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

英文中文

Secondary Qualitative Analysis of the Effect of Work-Related Stress on Women Who Experienced Miscarriage During the COVID-19 Pandemic COVID-19大流行期间工作压力对流产妇女影响的二次定性分析

IF 2 4区医学 Q2 NURSING

Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing

Pub Date : 2025-09-01 DOI: 10.1016/j.jogn.2025.04.007

Madeline Fernandez-Pineda, Elizabeth R. Black, Alison Swift

Objective

To explore the effect of work-related stress on women who experienced miscarriage during the COVID-19 pandemic.

Design

Secondary qualitative analysis using a qualitative descriptive approach.

Setting

Participants completed interviews virtually or face to face in North Carolina in 2022.

Participants

Thirteen women who experienced miscarriage from March 30, 2020, to February 24, 2021, during recommended and mandated stay-at-home orders, and discussed work-related stress.

Methods

We used qualitative data from a primary study. We analyzed semistructured interviews using inductive content analysis with first- and second-cycle coding. After finalizing the themes, we applied the theory of transactional stress and coping deductively as an interpretive lens to contextualize the findings.

Results

Four themes emerged: Difficulties Maintaining Work–Life Balance, Inadequate Workplace Accommodations, Varying Levels of Workplace Social Support, and Compounded Pressures of Miscarriage and Pandemic-Related Stress. Struggles with work–life balance, inadequate work accommodations, and limited workplace social support led to additional emotional distress and impaired work performance, and they prompted changes in employment status.

Conclusion

Our findings underscore the need for comprehensive workplace policies and interventions that support women’s unique needs after miscarriage, particularly during crises. Practical recommendations include flexible work schedules, paid leave, and mental health resources.

目的：探讨新冠肺炎大流行期间工作压力对流产妇女的影响。设计：采用定性描述方法进行二次定性分析。背景：2022年，参与者在北卡罗来纳州完成了虚拟或面对面的采访。参与者：13名女性在2020年3月30日至2021年2月24日期间，在建议和强制的居家令期间流产，并讨论了与工作有关的压力。方法：采用一项初步研究的定性数据。我们使用第一和第二循环编码的归纳内容分析来分析半结构化访谈。在最终确定主题后，我们将交易压力和演绎应对理论作为解释镜头来将研究结果语境化。结果：出现了四个主题：维持工作与生活平衡的困难，工作场所住宿不足，工作场所社会支持水平不一，以及流产和流行病相关压力的复合压力。与工作与生活的平衡作斗争，工作场所不充足，工作场所社会支持有限，导致额外的情绪困扰和工作表现受损，并促使就业状况发生变化。结论：我们的研究结果强调，需要制定全面的工作场所政策和干预措施，以支持妇女在流产后，特别是在危机期间的独特需求。实用的建议包括灵活的工作时间安排、带薪休假和心理健康资源。

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引用次数: 0

Expanding the Conceptualization of Bereavement in the Perinatal Period 围产期丧亲概念的拓展。

IF 2 4区医学 Q2 NURSING

Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing

Pub Date : 2025-09-01 DOI: 10.1016/j.jogn.2025.07.003

Rana Limbo PhD, RN, FAAN, Natasha Nurse-Clarke PhD, RN, FAAN

引用次数: 0

Factors Associated With Gestational Weight Gain Among Nurses in Korea 韩国护士孕期体重增加的相关因素

IF 2 4区医学 Q2 NURSING

Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing

Pub Date : 2025-09-01 DOI: 10.1016/j.jogn.2025.06.005

Sook Jung Kang, Woon Young Hwang, Hyunju Dan, Sue Kim, Kwang-Pil Ko

Objective

To identify risk factors associated with inadequate and excessive gestational weight gain (GWG) among nurses in Korea.

Design

Secondary analysis of data from the Korea Nurses' Health Study, a nationwide prospective cohort study.

Setting

Online surveys distributed from 2014 to 2023 in Korea.

Participants

Nurses (N = 296) who gave birth in the past year.

Methods

We categorized GWG using guidelines from the Institute of Medicine and conducted bivariate and logistic regression analyses to identify factors associated with inadequate and excessive GWG.

Results

Among participants, 40.2% had inadequate GWG, 36.1% had adequate GWG, and 23.7% had excessive GWG. We found significant differences in GWG based on pre-pregnancy body mass index (BMI) and weekly overtime hours worked. As age increased, the odds of excessive GWG decreased (odds ratio (OR) = 0.89, 95% confidence interval (CI) [0.79, 0.99]), whereas higher levels of fatigue were associated with increased odds (OR = 1.08, 95% CI [1.01, 1.15]) of excessive GWC.

Conclusion

Our study suggests that health care providers should consider ethnicity, pre-pregnancy BMI, overtime work hours, age, and fatigue levels when educating and caring for pregnant nurses. Although the findings reflect a specific maternal population of Korean nurses, they may inform care for similar working women. We recommend that information about GWG be incorporated into prenatal education, visits, checklists, and counseling for women who are pregnant or planning to become pregnant.

目的：确定韩国护士妊娠期体重增加不足和过度（GWG）相关的危险因素。设计：对韩国护士健康研究的数据进行二次分析，这是一项全国性的前瞻性队列研究。背景：2014年至2023年在韩国进行的在线调查。研究对象：296名近一年内分娩的护士。方法：我们使用医学研究所的指南对GWG进行分类，并进行双变量和逻辑回归分析，以确定与GWG不足和过量相关的因素。结果：40.2%的受试者GWG不足，36.1%的受试者GWG充足，23.7%的受试者GWG过量。我们发现基于孕前体重指数（BMI）和每周加班时间的GWG有显著差异。随着年龄的增长，过度GWG的几率降低(比值比（OR) = 0.89, 95%可信区间（CI）[0.79, 0.99]），而高水平的疲劳与过度GWC的几率增加（OR = 1.08, 95% CI[1.01, 1.15]）相关。结论：我们的研究表明，卫生保健提供者在教育和照顾怀孕护士时应考虑种族、孕前BMI、加班时间、年龄和疲劳程度。虽然研究结果反映了韩国护士的特定产妇群体，但它们可能为类似职业妇女的护理提供参考。我们建议将有关GWG的信息纳入产前教育、访问、检查清单和怀孕或计划怀孕妇女的咨询中。

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引用次数: 0

Reproductive Agency in an Era of Falling Fertility Rates 生育率下降时代的生殖机构。

IF 2 4区医学 Q2 NURSING

Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing

Pub Date : 2025-09-01 DOI: 10.1016/j.jogn.2025.07.002

Joyce K. Edmonds (Editor in Chief)

引用次数: 0

At Your Service 随时为您服务

IF 2 4区医学 Q2 NURSING

Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing

Pub Date : 2025-09-01 DOI: 10.1016/S0884-2175(25)00238-2

引用次数: 0

Effects of Sociospatial Inequality on Exposure to Stress, Symptoms of Depression, and Cortisol Rhythms in Pregnancy 社会空间不平等对妊娠期压力暴露、抑郁症状和皮质醇节律的影响

IF 2 4区医学 Q2 NURSING

Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing

Pub Date : 2025-09-01 DOI: 10.1016/j.jogn.2025.06.002

Crystal Modde Epstein, Thomas P. McCoy, Angela M. Kabbe, Kierra Sattler

Objective

To investigate the effect of sociospatial inequality on exposure to stress, symptoms of depression, and cortisol rhythms during pregnancy.

Design

Secondary analysis of a cross-sectional observational study.

Setting

Outpatient women’s health clinic in an urban midwestern region of the United States.

Participants

Pregnant women in the second trimester of pregnancy (N = 67).

Methods

We performed a secondary analysis of salivary cortisol samples to compute average daily cortisol rhythms (diurnal slope, area under the curve, mesor, amplitude, and acrophase). We measured sociospatial inequality using the index of concentration at the extremes based on zip-code-level data from the American Community Survey. We used mixed-effects cosinor regression to examine the association among sociospatial inequality, exposure to stress, symptoms of depression, and cortisol rhythms, adjusting for multiple covariates.

Results

Sociospatial inequality was significantly associated with demographic variables (age, race, and education) and mental health variables (exposure to stress and symptoms of depression). We found a statistically significant curvilinear association between income-related sociospatial inequality and cortisol rhythms.

Conclusions

Participants who lived in areas of extreme income-related deprivation and privilege had higher amplitude cortisol rhythms, which potentially reflects heightened biological sensitivity to context, whereas women living in more moderate environments showed buffered cortisol rhythms.

目的：探讨社会空间不平等对妊娠期应激暴露、抑郁症状和皮质醇节律的影响。设计：对横断面观察性研究进行二次分析。背景：美国中西部某城市妇女健康门诊诊所。参与者：妊娠中期的孕妇（N = 67）。方法：我们对唾液皮质醇样本进行了二次分析，以计算平均每日皮质醇节律（日斜率、曲线下面积、中速、振幅和顶相）。我们根据美国社区调查（American Community Survey）的邮政编码级数据，使用极端集中度指数来衡量社会空间不平等。我们使用混合效应余弦回归来检验社会空间不平等、压力暴露、抑郁症状和皮质醇节律之间的关系，并对多个协变量进行了调整。结果：社会空间不平等与人口统计变量（年龄、种族和教育）和心理健康变量（压力暴露和抑郁症状）显著相关。我们发现与收入相关的社会空间不平等与皮质醇节律之间存在统计学上显著的曲线关联。结论：生活在与收入相关的极端剥夺和特权地区的参与者有更高幅度的皮质醇节律，这可能反映了对环境更高的生物敏感性，而生活在更温和环境中的女性则表现出缓冲的皮质醇节律。

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引用次数: 0

Discrimination and Regular Source of Care as Equity Factors Associated With Health and Stress During the Extended Postpartum Period 歧视和常规护理来源是与产后延长期健康和压力相关的公平因素。

IF 2 4区医学 Q2 NURSING

Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing

Pub Date : 2025-09-01 DOI: 10.1016/j.jogn.2025.06.004

Lorraine O. Walker, Nicole Murry, Heather Becker

Objective

To estimate the frequency of racial/ethnic and gender discrimination and lack of a regular source of care in the postpartum period and to examine how these factors were related to health and stress in the postpartum period.

Design

Cross-sectional survey study.

Setting

Online research panels in the United States.

Participants

Survey respondents (N = 427: 424 women, 1 transgender man, 1 non-binary individual, and 1 individual for whom gender was missing).

Methods

Equity items included racial/ethnic discrimination, gender discrimination, and lack of a regular care source. Health outcomes included a global measure of physical and mental health, perceived stress, and postpartum-specific stress. We analyzed the data using correlational and hierarchical regression analyses adjusted for covariates.

Results

Racial/ethnic discrimination was reported by 15.2% of respondents, gender discrimination was reported by 45.9% of respondents, and lack of a regular source of care was reported by 13.8% of respondents. After adjusting for covariates, equity factors accounted for 1.8% of the variance in physical health (p < .05), 3.4% in mental health (p = .001), 5.0% in perceived stress (p < .001), and 7.8% in postpartum-specific stress (p < .001). The only significant equity factor significantly associated with physical and mental outcomes was gender discrimination.

Conclusion

Nearly half of respondents reported that they experienced gender discrimination. Gender discrimination was significantly related to worse health and higher stress. Nurses can aid women in dealing with gender discrimination by providing information about rights and resources.

目的：估计产后种族/民族歧视和性别歧视以及缺乏定期护理来源的频率，并研究这些因素如何与产后健康和压力相关。设计：横断面调查研究。背景：美国在线研究小组。参与者：调查对象（N = 427）：女性424人，变性男性1人，非二元个体1人，性别缺失者1人。方法：公平项目包括种族/民族歧视、性别歧视和缺乏正规护理来源。健康结果包括对身心健康、感知压力和产后特定压力的全球衡量。我们使用相关和层次回归分析对协变量进行校正。结果：15.2%的受访者报告了种族/民族歧视，45.9%的受访者报告了性别歧视，13.9%的受访者报告了缺乏正规护理来源。在调整协变量后，公平因素在身体健康方面占1.8% (p < 0.05)，在心理健康方面占3.4% (p = 0.001)，在感知压力方面占5.0% (p < 0.001)，在产后特异性压力方面占7.8% （p < 0.001）。唯一与生理和心理结果显著相关的公平因素是性别歧视。结论：近一半的受访者表示他们经历过性别歧视。性别歧视与较差的健康状况和较高的压力显著相关。护士可以通过提供有关权利和资源的信息，帮助妇女处理性别歧视问题。

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引用次数: 0

Common Methodological Challenges in Health Care Quality and Improvement Studies and Related Solutions 卫生保健质量和改进研究中的常见方法挑战及相关解决方案。

IF 2 4区医学 Q2 NURSING

Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing

Pub Date : 2025-09-01 DOI: 10.1016/j.jogn.2025.08.001

Oliwier Dziadkowiec PhD

引用次数: 0

Speaking the Same Fetal Heart Monitoring Language 说同样的胎儿心脏监测语言

IF 1.8 4区医学 Q2 NURSING

Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing

Pub Date : 2025-07-01 DOI: 10.1016/j.jogn.2025.05.024

Angela Jaynes MSN, RNC-OB, C-EFM, CPLC, NPD-BC, Emily Phelps MSN, RN, RNC-OB, C-EFM, CBC, Allison Rodriguez MS, RN, RNC-OB, C-EFM, Brianna Nelson BSN, RNC-OB, C-EFM, HCA

引用次数: 0

Improving Exclusive Breastfeeding Rates 提高纯母乳喂养率

IF 1.8 4区医学 Q2 NURSING

Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing

Pub Date : 2025-07-01 DOI: 10.1016/j.jogn.2025.05.075

Wendy LeValley MSN, RN, RNC-MNN

引用次数: 0

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Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing

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