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Governmental and non-governmental organisations in low-income countries have transitioned from paper data collection to electronic data collection at a slower pace than those in high-income countries due to limitations of funding, internet stability and trained personnel, among other reasons. This paper chronicles the process employed by one small non-governmental organisation in Malawi from the selection of a programme through implementation, describing challenges and successes along the way in order to facilitate the adoption process for NGOs in sub-Saharan Africa or other low-income countries. Upgrading the data collection system presented a daunting challenge. Despite the significant learning curve for the entire team, the implementation phase proceeded smoothly. Although staff remained apprehensive, they also understood the need for change and fully invested in the process. The benefits of electronic charting outweigh the struggles involved in learning a new system. Key elements of the process that supported success were active engagement of users at all points during the transition, selection of a programme that was well-suited for the size and needs of the NGO, and appropriate support from ancillary staff and outside experts.

Objective: The objective of this study was to assess the risk factors for and persistence of Mycoplasma genitalium (MG) in a highly exposed female population in Kenya. Study Design: Two hundred fifty-eight sex workers in Nairobi, Kenya, 18 to 35 years of age, were enrolled. Every 2 months, cervical samples were collected for MG, Chlamydia trachomatis (CT), and Neisseria gonorrhoeae (GC) testing by polymerase chain reaction. Results: At enrollment, 16% were infected with MG. Seventy-seven subjects acquired 107 MG infections, giving an incidence of 22.7 per 100 women-years. Incident CT (adjusted hazard ratio [HR] = 2.4; 95% confidence interval [CI] = 1.5-4.0), GC (HR = 2.0; 95% CI = 1.2-3.5), and HIV infection (adjusted HR = 2.2; 95% CI = 1.3-3.7) were associated with an increased risk of MG. Seventeen percent, 9%, and 21% of MG infections persisted 3,5, and ≥7 months, respectively. Conclusion: The high incidence of MG, greater than that for both CT (14.0%) and GC (8%), association with common sexually transmitted infection risk factors, and persistence in the female genital tract supports its role as a common sexually transmitted infection in Kenyan women.

Charles Taylor called for a retrieval of the ethic of authenticity that has been distorted in modern notions of autonomy and self-fulfillment. Via exchanges with others who matter to us, he proposed that human identities develop through the use of rich language draped in shared horizons of significance. The fostering of these dialogical ties beyond purely instrumental purposes, along with the recognition of the human dignity in all, may avert the fallen ideal of authenticity. Nonviolent communication affords the skillful dialogue with others cradled in a shared sense of significance and supports the development of a meaningful identity—one that is formed through the realization of what exists beyond the self. The purpose of this article is to argue that nonviolent communication facilitates the retrieval of the ethic of authenticity. Narratives from nursing students’ journals on the use of nonviolent communication skills will be used to support the argument.

The current phenomenological study examined the lived experiences of Veterans who completed a 4-month mindfulness program. One-on-one interviews were conducted with 12 Veterans using a Socratic method of interviewing, which yielded rich contextual narratives. Analysis was guided by a hermeneutic process to disclose concealed meanings. Findings demonstrate how holding space allowed deep healing and are presented under two distinct themes: It's a We Thing! encompasses what being in a community with nonjudgmental others afforded participants; and Quiet Your Mind, Quiet Yourself, Your Body is related to how practices of mindfulness taught participants to cope with daily challenges. Nurses working with Veterans may use mindfulness and peer support interventions to help transform trauma into profound healing and help Veterans find new meaning in life. [Journal of Psychosocial Nursing and Mental Health Services, 61(7), 47–55.]

Background During pregnancy, physiological changes occur from conception to birth. We assessed the health-related quality of life (HRQoL) throughout pregnancy and postpartum using the EQ-5D-5L. Methods Between May and July 2021 (wave 1) and December 2021 and April 2022 (wave 2), we conducted a series of cross-sectional, national online surveys of 5250 pregnant and postpartum United States (US) adults. The survey included the EQ-5D-5L, EQ visual analog scale (EQ VAS), items measuring respondents’ sociodemographic and health information, last menstrual period, estimated date of delivery, and date of pregnancy end (if postpartum). We examined monthly EQ-5D-5L items, utility values, and EQ VAS scores during pregnancy and postpartum. We used quantile regression adjusted for calendar month of last menstrual period to estimate changes in HRQoL at different time points of pregnancy and postpartum. Results There was a steady increase in the frequency of respondents reporting health-related problems and a decline in EQ-5D-5L utility values from early pregnancy until the ninth month of pregnancy ( β = − 0.21; standard error [SE] 0.02; P < 0.001), followed by a 0.10 (SE 0.02; P < 0.001) unit increase in values during the first postpartum month and a stabilization during the remainder of the postpartum period ( β = 0.02; SE 0.02; P = 0.214). The median EQ-5D-5L utility value was lowest during the ninth month of pregnancy (median 0.78 [interquartile range 0.30]). Conclusions HRQoL as measured by EQ-5D-5L varies across pregnancy, indicating progressive declines throughout pregnancy and a return to first trimester values during the first month postpartum. Studies involving HRQoL measurement in pregnant people should account for the stage of pregnancy in their estimates.

In 2015–2016, an estimated 6 million children in the United States had at least one parent incarcerated. Children of incarcerated parents experience physical, mental, social, and economic consequences, including migraines, asthma, depression, anxiety, posttraumatic stress disorder, school dropout, and homelessness. The purpose of the current phenomenological study was to gain an in-depth understanding of the experiences of youth who have or have had an incarcerated parent. Narratives were gathered from a sample of 15 individuals ages 13 to 19 attending a 1-year long workshop entitled Peace Makers. The rich text revealed shared experiences of disrupted homes, unfulfilled visits and promises, and social isolation captured by the following themes: At Home No More ; “To Feel Her … Kiss Her Cheek” ; “Waiting at the Door” ; and “Trapped in an Isolation Box.” Care providers must develop an empathic understanding of affected youth to facilitate healing, restore dignity, and advocate for their rights. [ Journal of Psychosocial Nursing and Mental Health Services, 57 (6), 22–29.]

Children of Latino immigrants often are torn between their native homes and new communities. Having supportive interpersonal relationships increases resilience to delinquent and violent behaviors stemming from immigration challenges. Communication fostering empathy may improve conflict resolution and supportive relationships. Community-based participatory research (CBPR) was conducted to evaluate the impact of nonviolent communication (NVC) trainings in Latino adults and youth. Four sessions in NVC were provided by bilingual Latino trainers for Latino adults and youth. Pre- and post-training focus groups evaluated effectiveness of training. Three themes emerged from adult post training focus groups-enter the others' shoes, making a change, and learning in community. The youth reflected on new ways to manage conflict and understand emotions. Research team embedded in community increased success. However, inconsistent participant attendance precluded quantitative analyses. Seeds were planted in this Latino community for future potential projects.

Some women experience symptoms during the menopause transition that cause distress. Due to the heterogeneity of experiences, distress has been difficult to measure. Researchers have examined risk factors such as personality traits, stress, coping, lifecourse, and hormonal sensitivities to explain distress during menopause. The purpose of this narrative analysis study was to explore the experiences of distress for women during the menopause transition, and to examine the experiences of aging. A postmodern feminist framework allowed for individual experiences of distress to unfold within the stories and to view how women adopt positions in prevailing discourses. Narrative analysis methodology facilitated the understanding of individually defined distress and how it reflected shared meanings embedded in Western society. Fifteen women were interviewed in person using open interview techniques and were digitally voice recorded. Interviews were transcribed verbatim to examine use of language such as utterances, tone of voice, and pauses. Data were re-transcribed after the identification of narratives and poetic structures. Themes were analyzed within and across interviews. Coding was conducted to aid in the noting of themes. The women described hot flashes, night sweats, menstrual changes, decreased libido, vaginal dryness, sleep disruption, and others within the context of their lives. The women demonstrated ways of adopting social discourses on menopause and aging that aided or dampened positions of power. Themes identified were of silence, shame, and stigma related to aging and menopause. Some women experienced social withdrawal and alienation. Narratives of chaos, restitution, and quest were analyzed. Loss of control was experienced to be most distressful for some of the women. It is a historical time with many babyboomers reaching the age of menopause and studies cautioning against the liberal use of hormone therapy. Nurses need to understand the contextual meaning embedded in the women's experiences. Alternative models to provide care and reduce alienation, such as group care, is worthy of research. Women need to be advised in how the adoption of social discourse may influence experiences of distress. Further exploration of the meaning of control in women's lives needs to be conducted.