Pub Date : 2025-02-01DOI: 10.1016/j.nwh.2024.08.007
Paige Bernier, MaryBeth Vieira, Andrew J. Revell
Cardiovascular disease (CVD) is the leading cause of mortality in women in the United States, and the physiologic changes that occur during perimenopause and menopause can increase women’s risk of CVD. Physical activity levels decrease with age, but physical activity can effectively reduce both menopausal symptoms and CVD risk in women. Interventions to increase physical activity and reduce menopausal symptoms and CVD risks in women are often not comprehensive and are unsustainable due to individual contextual barriers. Furthermore, there is a lack of counseling, education, and support for women related to both the menopause transition and prevention of CVD. Theory-based, collaborative interventions addressing physical, social, contextual, individual, and other socioecological factors seem to be the most effective and sustainable and are needed to increase physical activity, reduce CVD risks, and enhance quality of life in menopausal women.
{"title":"The Intersection of Menopause, Lack of Physical Activity, and Cardiovascular Risk","authors":"Paige Bernier, MaryBeth Vieira, Andrew J. Revell","doi":"10.1016/j.nwh.2024.08.007","DOIUrl":"10.1016/j.nwh.2024.08.007","url":null,"abstract":"<div><div>Cardiovascular disease (CVD) is the leading cause of mortality in women in the United States, and the physiologic changes that occur during perimenopause and menopause can increase women’s risk of CVD. Physical activity levels decrease with age, but physical activity can effectively reduce both menopausal symptoms and CVD risk in women. Interventions to increase physical activity and reduce menopausal symptoms and CVD risks in women are often not comprehensive and are unsustainable due to individual contextual barriers. Furthermore, there is a lack of counseling, education, and support for women related to both the menopause transition and prevention of CVD. Theory-based, collaborative interventions addressing physical, social, contextual, individual, and other socioecological factors seem to be the most effective and sustainable and are needed to increase physical activity, reduce CVD risks, and enhance quality of life in menopausal women.</div></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"29 1","pages":"Pages 63-70"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143012962","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 : 2025-02-01DOI: 10.1016/S1751-4851(25)00008-X
{"title":"Information for Readers","authors":"","doi":"10.1016/S1751-4851(25)00008-X","DOIUrl":"10.1016/S1751-4851(25)00008-X","url":null,"abstract":"","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"29 1","pages":"Page A3"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143129903","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 : 2025-02-01DOI: 10.1016/S1751-4851(25)00013-3
{"title":"Frequent Emergency Care During Pregnancy","authors":"","doi":"10.1016/S1751-4851(25)00013-3","DOIUrl":"10.1016/S1751-4851(25)00013-3","url":null,"abstract":"","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"29 1","pages":"Pages 3-7"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143129904","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 : 2024-12-01DOI: 10.1016/S1751-4851(24)00220-4
{"title":"Information for Readers","authors":"","doi":"10.1016/S1751-4851(24)00220-4","DOIUrl":"10.1016/S1751-4851(24)00220-4","url":null,"abstract":"","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 6","pages":"Page A3"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143150403","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 : 2024-12-01DOI: 10.1016/j.nwh.2024.05.004
Laura Senn, Sulekha Anand
Objective
To evaluate the enhanced recovery after surgery (ERAS) protocols used and amount of opioids administered during hospitalization for cesarean birth after the ERAS protocols were implemented.
Data Sources
A search was conducted in CINAHL Complete, Scopus, and PubMed for sources published in English between January 2018 and December 2023. Search terms were cesarean AND opioid∗ AND eras OR erac OR enhanced recovery.
Study Selection
Eligible studies were conducted in the United States, used key pain management components from the ERAS guidelines, and reported results for in-patient postsurgical opioid use.
Data Extraction
Data obtained were for post–ERAS implementation only and included authors, date, sample size, study location, participant inclusion and exclusion criteria, methods, interventions used (ERAS guideline components), and morphine milligram equivalents (MME) used during the hospital stay.
Data Synthesis
Weighted averages were calculated for results reported as means and percentages. Descriptive summaries were used for the remainder of the results.
Results
Twenty-six studies were found, accounting for 19,961 individuals’ post-ERAS experiences. Although 30% of participants experienced a scheduled cesarean birth, 70% experienced all types of cesarean births, including scheduled, urgent, or emergent. There was substantial heterogeneity of the data reported, especially for how opioid use was measured and analyzed and time frames for opioid use. In 11 studies that reported MME as means, the weighted average for in-patient opioid use was 54 MME per stay. In only 17 studies, researchers reported the number of women who experienced an opioid-free recovery, which averaged 40% of the women.
Conclusion
While implementation of key components of the ERAS protocol is associated with reduced opioid exposure for women experiencing scheduled and nonscheduled cesarean births, a benchmark for the amount of in-patient opioid use was not established. Still, this review offers evidence regarding best practices, lessons learned, and outcome analysis strategies. These findings can support perinatal teams who are considering implementing ERAS for cesarean birth, or those looking for further improvements.
{"title":"Integrative Review of Opioid Use and Protocol Adherence in Hospitals After Implementing Enhanced Recovery After Surgery Protocols for Cesarean Birth","authors":"Laura Senn, Sulekha Anand","doi":"10.1016/j.nwh.2024.05.004","DOIUrl":"10.1016/j.nwh.2024.05.004","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the enhanced recovery after surgery (ERAS) protocols used and amount of opioids administered during hospitalization for cesarean birth after the ERAS protocols were implemented.</div></div><div><h3>Data Sources</h3><div>A search was conducted in CINAHL Complete, Scopus, and PubMed for sources published in English between January 2018 and December 2023. Search terms were cesarean AND opioid<em>∗</em> AND eras OR erac OR enhanced recovery.</div></div><div><h3>Study Selection</h3><div>Eligible studies were conducted in the United States, used key pain management components from the ERAS guidelines, and reported results for in-patient postsurgical opioid use.</div></div><div><h3>Data Extraction</h3><div>Data obtained were for post–ERAS implementation only and included authors, date, sample size, study location, participant inclusion and exclusion criteria, methods, interventions used (ERAS guideline components), and morphine milligram equivalents (MME) used during the hospital stay.</div></div><div><h3>Data Synthesis</h3><div>Weighted averages were calculated for results reported as means and percentages. Descriptive summaries were used for the remainder of the results.</div></div><div><h3>Results</h3><div>Twenty-six studies were found, accounting for 19,961 individuals’ post-ERAS experiences. Although 30% of participants experienced a scheduled cesarean birth, 70% experienced all types of cesarean births, including scheduled, urgent, or emergent. There was substantial heterogeneity of the data reported, especially for how opioid use was measured and analyzed and time frames for opioid use. In 11 studies that reported MME as means, the weighted average for in-patient opioid use was 54 MME per stay. In only 17 studies, researchers reported the number of women who experienced an opioid-free recovery, which averaged 40% of the women.</div></div><div><h3>Conclusion</h3><div>While implementation of key components of the ERAS protocol is associated with reduced opioid exposure for women experiencing scheduled and nonscheduled cesarean births, a benchmark for the amount of in-patient opioid use was not established. Still, this review offers evidence regarding best practices, lessons learned, and outcome analysis strategies. These findings can support perinatal teams who are considering implementing ERAS for cesarean birth, or those looking for further improvements.</div></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 6","pages":"Pages 473-484"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142381951","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 : 2024-12-01DOI: 10.1016/j.nwh.2024.04.002
Jane Anyango, Kalyn M. Renbarger
Objective
To integrate the findings of qualitative research to describe the experiences of intimate partner violence (IPV) among mothers who use substances.
Data Sources
A systematic search of the literature was conducted using the databases of the American Psychological Association PsycINFO, CINAHL, and PubMed along with a manual search of Google Scholar.
Study Selection
The Joanne Briggs Institute critical appraisal checklist for qualitative research criteria was used to assess the studies for selection. Inclusion criteria comprised (a) qualitative research, (b) available in English, (c) published in peer-reviewed journals, (d) inclusive of descriptions of IPV experienced by mothers who use substances, (e) conducted in the United States, and (f) published between January 2013 and October 2023.
Data Extraction
The researchers highlighted and extracted data from studies that met the inclusion criteria. Data describing IPV among mothers who use substances were extracted.
Data Synthesis
A thematic synthesis was used to integrate the findings using three stages and included (a) free line-by-line coding of the findings of the primary studies, (b) the development of the free codes into associated areas to construct descriptive subthemes, and (c) the development of overarching analytic themes.
Conclusion
Findings from 11 qualitative studies were synthesized. Four descriptive subthemes emerged to delineate the experiences of IPV in mothers who use substances: Experience of Various Types of IPV, Lack of Structures to Identify and Address IPV, Coping With Violence by Taking Substances, and Substance Use Influences Behaviors of IPV. Nurses who work with mothers who use substances should be knowledgeable about local resources for IPV, complete ongoing educational training for IPV screening, and be familiar with recommended guidelines for the routine assessment of IPV.
{"title":"Thematic Synthesis of the Experiences of Intimate Partner Violence Among Mothers Who Use Substances","authors":"Jane Anyango, Kalyn M. Renbarger","doi":"10.1016/j.nwh.2024.04.002","DOIUrl":"10.1016/j.nwh.2024.04.002","url":null,"abstract":"<div><h3>Objective</h3><div>To integrate the findings of qualitative research to describe the experiences of intimate partner violence (IPV) among mothers who use substances.</div></div><div><h3>Data Sources</h3><div><span>A systematic search of the literature was conducted using the databases of the American Psychological Association </span>PsycINFO<span>, CINAHL, and PubMed along with a manual search of Google Scholar.</span></div></div><div><h3>Study Selection</h3><div>The Joanne Briggs Institute critical appraisal checklist for qualitative research criteria was used to assess the studies for selection. Inclusion criteria comprised (a) qualitative research, (b) available in English, (c) published in peer-reviewed journals, (d) inclusive of descriptions of IPV experienced by mothers who use substances, (e) conducted in the United States, and (f) published between January 2013 and October 2023.</div></div><div><h3>Data Extraction</h3><div>The researchers highlighted and extracted data from studies that met the inclusion criteria. Data describing IPV among mothers who use substances were extracted.</div></div><div><h3>Data Synthesis</h3><div>A thematic synthesis was used to integrate the findings using three stages and included (a) free line-by-line coding of the findings of the primary studies, (b) the development of the free codes into associated areas to construct descriptive subthemes, and (c) the development of overarching analytic themes.</div></div><div><h3>Conclusion</h3><div>Findings from 11 qualitative studies were synthesized. Four descriptive subthemes emerged to delineate the experiences of IPV in mothers who use substances: <em>Experience of Various Types of IPV</em>, <em>Lack of Structures to Identify and Address IPV</em>, <em>Coping With Violence by Taking Substances</em>, and <em>Substance Use Influences Behaviors of IPV</em>. Nurses who work with mothers who use substances should be knowledgeable about local resources for IPV, complete ongoing educational training for IPV screening, and be familiar with recommended guidelines for the routine assessment of IPV.</div></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 6","pages":"Pages 464-472"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141186987","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 : 2024-12-01DOI: 10.1016/j.nwh.2024.07.001
Meredith Hunter Elischer
{"title":"The Power of a Dry-Erase Marker","authors":"Meredith Hunter Elischer","doi":"10.1016/j.nwh.2024.07.001","DOIUrl":"10.1016/j.nwh.2024.07.001","url":null,"abstract":"","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 6","pages":"Pages 493-494"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142376145","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}
To explore Thai health care providers’ perceptions of screening for intimate partner violence (IPV).
Design
This study used a qualitative approach to explore Thai health care providers’ perceptions of IPV screening.
Setting
Four focus groups of health care providers working in secondary and tertiary hospitals in northeast Thailand.
Participants
Thirty-two health care providers (30 nurses and 2 social workers) experienced in women’s health care and working in hospitals in northeast Thailand.
Results
Findings reflected four categories: The Importance of Screening for IPV, Factors Related to IPV Screening, Barriers to IPV Screening, and Strategies to Promote IPV Screening.
Conclusion
Our results highlight the significance of IPV screening in connecting survivors to help; challenges faced by providers, such as cultural norms and lack of training; and recommendations for policymakers to enhance IPV screening in Thailand.
{"title":"Perceptions of Screening Women for Intimate Partner Violence Among Health Care Providers in Thailand","authors":"Benjaporn Thitiyanviroj, Tina Bloom, Supawadee Thaewpia, Suthida Intaraphet, Aimon Butudom, Utchaya Intharueng, Wannaphon Khampila, Kulnaree Hanpatchiyakul, Tipparat Udmuangpia","doi":"10.1016/j.nwh.2024.10.002","DOIUrl":"10.1016/j.nwh.2024.10.002","url":null,"abstract":"<div><h3>Objective</h3><div>To explore Thai health care providers’ perceptions of screening for intimate partner violence (IPV).</div></div><div><h3>Design</h3><div>This study used a qualitative approach to explore Thai health care providers’ perceptions of IPV screening.</div></div><div><h3>Setting</h3><div>Four focus groups of health care providers working in secondary and tertiary hospitals in northeast Thailand.</div></div><div><h3>Participants</h3><div>Thirty-two health care providers (30 nurses and 2 social workers) experienced in women’s health care and working in hospitals in northeast Thailand.</div></div><div><h3>Results</h3><div>Findings reflected four categories: <em>The Importance of Screening for IPV</em>, <em>Factors Related to IPV Screening</em>, <em>Barriers to IPV Screening</em>, and <em>Strategies to Promote IPV Screening</em>.</div></div><div><h3>Conclusion</h3><div>Our results highlight the significance of IPV screening in connecting survivors to help; challenges faced by providers, such as cultural norms and lack of training; and recommendations for policymakers to enhance IPV screening in Thailand.</div></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 6","pages":"Pages 438-445"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630297","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 : 2024-12-01DOI: 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.
{"title":"A Tool to Help Nurses Provide Health Education on Adverse Pregnancy Outcomes and Cardiovascular Health","authors":"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","doi":"10.1016/j.nwh.2024.05.005","DOIUrl":"10.1016/j.nwh.2024.05.005","url":null,"abstract":"<div><div>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 (P<sup>3</sup>OPPY), 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.</div></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 6","pages":"Pages 404-409"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142376144","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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