Health Nurses Research Articles

Postpartum Hemorrhage Management in Canadian Emergency Nursing Practice

Background: Postpartum hemorrhage (PPH) remains a leading cause of maternal mortality globally, claiming approximately 70,000 lives annually. Despite preventive efforts, high-income countries, including Canada, have reported increasing rates of PPH. The rising incidence and associated complications indicate improved emergency nursing practices in managing PPH are needed. Methods: PPH guidelines from the Society of Obstetricians and Gynecologists of Canada, Federation of International Gynecologists and Obstetricians, and the Canadian Association of Perinatal, and Women’s Health Nurses were compared to National Emergency Nurses Association guidelines. The competencies, medications, and obstetric maneuvers for PPH that may be relevant to emergency nurses were extracted and categorized for the emergency nursing HIRAID (History & Red flags, Assessment, Interventions, & Diagnosis) framework. Findings/Results: We found 13 discrete skills across the PPH guideline recommendations that are applicable to emergency nurses. There is near perfect overlap in medical recommendations, but gaps exist between FIGO and SOGC guidelines and NENA and CAPWHN guidelines. There are SOGC and FIGO guidelines that apply to emergency nurses that are not addressed in NENA guidelines, Discussion: There was significant overlap on treatment recommendations from maternal health bodies such as uterotonic drugs, hemorrhage control, and hemostatic resuscitation. There were significant gaps in NENA recommendations. Conclusion: The comparison of PPH guidelines highlights where NENA guidelines need further detail. These skills are particularly significant for providing nursing care in rural and remote areas. Standardized protocols for PPH management, interprofessional collaboration, and regular competency assessments are included in most guidelines but are conspicuously absent for emergency nurses. To address the gap, NENA could integrate national emergency nursing PPH competencies standards or develop recommendations for the care of maternal emergencies.

The role of mental health in the relationship between nursing care satisfaction with nurse-patient relational care in Chinese emergency department nursing.

The relationship between a nurse and a patient is a key part of nursing that can impact how happy the patient is with the care they receive. It appears that the nurse's mental health can also affect this connection. However, there is little research on this topic. So, the aim of the present study was to determine the correlation of nurse's mental health with nurse-patient relational care and nursing care satisfaction. A total of 532 nurses and 532 patients from 13 Level-III hospitals of Hubei province (China) completed a China Mental Health Survey, general information questionnaire, the Nursing Care Satisfaction Scale, and Relational Care Scale. Age, nurse working years, and night shift last month were correlated with mental health score (r = -0.142, r = -0.150, r = 0.164, p < 0.05). Nurse's mental health was correlated with relational care score and nursing care satisfaction score (r = -0.177, r = -0.325, p < 0.05). Also, relational care score, patients age and gender were correlated with nursing care satisfaction score (r = 0.584 and r = 0.143, x2 = 11.636, p < 0.05). Descriptive information of nurses had a direct impact on nurses' mental health (direct effect = 0.612, 0.419-0.713). Nurses' mental health had a direct effect on relational care score (direct effect = 0.493, 0.298-0.428) and an indirect effect on nursing care satisfaction score (indirect effect = 0.051, 0.032-0.074). Relational care score and patient's descriptive information had also a direct effect on nursing care satisfaction score (direct effect = 0.232, 0.057-0.172 and 0.057, 0.347-0.493). This study showed that the better the mental health of nurses, the more patients feel satisfied with nursing services.

The Effect of Workplace Incivility on Psychological Well Being in Health Nurses With Emotional Exhaustion as a Mediator Variable

The Effect of Workplace Incivility on Psychological Well Being in Health Nurses With Emotional Exhaustion as a Mediator Variable

“It Feels Like Health Care with the Patient in Mind”: VA Patient and Staff Perspectives on Self-Collected HPV Testing

PurposeSelf-collected testing for human papillomavirus (HPV) is poised to transform cervical cancer screening. Self-tests demonstrate similar accuracy to clinician-collected tests, but for the half a million women served by the Veterans Health Administration (VA) and their clinicians, self-collected cervical cancer screening would be a new practice. We examined VA patient and staff perspectives to inform future implementation. MethodsSemi-structured telephone interviews were conducted between 2021 and 2022 with female veterans receiving VA care (n = 22) and VA women's health nurses, clinicians, and administrators (n = 27). Interviews were audio-recorded and transcribed. Interview questions addressed knowledge and interest, potential advantages or disadvantages, and any questions participants had about self-collected screening. Responses were analyzed using rapid qualitative methods. Main findingsFive overarching themes were identified. Both patients and staff indicated high interest and enthusiasm for self-collected HPV testing, tempered by questions about test accuracy and logistical considerations. Familiarity with self-testing for other conditions such as colon-cancer screening or COVID made self-collection seem like a simple, convenient option. However, self-testing was not viewed as a good fit for all patients, and concerns about lost opportunities or missed incidental lesions were raised. Patients and staff described challenges with pelvic examinations for patients with past sexual trauma, particularly in the male-dominated VA environment. Pelvic exams can leave patients feeling vulnerable and exposed; self-collected testing was seen as a mechanism for patient empowerment. Principal conclusionsVeteran patients and VA staff shared common perspectives about potential advantages and disadvantages of self-collected HPV testing. Self-collected HPV testing has the potential to improve trauma-informed preventive health care for veterans.

The use of Community/Public Health Nursing Competencies during the COVID-19 pandemic.

(1) Ascertain the use of the Quad Council Competencies for Community/Public Health Nursing (QCC-C/PHN) Competencies by community/public health nurses (C/PHNs) during the COVID-19 pandemic; (2) Inform from a systems-level the need to sustain the C/PHN workforce; (3) Assess the C/PHN infrastructure for response capacity. Cross-sectional. Statewide email distribution lists were used for dissemination. Convenience sample (n=169) obtained using emailed Qualtrics link with the eligibility criteria of self-identification as a C/PHN who works in the state of Missouri. Demographic questions included employment sector, nursing education level, years of nursing, and C/PHN experience. Two Likert-type questions and one optional open-text question were created for the eight domains. One hundred sixty-nine participants' data were analyzed. One hundred fifty-four were employed in a local public health agency. Total 63.2% held a bachelor's degree in nursing or higher. The average number of years of nurse experience was 20.84, and C/PHN experience was 9.84. The domain of Communication Skills scored highest and Cultural Competency was the lowest. Three themes emerged from the open-ended questions including vulnerabilities of the public health system. Understanding the experiences of C/PHNs in Missouri related to the utilization of QCC-C/PHN competencies informs efforts to strengthen public health infrastructure and target resources to equip Missouri's C/PHNs.

Supporting the Young Adulthood Transitions in Women With Migraine

Migraine is a painful neurological disorder that disproportionately affects women and has a significant impact on quality of life. This article summarizes the critical role of women's health nurses in supporting young adult women with migraine during major life transitions. Nurses can advocate for workplace or school disability accommodations for women with migraine. Nurses can also support young adult women with migraine by providing education about available treatment that becomes available after an individual’s 18th birthday. Women’s health nurses can also provide counseling on healthy lifestyle habits to sustain through life transitions, such as guidance on safe alcohol consumption and wellness approaches to migraine management. Through these interventions, women’s health nurses can help women with migraine to succeed personally, professionally, and academically while effectively managing migraine symptoms.

Special issue on digital era education: tracing digital health transformation in women's health nursing.

Special issue on digital era education: tracing digital health transformation in women's health nursing.

애니메이션 영상매체를 활용한 여성건강간호 사례기반학습의 효과

Objectives This study aimed to identify the effect of case-based learning using animation media in women’s health nursing.&#x0D; Methods The participants were nursing students who took a theoretical class in women’s health nursing in the first semester in 2021. For the experimental and control groups, case-based learning by animation media and a lecture were conducted, respectively. Regarding the effects, critical thinking disposition, learning motivation, academic self-efficacy, learning attitude, and learning satisfaction were obtained through an online survey.&#x0D; Results Statistically significant differences were observed between learning motivation (Z=-2.09, p=.037), academic self-efficacy (Z=-2.05, p=.040), and learning attitude (Z=-2.37, p=.018) in the experimental group compared to the control group. Regarding critical thinking disposition (Z=-1.81, p=.070) and learning satisfaction (t=-0.38, p=.544), the experimental group an increase compared to the control group; however, the differences were not significant.&#x0D; Conclusions Animation video media could be used as an effective teaching and learning method to provide case-based learning in the theoretical subjects in women's health nursing. Therefore, the application of various nursing major subjects is expected to improve learning abilities, such as learning motivation and attitude, and academic self-efficacy, of nursing students and contribute to improving their theoretical and practical capabilities.

The effect and comparison of training in ethical decision-making through lectures and group discussions on moral reasoning, moral distress and moral sensitivity in nurses: a clinical randomized controlled trial

BackgroundEthical decision‑making and behavior of nurses are major factors that can affect the quality of nursing care. Moral development of nurses to making better ethical decision-making is an essential element for managing the care process. The main aim of this study was to examine and comparison the effect of training in ethical decision-making through lectures and group discussions on nurses’ moral reasoning, moral distress and moral sensitivity.MethodsIn this randomized clinical trial study with a pre- and post-test design, 66 nurses with moral reasoning scores lower than the average of the community were randomly assigned into three equal groups (n = 22) including two experimental groups and one control group. Ethical decision-making training to experimental groups was provided through the lectures and group discussions. While, the control group did not receive any training. Data were collected using sociodemographic questionnaire, the nursing dilemma test (NDT), the moral distress scale (MDS) and the moral sensitivity questionnaire (MSQ). Unadjusted and adjusted binary logistic regression analysis was reported using the odds ratio (OR) and 95% confidence intervals.ResultsAdjusted regression analysis showed that the probability of increasing the nursing principle thinking (NPT) score through discussion training was significantly higher than lecture (OR: 13.078, 95% CI: 3.238–15.954, P = 0.008), as well as lecture (OR: 14.329, 95% CI: 16.171–2.005, P < 0.001) and discussion groups compared to the control group (OR: 18.01, 95% CI: 22.15–5.834, P < 0.001). The possibility of increasing moral sensitivity score through discussion training was significantly higher than lecture (OR: 10.874, 95%CI: 6.043–12.886, P = 0.005) and control group (OR: 13.077, 95%CI: 8.454–16.774, P = 0.002). Moreover, the moral distress score was significantly reduced only in the trained group compared to the control, and no significant difference was observed between the experimental groups; lecture group vs. control group (OR: 0.105, 95% CI: 0.015–0.717, P = 0.021) and discussion group vs. control group (OR: 0.089, 95% CI: 0.015–0.547, P = 0.009).ConclusionsThe results of this study indicate that ethical decision-making training is effective on empowerment of ethical reasoning. Whereas the group discussion was also effective on increasing the ethical sensitivity, it is recommended the training plan provided in this study to be held as workshop for all nurses in health and treatment centers and placed in curricular plan of nursing students.RegistrationThis randomized clinical trial was registered in Iranian Registry of Clinical Trials under code (IRCT2015122116163N5) in 02/07/2016.

간호대학생의 모성간호학 실습교육의 운영방안

Purpose : The purpose of this study was to identify students’ nursing activities and core skills, and to compare clinical competency and clinical practice satisfaction with the clinical nursing practice in women’s health nursing.&#x0D; Methods : The data were collected using Naver Online-questionnaire from 96 nursing students. The data were analyzed using the IBM SPSS 21.0 program, descriptive statistics, independent t-test, and the Pearson’s correlation coefficient.&#x0D; Result : The contents of nursing activities in delivery room and obstetric gynecologic ward differed by the hospital type. Clinical competency was the lowest nursing process, nursing skills. Clinical practice satisfaction was the lowest practice contents, and field leaders’ practical guidance was higher in general hospital than in women’s hospital. Clinical competency and clinical practice satisfaction showed significant positive correlation.&#x0D; Conclusion : To improve the quality of clinical nursing activities, active guidance from practical guidance professors and practical hospital is required, and the personnel dedicated to education should be used for the practical training.

Continuing education with a holistic approach to the Brazilian LGBT+ population through use of the m-health App

AimThis article aims to discuss the development of a continuing education course for health care professionals to provide competent healthcare assistance to the Brazilian LGBT+ population and the implementation of this course using a m-Health solution. BackgroundThere is a scarcity of continuing education courses in the Brazilian context that update provides evidenced-informed education to ensure health care professional competence in the delivery of health care to LGBT+ individuals. MethodsBased on Bloom's taxonomy, with a main focus on the cognitive domain, the course "Ally: A Holistic Approach to the LGBT+ Individual'' was developed in five months. This was based on the Nurse's Health Education for LGBT Seniors (HEALE), the Curriculum Implementation and Institutional Climate manual, Changes to Improve Healthcare for LGBT People, Gender Nonconforming or Born with DSD" and the National Comprehensive Health Policy for LGBT+ People, among others. ResultsComprising six modules: i) human sexuality; ii) equitable care and appropriate terminology; iii) public health policy for the LGBT+ population; iv) cultural skills for health professionals; v) aging and health care for the LGBT+ population; and vi) mental health of LGBT+ people. Content validity indexing was established using an expert panel and was Ally was supported by a m-Health Solution called “Over the Rainbow'' and totals of 60 h of education. ConclusionsThis m-Health solution and continuing education course for health professionals can be an opportunity to change health professionals’ practice to offer more equitable health care for the LGBT+ population.

Premenstrual Sendromlu Kadınlarda Hayatın Anlamının ve Amacının İncelenmesi

Women's coping behaviors with premenstrual syndrome symptoms can be affected by various factors. Among these factors, the meaning and purpose of life is an important health factor associated with reducing many negative health outcomes. This study was conducted to examine the life purpose and meaning-making tendencies of women with premenstrual syndrome. The sample of this descriptive-correlational study consisted of 384 participants. The study was conducted in March-September 2021 within a province located in the Southeastern Anatolia Region of Turkey. The data were collected by using the Descriptive Questionnaire, the Premenstrual Syndrome Scale, and the Meaning and Purpose of Life Scale. The mean Premenstrual Syndrome Scale scores of the participants were determined as 135.02±25.02 and the mean Scale of Meaning and Purpose of Life was 46.77±7.40. The effect of the meaning and purpose of life was found to be effective on decrease of premenstrual syndrome (p&amp;lt;0.001). The total meaning and purpose of life score explained 21.9% of the total variance in the dependent variable of premenstrual syndrome. In order to make the lives of women diagnosed with premenstrual syndrome more meaningful, it is recommended to organize multi-sectoral collaborative programs in which women's health nurses take an active role.

Women's health nurses' experiences of menopause: Considerations for nurse leaders.

Women's health nurses' experiences of menopause: Considerations for nurse leaders.

Career Intention of Baccalaureate Student Nurses: Understanding the Barriers, Enablers, and Predictors Toward Public/Community Health Nursing.

This study had two aims: to determine initial career intention of nursing students and to assess whether nursing education variables predict career intentions toward public health/community health nursing. Nursing graduates are expected to be prepared to work in community settings. However, there is uncertainty in whether students are attracted to these settings and whether nursing education is impactful in shaping career intention. A cross-sectional survey targeted baccalaureate and accelerated students across Oregon. Analyses utilized descriptive statistics and multiple regression. Students reported most interest in acute care. Didactic and clinical learning were not related to intention to pursue a public health/community health career. The strongest predictor was career intention when starting nursing school. Students enter nursing school with largely fixed intentions. Educators need to develop greater prenursing outreach and understanding of the drivers toward public and community health to build curricula and passion for this area of nursing.

Centering Diverse Perspectives in Women’s Health Nursing Courses

Centering Diverse Perspectives in Women’s Health Nursing Courses

The relationship of social support perceived by mothers and fathers and dyadic adjustment with maternal and paternal attachment in the postpartum period.

This descriptive, correlational, and cross-sectional study included mothers (n=170) and fathers (n=173) with 6- to 12-month-old babies. A personal information form, the Multidimensional Scale of Perceived Social Support (MSPSS), the Revised Dyadic Adjustment Scale (RDAS), the Maternal Attachment Inventory (MAI), and the Postnatal Paternal-Infant Attachment Questionnaire (PPAQ) were used to gather information. Mothers' median scores were 64 (27-84) for MSPSS, 57 (21-69) for RDAS, and 102 (92-104) for MAI. Fathers' median scores were 53 (24-84) for MSPSS, 57 (40-69) for RDAS, and 84 (57-94) for PPAQ. In mothers, a significant, moderate, positive correlation was found between the median scores of MSPSS and RDAS (r=.521; p<.001) and MAI (r=.362; p<.001). This relationship was also the same for the RDAS and MAI median scores (r=.299; p<.001). For fathers, a significant, low-level, positive correlation was found between median scores of MSPSS and RDAS (r=.53; p=.044) and PPAQ (r=.164; p=.031). A significant, moderate, positive correlation was also found between RDAS and PPAQ median scores (r=.468; p<.001). This study found that baby attachment increases with increasing social support for mothers and fathers and dyadic adjustment. In postnatal follow-ups, women's health nurses and midwives should assess the social support, dyadic adjustment, and attachment levels of mothers and fathers.

Women’s Health Nursing in Traditional and Complementary Medicine Practices

Women’s Health Nursing in Traditional and Complementary Medicine Practices

Development Process for Preterm Birth Risk Assessment Scale in High-Risk Pregnancy: 1st Phase of Preliminary Scale Development

Purpose: To pool preliminary items based on nine domains as the first phase of developing a preterm birth risk assessment scale (PBRAS).Methods: Item generation was performed using deductive methods, such as literature review and related scales, and inductive methods through in-depth interviews with 11 preterm birth (PTB) women, and ex­perts validated the content. The experts were clinical nurses who worked in delivery rooms, and professors who taught on the subject of women's health nursing. Preliminary survey for 32-item was conducted among 27 women with PTB.Results: After item generation and pooling for the PBRAS, a total of 84 items were developed. A 32-item questionnaire was integrated with rigorous review by experts. Internal consistency of the 32-item PBRAS had a Cronbach alpha of 0.90. The PBRAS was significantly correlated with pregnancy stress (r= 0.77, p&lt;0.001), somatic awareness scale (r=0.72, p&lt;0.001), and risk scoring for PTB (r=0.44, p&lt;0.001).Conclusion: The 32-item PBRAS has content validity, but exploratory and confirmatory factor analyses for the 2nd phase of scale development needs to be performed.

주제범위 문헌고찰을 통한 여성건강간호학의 시뮬레이션 실습교육의 효과

Purpose : The objective of this study is to arrange the educational foundation, which can be applied to the nursing practice education, through providing basic materials on the simulation practice education of women’s health nursing after analyzing the research trends on the simulation practice education in maternity nursing and systematically considering the characteristics of the program. Methods : The scoping review was applied for grasping 21 pieces of research trends on the simulation practice education in women’s health nursing, which were released domestically from 2011 to 2021. Results : A research on the effects of the delivery nursing education with the application of simulation based on the classification according to a research theme includes totally 12 pieces (57.1%). There were 3 pieces (14.3%) for a research with a comparison of the effects between the simulation practice and the clinical training education, 3 pieces (14.3%) for a research on the effects of the simulation education according to a learning method, 1 piece (4.8%) for a research on the effects of the integrated(maternal-child) simulation education, 1 piece (4.8%) for a research on a method of operating the maternal and child nursing simulation, and 1 piece (4.8%) for a research on educational effects of the patient role experience using a qualitative research. Conclusion : Simulation practice education in women’s health nursing, it is necessary to redesign various teaching and learning methods to improve the quality of practice content and composition, and to seek various strategies for students to practice without stress and achieve educational effects.

The impact and feasibility of a brief, virtual, educational intervention for home healthcare professionals on Parkinson’s Disease and Related Disorders: pilot study of I SEE PD Home

BackgroundIndividuals with advanced Parkinson’s Disease (PD) and Parkinson-related disorders (PRD) are frequently referred for home allied therapies and nursing care, yet home healthcare professionals have limited training in PD/PRD. While recognizing the need for such care, patients and families report home healthcare professionals are unfamiliar with these conditions, which may be driven by neurophobia and may contribute to suboptimal care and early termination of services. We sought to determine the feasibility and effects of a virtual, multimodal educational intervention on PD knowledge, confidence, and empathy among home health professionals.MethodsHome health nurses, occupational therapists, physical therapists and physical therapy assistants, and speech-language pathologists participated in a daylong, virtual symposium on advanced PD/PRD, combining focused lectures, discipline-specific breakout sessions, immersive virtual reality vignettes, and interactive panels with both patients and families, and movement disorders and home healthcare experts. Participants completed online pre- and post-symposium surveys including: demographics; PD/PRD knowledge (0–10 points possible); empathy (Interpersonal Reactivity Index); and 10-point scales of confidence with and attitudes towards individuals with PD/PRD, respectively. Pre-post intervention changes and effect sizes were evaluated with paired t-tests and Cohen’s d. We performed qualitative analyses of post-symposium free-text feedback using a grounded theory approach to identify participants’ intentions to change their practice.ResultsParticipants had a mean improvement of 3.1 points on the PD/PRD knowledge test (p < 0.001, d = 1.97), and improvement in confidence managing individuals with PD/PRD (p = 0.0003, d = .36), and no change in empathy. The interactive, virtual format was rated as effective by 95%. Common themes regarding symposium-motivated practice change included: interdisciplinary collaboration; greater involvement and weighting of the patient and caregiver voice in care plans; attention to visit scheduling in relation to patient function; recognition and practical management of the causes of sudden change in PD/PRD, including infections and orthostatic hypotension.ConclusionsA virtual, multimodal, brief educational pilot intervention improved PD/PRD-specific knowledge and confidence among home healthcare nurses and allied health professionals. Future studies are necessary to test the short- and long-term effects of this intervention more broadly and to investigate the impact of this education on patient and caregiver outcomes.