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Nursing for Women's Health

Marcia A Clevesy, Tricia K Gatlin, Callie Cheese, Kord Strebel
OBJECTIVE: The purpose of this project was to improve health care providers' postpartum depression (PPD) knowledge and screening practices with the implementation of a standardized screening tool. DESIGN: The plan-do-study-act model was used as a framework to measure and implement a practice change aimed at universal screening for PPD. SETTING/LOCAL PROBLEM: Health care providers' screening practices for PPD were inconsistent and lacked use of a standardized screening tool at a southwestern U...
December 31, 2018: Nursing for Women's Health
Ann R Lurati
Dry eye syndrome is a common ophthalmic complaint. Women, especially menopausal women with comorbidities, are at greater risk for developing dry eye syndrome and subsequent negative effects on their overall eye health. In this article, I review the anatomy and physiology of the ocular surface of the eye, pathophysiology of dry eyes and its complications, risk factors for menopausal women, and assessment tools that nurses may use. Implications for nursing practice are discussed, and a case example illustrates clinical points...
December 27, 2018: Nursing for Women's Health
Taylor Houser, Kristine DeButy, Claudia C Beal
OBJECTIVE: The aim of this evidence-based practice change was to implement use of nitrous oxide as a pain management option during labor and to examine women's satisfaction with that option. DESIGN: Evidence-based practice change guided by the model for evidence-based practice change. SETTING: Labor and delivery unit in a tertiary medical center in the southwestern United States. PARTICIPANTS: Laboring women who met eligibility criteria were offered the option of nitrous oxide during a 2-month period...
December 26, 2018: Nursing for Women's Health
Jennifer Turney, Ann Lowther, Jeanine Pyka, Deene Mollon, Willa Fields
OBJECTIVE: To develop an evidence-based practice project to evaluate the effect of delaying a newborn's first bath on exclusive breastfeeding rates at discharge. DESIGN: A pre- and post-implementation evaluation of the effect of delaying the first bath on exclusive breastfeeding rates at discharge. SETTING: A postpartum unit in a southern California community hospital. PARTICIPANTS: Breastfeeding dyads of women and newborns (>37 weeks gestational age) who were admitted to the postpartum unit...
December 26, 2018: Nursing for Women's Health
Mary C Brucker
Studying today's data on health trends can give us a glimpse into what the future might hold for the nursing profession.
December 24, 2018: Nursing for Women's Health
Britt Frisk Pados
Advances in neonatal care have allowed for the increasing survival of critically ill infants. These infants experience significant stress related to painful procedures and physical separation from their parents. The purpose of this article is to describe the physiologic stress mechanisms that contribute to mortality and morbidity in infants in the NICU and the physiologic mechanisms by which skin-to-skin care (SSC) acts on the stress response system. Findings from current literature supporting the use of SSC and barriers and facilitators to implementation are reviewed...
December 24, 2018: Nursing for Women's Health
Curry Bordelon
A neonatal nurse builds trust and resilience when she goes from NICU health care provider to NICU parent.
December 17, 2018: Nursing for Women's Health
Urmeka T Jefferson, Diane Bibb
Many women experience challenges with breastfeeding. The early postpartum period is a critical time to set a foundation for successful initiation of breastfeeding and to promote continued breastfeeding. Nurses need a quick reference guide for implementation of evidence-based strategies to promote breastfeeding for all mother-newborn dyads. This article describes the development and implementation of a breastfeeding algorithm based on clinical practices outlined in the revised 2018 Ten Steps to Successful Breastfeeding to guide bedside care for term newborns...
December 15, 2018: Nursing for Women's Health
(no author information available yet)
No abstract text is available yet for this article.
February 2019: Nursing for Women's Health
Molly L Barnhart, Kimberly Rosenbaum
Anaphylactoid syndrome of pregnancy (ASP) is a widespread, proinflammatory, anaphylactic-like reaction that can occur when amniotic fluid enters the maternal blood circulation. ASP is characterized by four cardinal findings: respiratory distress, altered mental status, hypotension, and disseminated intravascular coagulation. ASP is commonly associated with maternal and neonatal mortality. Early recognition followed by prompt and aggressive treatment can improve survival rates and are among the most critical activities for nurses and other clinicians caring for women with ASP...
February 2019: Nursing for Women's Health
Heather Bradford
No abstract text is available yet for this article.
December 2018: Nursing for Women's Health
Mary Beth McCloud
OBJECTIVE: To identify various motivators and barriers in the pre-contemplation and contemplation stages of change that can occur during pregnancy, which can influence lifestyle interventions that are implemented during pregnancy. DATA SOURCES: An electronic search of the literature was conducted using Web of Science and all databases within EBSCOhost. STUDY SELECTION: A study was included if the population was identified as pregnant women ages 13 to 44 years to include women of childbearing age and if it incorporated a lifestyle intervention that integrated nutrition and/or physical activity...
December 2018: Nursing for Women's Health
Kirsten Wisner, Carrie Holschuh
The use of intermittent auscultation (IA) for fetal surveillance during labor decreased with the introduction of electronic fetal monitoring (EFM). The increased use of EFM is associated with an increase in cesarean births. IA is an evidence-based method of fetal surveillance during labor for women with low risk pregnancies and considered one component of comprehensive efforts to reduce the primary cesarean rate and promote vaginal birth. Many clinicians are not familiar with IA practice. This practice monograph includes information on IA techniques; interpretation and documentation; clinical decision-making and interventions; communication; education, staffing, legal issues, and strategies to promote implementation of IA into practice...
December 2018: Nursing for Women's Health
(no author information available yet)
No abstract text is available yet for this article.
December 2018: Nursing for Women's Health
Jane Ciaramella
Acute fatty liver of pregnancy (AFLP) occurs less frequently than similarly challenging complications in pregnancy. Early recognition is key to reduce morbidity and mortality. Women present with symptoms common to many illnesses, and AFLP typically occurs in the third trimester. Laboratory test values typical of preeclampsia and HELLP syndrome are seen with AFLP. There are distinguishing laboratory tests that help differentiate AFLP from other conditions. AFLP can cause coagulopathy, which can pose a challenge in childbirth...
December 2018: Nursing for Women's Health
Heather Azarmehr, Kathy Lowry, Amber Sherman, Claire Smith, Julie Zuniga
Women who are homeless are less likely to receive preconception care or prenatal care in the first trimester, and they tend to have fewer prenatal visits overall than their housed counterparts. Homelessness during pregnancy can increase the risk for many maternal, fetal, and neonatal complications. Barriers to proper prenatal care can be categorized as logistical, psychosocial, intellectual, and attitudinal. Although all women face potential barriers to optimal care, women who are homeless are particularly vulnerable and experience these barriers to a greater degree...
October 30, 2018: Nursing for Women's Health
Diane DiTomasso, Ginette Ferszt
OBJECTIVE: To document mothers' thoughts and feelings about using a pediatric digital scale in their homes to monitor the weights of their newborns. DESIGN: Cross-sectional design. SETTING: A community hospital in the northeastern region of the United States. PARTICIPANTS: Women (N = 63) who gave birth between August 2015 and September 2016 to healthy, full-term singleton newborns who were exclusively or predominantly breastfed at the time of hospital discharge...
October 30, 2018: Nursing for Women's Health
Ann R Lurati
This article includes a brief literature review and case example to explore the effects of menopause on hormones that influence appetite and the function of the gastrointestinal system. The importance of exercise and diet are discussed, as are implications for nursing practice.
October 30, 2018: Nursing for Women's Health
Katy Meeker, Susan K Brown, Michele Lamping, Michael R Moyer, M Joyce Dienger
OBJECTIVE: To use high-fidelity human patient simulation to enhance teamwork and communication during maternity care emergencies. DESIGN: Quality improvement initiative. SETTING/LOCAL PROBLEM: The labor and delivery team at a large suburban Level 2 facility in the Midwestern United States sought to apply evidence and use simulation to improve communication and teamwork. PARTICIPANTS: Approximately 170 maternity care staff members, including nurses, anesthesia providers, and pediatric and obstetric physicians...
October 30, 2018: Nursing for Women's Health
Mary C Brucker
No abstract text is available yet for this article.
October 29, 2018: Nursing for Women's Health
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