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

Environmental protection is in peril, and policies that address climate change, plastics reduction, and air quality are under specific threat.

Objective: To explore midwives' experiences of precepting in relation to the demands of clinical practice.

Design: Secondary, supplementary qualitative data analysis.

Setting: Virtual interviews.

Participants: A total of 18 midwives (16 certified nurse-midwives and 2 certified midwives) who practiced in New Jersey.

Methods: We used data from a primary study of in-depth, semistructured interviews conducted from June 2023 to February 2024. We used qualitative description methodology and analyzed data using content analysis. We organized relevant codes using the major categories of the differentiated job demands-resources model, in which job demands are classified as hindrances or challenges and resources that can mitigate strain are identified.

Results: We found that precepting had a paradoxical effect on respondents' well-being. In the absence of adequate resources, precepting exacerbated exhaustion and in some cases led respondents to reduce or withdraw from teaching responsibilities. Conversely, when supported by collegial collaboration, shared responsibility, and personal agency in accepting students, precepting was a meaningful source of professional purpose and renewal.

Conclusions: Although precepting can foster professional engagement and renewal, it may also increase strain and contribute to burnout, particularly within health systems already facing staffing shortages and high turnover. The dual nature of precepting in midwifery underscores the role of system-level support in sustaining the midwifery workforce and clinical education.

Objective: To provide a conceptual understanding of the breastfeeding experiences, challenges, and support needs of women in the workforce.

Data sources: PubMed, CINAHL, and PsycINFO.

Study selection: We included reports of primary qualitative studies that were published from 2014 to 2024 in which researchers described the breastfeeding experiences of women in the workforce. We selected 13 reports for inclusion with a combined sample size of 188 women aged 20 to 48 years.

Data extraction: We extracted the following data from included studies: methodological characteristics (sample size, qualitative design, data analysis, data collection, and length of interview), demographic characteristics of participants (country, age group, employment setting/type, nature of work, and length of paid leave), direct participant quotes, and key concepts and themes about the breastfeeding experiences of women in the workforce.

Data synthesis: Using a published method for meta-ethnography, we synthesized the extracted data and identified four overarching themes, each with three subthemes: Juggling Milk and a Paycheck (subthemes: Torn Between Desk and Cradle, The Balancing Act, and Milk on the Clock), The Emotional Dance of Motherhood (subthemes: Hearts Full, Minds at Ease; Shadows of Exhaustion; and Against the Odds), The Village in Question (subthemes: Whispers and Judgments, Absent Anchors, and Hands That Hold), and The Policy Pendulum (subthemes: Written But Not Real, Clocking Out From Care, and When Care and Career Collide: Influence on Work). These themes and subthemes highlighted logistical challenges, inadequate workplace policies, the importance of supportive environments, women's emotional stress, and women's resilience.

Conclusion: Our findings indicate that structural, emotional, social, and policy-related factors shaped the breastfeeding experiences of the participants in the included articles. We emphasize the need for targeted interventions and workplace policies to optimize breastfeeding experiences and outcomes among women in the workforce.

High-quality maternal-infant interaction is essential to promote the optimal growth and development of children. The role of the nurse in providing assessment, interventions, and guidance to mothers of infants from birth to 1 year of age is vital to enhance maternal-infant interactions. In this article, we highlight the significance of maternal-infant interaction and examine challenges families face in developing high-quality maternal-infant interaction. Evidence-based recommendations for health and social policies for nursing and clinical practice are provided to mitigate challenges to the development of maternal-infant interaction.

The effects of lead exposure on children and the importance of lead screening in the pediatric period are well-established, but little emphasis is placed on prevention in the perinatal period. Variability in screening guidelines and practices results in inconsistent and often insufficient lead screening during pregnancy. No blood lead level is safe, and lead stored in a woman's bones can be released during pregnancy, exposing the fetus. Women and children of color face disproportionately high blood lead levels as compared with their White counterparts. In utero exposure to lead is associated with preterm birth, low birth weight, and neurodevelopmental delays in children. Prenatal lead screening through blood tests and occupational and social history can help to identify, prevent, and mitigate maternal and fetal exposure. In this article, I review existing guidelines and practices; make recommendations for primary, secondary, and tertiary prevention of lead; and advocate for universal lead screening during pregnancy.