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Women’s Healthcare: A Clinical Journal for NPs最新文献

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Understanding 
Covid-19 vaccines 了解
Covid-19疫苗
Pub Date : 1900-01-01 DOI: 10.51256/whc042121
Heather C. Quaile, T. Thompson
Healthcare providers have been rolling up their sleeves along with other adults age 65 and older to get their Covid-19 vaccines. Currently, there are three vaccines that have been authorized for use by the US Food and Drug Administration (FDA). This Covid-19 update provides information to help healthcare providers allay some of the fears surrounding vaccination and answer the questions patients are asking.
医疗保健提供者和其他65岁及以上的成年人一起卷起袖子接种新冠病毒疫苗。目前,有三种疫苗已被美国食品和药物管理局(FDA)批准使用。本Covid-19更新提供信息,帮助医疗保健提供者减轻对疫苗接种的一些恐惧,并回答患者提出的问题。
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引用次数: 1
The mentoring role for 
DNP projects DNP项目的指导角色
Pub Date : 1900-01-01 DOI: 10.51256/whc042145
E. T. Heitzler, Gina M. Fullbright
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引用次数: 2
Diabetic gastroparesis 
in pregnancy 妊娠期糖尿病性胃轻瘫
Pub Date : 1900-01-01 DOI: 10.51256/whc042140
E. Jones, K. Evans Kreider
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引用次数: 0
Implementation of the Maternal Mental Health Safety Bundle: Standardizing perinatal depression screening and response in a federally qualified health center 产妇心理健康安全捆绑包的实施:在联邦合格的保健中心标准化围产期抑郁症筛查和反应
Pub Date : 1900-01-01 DOI: 10.51256/whc042148
Lucia M. Jenkusky, Barbara Jones Warren, Randee Masciola, S. Gillespie
NPWomenshealthcare.COM Perinatal depression is the most common complication of pregnancy, with a higher incidence than gestational diabetes, preeclampsia, or preterm birth. Perinatal depression affects 1 of every 7 women.1 Antenatal depression is a significant risk factor for postpartum depression and, if left untreated, increases risk for preterm birth, low birth weight, preeclampsia, excess gestational weight gain, and operative delivery while decreasing rates of breastfeeding.2,3 The American College of Nurse Midwives recommends midwives integrate prevention, universal screening, treatment, and/or referral for depression into the care they provide for women.4 The American College of Obstetricians and Gynecologists, the US Preventive Services Task Force, and the American Academy of Family Physicians recommend screening all pregnant and postpartum women for depression and stress that screening should be implemented only when adequate systems are in place to ensure accurate diagnosis, effective treatment, and appropriate follow-up.5–7 A survey of 53 certified nurse midwives in Oregon showed that although 94% screened for prenatal depression, only 53% had a formalized screening process in place.8 A national survey of obstetricians and gynecologists reported that 53% universally screened pregnant patients for depression, but only 33.67% implemented guideline-congruent care.9 The Council on Patient Safety in Women’s Health Care, a multidisciplinary collaboration of organizations across the spectrum of women’s health, developed the Maternal Mental Health Patient Safety Bundle in 2016. The bundle has four key components: readiness, recognition and prevention, response, and reporting and systems learning. Patient safety bundles are developed to provide a small set of evidence-based interventions to achieve improved outcomes. They are based on the concept that when care processes are grouped into simple bundles, healthcare providers are more likely to implement them by making fundamental changes in how they work.10
围产期抑郁症是妊娠期最常见的并发症,其发生率高于妊娠期糖尿病、先兆子痫或早产。每7名妇女中就有1名患有围产期抑郁症产前抑郁是产后抑郁的重要危险因素,如果不及时治疗,会增加早产、低出生体重、先兆子痫、妊娠期体重过度增加和手术分娩的风险,同时降低母乳喂养率。美国护士助产士学院建议助产士将抑郁症的预防、普遍筛查、治疗和/或转诊纳入她们为妇女提供的护理中美国妇产科医师学会、美国预防服务工作组和美国家庭医生学会建议对所有孕妇和产后妇女进行抑郁症筛查,并强调只有在有足够的系统以确保准确诊断、有效治疗和适当随访的情况下才应实施筛查。一项对俄勒冈州53名注册护士助产士的调查显示,尽管94%的人筛查过产前抑郁症,但只有53%的人有正式的筛查程序一项针对妇产科医生的全国性调查报告称,53%的医生普遍对孕妇进行抑郁症筛查,但只有33.67%的医生实施了与指导方针一致的护理妇女保健患者安全理事会是妇女保健各领域组织的多学科合作机构,于2016年制定了《产妇精神保健患者安全包》。该捆绑包有四个关键组成部分:准备、识别和预防、响应、报告和系统学习。制定了患者安全包,以提供一套以证据为基础的干预措施,以实现更好的结果。它们基于这样一个概念,即当护理流程被分组为简单的包时,医疗保健提供者更有可能通过对其工作方式进行根本改变来实施这些流程
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引用次数: 0
PrEP for women: An update for healthcare providers 妇女预防措施:医疗保健提供者的最新情况
Pub Date : 1900-01-01 DOI: 10.51256/whc042134
Danielle P. Clement, K. McGee, Kathryn Trotter
Women account for almost 20% of all new diagnoses of human immunodeficiency virus (HIV) in the United States, yet their utilization of pre-exposure prophylaxis (PrEP) to prevent HIV infection is highly underutilized. Significant racial, social, and cultural factors further marginalize those who are at increased risk. Women’s healthcare providers should screen for HIV risk and offer PrEP during routine clinical encounters.
在美国,女性几乎占所有新诊断的人类免疫缺陷病毒(HIV)的20%,但她们使用暴露前预防(PrEP)来预防HIV感染的利用率非常低。重要的种族、社会和文化因素进一步使那些风险增加的人边缘化。妇女保健提供者应筛查艾滋病毒风险,并在常规临床接触中提供预防措施。
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引用次数: 0
Mental illness stigma: Strategies to address a barrier to care 精神疾病耻辱:解决护理障碍的战略
Pub Date : 1900-01-01 DOI: 10.51256/whc042116
Teresa M. Conklin
Mental illness (MI) is extremely prevalent worldwide. Despite recent efforts to raise awareness through screening and early identification, MI stigma remains high and is recognized as a major barrier to recovery. Nurse practitioners play a key role in overcoming stigma to facilitate appropriate treatment and recovery. The various aspects of MI stigma, tools to measure stigma, and intervention strategies to decrease stigma among healthcare professionals and individuals suffering from MI are discussed. Disparities between women and men are also reviewed.
精神疾病(MI)在世界范围内极为普遍。尽管最近努力通过筛查和早期识别提高认识,但MI的耻辱感仍然很高,被认为是康复的主要障碍。执业护士在克服耻辱感以促进适当治疗和康复方面发挥关键作用。本文讨论了MI病耻感的各个方面,测量病耻感的工具,以及减少医疗保健专业人员和MI患者病耻感的干预策略。还审查了男女之间的差异。
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引用次数: 3
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Women’s Healthcare: A Clinical Journal for NPs
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