title: Two decades of nurse-led research on smoking during pregnancy and postpartum: concept development to intervention trials.
abstract: Tobacco use during pregnancy and postpartum is a leading cause of preventable morbidities for women and their infants. Over the past two decades, nursing research has addressed this recalcitrant clinical problem from a variety of conceptual and methodological perspectives. The 64 published studies (1988-2009) that met inclusion criteria for this systematic review represent the full research trajectory from concept development to intervention testing. Meta-analysis demonstrated an overall significant trend in nursing intervention efficacy (OR = 1.14, 95% CI = 1.08-1.2) for studies that examined comparable prenatal and postpartum smoking cessation outcomes. Implications for future nursing research and evidence-based policy are presented.
authors.affiliation: School of Nursing, College of Health and Human Services, George Mason University, USA.
authors.forename: Kathleen F
authors.initials: KF
authors.lastname: Gaffney
authors.forename: Heibatollah
authors.initials: H
authors.lastname: Baghi
authors.forename: Sarah E
authors.initials: SE
authors.lastname: Sheehan
mesh_terms: D055318:Evidence-Based Nursing; D005260:Female; D006801:Humans; D016294:Models, Nursing; D015399:Nursing Research / Q000379:methods*; D011181:Postnatal Care; D011247:Pregnancy; D011295:Prenatal Care; D012107:Research Design; D016540:Smoking Cessation; D000074606:Smoking Prevention