Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing最新文献

英文中文

Removal of the Race-Based Correction in the Vaginal Birth After Cesarean Calculator.

IF 1.8 4区医学 Q2 NURSING

Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing

Pub Date : 2025-04-01 DOI: 10.1016/j.jogn.2025.03.006

Summer Sherburne Hawkins

In 2007, the Maternal-Fetal Medicine Units Network published a clinical calculator with a race-based correction factor that systematically lowered the predictive probability of a Black or Hispanic woman having a successful vaginal birth after cesarean (VBAC). The ensuing pushback that race is a social construct and not a biological factor led to the removal of race and ethnicity in the updated Maternal-Fetal Medicine Units Network VBAC calculator in 2021. In this column, I provide a brief overview of the inclusion of race in clinical algorithms and the development of VBAC calculators, evaluations of the calculators on VBACs by race and ethnicity, and the implications for research, practice, and policy. I conclude with information from professional organizations and the need for updating clinical guidelines to recommend health care systems and clinicians to adopt the revised VBAC calculator.

引用次数: 0

Experiences of Hmong Women in the Perinatal Period.

IF 1.8 4区医学 Q2 NURSING

Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing

Pub Date : 2025-03-28 DOI: 10.1016/j.jogn.2025.03.001

Shoua Xiong, Zhiyuan Yu, Maichou Lor

Objective: To explore Hmong women's experiences in the perinatal period and how their cultural practices intersect with Western health care in the United States.

Design: Descriptive qualitative study.

Setting: In-person and online interviews in several geographic locations in the United States.

Participants: Twenty-five Hmong women with a mean age of 35.7 years (SD = 4.1 years) from Wisconsin, California, Minnesota, Michigan, Oklahoma, Arkansas, and Kansas. Most had at least a bachelor's degree and one to seven children.

Methods: We recruited participants using purposive sampling through social media and word of mouth, collected data via semistructured interviews with audio recording, used verbatim transcription, and conducted reflexive thematic analysis.

Results: Participants' experiences focused on three overarching themes: Navigating the Hmong Traditional World, Navigating Adverse Perinatal Experiences in the Medical World, and Walking Two Worlds Alone. While navigating the traditional Hmong world, participants managed cultural expectations and experienced cultural silencing about certain perinatal topics. Simultaneously, participants navigated adverse experiences such as a lack of shared decision-making and support from health care providers in the Western medical world. They often encountered challenges with navigating the intersection of both worlds alone and reported inadequate support and guidance.

Conclusion: We found that participants' experiences in the perinatal period were shaped by cultural, social, and health care-related factors. More culturally responsive care is needed to improve the health outcomes of Hmong women in the perinatal period.

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引用次数: 0

Importance of Limitation Sections in Clinical Research and Quality Improvement Manuscripts.

IF 1.8 4区医学 Q2 NURSING

Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing

Pub Date : 2025-03-26 DOI: 10.1016/j.jogn.2025.03.005

Oliwier Dziadkowiec

A description of study limitations is a critical component of reporting research findings that can help future researchers and clinical teams improve patient outcomes.

对研究局限性的描述是报告研究结果的重要组成部分，有助于未来的研究人员和临床团队改善患者的治疗效果。

引用次数: 0

Expert Witnesses in Women's Health, Obstetric, and Neonatal Nursing.

IF 1.8 4区医学 Q2 NURSING

Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing

Pub Date : 2025-03-19 DOI: 10.1016/j.jogn.2024.11.007

引用次数: 0

Evidence-Based Education Programs to Improve Maternal Outcomes 以证据为基础的教育计划，改善孕产结果。

IF 1.8 4区医学 Q2 NURSING

Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing

Pub Date : 2025-03-01 DOI: 10.1016/j.jogn.2024.09.006

Susan Hale DNP, MSN, RNC-OB, CHSE, EBP-C, EFM-C, ONQS-C

引用次数: 0

Translation and Psychometric Evaluation of the Chinese Version of the Gynecological Cancers Awareness Scale 《妇科癌症认知量表》中文版的翻译及心理测量学评价。

IF 1.8 4区医学 Q2 NURSING

Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing

Pub Date : 2025-03-01 DOI: 10.1016/j.jogn.2024.10.005

Xiaojuan Tian, Lixiao Yang, Yan Liu, Linyao Feng, Run Wang, Ying Li

Objective

To translate the Gynecological Cancers Awareness Scale (GCAS) into Chinese and validate its reliability and validity in assessing awareness of gynecologic cancer prevention and treatment among women in China.

Design

Descriptive psychometric study.

Setting

People’s Republic of China.

Participants

Adult women who lived in China (N = 434).

Methods

We conducted the research in two phases. Phase 1 involved the translation and adaptation of the GCAS into Chinese. Phase 2 involved administering a cross-sectional survey using an electronic questionnaire.

Results

The translated GCAS had a Cronbach’s α of .92, an intraclass correlation coefficient of 0.83, and an adequate content validity index. We used exploratory factor analysis to identify four factors that explained 64.01% of the variance and found that most fit indices in the confirmatory factor analysis were acceptable.

Conclusion

Among our participants, the Chinese version of the GCAS was a valid and reliable tool for assessing awareness of gynecologic cancer risk, prevention, and treatment among women in China.

目的：将妇科肿瘤认知量表（GCAS）翻译成中文，并验证其在评价中国妇女妇科肿瘤防治认知方面的信度和效度。设计：描述性心理测量研究。地点：中华人民共和国。参与者：居住在中国的成年女性（N = 434）。方法：分两个阶段进行研究。第一阶段是GCAS的汉译和改编。第二阶段包括使用电子问卷进行横断面调查。结果：翻译后的GCAS的Cronbach’s α为0.92，类内相关系数为0.83，内容效度指标充足。我们使用探索性因子分析确定了四个因素，解释了64.01%的方差，并发现验证性因子分析中的大多数拟合指标是可接受的。结论：在我们的参与者中，中文版的GCAS是评估中国女性妇科癌症风险、预防和治疗意识的有效和可靠的工具。

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引用次数: 0

Call to Action to Quantify Non-Severe and Severe Maternal Morbidity

IF 1.8 4区医学 Q2 NURSING

Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing

Pub Date : 2025-03-01 DOI: 10.1016/j.jogn.2025.01.004

Caitlin Dreisbach PhD, RN, Yang Yu PhD, MPH, MSN, Susan Groth PhD, WHNP-BC, FAANP

引用次数: 0

Nurse Perceptions of Barriers to Infection Prevention and Control in Labor and Delivery 护士对产房感染预防与控制障碍的看法。

IF 1.8 4区医学 Q2 NURSING

Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing

Pub Date : 2025-03-01 DOI: 10.1016/j.jogn.2024.10.001

Laura E. Anderson, Katelyn A. White, Ronda L. Cochran, Kiran M. Perkins

Objective

To identify nurse perceptions of barriers to performing recommended infection prevention and control practices in labor and delivery to inform future resources tailored to this setting.

Design

Qualitative focus groups.

Setting

The 2023 annual convention of the Association of Women’s Health, Obstetric and Neonatal Nurses, New Orleans, LA.

Participants

A convenience sample of 16 labor and delivery nurses.

Methods

Staff of the Centers for Disease Control and Prevention conducted two focus groups using a standardized script. Coding was performed by three reviewers using Krueger’s systematic analysis process.

Results

Among the 16 participants, 94% were registered nurses, and 6% were advanced practice registered nurses. From our analysis of the data, five major themes emerged, including the following: Lack of Individual and Organizational Accountability in Implementing Recommended Infection Prevention and Control Practices; Inconsistent Application of Guidance Across State, Hospital, and Specialty; The Unpredictable Nature of the Labor and Delivery Setting; Labor and Delivery Is Not Prioritized in the Hospital for Infection Prevention and Control Resources; and Lack of Coordination Across Stages of Care From Prenatal to Postpartum.

Conclusion(s)

We identified barriers experienced by nurses to consistently implementing infection prevention and control practices in the labor and delivery setting. These barriers can be addressed through targeted interventions and the development of obstetric-specific infection prevention and control resources.

目的确定护士对在分娩过程中执行建议的感染预防和控制措施所遇到的障碍的看法，以便为今后针对这一环境的资源提供信息：设计：定性焦点小组：妇女健康、产科和新生儿护士协会 2023 年年会，洛杉矶新奥尔良：方法：美国疾病控制和预防中心（CDC）的工作人员在会议期间进行抽样调查：疾病控制与预防中心的工作人员使用标准化脚本进行了两次焦点小组讨论。结果：在 16 名参与者中，94% 的人是护士：在 16 名参与者中，94% 是注册护士，6% 是高级注册护士。通过对数据的分析，我们发现了以下五大主题：在实施推荐的感染预防和控制措施方面缺乏个人和组织责任；各州、医院和专科对指南的应用不一致；分娩环境的不可预测性；医院未将分娩和感染预防和控制资源列为优先事项；从产前到产后各护理阶段缺乏协调：我们发现了护士在分娩环境中持续实施感染预防和控制措施时遇到的障碍。这些障碍可以通过有针对性的干预措施和开发产科专用的感染预防与控制资源来解决。

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引用次数: 0

Integration of Peer Navigators Into Longitudinal Research 纵向研究中同伴导航员的整合。

IF 1.8 4区医学 Q2 NURSING

Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing

Pub Date : 2025-03-01 DOI: 10.1016/j.jogn.2024.11.008

Carla M. Bann, Jamie E. Newman, Leslie Clarke, Sandra Russell, Megan Dhawan, Traci Beiersdorfer, Sara DeMauro, Deanne Wilson-Costello, Myriam Peralta-Carcelen, Stephanie Merhar

Objective

To assess consent rates and reasons for refusing consent after the introduction of peer navigators into the Outcomes of Babies With Opioid Exposure (OBOE) Study.

Design

Secondary analysis of data from the OBOE Study, a multisite observational study.

Setting

Medical centers in Alabama, Ohio, and Pennsylvania (N = 4).

Participants

Data about the use of peer navigators were obtained from the primary study, including 1,255 mothers or caregivers who were approached regarding participation in the study.

Methods

We used χ² tests to compare study consent rates and reasons for refusing consent before and after the use of peer navigators.

Results

Following the addition of peer navigators, study consent rates significantly improved (29% of 852 before vs. 38% of 403 after; p = .001), and the percentage of potential participants who indicated that they were not interested in sharing information for research significantly decreased (41% of 247 vs. 26% of 115; p = .005).

Conclusion

We demonstrate the potential effect of peer navigators on consent and interest in sharing information for research in a longitudinal research study. We recommend the inclusion of peer navigators in studies with high-risk populations.

目的：评价阿片类药物暴露（OBOE）婴儿结局研究引入同伴导航员后的同意率和拒绝同意的原因。设计：对OBOE研究数据进行二次分析，这是一项多地点观察性研究。背景：阿拉巴马州、俄亥俄州和宾夕法尼亚州的医疗中心（N = 4）。参与者：从最初的研究中获得同伴导航器的使用数据，包括1255名母亲或照顾者，他们被要求参与研究。方法：采用χ2检验比较使用同伴导航器前后的研究同意率和拒绝同意的原因。结果：加入同伴导航员后，研究同意率显著提高(852例前29% vs. 403例后38%；P = .001)，表明他们对分享研究信息不感兴趣的潜在参与者的百分比显著下降(247人中的41%对115人中的26%；P = .005)。结论：我们在一项纵向研究中证明了同伴导航员对同意和分享研究信息的兴趣的潜在影响。我们建议在高危人群的研究中纳入同伴导航员。

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引用次数: 0

Elective Induction of Labor May Have Negative Effects at the Hospital Level 选择性引产可能对医院产生负面影响。

IF 1.8 4区医学 Q2 NURSING

Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing

Pub Date : 2025-03-01 DOI: 10.1016/j.jogn.2024.09.003

Sean Mann, Kortney Floyd James

Labor induction increased in the United States after the publication of A Randomized Trial of Induction Versus Expectant Management (ARRIVE) in 2018. During this trial, investigators found that elective induction at 39 weeks in low-risk nulliparous women led to similar perinatal outcomes when compared to expectant management. However, other researchers have since linked rising labor induction rates to worse hospital- and population-level outcomes. It is possible that elective induction of labor has a neutral effect on patients who are induced while at the same time lessening hospital capacity to care for other maternity patients, which leads to a negative effect on patient outcomes overall. During a trial, this represents a form of negative spillover, in which an intervention indirectly harms the comparison group and leads to overestimation of intervention benefit. Although further research is needed, evidence from ARRIVE and subsequent studies provides preliminary support for this possibility.

2018 年《引产与待产管理随机试验》（ARRIVE）发表后，美国的引产率有所上升。在这项试验中，研究人员发现，与预产期管理相比，低风险无阴道妇女在39周时选择引产可获得相似的围产期结果。然而，其他研究人员发现，引产率的上升与更糟糕的医院和人群结果有关。选择性引产有可能对引产患者产生中性影响，同时降低了医院对其他产妇的护理能力，从而对患者的整体预后产生负面影响。在试验过程中，这代表了一种负溢出效应，即干预措施间接损害了对比组，导致高估了干预措施的益处。虽然还需要进一步研究，但 ARRIVE 和后续研究的证据为这种可能性提供了初步支持。

引用次数: 0

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