Evidence map›Paper›PMID 41531202›Full record

ArticleJournal of advanced nursing2026

Protecting Nurses During Pregnancy: Cross-Sectional Study of Workplace Exposures and Modifications.

Lisa Labita Woodson, Hanne R Dolan, Leslie V Farland, Jessica G Rainbow

Abstract read
In one paragraph

Article in Journal of advanced nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Lisa Labita WoodsonCollege of Nursing/College of Public Health, University of Arizona, Tucson, Arizona, USA.ORCID https://orcid.org/0000-0003-4892-909X
Hanne R DolanEdson College of Nursing and Health Innovation, Arizona State University, Phoenix, Arizona, USA.ORCID https://orcid.org/0000-0002-4614-5200
Leslie V FarlandDepartment of Epidemiology and Biostatics, College of Public Health, University of Arizona, Tucson, Arizona, USA.
Jessica G RainbowCollege of Nursing, University of Arizona, Tucson, Arizona, USA.

Funding

Eleanor Bauwens Research Awards ProgramUniversity of Arizona Udall Center and Bio5
6 · The paper itself

Abstract

aimsThis study examined associations between pregnancy-related fear and stress, occupational exposures, and workplace modifications among pregnant registered nurses in the United States engaged in direct patient care.

methodsA cross-sectional design was used with data collected via an online survey between November 2021 and April 2022. Participants (n = 358) were recruited through social media and listservs. Log-binomial regression models, adjusted for age and parity, estimated prevalence ratios and confidence intervals for associations between occupational exposures and workplace modifications with prevalence of pregnancy-related stress at work and fear of pregnancy or infant complications. Stress, a non-specific physical/psychosocial response to demands, and fear, an emotional response to perceived threat, functioned as distinct constructs.

resultsEmotional and physical environmental hazards were associated with increased prevalence of stress. Emotional and environmental hazards, as well as physical movement, administering antineoplastic medications, infectious disease transmission and scans, were associated with increased prevalence of fear. Each additional occupational exposure increased prevalence of stress by 4% and fear by 12%. Nurses also mitigated risks by implementing workplace modifications. Stress was associated with changing work schedules, while fear was statistically significantly associated with taking extra infection precautions and seeking assistance for CPR.

conclusionsFindings highlight the need for interventions that address modifiable occupational hazards and improve access to modifications that reduce stress and fear among pregnant nurses. IMPLICATIONS FOR THE PROFESSION: Strengthening workplace protections could reduce occupational stress, improve nurse retention and enhance patient care quality. IMPACT: Pregnant nurses face significant occupational hazards, yet limited research has examined their psychosocial effects and mitigation strategies. This study identified key exposures associated with increased stress and fear and showed that workplace modifications varied by stress/fear levels and pregnancy trimester, informing policies to better protect pregnant nurses. REPORTING

methodAuthors adhered to the STROBE checklist for cross-sectional studies. PATIENT OR PUBLIC CONTRIBUTIONS: This study did not include patient or public involvement in its design, conduct or reporting.

Indexed as

Occupational ExposureOccupational StressWorkplaceAdultCross-Sectional StudiesFearFemaleHumansMiddle AgedPregnancyUnited StatesWorking ConditionsYoung Adultnurse rolesoccupational healthpregnancyregistered nursewomen's health

Identifiers

PMID41531202
PMCPMC13460988

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.