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The particular work force engagement associated with Indian native females pre and post widowhood. To identify evidence related to association between the nurse work environment and severe maternal morbidity in high-income countries. Quantitative Systematic review. Cumulative Index of Nursing and Allied Health Literature, Cochrane Database of Systematic Reviews, PubMed/Medline, and Scopus were systematically searched for studies published in English from January 1990-December 2019. Stu