Nursing for Women''s Health最新文献

英文中文

Beyond the Screening Tool: What Maternal Mental Health Demands From Us Now 超越筛选工具：现在孕产妇心理健康对我们的要求

IF 1.5

Nursing for Women''s Health

Pub Date : 2025-10-01 DOI: 10.1016/j.nwh.2025.07.002

Kortney Floyd James

引用次数: 0

Improving Adherence to Sexually Transmitted Infection Retesting Guidelines at a Sexual Health Clinic 改善性健康诊所对性传播感染再检测指南的遵守。

IF 1.5

Nursing for Women''s Health

Pub Date : 2025-10-01 DOI: 10.1016/j.nwh.2025.04.002

Emily Roseth

Objective

To increase sexually transmitted infection (STI) retesting rates by 50% at a sexual health clinic.

Design

Preintervention and postintervention comparison to evaluate STI retesting rates before and after a 4-month intervention period.

Setting/Local Problem

A nonprofit clinic offering sexual health services to clients ages 12 to 26 years in Hennepin County, MN; this clinic had low rates of STI retesting.

Participants

Six registered nurses who provide direct nursing care at the clinic.

Intervention/Measurements

This quality improvement (QI) project implemented low-cost interventions to achieve the project goals. One set of reminder-based interventions involved implementing a new STI follow-up protocol with a shift to text message reminders and new electronic health record alerts. Another set of education-based interventions included training staff and providing clients with new education materials.

Results

The average STI retesting rate increased from 31.91% in the preintervention period to 46.81% in the initial intervention period and 51.51% in the full intervention period. A test of two proportions demonstrated a statistically significant change between the baseline and intervention groups at a p < .05 level, z (–2.41), p = .02, 95% CI [–0.29, –0.03]. Qualitative data from the six nurse survey responses demonstrated positive attitudes toward the interventions.

Conclusion

Results of a multifaceted quality improvement project aiming to increase STI retesting rates exceeded the project goal. Nurses were receptive to the changes, and the interventions did not require excess time or money. These results demonstrate that clinics can easily integrate low-cost interventions aimed at reducing the STI disease burden in their communities.

目的：提高性健康诊所性传播感染（STI）复检率50%。设计：干预前和干预后比较，评估干预前后4个月STI复检率。环境/当地问题：明尼苏达州亨内平县一家非营利诊所，为12至26岁的客户提供性健康服务；这家诊所的性病复检率很低。参与者：六名在诊所提供直接护理的注册护士。干预/测量：这个质量改进（QI）项目实施了低成本的干预来实现项目目标。一套基于提醒的干预措施涉及实施新的性传播感染后续协议，转向短信提醒和新的电子健康记录警报。另一套基于教育的干预措施包括培训工作人员和向客户提供新的教育材料。结果：平均STI复检率由干预前的31.91%上升至干预初期的46.81%和全程干预时的51.51%。双比例检验显示，基线组与干预组之间差异有统计学意义，p < 0.05, z (-2.41), p = 0.02, 95% CI[-0.29, -0.03]。从六个护士调查回应的定性数据显示积极的态度干预。结论：一项旨在提高STI复检率的多方面质量改进项目的结果超出了项目目标。护士们接受了这些变化，而且干预不需要额外的时间和金钱。这些结果表明，诊所可以很容易地整合旨在减少其社区性传播感染疾病负担的低成本干预措施。

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引用次数: 0

Improving Standardization of Care Using the Maternal-Fetal Medicine Units Network Vaginal Birth After Cesarean Calculation Tool 利用母胎医学单位网络剖宫产后阴道分娩计算工具提高护理规范化。

IF 1.5

Nursing for Women''s Health

Pub Date : 2025-10-01 DOI: 10.1016/j.nwh.2025.04.004

Jillian Jemison, Tracy Brown, Nadia Pile

Objective

To standardize care by implementing the Maternal-Fetal Medicine Units Network vaginal birth after cesarean (VBAC) calculation tool in clinical practice.

Design

Quality improvement project guided by the Plan-Do-Study-Act cycle.

Setting/Local Problem

Two outpatient obstetrics and gynecology clinics with need for a standardized process for potential VBAC candidates.

Interventions/Measurements

A standardized process was developed using the Maternal-Fetal Medicine Units Network VBAC calculation tool to promote shared decision-making. This process includes interventions aimed at training 100% of perinatal providers and ensuring that providers counsel 90% of women with a previous cesarean birth on birth mode options at the initial prenatal visit, use the tool before the 28-week prenatal visit, and provide counseling on scores to 90% of potential VBAC candidates. Success was measured by assessing the percentage of individuals meeting each intervention target.

Results

All seven providers received training. Birth mode options were discussed with 34 of 38 women (89.5%) with a previous cesarean at the initial prenatal visit. Of 22 women interested in a VBAC, 90.9% (n = 20) had predicted success scores calculated and documented, with all but 1 assessed before the 28-week prenatal visit due to a transfer into the practice at the 29-week prenatal visit. Of the 20 women counseled, 95% (n = 19) had their scores discussed. After counseling, 16 women opted to pursue a trial of labor after cesarean (TOLAC). Birth outcomes included nine repeated cesarean births for various reasons, two failed TOLACs, and one successful VBAC. Outcomes for four women are still pending at the time of this writing.

Conclusion

An improvement in standardization of care surrounding counseling VBAC candidates was observed after implementation of this quality improvement project. Adherence to screening and discussion of birth mode options for women who had a previous cesarean birth demonstrates the clinics’ commitment to delivering evidence-based care.

目的：在临床实践中实施母胎医学单位网络剖宫产后阴道分娩（VBAC）计算工具，以规范护理。设计：以计划-执行-研究-行动循环为指导的质量改进项目。环境/当地问题：两家门诊妇产科诊所需要对潜在的VBAC候选人进行标准化流程。干预/测量：使用母胎医学单位网络VBAC计算工具制定了标准化流程，以促进共同决策。这一过程包括旨在培训100%围产期提供者的干预措施，并确保提供者在初次产前检查时向90%曾经剖腹产的妇女提供有关分娩方式选择的咨询，在28周产前检查前使用该工具，并向90%的潜在VBAC候选人提供分数咨询。通过评估达到每个干预目标的个人百分比来衡量成功。结果：7名医务人员均接受了培训。在最初的产前检查中，38名有过剖宫产史的妇女中有34名（89.5%）讨论了分娩方式的选择。在22名对VBAC感兴趣的妇女中，90.9% （n = 20）的预测成功得分被计算并记录下来，除了1人之外，所有人都在28周产前检查之前进行了评估，因为在29周产前检查时转移到了实践中。在接受咨询的20名女性中，95% （n = 19）的得分得到了讨论。在咨询后，16名妇女选择进行剖宫产后分娩试验（TOLAC）。分娩结果包括9例因各种原因重复剖腹产，2例tolac失败，1例VBAC成功。在撰写本文时，四名妇女的结果仍未确定。结论：实施该质量改善项目后，VBAC考生辅导护理的规范化程度有所提高。坚持筛查和讨论分娩方式选择的妇女谁曾有过剖宫产表明诊所的承诺，提供循证护理。

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引用次数: 0

Cervical Ripening and Labor Induction and Augmentation, 6th Edition 宫颈成熟和引产和增强，第6版。

IF 1.5

Nursing for Women''s Health

Pub Date : 2025-10-01 DOI: 10.1016/j.nwh.2025.03.001

Kathleen Rice Simpson

Cervical ripening and induction and augmentation of labor are common procedures in labor and birth units. The potential risks and benefits of the procedures should be explained to women so they can make an informed decision. Nurses should be knowledgeable about the methods and medications used and be skilled in maternal-fetal assessment. Adequate nurse staffing as per the AWHONN (2022c) Standards for Professional Registered Nurse Staffing for Perinatal Units is required to monitor the woman and fetus to promote the best possible outcomes.

This practice monograph includes information on mechanical and pharmacologic methods for cervical ripening; labor induction and augmentation with oxytocin, a high alert drug; and nurse staffing levels needed to provide safe and effective care during cervical ripening and labor induction and augmentation.

宫颈成熟和引产是产房和产房常见的程序。应该向妇女解释手术的潜在风险和益处，以便她们做出明智的决定。护士应了解所使用的方法和药物，并熟练掌握母胎评估。根据AWHONN （2022c）围产期专业注册护士配备标准，需要配备足够的护士来监测妇女和胎儿，以促进最佳结果。这个实践专著包括信息机械和药理学方法的宫颈成熟；催产素（一种高度警戒药物）引产和增强；在宫颈成熟和引产过程中需要提供安全有效的护理人员。

引用次数: 0

Integrative Review of Menstrual Cycle–Related Care of Children and Adolescents by Nurses 护理人员对儿童青少年月经周期相关护理的综合评价

IF 1.5

Nursing for Women''s Health

Pub Date : 2025-10-01 DOI: 10.1016/j.nwh.2025.05.002

Kristen L. Sinay, Angela J. Preston, Karen E. Johnson

Objective

To examine the published literature regarding nurses and the menstrual cycle–related care they provide to children and adolescents younger than 18 years.

Data Sources

Seven databases (PubMed, Academic Search Complete, APA PsycInfo, CINAHL, Education Source, ERIC, and MEDLINE) were systematically searched from inception to March 22, 2025. A total of 2,373 articles were identified and exported to Rayyan.

Study Selection

Following Toronto and Remington’s process for integrative reviews, original research articles regarding nurses and the topic of menstruation/menstrual cycles written in English and published in peer-reviewed journals were included if the study sample included nurses who care for menstruating children and adolescents younger than 18 years. The Mixed Methods Appraisal Tool was used for quality assessment.

Data Extraction

Seventeen studies were included in this review. Author names, publication year, country, purpose/aim, design, nurse sample information, and relevant findings were extracted from each article to be summarized and synthesized.

Data Synthesis

An integrative review was conducted following Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines. Results are organized based on four domains of care from a researcher-created conceptual model (i.e., knowledge, training, attitudes, and practices); practices was the most common domain identified in the included studies. Ten studies centered exclusively on menstruation/menstrual cycle–related topics, and seven touched on menstruation/menstrual cycles when discussing broader, related health matters (e.g., sex education). Nurses want more preparation and training about menstruation and the menstrual cycle.

Conclusion

The size and scope of the published literature about nurses’ menstrual cycle–related care of children and adolescents are limited. In addition, more methodologically sound studies are needed to elucidate the menstrual cycle–related knowledge, training, attitudes, and practices of nurses. Additional training and educational opportunities are needed to increase nurses’ knowledge of the menstrual cycle to ultimately improve practice.

目的：探讨护士对18岁以下儿童及青少年进行月经周期护理的相关文献。数据来源：系统地检索了七个数据库（PubMed, Academic Search Complete, APA PsycInfo， CINAHL, Education Source， ERIC和MEDLINE），检索时间从开始到2025年3月22日。共鉴定出2,373件物品并出口至Rayyan。研究选择：遵循多伦多和雷明顿的综合评价过程，如果研究样本包括照顾月经期儿童和18岁以下青少年的护士，则纳入以英文撰写的关于护士和月经/月经周期主题的原创研究文章。采用混合方法评价工具进行质量评价。资料提取：本综述纳入17项研究。从每篇文章中提取作者姓名、出版年份、国家、目的/目的、设计、护士样本信息和相关发现进行总结和综合。数据综合：按照系统评价和荟萃分析（PRISMA）指南的首选报告项目进行综合评价。结果根据研究者创建的概念模型中的四个护理领域（即知识、培训、态度和实践）进行组织；在纳入的研究中，实践是最常见的领域。10项研究专门关注月经/月经周期相关主题，7项研究在讨论更广泛的相关健康问题（如性教育）时涉及月经/月经周期。护士需要更多关于月经和月经周期的准备和培训。结论：关于儿童青少年护士月经周期相关护理的已发表文献数量和范围有限。此外，需要更多方法学上可靠的研究来阐明与月经周期相关的知识、培训、态度和护士的做法。需要额外的培训和教育机会来增加护士对月经周期的知识，以最终改善实践。

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引用次数: 0

An Overlooked Crisis: Natural Disasters and Maternal Mental Health 被忽视的危机：自然灾害与产妇心理健康。

IF 1.5

Nursing for Women''s Health

Pub Date : 2025-10-01 DOI: 10.1016/j.nwh.2025.04.003

Rachel Sabbagh, Kristen R. Choi

Natural disasters present significant challenges for maternal mental health, particularly among the perinatal population. The increasing frequency of these disasters often exacerbates the emotional, financial, and physical strain on affected individuals. Women in the perinatal period face unique stressors, including hormonal changes, role transitions, and the potential overwhelming responsibility of caring for their newborns, which can intensify the mental health effects of these traumatic events. Natural disasters, such as the Los Angeles wildfires of January 2025, have shown how these stressors can exacerbate anxiety and depression in this population. In this commentary, we underscore the importance of incorporating maternal mental health considerations into disaster preparedness frameworks to ensure that this population receives the support it needs to navigate the challenges posed by natural disasters and mitigate long-term mental health risks.

自然灾害给产妇心理健康，特别是围产期人口的心理健康带来了重大挑战。这些灾难发生的频率越来越高，往往加剧了受灾个人在情感、经济和身体上的压力。围产期妇女面临着独特的压力源，包括荷尔蒙变化、角色转变以及照顾新生儿的潜在压倒性责任，这些都可能加剧这些创伤性事件对心理健康的影响。自然灾害，如2025年1月的洛杉矶野火，已经表明这些压力因素如何加剧这一人群的焦虑和抑郁。在本评论中，我们强调将产妇心理健康考虑因素纳入备灾框架的重要性，以确保这一人群获得应对自然灾害带来的挑战和减轻长期心理健康风险所需的支持。

引用次数: 0

Information for Readers 读者资讯

IF 1.5

Nursing for Women''s Health

Pub Date : 2025-10-01 DOI: 10.1016/S1751-4851(25)00158-8

引用次数: 0

Cannabis Use in the Peripartum Period 围产期大麻的使用。

IF 1.5

Nursing for Women''s Health

Pub Date : 2025-10-01 DOI: 10.1016/j.nwh.2025.04.005

Alexandra Michel, Daniel D. King

Cannabis use among pregnant individuals presents ongoing challenges and opportunities for nursing professionals. This practice article examines current trends, motivations, and implications of cannabis consumption during pregnancy and the postpartum period. Nurses play an instrumental role in patient education, screening, and intervention strategies. By understanding the legal landscape, potential risks, and patient perspectives, nurses can provide evidence-based, nonjudgmental care that optimizes parental and neonatal health outcomes. This article outlines best practices, policy considerations, and clinical recommendations for perinatal nursing practice.

孕妇使用大麻给护理专业人员带来了持续的挑战和机遇。这篇实践文章审查了目前的趋势，动机，以及在怀孕和产后期间大麻消费的影响。护士在患者教育、筛查和干预策略方面发挥着重要作用。通过了解法律环境、潜在风险和患者的观点，护士可以提供基于证据的、非判断性的护理，从而优化父母和新生儿的健康结果。本文概述了围产期护理实践的最佳实践、政策考虑和临床建议。

引用次数: 0

Preeclampsia Risk and Aspirin 子痫前期风险与阿司匹林

IF 1.5

Nursing for Women''s Health

Pub Date : 2025-10-01 DOI: 10.1016/S1751-4851(25)00162-X

引用次数: 0

New Data on Pregnancy-Related Deaths 与妊娠有关的死亡新数据

IF 1.5

Nursing for Women''s Health

Pub Date : 2025-07-30 DOI: 10.1016/S1751-4851(25)00129-1

引用次数: 0

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