2.50
Hdl Handle:
http://hdl.handle.net/10755/156836
Type:
Presentation
Title:
Non-Directed Pushing as An Evidence-Based Practice in Second Stage Labor
Abstract:
Non-Directed Pushing as An Evidence-Based Practice in Second Stage Labor
Conference Sponsor:Sigma Theta Tau International
Conference Year:2010
Author:Heale, Patricia A., DNP, RN, CNS
P.I. Institution Name:Texas Children's Hospital
Title:Perinatal Clinical Nurse Specialist
21st INRC [Research Presentation] Purpose: Over the past 20 years Evidence-Based practice (EBP) has become key to providing quality nursing care.ÿHowever, implementation of EBP in perinatal nursing has been inconsistent and many practices are not Evidence-Based. Oneÿpractice is directed pushing during the second-stage of labor. Research has provided no evidence that directed pushing is either safe or effectiveÿand there is evidence of adverse maternal and neonatal outcomes.ÿUnderstanding why labor and delivery nurses have not adopted non-directed pushing is necessary for planning a successful change in practice. Whileÿresearchersÿhave identified barriers to EBP in generalÿtheÿnurse-reported barriers to implementation of non-directed pushing have not been previously studied. Methods: A qualitative descriptive method was utilized involving six focus groups with 36ÿparticipants. The participants were recruited from major metropolitan areas in the north-east and the southern United States through AWHONN. Results: The participants reported several barriers to utilization of non-directed pushing.ÿEvery participant in each of the seven focus groups identified the concept of individual as a barrier. The participants further categorized the concept of the individual into categories. Three categories emerged from the data related to the concept of the individual: physician, nurse, and the patient/family unit. Subcategories were found in the data relating to each of the main categories. These subcategories were identified across all seven of the focus groups and included: control, change, education, time, and noise. Conclusion: Understanding the specific nurse-reported barriers to implementation of non-directed pushing will provide opportunities to facilitate a nursing practice change. The barriers show the importance of managing change, providing education, team-building, addressing issues related to time, and negotiating unit culture.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleNon-Directed Pushing as An Evidence-Based Practice in Second Stage Laboren_GB
dc.identifier.urihttp://hdl.handle.net/10755/156836-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Non-Directed Pushing as An Evidence-Based Practice in Second Stage Labor</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2010</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Heale, Patricia A., DNP, RN, CNS</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Texas Children's Hospital</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Perinatal Clinical Nurse Specialist</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">paheale@texaschildrens.org</td></tr><tr><td colspan="2" class="item-abstract">21st INRC [Research Presentation] Purpose: Over the past 20 years Evidence-Based practice (EBP) has become key to providing quality nursing care.&yuml;However, implementation of EBP in perinatal nursing has been inconsistent and many practices are not Evidence-Based. One&yuml;practice is directed pushing during the second-stage of labor. Research has provided no evidence that directed pushing is either safe or effective&yuml;and there is evidence of adverse maternal and neonatal outcomes.&yuml;Understanding why labor and delivery nurses have not adopted non-directed pushing is necessary for planning a successful change in practice. While&yuml;researchers&yuml;have identified barriers to EBP in general&yuml;the&yuml;nurse-reported barriers to implementation of non-directed pushing have not been previously studied. Methods: A qualitative descriptive method was utilized involving six focus groups with 36&yuml;participants. The participants were recruited from major metropolitan areas in the north-east and the southern United States through AWHONN. Results: The participants reported several barriers to utilization of non-directed pushing.&yuml;Every participant in each of the seven focus groups identified the concept of individual as a barrier. The participants further categorized the concept of the individual into categories. Three categories emerged from the data related to the concept of the individual: physician, nurse, and the patient/family unit. Subcategories were found in the data relating to each of the main categories. These subcategories were identified across all seven of the focus groups and included: control, change, education, time, and noise. Conclusion: Understanding the specific nurse-reported barriers to implementation of non-directed pushing will provide opportunities to facilitate a nursing practice change. The barriers show the importance of managing change, providing education, team-building, addressing issues related to time, and negotiating unit culture.</td></tr></table>en_GB
dc.date.available2011-10-26T15:11:09Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T15:11:09Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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