachel Sinkey

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.

不良妊娠结局与短期和长期的心血管健康不良有关。然而，患者及其医疗服务提供者可能并不了解这种风险或可降低这种风险的健康做法。分娩护理是病人与医生关系中的一个关键时刻，可以帮助他们建立预防意识和制定预防计划。作为美国心脏协会支持的名为 "为您提供优化和赋权妊娠（P3OPPY）"计划的一部分，我们的团队与社区咨询委员会合作，制作了一份有关不良妊娠结局的教学手册，并将其纳入医院的产后护理中。包括产后护士在内的孕期和产期保健提供者可以使用这份讲义，就不良妊娠结局如何影响未来心血管疾病的风险以及可以采取哪些预防措施开展健康教育。

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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

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Nursing for Women''s Health

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