Nursing for Women''s Health最新文献

英文中文

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

Information for Readers 读者资讯

IF 1.5

Nursing for Women''s Health

Pub Date : 2025-07-30 DOI: 10.1016/S1751-4851(25)00125-4

引用次数: 0

An Integrative Review Examining Barriers to Universal Screening for Substance Use in Pregnant Women 对孕妇药物使用普遍筛查障碍的综合评价。

IF 1.5

Nursing for Women''s Health

Pub Date : 2025-06-25 DOI: 10.1016/j.nwh.2025.02.007

Theresa Lemus, Lisa Thomas

Objective

To review and appraise the literature describing the individual- and system-level barriers preventing universal screening of pregnant individuals for substance use in prenatal care settings.

Data Sources

A search was conducted using the Whittemore and Knafl framework for integrative reviews (2005) and the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. The keywords and MeSH terms were identified and searched in the PubMed and CINAHL electronic databases.

Study Selection

Inclusion criteria were peer-reviewed articles published in English from January 2014 to February 2024. Review papers, opinion papers, and commentaries were excluded from the review. The search across the databases yielded 773 results. Duplicates and irrelevant works were removed, leaving 13 articles as the focus of this review.

Data Extraction

Data extraction was guided by the PRISMA guidelines. Data were extracted from each article and critically appraised using the Critical Appraisal Skills Programme guidelines.

Data Synthesis

Four common themes describing barriers to screening for substance use in pregnant individuals emerged in the review: Insufficient Time and Resources, Legal and Ethical Concerns, Lack of Knowledge and Training, and Provider-Patient Relationship.

Conclusion

Nursing leaders and health care providers should systematically address the legal, ethical, technological, and practical obstacles to universal prenatal substance use screening, focusing on individual provider characteristics, state policies, education and training, and other key factors discussed in this review. Nursing leaders are poised to alter the trajectory of declining maternal and child health outcomes by reshaping the lens through which prenatal substance use is viewed and care is practiced. Lessons from this review will inform further examination and solutions to the problem, resulting in universal prenatal screening.

目的：回顾和评价文献描述的个人和系统层面的障碍，阻止普遍筛查怀孕个体的物质使用产前护理设置。数据来源：使用Whittemore和Knafl综合评价框架（2005）和系统评价和荟萃分析（PRISMA）指南的首选报告项目进行了搜索。在PubMed和CINAHL电子数据库中检索关键词和MeSH术语。研究选择：纳入标准为2014年1月至2024年2月发表的英文同行评议文章。综述论文、观点论文和评论被排除在综述之外。在数据库中搜索产生了773个结果。删除重复和不相关的作品，留下13篇文章作为本综述的重点。数据提取：数据提取以PRISMA指南为指导。从每篇文章中提取数据，并使用批判性评估技能计划指南进行批判性评估。数据综合：回顾中出现了四个共同主题，描述了孕妇药物使用筛查的障碍：时间和资源不足，法律和伦理问题，缺乏知识和培训，以及医患关系。结论：护理领导和卫生保健提供者应系统地解决普遍产前物质使用筛查的法律、伦理、技术和实践障碍，重点关注提供者个人特征、国家政策、教育和培训以及本文讨论的其他关键因素。护理领导者准备通过重塑产前药物使用和护理实践的镜头来改变孕产妇和儿童健康结果下降的轨迹。这次审查的经验教训将为进一步检查和解决问题提供信息，从而实现普遍的产前筛查。

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引用次数: 0

Political Threats to Women’s Health in the United States 美国妇女健康面临的政治威胁。

IF 1.5

Nursing for Women''s Health

Pub Date : 2025-06-21 DOI: 10.1016/j.nwh.2025.06.001

Heidi Collins Fantasia

引用次数: 0

Measuring Our Way to Reducing Severe Maternal Morbidity With Quantification of Blood Loss in the Labor and Delivery Operating Room 用产程手术室出血量量化来衡量降低重症产妇发病率的途径。

IF 1.5

Nursing for Women''s Health

Pub Date : 2025-06-17 DOI: 10.1016/j.nwh.2025.02.006

Jane Jach

Objective

To initiate quantification of blood loss (QBL) for all cesarean births to align with professional obstetric organizations’ recommendations and to reduce hemorrhage-related severe maternal morbidity (SMM).

Design

Quality improvement (QI) project.

Setting/Local Problem

Before December 2022, a large northern California hospital relied on estimating blood loss during childbirth, contrary to recommendations from national obstetric organizations. Estimating blood loss during childbirth has been consistently shown to be inaccurate, leading to recommendations for QBL by organizations such as the Association of Women’s Health, Obstetric and Neonatal Nurses, the American College of Obstetricians and Gynecologists, and the California Maternal Quality Care Collaborative. Obstetric hemorrhage is the leading cause of SMM and mortality. Accurate blood loss measurements are necessary for effective hemorrhage management.

Participants

The QI team consisted of two nurse leads and their labor and delivery department’s nursing professional development specialist. The labor and delivery department consists of 237 registered nurses and 14 obstetric technicians.

Methods

The QI team used the Plan-Do-Study-Act method to develop a workflow for QBL in cesarean births.

Results

The percentage of cesarean births in which QBL was used increased by more than 83% at 1 year after implementation. The rate of hemorrhage-related SMM in the same period was reduced by 1.8%.

Conclusion

QBL was successfully implemented by staff nurses in the department and sustained within the organization. The effect on SMM cannot be directly tied to the implementation of QBL, but QBL may have affected this metric.

目的：启动所有剖宫产的失血量（QBL）量化，以配合专业产科组织的建议，并减少出血相关的严重产妇发病率（SMM）。设计：质量改进项目。环境/当地问题：在2022年12月之前，北加州一家大型医院依赖于分娩时的出血量估算，这与国家产科组织的建议相反。估计分娩时的出血量一直被证明是不准确的，导致一些组织推荐QBL，如妇女健康协会、产科和新生儿护士协会、美国妇产科医师学会和加州孕产妇质量护理合作组织。产科出血是SMM和死亡的主要原因。准确的失血量测量对于有效的出血管理是必要的。参与者：QI团队由两位护士长和产业部的护理专业发展专家组成。产业部由237名注册护士和14名产科技术人员组成。方法：QI团队采用计划-做-研究-行动方法制定剖宫产QBL的工作流程。结果：实施QBL后1年剖宫产率增加83%以上。同期出血相关的SMM发生率降低了1.8%。结论：QBL在科室护士长中得以成功实施，并在组织内得以持续。对SMM的影响不能直接与QBL的实现联系在一起，但是QBL可能已经影响了这个度量。

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引用次数: 0

Timing of Umbilical Cord Clamping and Cord Milking and Preterm Infant Outcomes 脐带夹紧和脐带挤奶的时机与早产儿结局。

IF 1.5

Nursing for Women''s Health

Pub Date : 2025-06-16 DOI: 10.1016/j.nwh.2025.02.005

Keshea Britton, LaKeshur Green, Allyssa L. Harris

Deferred cord clamping, also referred to as delayed cord clamping, has been identified as an intervention to reduce mortality before discharge in preterm infants. This practice has been associated with several benefits for neonates. In this short review, we summarize two research studies on the effects of cord clamp timing. In the first study, deferred cord clamping compared to immediate cord clamping reduced mortality before discharge among preterm infants. In the second study, deferred cord clamping reduced mortality before discharge in preterm infants across multiple population groups. Deferred cord clamping compared with immediate cord clamping led to a moderate reduction in mortality before discharge. The results of these studies provide further evidence that deferred cord clamping is beneficial for preterm infants.

延迟脐带夹紧，也被称为延迟脐带夹紧，已被确定为一种干预措施，以减少早产儿出院前的死亡率。这种做法对新生儿有几个好处。在这篇简短的综述中，我们总结了两项关于脐带夹紧时间影响的研究。在第一项研究中，与立即脐带夹紧相比，延迟脐带夹紧降低了早产儿出院前的死亡率。在第二项研究中，在多个人群中，延迟脐带夹紧降低了早产儿出院前的死亡率。与立即脐带夹紧相比，延迟脐带夹紧导致出院前死亡率适度降低。这些研究的结果提供了进一步的证据，延迟脐带夹紧是有利于早产儿。

引用次数: 0

In-Clinic Self-swab for Human Papillomavirus Offers New Option for Cervical Cancer Screening 人乳头瘤病毒的临床自我拭子为子宫颈癌筛查提供了新的选择。

IF 1.5

Nursing for Women''s Health

Pub Date : 2025-06-16 DOI: 10.1016/j.nwh.2025.02.004

Desirae Heys, Erica Liebermann, Holly B. Fontenot

Despite widespread availability of cervical cancer screening to prevent cervical cancer, approximately 14,000 women and people with cervixes in the United States are diagnosed as having invasive cervical cancer each year. At highest risk are those who have never been screened or who are overdue for screening. In May 2024, the Food and Drug Administration approved a self-test for human papillomavirus (HPV) for use in clinical settings. An HPV self-test, collected by patients themselves as a vaginal swab, offers a new option for cervical cancer screening that reduces barriers by eliminating the need for a pelvic examination by a health care provider. We present specifications of two tests and discuss factors to consider in preparing for clinical practice implementation once HPV self-tests are integrated into cervical cancer screening guidelines.

尽管宫颈癌筛查可广泛用于预防宫颈癌，但在美国，每年约有14,000名妇女和宫颈癌患者被诊断为浸润性宫颈癌。风险最高的是那些从未接受过筛查或筛查逾期的人。2024年5月，美国食品和药物管理局批准了一种用于临床环境的人类乳头瘤病毒（HPV）自检。由患者自己收集的阴道拭子作为HPV自我检测，为宫颈癌筛查提供了一种新的选择，通过消除卫生保健提供者进行盆腔检查的需要，减少了障碍。我们提出了两种测试的规格，并讨论了一旦HPV自我检测被纳入宫颈癌筛查指南，在准备临床实践实施时应考虑的因素。

引用次数: 0

De-escalation Training for Obstetric/Neonatal Health Care Workers to Improve Confidence in Managing Workplace Violence 为产科/新生儿保健工作者提供降级培训，以提高管理工作场所暴力的信心。

IF 1.5

Nursing for Women''s Health

Pub Date : 2025-06-11 DOI: 10.1016/j.nwh.2025.01.002

Jessica Lazzeri, Melissa Harlan, Laura Fennimore

Objective

To improve the confidence level of obstetric/neonatal health care staff in managing episodes of workplace violence.

Design

Quality improvement project with a pretest/posttest survey design.

Setting/Local Problem

A large, urban, academic medical center where an increase in episodes of workplace violence was observed in the obstetric/neonatal department.

Participants

Eighty-seven staff members from the interdisciplinary health care team in the obstetric/neonatal department participated in the quality improvement initiative.

Intervention/Measurements

Crisis Prevention Institute de-escalation training was customized with scenarios commonly seen in obstetric/neonatal settings. Fourteen training sessions were offered to obstetric/neonatal staff during a 4-month period. Measurable outcomes included participant satisfaction, number of security calls to the obstetric/neonatal units, and clinician confidence in coping with patient aggression at baseline, 2 weeks posttraining, and 3 months postintervention.

Results

In the obstetric/neonatal department there was an increase in rates of completion of Crisis Prevention Institute de-escalation training from 1.7% to 19% during the study period. Scores for overall clinician confidence in coping with patient aggression significantly improved from baseline at 2 weeks posttraining (from 43.51 to 68.50 [p < .001]) and at 3 months posttraining (from 43.51 to 71.54 [p < .001]).

Conclusion

Customized de-escalation training sessions can contribute to active participation in de-escalation training and improvement in clinician confidence in coping with patient aggression.

目的：提高产科/新生儿保健人员对处理工作场所暴力事件的信心水平。设计：质量改进项目，采用测试前/测试后调查设计。环境/地方问题：在一个大型的城市学术医疗中心，产科/新生儿科的工作场所暴力事件有所增加。参与者：来自产科/新生儿科跨学科保健小组的87名工作人员参加了质量改进倡议。干预/措施：危机预防研究所的降级培训是根据产科/新生儿环境中常见的场景定制的。在4个月期间向产科/新生儿工作人员提供了14期培训。可测量的结果包括参与者满意度、产科/新生儿安全呼叫次数、临床医生在基线、培训后2周和干预后3个月应对患者攻击的信心。结果：在研究期间，产科/新生儿科完成危机预防研究所降级培训的比率从1.7%增加到19%。在训练后2周（从43.51到68.50 [p < .001]）和训练后3个月（从43.51到71.54 [p < .001]），临床医生应对患者攻击的总体信心得分显著提高。结论：定制化的降级培训课程有助于临床医生积极参与降级培训，提高应对患者攻击的信心。

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引用次数: 0

Omani Women's Experiences of Cervical Cancer Screening 阿曼妇女接受子宫颈癌筛检的经验

IF 1.5

Nursing for Women''s Health

Pub Date : 2025-06-07 DOI: 10.1016/j.nwh.2025.05.001

Zalikha Al-Marzouqi, Haleema Al-Mamari

Objective

To examine the experiences of Omani women in North Batinah Governorate with cervical cancer (CC) screening.

Design

Qualitative design directed by a constructivist grounded theory approach.

Setting

Women were recruited from obstetric and gynecologic clinics in six primary health care institutions in North Batinah Governorate, Oman.

Participants

Thirty women were interviewed; 20 (66.7%) were between ages 25 and 40 years, and 21 (70.0%) had given birth multiple times, 16 (53.3%) held high education certificates, and 18 (60.0%) were unemployed.

Methods

Data were collected via semistructured interviews. Purposive sampling was used initially, followed by theoretical sampling until data saturation. Constant comparative analysis was used.

Results

Three main themes were determined: Sociocultural Aspects, Personal Aspects, and Health Care Aspects that influenced women's judgments about completing screening for CC. Sociocultural aspects were mainly about beliefs, stigma, and the influential role of other Omani women regarding CC screening. Personal aspects reflected women's knowledge and physical and psychological barriers to CC screening. Health care aspects were the challenges women encountered related to obtaining CC screening.

Conclusion

Some women who had previously undergone CC screening chose not to repeat CC screening due to physical and psychological issues. These findings suggest that the Ministry of Health in Oman should develop policies, health education (online and printed sources), and supportive programs to enhance women’s awareness and knowledge of CC screening and increase screening rates among women.

目的：探讨北巴蒂纳省阿曼妇女宫颈癌（CC）筛查的经验。设计：由建构主义理论指导的定性设计。环境：从阿曼北巴蒂纳省六个初级保健机构的产科和妇科诊所招募妇女。参与者：采访了30名女性；25 ~ 40岁20人（66.7%），多次生育21人（70.0%），高学历16人（53.3%），无业18人（60.0%）。方法：采用半结构化访谈法收集资料。最初采用目的性抽样，然后进行理论抽样，直到数据饱和。采用恒定比较分析法。结果：确定了三个主要主题：社会文化方面、个人方面和卫生保健方面影响妇女对完成CC筛查的判断。社会文化方面主要是关于信仰、耻辱和其他阿曼妇女对CC筛查试验的影响作用。个人方面反映了妇女对CC筛查试验的知识和身心障碍。保健方面是妇女在获得CC筛查方面遇到的挑战。结论：一些先前接受过CC筛查的妇女由于生理和心理问题而选择不再重复CC筛查试验。这些发现表明，阿曼卫生部应制定政策，开展健康教育（在线和印刷资料），并制定支持性方案，以提高妇女对CC筛查的认识和知识，并提高妇女的筛查率。

{"title":"Omani Women's Experiences of Cervical Cancer Screening","authors":"Zalikha Al-Marzouqi, Haleema Al-Mamari","doi":"10.1016/j.nwh.2025.05.001","DOIUrl":"10.1016/j.nwh.2025.05.001","url":null,"abstract":"<div><h3>Objective</h3><div>To examine the experiences of Omani women in North Batinah Governorate with cervical cancer (CC) screening.</div></div><div><h3>Design</h3><div>Qualitative design directed by a constructivist grounded theory approach.</div></div><div><h3>Setting</h3><div>Women were recruited from obstetric and gynecologic clinics in six primary health care institutions in North Batinah Governorate, Oman.</div></div><div><h3>Participants</h3><div>Thirty women were interviewed; 20 (66.7%) were between ages 25 and 40 years, and 21 (70.0%) had given birth multiple times, 16 (53.3%) held high education certificates, and 18 (60.0%) were unemployed.</div></div><div><h3>Methods</h3><div>Data were collected via semistructured interviews. Purposive sampling was used initially, followed by theoretical sampling until data saturation. Constant comparative analysis was used.</div></div><div><h3>Results</h3><div>Three main themes were determined: <em>Sociocultural Aspects</em>, <em>Personal Aspects</em>, and <em>Health Care Aspects</em> that influenced women's judgments about completing screening for CC. Sociocultural aspects were mainly about beliefs, stigma, and the influential role of other Omani women regarding CC screening. Personal aspects reflected women's knowledge and physical and psychological barriers to CC screening. Health care aspects were the challenges women encountered related to obtaining CC screening.</div></div><div><h3>Conclusion</h3><div>Some women who had previously undergone CC screening chose not to repeat CC screening due to physical and psychological issues. These findings suggest that the Ministry of Health in Oman should develop policies, health education (online and printed sources), and supportive programs to enhance women’s awareness and knowledge of CC screening and increase screening rates among women.</div></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"29 4","pages":"Pages 234-241"},"PeriodicalIF":1.5,"publicationDate":"2025-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144267564","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}

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