Nursing for Women''s Health最新文献

英文中文

Knowledge and Use of Emergency Contraception Among Female College Students in Ghana 加纳女大学生紧急避孕知识及使用情况

Nursing for Women''s Health

Pub Date : 2025-04-01 Epub Date: 2025-02-10 DOI: 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.

目的：评估加纳女大学生对紧急避孕（EC）的知识和使用情况，并确定与EC使用认知相关的因素。设计：描述性横断面研究。环境：加纳的护理助产学院和教师培训学院。对象：方便抽样400名女大学生。方法：采用四部分结构问卷收集资料。描述性统计、卡方检验、单变量和多变量回归分析。结果：大多数参与者(n = 352；88.0%)报告听说过EC。然而，只有10.0% （n = 40）的人知道含铜宫内节育器是EC。朋友(n = 216；54.0%)是EC的主要信息来源。担心严重的不良反应是不使用EC的首要原因(n = 354；88.5%)。相比之下，使用的促进因素包括可获得性、易获得性、合作伙伴协议、可负担性和家庭讨论。与已婚或与伴侣同居的护理助产专业学生相比，单身的师范专业大学生更有可能对电子商务的使用持负面看法。结论：虽然结果突出了加纳女大学生对电子商务的知识和使用有限，但他们也指出了通过更有效的教育来提高电子商务知识和使用的潜力。

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引用次数: 0

Unlocking the Mysteries of Sudden Infant Death Syndrome 解开婴儿猝死综合症之谜

Nursing for Women''s Health

Pub Date : 2025-04-01 Epub Date: 2025-04-04 DOI: 10.1016/S1751-4851(25)00060-1

引用次数: 0

Co-creation of a Maternal Health Equity Quality Improvement Project With Black Maternal Health Stakeholders 与黑人孕产妇保健利益攸关方共同创建孕产妇保健公平质量改进项目。

Nursing for Women''s Health

Pub Date : 2025-04-01 Epub Date: 2025-02-11 DOI: 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.

2021年3月，美国卫生与公众服务部和生殖健康影响组织召集了一组领先的孕产妇保健专家，为孕产妇保健项目的设计和实施提供指导并确保问责制，这是一项质量改进（QI）合作，旨在解决种族平等问题和孕产妇保健结果的差距。黑人孕产妇保健利益攸关方小组（BMHSG）提供了建议和见解，作为全民保健服务项目的基础。BMHSG会议产生了四个主题，突出了孕产妇保健差异的根本原因：种族主义、缺乏问责制、数据透明度差和以患者为中心的护理不足。BMHSG的建议为医院在其组织内推动变革和促进公平提供了可行的方法。这些见解为QI工作提供了路线图，将黑人孕产妇保健专家的经验和专业知识放在最前沿，为医院消除孕产妇保健中的系统性和体制性种族主义提供了一条有希望的途径。

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引用次数: 0

Comparative Analysis of Two Fall Risk Assessment Tools in the Obstetric Population 两种产科人群跌倒风险评估工具的比较分析。

Nursing for Women''s Health

Pub Date : 2025-04-01 Epub Date: 2025-02-20 DOI: 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.

目的：探讨莫尔斯跌倒量表（MFS）与产科跌倒风险评估系统（OFRAS）预测产科患者跌倒风险的相对准确性。设计：回顾性比较分析产科住院患者的MFS和OFRAS。环境：夏威夷一所拥有560张床位的城市教学医院。参与者：85份因分娩住院的记录。方法：采用R软件包4.0.1版和SAS 9.4版进行充分的功率建模和统计分析。随后，对入院日期相似的17例秋季记录与68例非秋季记录（1:4）的比例进行了审查。研究人员收集了MFS评分/风险水平和所需的数据点，以获得OFRAS跌倒风险评分/水平。采用MFS和OFRAS作为跌倒的预测因子，拟合Logistic回归模型。结果以95%置信区间的比值比和p值表示，以检验统计显著性。根据logistic回归结果得出受试者工作特征（ROC）曲线，并绘制图表进行比较。计算ROC曲线下面积（auroc），以显示风险评估工具的特异性和敏感性。结果：85名孕妇或产后患者的数据被纳入样本。对auroc的分析表明，OFRAS比MFS对产科患者更敏感和特异性。与MFS相比，OFRAS在预测跌倒方面具有显著性（p < 0.001）（p = 0.40）。在单独的条件逻辑回归模型中检验了跌倒分数和跌倒之间的关联。结论：OFRAS在预测跌倒风险方面具有较高的敏感性和特异性。MFS在产科跌倒风险预测方面的表现与随机机会相似。使用针对特定人群的工具，有可能更好地预测患者跌倒，保护工作人员免受与患者跌倒相关的伤害，并降低组织风险。

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引用次数: 0

Addressing Alcohol Use and Cancer Risk 解决酒精使用和癌症风险问题。

Nursing for Women''s Health

Pub Date : 2025-04-01 Epub Date: 2025-03-06 DOI: 10.1016/j.nwh.2025.02.001

Heidi Collins Fantasia

引用次数: 0

Information for Readers 读者资讯

Nursing for Women''s Health

Pub Date : 2025-04-01 Epub Date: 2025-04-04 DOI: 10.1016/S1751-4851(25)00046-7

引用次数: 0

Implementing Communication Boards at the Bedside to Improve Patient-Centered Care in an Inpatient Obstetric Unit 实施床边沟通委员会，改善住院产科病房以患者为中心的护理。

Nursing for Women''s Health

Pub Date : 2025-04-01 Epub Date: 2025-02-05 DOI: 10.1016/j.nwh.2024.10.004

Beth Anne Chapin, Meghan Duck

Objective

To implement use of custom whiteboards to improve bedside communication and shared knowledge between clinicians and patients.

Design

Quality improvement project using a seven-step evidence-based practice framework and Plan-Do-Study-Act cycles to redesign custom communication boards for specific patient (antepartum, labor, postpartum) populations.

Setting/Local Problem

Two California university medical center inpatient obstetric units where Hospital Consumer Assessment of Healthcare Providers and Systems scores in nursing communication had trended down at a time when whiteboards were being underused in patient rooms.

Participants

Staff of approximately 170 nurses, 30 physicians, and 8 midwives.

Intervention/Measurements

The project was implemented from January 2020 through July 2020; the first phase was completed in the postpartum unit, and the second phase was completed in the antepartum unit. Staff surveys and board use audits were used to collect preimplementation and postimplementation data. Third-phase labor boards were designed but were not yet implemented due to budget constraints.

Results

Project data supported that the new boards encouraged more complete information and facilitated bedside communication better than the previous iteration.

Conclusion

A customized communication board designed for a specific patient population is an effective tool to promote patient-centered care. Communication boards can reinforce safe nursing practice, facilitate discussion, and improve the patient experience.

目的：实施自定义白板的使用，以改善临床医生与患者之间的床边沟通和知识共享。设计：质量改进项目，采用七步循证实践框架和计划-执行-研究-行动周期，为特定患者（产前、分娩、产后）人群重新设计定制沟通板。环境/当地问题：两个加州大学医疗中心的住院产科病房，在病房里白板没有得到充分利用的时候，医院消费者对医疗保健提供者和系统的评估在护理沟通方面的得分呈下降趋势。参与者：大约170名护士、30名医生和8名助产士。干预/测量：项目实施时间为2020年1月至2020年7月；第一期在产后单位完成，第二期在产前单位完成。工作人员调查和董事会使用审计被用来收集实施前和实施后的数据。设计了第三阶段的劳动委员会，但由于预算限制尚未实施。结果：项目数据支持新板鼓励更完整的信息和促进床边沟通比以前的迭代。结论：针对特定患者群体定制沟通板是促进以患者为中心的护理的有效工具。交流委员会可以加强安全护理实践，促进讨论，改善患者体验。

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引用次数: 0

Nursing Safety on the Job: Workplace Violence and Personal Protection 工作中的护理安全：工作场所暴力和个人保护。

Nursing for Women''s Health

Pub Date : 2025-04-01 Epub Date: 2025-01-28 DOI: 10.1016/j.nwh.2024.11.001

Association of Women’s Health, Obstetric and Neonatal Nurses

引用次数: 0

Reviewer Acknowledgment 评论家承认

Nursing for Women''s Health

Pub Date : 2025-02-01 Epub Date: 2025-02-05 DOI: 10.1016/S1751-4851(25)00026-1

引用次数: 0

Pediatric Providers’ Perceptions of Their Role in the Early Detection of Postpartum Depression 儿科医生对其在产后抑郁症早期发现中的作用的认知。

Nursing for Women''s Health

Pub Date : 2025-02-01 Epub Date: 2025-01-21 DOI: 10.1016/j.nwh.2024.08.005

Laura A. Gonzalez, Emily G. Chin

Objective

To explore pediatric health care providers’ perceptions of their role in screening mothers for postpartum depression (PPD).

Design

Descriptive, qualitative methodology.

Setting

Pediatric care providers from five different institutions in the Chicago metropolitan area.

Participants

Eleven providers who see infants within their first year of life were interviewed.

Intervention/Measurements

Participants were interviewed regarding their perceptions of their role in the early detection of PPD.

Results

During the interviews and coding, six themes were identified: Screening Formally and Informally, Providers Perceiving Their Role, I Think There Should Be More Education, Falling Through the Cracks, Clinical Missed Pathways, and A Supportive Organization Has an Impact on the Role of the Provider.

Conclusion

This study demonstrates the need to increase awareness and ensure that proper national guidelines are implemented by health care providers, policymakers, and organizations to secure a proper and efficient protocol to ensure the practice of screening all mothers. In addition, the results from this study have implications for public policy, nursing practice, education, and further research.

目的：探讨儿科卫生保健提供者在筛查母亲产后抑郁症（PPD）中的作用。设计：描述性定性方法。背景：来自芝加哥地区五个不同机构的儿科护理提供者。参与者：采访了11位为一岁以内的婴儿提供服务的提供者。干预/测量：参与者接受采访，了解他们对早期发现PPD的作用的看法。结果：在访谈和编码过程中，确定了六个主题：正式和非正式筛选，提供者感知他们的角色，我认为应该有更多的教育，掉进裂缝，临床错过的途径，以及一个支持性组织对提供者角色的影响。结论：本研究表明需要提高认识，并确保卫生保健提供者、政策制定者和组织实施适当的国家指南，以确保适当和有效的协议，以确保对所有母亲进行筛查。此外，本研究的结果对公共政策、护理实践、教育和进一步的研究具有启示意义。

{"title":"Pediatric Providers’ Perceptions of Their Role in the Early Detection of Postpartum Depression","authors":"Laura A. Gonzalez, Emily G. Chin","doi":"10.1016/j.nwh.2024.08.005","DOIUrl":"10.1016/j.nwh.2024.08.005","url":null,"abstract":"<div><h3>Objective</h3><div>To explore pediatric health care providers’ perceptions of their role in screening mothers for postpartum depression (PPD).</div></div><div><h3>Design</h3><div>Descriptive, qualitative methodology.</div></div><div><h3>Setting</h3><div>Pediatric care providers from five different institutions in the Chicago metropolitan area.</div></div><div><h3>Participants</h3><div>Eleven providers who see infants within their first year of life were interviewed.</div></div><div><h3>Intervention/Measurements</h3><div>Participants were interviewed regarding their perceptions of their role in the early detection of PPD.</div></div><div><h3>Results</h3><div>During the interviews and coding, six themes were identified: <em>Screening Formally and Informally</em>, <em>Providers Perceiving Their Role</em>, <em>I Think There Should Be More Education</em>, <em>Falling Through the Cracks</em>, <em>Clinical Missed Pathways</em>, and <em>A Supportive Organization Has an Impact on the Role of the Provider</em>.</div></div><div><h3>Conclusion</h3><div>This study demonstrates the need to increase awareness and ensure that proper national guidelines are implemented by health care providers, policymakers, and organizations to secure a proper and efficient protocol to ensure the practice of screening all mothers. In addition, the results from this study have implications for public policy, nursing practice, education, and further research.</div></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"29 1","pages":"Pages 25-34"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142928151","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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