Pub Date : 2025-06-01DOI: 10.1016/j.nwh.2025.03.002
Heidi Collins Fantasia
{"title":"Erosion of Scientific Integrity and Implications for Public Health","authors":"Heidi Collins Fantasia","doi":"10.1016/j.nwh.2025.03.002","DOIUrl":"10.1016/j.nwh.2025.03.002","url":null,"abstract":"","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"29 3","pages":"Pages 139-141"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144037751","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}
Pub Date : 2025-06-01DOI: 10.1016/j.nwh.2024.12.002
Samantha Russell
The 2022 overturning of Roe v. Wade by the U.S. Supreme Court has profound implications for maternal health in the United States, exacerbating existing disparities in maternal mortality, particularly among Black American women and all women of color. With the rollback of federal abortion protections, numerous states have implemented restrictive abortion laws, leading to reduced access to safe and timely care. Women who are marginalized and historically excluded, especially women of color who already face disproportionately higher rates of maternal mortality compared to their White counterparts, are particularly vulnerable to the consequences of these restrictions. The decision to limit access to abortion exacerbates these challenges, and women are more likely to be forced into carrying high-risk pregnancies to term, further increasing their risk of maternal mortality.
2022年，美国最高法院推翻了罗伊诉韦德案（Roe v. Wade），对美国孕产妇健康产生了深远影响，加剧了现有的孕产妇死亡率差距，尤其是在美国黑人妇女和所有有色人种妇女中。随着联邦堕胎保护措施的撤销，许多州实施了限制性堕胎法，导致获得安全和及时护理的机会减少。被边缘化和历史上被排斥的妇女，特别是与白人妇女相比，已经面临不成比例的高孕产妇死亡率的有色人种妇女，特别容易受到这些限制的影响。限制堕胎的决定加剧了这些挑战，妇女更有可能被迫进行高风险妊娠，进一步增加了孕产妇死亡的风险。
{"title":"Maternal Health Implications of Overturning Roe v. Wade in the United States","authors":"Samantha Russell","doi":"10.1016/j.nwh.2024.12.002","DOIUrl":"10.1016/j.nwh.2024.12.002","url":null,"abstract":"<div><div>The 2022 overturning of <em>Roe v. Wade</em> by the U.S. Supreme Court has profound implications for maternal health in the United States, exacerbating existing disparities in maternal mortality, particularly among Black American women and all women of color. With the rollback of federal abortion protections, numerous states have implemented restrictive abortion laws, leading to reduced access to safe and timely care. Women who are marginalized and historically excluded, especially women of color who already face disproportionately higher rates of maternal mortality compared to their White counterparts, are particularly vulnerable to the consequences of these restrictions. The decision to limit access to abortion exacerbates these challenges, and women are more likely to be forced into carrying high-risk pregnancies to term, further increasing their risk of maternal mortality.</div></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"29 3","pages":"Pages 148-151"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081242","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}
Pub Date : 2025-04-01DOI: 10.1016/j.nwh.2024.09.004
Maryum Zaidi, Heidi Collins Fantasia, Rasha Ahmed, Donghee Nicole Lee, Olga Valdman, Hermine Poghosyan, Mary E. Cooley, Stephenie C. Lemon
Objective
To explore breast, colorectal, and cervical cancer screening experiences among Arabic-speaking refugee women in Massachusetts.
Design
Qualitative descriptive.
Setting
The research was conducted in central Massachusetts, an area with a large refugee population from the Middle East. Despite cancer being the leading cause of death among Middle Eastern women aged 40 to 79 years, refugees experience significant disparities in cancer screenings. These refugees often pass through intermediary countries before permanently resettling, leading to preventive care becoming a lower priority as other life stressors take precedence.
Participants
Eleven women participated. Participants had an average age of 47 years; had come from Iraq, Syria, and Egypt; and had been in the United States an average of 7 years.
Methods
In 2022, semistructured individual interviews were conducted in person or via Zoom. An interview guide, constructed based on components of the Health Equity Implementation Science Framework and an expert panel of partners, refugee women, and medical providers, was used. Conventional content analysis was used to analyze the data.
Results
Three themes emerged: Facilitators of Cancer Screening, Barriers to Cancer Screening, and Interpreter-Related Factors. Women positively described providers’ efforts to provide knowledge regarding screenings; however, language barriers, the invasive nature of some screenings, and scheduling appointments for screening posed significant obstacles.
Conclusion
This study highlights the unique health challenges faced by Arabic-speaking refugee women, focusing on their beliefs, experiences in clinical encounters, and communication regarding cancer screenings. Nurses can address these challenges by providing culturally sensitive care and building relationships with community resources.
{"title":"Experiences With Cancer Screenings Among Arabic-Speaking Refugee Women","authors":"Maryum Zaidi, Heidi Collins Fantasia, Rasha Ahmed, Donghee Nicole Lee, Olga Valdman, Hermine Poghosyan, Mary E. Cooley, Stephenie C. Lemon","doi":"10.1016/j.nwh.2024.09.004","DOIUrl":"10.1016/j.nwh.2024.09.004","url":null,"abstract":"<div><h3>Objective</h3><div>To explore breast, colorectal, and cervical cancer screening experiences among Arabic-speaking refugee women in Massachusetts.</div></div><div><h3>Design</h3><div>Qualitative descriptive.</div></div><div><h3>Setting</h3><div>The research was conducted in central Massachusetts, an area with a large refugee population from the Middle East. Despite cancer being the leading cause of death among Middle Eastern women aged 40 to 79 years, refugees experience significant disparities in cancer screenings. These refugees often pass through intermediary countries before permanently resettling, leading to preventive care becoming a lower priority as other life stressors take precedence.</div></div><div><h3>Participants</h3><div>Eleven women participated. Participants had an average age of 47 years; had come from Iraq, Syria, and Egypt; and had been in the United States an average of 7 years.</div></div><div><h3>Methods</h3><div>In 2022, semistructured individual interviews were conducted in person or via Zoom. An interview guide, constructed based on components of the Health Equity Implementation Science Framework and an expert panel of partners, refugee women, and medical providers, was used. Conventional content analysis was used to analyze the data.</div></div><div><h3>Results</h3><div>Three themes emerged: <em>Facilitators of Cancer Screening</em>, <em>Barriers to Cancer Screening</em>, and <em>Interpreter-Related Factors</em>. Women positively described providers’ efforts to provide knowledge regarding screenings; however, language barriers, the invasive nature of some screenings, and scheduling appointments for screening posed significant obstacles.</div></div><div><h3>Conclusion</h3><div>This study highlights the unique health challenges faced by Arabic-speaking refugee women, focusing on their beliefs, experiences in clinical encounters, and communication regarding cancer screenings. Nurses can address these challenges by providing culturally sensitive care and building relationships with community resources.</div></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"29 2","pages":"Pages 109-119"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143415629","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}
Pub Date : 2025-04-01DOI: 10.1016/j.nwh.2024.09.003
Megan Waddell, Janice Vendetti, Corrie B. Whitmore, Faith Ozer Green, Bonnie G. McRee, Karen Steinberg Gallucci, Diane K. King
Objective
To identify demographic disparities in rates of alcohol screening and brief intervention (ASBI) aimed at reducing the risk of alcohol-exposed pregnancy (AEP).
Design
Electronic health record data were analyzed to examine documented ASBI rates and contraceptive methods for patients who had wellness visits between June 1, 2020, and October 31, 2022.
Setting/Local Problem
This study included 15 health centers affiliated with Planned Parenthood of Southern New England (PPSNE) and 35 health centers affiliated with Planned Parenthood of the Great Northwest, Hawaii, Alaska, Indiana, Kentucky (PPGNHAIK). Affiliates collaborated on a 4-year project implementing universal ASBI to reduce risky alcohol use and prevent AEPs.
Participants
Data included 29,659 patients assigned female at birth, ages 18 to 49 years, who completed a wellness visit at a participating health center.
Intervention/Measurements
Electronic health record data encompassed demographic characteristics, contraception method, patient-completed alcohol screening score, and clinician-documented brief interventions.
Results
Although alcohol screening rates exceeded 85% of eligible visits, brief intervention completion rates for those at risk for AEP were low: 70.5% were missed at PPSNE and 78.2% were missed at PPGNHAIK. At PPSNE, Hispanic patients at risk for AEP were least likely to receive a brief intervention (75.9% missed) compared to Black (67.7%) or white (67.5%) patients (p < .001). At PPGNHAIK, Asian/Pacific Islander patients were most likely to miss receiving a brief intervention (92.2%) compared to Black (72.9%), race unknown (79.5%), white (77.9%), and multiracial/other (78.4%) patients (p < .003).
Conclusion
Universal ASBI is recommended to normalize asking about alcohol in reproductive health care, reduce subjectivity, and ensure that all patients benefit from alcohol education or intervention. Variation in screening rates and contraception type contribute to demographic differences in risk of AEP.
{"title":"Did Universal Alcohol Screening and Brief Interventions Delivered in the Context of Reproductive Health Care Universally Reach Demographically Diverse Patients?","authors":"Megan Waddell, Janice Vendetti, Corrie B. Whitmore, Faith Ozer Green, Bonnie G. McRee, Karen Steinberg Gallucci, Diane K. King","doi":"10.1016/j.nwh.2024.09.003","DOIUrl":"10.1016/j.nwh.2024.09.003","url":null,"abstract":"<div><h3>Objective</h3><div>To identify demographic disparities in rates of alcohol screening and brief intervention (ASBI) aimed at reducing the risk of alcohol-exposed pregnancy (AEP).</div></div><div><h3>Design</h3><div>Electronic health record data were analyzed to examine documented ASBI rates and contraceptive methods for patients who had wellness visits between June 1, 2020, and October 31, 2022.</div></div><div><h3>Setting/Local Problem</h3><div>This study included 15 health centers affiliated with Planned Parenthood of Southern New England (PPSNE) and 35 health centers affiliated with Planned Parenthood of the Great Northwest, Hawaii, Alaska, Indiana, Kentucky (PPGNHAIK). Affiliates collaborated on a 4-year project implementing universal ASBI to reduce risky alcohol use and prevent AEPs.</div></div><div><h3>Participants</h3><div>Data included 29,659 patients assigned female at birth, ages 18 to 49 years, who completed a wellness visit at a participating health center.</div></div><div><h3>Intervention/Measurements</h3><div>Electronic health record data encompassed demographic characteristics, contraception method, patient-completed alcohol screening score, and clinician-documented brief interventions.</div></div><div><h3>Results</h3><div>Although alcohol screening rates exceeded 85% of eligible visits, brief intervention completion rates for those at risk for AEP were low: 70.5% were missed at PPSNE and 78.2% were missed at PPGNHAIK. At PPSNE, Hispanic patients at risk for AEP were least likely to receive a brief intervention (75.9% missed) compared to Black (67.7%) or white (67.5%) patients (<em>p</em> < .001). At PPGNHAIK, Asian/Pacific Islander patients were most likely to miss receiving a brief intervention (92.2%) compared to Black (72.9%), race unknown (79.5%), white (77.9%), and multiracial/other (78.4%) patients (<em>p</em> < .003).</div></div><div><h3>Conclusion</h3><div>Universal ASBI is recommended to normalize asking about alcohol in reproductive health care, reduce subjectivity, and ensure that all patients benefit from alcohol education or intervention. Variation in screening rates and contraception type contribute to demographic differences in risk of AEP.</div></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"29 2","pages":"Pages 99-108"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143415625","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-04-01DOI: 10.1016/j.nwh.2024.09.002
Nuheila Ibrahim, Sun S. Kim, Alberta Yemotsoo Lomotey, Gifty Ekua Merdiemah, Akyea Ato-Brewoo
Objective
To assess the knowledge and use of emergency contraception (EC) and to identify factors associated with the perceptions of EC use among female college students in Ghana.
Design
A descriptive cross-sectional study.
Setting
Nursing-midwifery and teacher-training colleges in Ghana.
Participants
A convenience sample of 400 female college students.
Methods
Data were collected using a four-part structured questionnaire. Descriptive statistics, chi-square tests, and univariable and multivariable regression analyses were performed.
Results
Most participants (n = 352; 88.0%) reported hearing about EC. However, only 10.0% (n = 40) knew about the copper-bearing intrauterine device as an EC. Friends (n = 216; 54.0%) were reportedly the primary source of information about EC. Concerns about serious adverse effects were the top reason for not using EC (n = 354; 88.5%). In contrast, facilitators for use included availability, easy access, partner agreement, affordability, and family discussions. Teacher-training college students who were single were more likely to have negative perceptions of EC use than nursing-midwifery students who were married or living with a partner.
Conclusion
Although the results highlight the limited knowledge and use of EC among female college students in Ghana, they also point to the potential for more effective education to improve knowledge and use of EC.
{"title":"Knowledge and Use of Emergency Contraception Among Female College Students in Ghana","authors":"Nuheila Ibrahim, Sun S. Kim, Alberta Yemotsoo Lomotey, Gifty Ekua Merdiemah, Akyea Ato-Brewoo","doi":"10.1016/j.nwh.2024.09.002","DOIUrl":"10.1016/j.nwh.2024.09.002","url":null,"abstract":"<div><h3>Objective</h3><div>To assess the knowledge and use of emergency contraception (EC) and to identify factors associated with the perceptions of EC use among female college students in Ghana.</div></div><div><h3>Design</h3><div>A descriptive cross-sectional study.</div></div><div><h3>Setting</h3><div>Nursing-midwifery and teacher-training colleges in Ghana.</div></div><div><h3>Participants</h3><div>A convenience sample of 400 female college students.</div></div><div><h3>Methods</h3><div>Data were collected using a four-part structured questionnaire. Descriptive statistics, chi-square tests, and univariable and multivariable regression analyses were performed.</div></div><div><h3>Results</h3><div>Most participants (<em>n</em> = 352; 88.0%) reported hearing about EC. However, only 10.0% (<em>n</em> = 40) knew about the copper-bearing intrauterine device as an EC. Friends (<em>n</em> = 216; 54.0%) were reportedly the primary source of information about EC. Concerns about serious adverse effects were the top reason for not using EC (<em>n</em> = 354; 88.5%). In contrast, facilitators for use included availability, easy access, partner agreement, affordability, and family discussions. Teacher-training college students who were single were more likely to have negative perceptions of EC use than nursing-midwifery students who were married or living with a partner.</div></div><div><h3>Conclusion</h3><div>Although the results highlight the limited knowledge and use of EC among female college students in Ghana, they also point to the potential for more effective education to improve knowledge and use of EC.</div></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"29 2","pages":"Pages 120-128"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143415633","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}
Pub Date : 2025-04-01DOI: 10.1016/S1751-4851(25)00060-1
{"title":"Unlocking the Mysteries of Sudden Infant Death Syndrome","authors":"","doi":"10.1016/S1751-4851(25)00060-1","DOIUrl":"10.1016/S1751-4851(25)00060-1","url":null,"abstract":"","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"29 2","pages":"Pages 78-82"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143768021","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}
Pub Date : 2025-04-01DOI: 10.1016/j.nwh.2024.10.005
Anna Weigand, Julie Kathman, Janet Colton, James Davis
Objective
To examine the relative accuracy of the Morse Fall Scale (MFS) and the Obstetric Fall Risk Assessment System (OFRAS) in predicting obstetric patients’ fall risk.
Design
Retrospective comparative analysis of the MFS and the OFRAS in obstetric inpatients.
Setting
A 575-bed urban teaching hospital in Hawaii.
Participants
Eighty-five records of people hospitalized for childbirth.
Methods
Adequate power modeling and statistical analyses were completed using the programs R packages Version 4.0.1 and SAS Version 9.4. Subsequently, a ratio of 17 fall records to 68 nonfall records (1:4) with similar dates of admission were reviewed. Investigators collected the MFS score/risk level as documented and the required data points to obtain the OFRAS fall risk score/level. Logistic regression models were fit using the MFS and OFRAS as predictors of falls. Results are expressed as odds ratios with 95% confidence intervals and p values to test for statistical significance. Receiver operating characteristic (ROC) curves were derived from logistic regression results and graphed to compare the instruments. Areas under ROC curve (AUROCs) were calculated to display the specificity and sensitivity of the risk assessment tools.
Results
Data for 85 pregnant or postpartum people were included in the sample. Analysis of AUROCs demonstrated that the OFRAS is more sensitive and specific for obstetric patients than the MFS. The OFRAS showed significance (p < .001) in predicting falls compared to the MFS (p = .40). Associations between fall scores and falls were examined in separate conditional logistic regression models.
Conclusion
The OFRAS demonstrated higher sensitivity and specificity in fall risk prediction. The MFS performed similarly to random chance regarding obstetric fall risk prediction. The potential exists to better anticipate patient falls, protect staff from injury related to patient fall, and decrease organizational risk using a population-specific tool.
{"title":"Comparative Analysis of Two Fall Risk Assessment Tools in the Obstetric Population","authors":"Anna Weigand, Julie Kathman, Janet Colton, James Davis","doi":"10.1016/j.nwh.2024.10.005","DOIUrl":"10.1016/j.nwh.2024.10.005","url":null,"abstract":"<div><h3>Objective</h3><div>To examine the relative accuracy of the Morse Fall Scale (MFS) and the Obstetric Fall Risk Assessment System (OFRAS) in predicting obstetric patients’ fall risk.</div></div><div><h3>Design</h3><div>Retrospective comparative analysis of the MFS and the OFRAS in obstetric inpatients.</div></div><div><h3>Setting</h3><div>A 575-bed urban teaching hospital in Hawaii.</div></div><div><h3>Participants</h3><div>Eighty-five records of people hospitalized for childbirth.</div></div><div><h3>Methods</h3><div>Adequate power modeling and statistical analyses were completed using the programs R packages Version 4.0.1 and SAS Version 9.4. Subsequently, a ratio of 17 fall records to 68 nonfall records (1:4) with similar dates of admission were reviewed. Investigators collected the MFS score/risk level as documented and the required data points to obtain the OFRAS fall risk score/level. Logistic regression models were fit using the MFS and OFRAS as predictors of falls. Results are expressed as odds ratios with 95% confidence intervals and <em>p</em> values to test for statistical significance. Receiver operating characteristic (ROC) curves were derived from logistic regression results and graphed to compare the instruments. Areas under ROC curve (AUROCs) were calculated to display the specificity and sensitivity of the risk assessment tools.</div></div><div><h3>Results</h3><div>Data for 85 pregnant or postpartum people were included in the sample. Analysis of AUROCs demonstrated that the OFRAS is more sensitive and specific for obstetric patients than the MFS. The OFRAS showed significance (<em>p</em> < .001) in predicting falls compared to the MFS (<em>p</em> = .40). Associations between fall scores and falls were examined in separate conditional logistic regression models.</div></div><div><h3>Conclusion</h3><div>The OFRAS demonstrated higher sensitivity and specificity in fall risk prediction. The MFS performed similarly to random chance regarding obstetric fall risk prediction. The potential exists to better anticipate patient falls, protect staff from injury related to patient fall, and decrease organizational risk using a population-specific tool.</div></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"29 2","pages":"Pages 83-90"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484319","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}
Pub Date : 2025-04-01DOI: 10.1016/j.nwh.2024.10.003
Molly Grinstead, Zsakeba Henderson, Jessica Mack, Beth McGovern, Elena Schmidt, Andrea L. DeMaria, Kathryn Mishkin
In March 2021, the March of Dimes, U.S. Department of Health and Human Services, and Reproductive Health Impact convened a group of leading maternal health experts to offer guidance and ensure accountability for the design and implementation of the Maternal HealthCARE project, a quality improvement (QI) collaborative to address racial equity and the disparity gap in maternal health outcomes. The Black Maternal Health Stakeholder Group (BMHSG) provided recommendations and insights that served as the foundation of the QI project. From the BMHSG meeting, four themes emerged, which highlighted the underlying causes of maternal health disparities: racism, lack of accountability, poor data transparency, and inadequate patient-centered care. The BMHSG’s recommendations provide actionable ways for hospitals to drive change and advance equity within their organizations. These insights offer a roadmap for QI work that places the experience and expertise of Black maternal health experts at the forefront, offering a promising way for hospitals to dismantle systemic and institutional racism in maternity care.
{"title":"Co-creation of a Maternal Health Equity Quality Improvement Project With Black Maternal Health Stakeholders","authors":"Molly Grinstead, Zsakeba Henderson, Jessica Mack, Beth McGovern, Elena Schmidt, Andrea L. DeMaria, Kathryn Mishkin","doi":"10.1016/j.nwh.2024.10.003","DOIUrl":"10.1016/j.nwh.2024.10.003","url":null,"abstract":"<div><div>In March 2021, the March of Dimes, U.S. Department of Health and Human Services, and Reproductive Health Impact convened a group of leading maternal health experts to offer guidance and ensure accountability for the design and implementation of the Maternal HealthCARE project, a quality improvement (QI) collaborative to address racial equity and the disparity gap in maternal health outcomes. The Black Maternal Health Stakeholder Group (BMHSG) provided recommendations and insights that served as the foundation of the QI project. From the BMHSG meeting, four themes emerged, which highlighted the underlying causes of maternal health disparities: racism, lack of accountability, poor data transparency, and inadequate patient-centered care. The BMHSG’s recommendations provide actionable ways for hospitals to drive change and advance equity within their organizations. These insights offer a roadmap for QI work that places the experience and expertise of Black maternal health experts at the forefront, offering a promising way for hospitals to dismantle systemic and institutional racism in maternity care.</div></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"29 2","pages":"Pages 129-135"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143415623","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}
Pub Date : 2025-04-01DOI: 10.1016/j.nwh.2025.02.001
Heidi Collins Fantasia
{"title":"Addressing Alcohol Use and Cancer Risk","authors":"Heidi Collins Fantasia","doi":"10.1016/j.nwh.2025.02.001","DOIUrl":"10.1016/j.nwh.2025.02.001","url":null,"abstract":"","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"29 2","pages":"Pages 75-77"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587566","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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