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Exploring Breast Health Through the Lived Experiences of Burmese American Immigrant Women 通过缅甸裔美国移民妇女的生活经历探索乳房健康。
IF 1.5 Pub Date : 2026-02-01 Epub Date: 2025-12-16 DOI: 10.1016/j.nwh.2025.08.005
May M. San-Rozano

Objective

To explore the unique meanings and cultural and societal challenges influencing breast health awareness and practices among Burmese American immigrant women, highlighting their personal narratives and how they find meaning through their experiences.

Design

This qualitative study used interpretive phenomenological analysis by employing the hermeneutic circle to understand the dynamic relationship between a person’s background or previous experiences and the present moment, perceived meaning in the interrelationship between a person and a situation, and a person’s perceived purpose of being-in-the-world in a circular fashion.

Setting

Burmese American immigrant women who reside in the United States were recruited and interviewed in person or virtually in community settings.

Participants

Ten participants were interviewed. Convenience and snowball sampling methods were used, and data were collected using a structured interview.

Method

Interpretive phenomenological analysis was the qualitative method used in this research.

Results

Five major themes emerged: Invisible Boundaries; Maladaptive Health Narratives Shaped by the Past; Lost in the Gap, Surrounded yet Unsupported; Cultural Modesty and Private Battles, Guided by Fate; and Resilient Voices and Empowered Choices.

Conclusion

The information gained from the study offers nurses and other health care providers important perspectives and insights into the experiences of Burmese American immigrant women, an understudied group. Findings can contribute to current knowledge in the development of culturally tailored approaches that support patient-provider communication and improve breast health preventive care engagement of Burmese American immigrant women with diverse sociocultural and migration backgrounds.
目的:探讨影响缅甸裔美国移民妇女乳房健康意识和实践的独特意义以及文化和社会挑战,突出她们的个人叙述以及她们如何通过自己的经历找到意义。设计:本定性研究采用解释性现象学分析,通过使用解释性循环来理解一个人的背景或以前的经历与现在时刻之间的动态关系,一个人与情境之间相互关系的感知意义,以及一个人以循环方式存在于世界的感知目的。环境:居住在美国的缅甸裔美国移民妇女被招募并亲自或虚拟地在社区环境中接受采访。参与者:访谈了10名参与者。采用便利抽样法和滚雪球抽样法,采用结构化访谈法收集数据。方法:定性研究采用解释现象学分析方法。结果:出现了五大主题:无形边界;由过去塑造的不适应健康叙事;迷失在隘口,被包围却无人支持;以命运为导向的文化谦逊与私人战斗有弹性的声音和被授权的选择。结论:从研究中获得的信息为护士和其他卫生保健提供者提供了重要的视角和见解,了解缅甸裔美国移民妇女的经历,这是一个未被充分研究的群体。研究结果有助于制定适合不同文化的方法,以支持患者与提供者之间的沟通,并改善具有不同社会文化和移民背景的缅甸裔美国移民妇女的乳房健康预防保健参与。
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引用次数: 0
Validation of the Newborn Warning Signs Handout 新生儿警告标志讲义的验证
IF 1.5 Pub Date : 2026-02-01 Epub Date: 2026-02-05 DOI: 10.1016/j.nwh.2025.08.006
Katie Swinyer, Angela Lober, Teresa Johnson

Objective

To test the content validity of the Newborn Warning Signs (NBWS) handout.

Design

A mixed-methods approach was used to validate the NBWS handout. Following the methods for patient education validation of Betschart et al. (2019), the research team conducted a phased process to develop and revise the handout.

Setting

Validation procedures occurred via online surveys with content experts and in person with people who were expecting to care or were already caring for newborns.

Participants

Content validation included 32 content experts and 10 parents. Thirty-seven pregnant people completed the Consumer Information Rating Form (CIRF).

Methods

Content experts evaluated the handout items via an online survey. Concurrently, newborn caregivers participated in semistructured interviews and provided their perceptions of handout items. Once revisions were made based on feedback, parents of newborns completed the NBWS CIRF. Based on findings from the previous phases, a validated handout was finalized.

Results

Participants in each phase provided feedback for revision of the NBWS handout to enhance clarity and ease of reading. The CIRF composite scores were 1.15 for comprehensibility, 1.21 for utility, and 1.84 for design quality; a score below 2.0 indicated no need for further revision.

Conclusion

The NBWS caregiver handout is a valid health education tool aimed at reducing newborn morbidity and mortality.
目的检验新生儿警示标志(NBWS)资料的内容效度。设计采用混合方法验证NBWS讲义。根据Betschart等人(2019)的患者教育验证方法,研究团队进行了分阶段的过程来开发和修改讲义。设置验证程序通过与内容专家进行在线调查,并亲自与期望照顾或已经照顾新生儿的人进行调查。参与者内容验证包括32名内容专家和10名家长。37名孕妇完成了消费者信息评分表(CIRF)。方法content专家通过在线调查对分发的内容进行评估。同时,新生儿护理人员参加了半结构化访谈,并提供了他们对讲义项目的看法。一旦根据反馈进行了修订,新生儿的父母就完成了NBWS CIRF。根据前几个阶段的调查结果,最后确定了一份经过验证的讲义。结果每个阶段的参与者都对NBWS讲义的修订提供了反馈,以提高其清晰度和易阅读性。CIRF综合得分为可理解性1.15,实用性1.21,设计质量1.84;分数低于2.0表示无需进一步修订。结论NBWS照护人员讲义是一种有效的健康教育工具,旨在降低新生儿的发病率和死亡率。
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引用次数: 0
Reviewer Acknowledgement 评论家承认
IF 1.5 Pub Date : 2026-02-01 Epub Date: 2026-02-05 DOI: 10.1016/S1751-4851(26)00020-6
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引用次数: 0
Marking the 30th Anniversary of Nursing for Women’s Health 纪念妇女保健护理工作30周年
IF 1.5 Pub Date : 2026-02-01 Epub Date: 2026-02-05 DOI: 10.1016/j.nwh.2025.11.002
Heidi Collins Fantasia
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引用次数: 0
Information for Readers 读者资讯
IF 1.5 Pub Date : 2026-02-01 Epub Date: 2026-02-05 DOI: 10.1016/S1751-4851(26)00005-X
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引用次数: 0
Clinical Considerations in the Use of Glucagon-Like Peptide-1 Receptor Agonists for Obesity Management 胰高血糖素样肽-1受体激动剂治疗肥胖的临床考虑
IF 1.5 Pub Date : 2026-02-01 Epub Date: 2025-12-23 DOI: 10.1016/j.nwh.2025.09.003
Victoria Phan, Briana Bethune, Breanna Lathrop
As the prevalence of severe obesity continues to rise, glucagon-like peptide-1 receptor agonists (GLP-1 RAs) and GLP-1/glucose-dependent insulinotropic polypeptide receptor agonist combination medications offer potential for substantial weight loss. Weight loss achieved varies by individual, ranging from an expected weight loss of 10 to 33.7 lb, depending on the product chosen. Their use is limited by cost, adverse effects, and potential for weight gain after discontinuing treatment. Nurses can maximize the benefit of these agents by counseling patients about their appropriate use, adverse effect management, and ongoing lifestyle modifications to maximize weight loss. Patients should also be counseled on pregnancy prevention while using these medications.
随着严重肥胖的患病率持续上升,胰高血糖素样肽-1受体激动剂(GLP-1 RAs)和GLP-1/葡萄糖依赖性胰岛素性多肽受体激动剂联合用药提供了大量减肥的潜力。减肥效果因人而异,根据所选产品的不同,预期体重减轻10磅到33.7磅不等。它们的使用受到成本、不良反应和停止治疗后体重增加的可能性的限制。护士可以通过向患者咨询这些药物的适当使用、不良反应管理和持续的生活方式改变来最大限度地减轻体重,从而最大限度地发挥这些药物的益处。患者在使用这些药物时也应被告知如何预防怀孕。
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引用次数: 0
The Potential of Human Papillomavirus Self-Collection Testing to Improve Cervical Cancer Screening Among Women Living With HIV 人乳头瘤病毒自我收集检测提高艾滋病毒感染妇女宫颈癌筛查的潜力。
IF 1.5 Pub Date : 2026-02-01 Epub Date: 2025-12-23 DOI: 10.1016/j.nwh.2025.09.002
Su Kyung Kim, Holly B. Fontenot
In this short review we summarize two recent studies in which researchers assessed the validity and acceptability of human papillomavirus (HPV) self-collection testing among U.S. women living with HIV. The first study evaluated both the performance and acceptability of the test, and the second study explored the perspectives and needs regarding its potential implications. Clinic-based self-collection HPV testing among women living with HIV demonstrated good sensitivity, moderate specificity, and high acceptability compared to clinician-collected tests. It is imperative for nurses to stay informed about emerging cervical cancer screening test methods and to be prepared for their future implications.
在这篇简短的综述中,我们总结了最近的两项研究,研究人员评估了人类乳头瘤病毒(HPV)自我收集检测在美国感染艾滋病毒的妇女中的有效性和可接受性。第一项研究评估了测试的性能和可接受性,第二项研究探讨了测试的潜在影响的观点和需求。与临床收集的检测相比,在感染艾滋病毒的妇女中进行基于临床的自我收集HPV检测显示出良好的敏感性、中等特异性和高可接受性。护士必须了解新出现的子宫颈癌筛查测试方法,并为其未来的影响做好准备。
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引用次数: 0
New Reviews on Prevention of Cervical Cancer 预防子宫颈癌的新进展
IF 1.5 Pub Date : 2026-02-01 Epub Date: 2026-02-05 DOI: 10.1016/S1751-4851(26)00009-7
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引用次数: 0
Drug Liaison Midwives: An Innovation for Addressing Perinatal Substance Use 药物联络助产士:解决围产期物质使用的创新。
IF 1.5 Pub Date : 2026-02-01 Epub Date: 2025-12-17 DOI: 10.1016/j.nwh.2025.08.001
Marcy N. Hanson, Margaret Lawson, Hazel Sinclair
In this commentary, we explore the innovative practices of specialized midwives in Scotland to help support the care of people who use substances while pregnant. By examining the historical context and current trends related to perinatal substance use, we highlight the significant progress the Vulnerable in Pregnancy program has achieved in enhancing care for vulnerable childbearing populations and identify opportunities for replicating these practices in the United States. Noting an increase in heroin use among pregnant women in the 1990s, a community midwife in Scotland sought to change midwifery practice. Due to this midwife’s dedication, perinatal substance use care in her community has changed and evolved into interdisciplinary practices that improve maternal and infant outcomes.
在这篇评论中,我们探讨了苏格兰专业助产士的创新做法,以帮助支持怀孕期间使用物质的人的护理。通过研究与围产期药物使用相关的历史背景和当前趋势,我们强调了孕期弱势群体项目在加强对弱势生育人群的护理方面取得的重大进展,并确定了在美国复制这些做法的机会。苏格兰的一名社区助产士注意到上世纪90年代孕妇使用海洛因的情况有所增加,于是试图改变助产的做法。由于这位助产士的奉献精神,她所在社区的围产期药物使用护理发生了变化,并演变为改善孕产妇和婴儿预后的跨学科实践。
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引用次数: 0
Emergency and All-Hazards Preparedness: AWHONN Practice Brief Number 22 紧急情况和所有危险准备:AWHONN实践摘要第22号。
IF 1.5 Pub Date : 2026-02-01 Epub Date: 2025-12-24 DOI: 10.1016/j.nwh.2025.11.001
An official practice brief from the Association of Women’s Health, Obstetric and Neonatal Nurses
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引用次数: 0
期刊
Nursing for Women''s Health
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