2.50
Hdl Handle:
http://hdl.handle.net/10755/160466
Type:
Presentation
Title:
An evaluation of a partnership model for childbearing care
Abstract:
An evaluation of a partnership model for childbearing care
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2003
Author:Underwood, Patricia
Contact Address: Kirkhof School of Nursing, 401 West Fulton St, Grand Rapids, MI, 49504, USA
Co-Authors:Kerri Schuiling; Joan Slager
Healthcare issues of cost and quality make it imperative to evaluate models of service delivery. The purpose of this study was to compare the clinical outcomes and charges of a model of care integrating the practices of Certified Nurse Midwives and Perinatologists (IPM) with that of traditional obstetric care (TOB). The IPM addresses the physical and psychological needs of the pregnant client and integrates high risk care in conjunction with a Perinatologist. CNM and Perinatology roles are blended, yet the unique contributions of each discipline are recognized and respected. King’s Theory of Goal Attainment supported the hypothesis that IPM mothers would have higher percentage of positive mother/baby outcomes and lower mother/baby charges. A convenience sample of IPM patients (n=265) was compared with a randomly selected sample of TOB patients (n=347). Both groups delivered at the same Midwestern hospital and were compared on total hospital obstetric and infant charges and mother/baby outcomes. Data were collected through retrospective chart reviews using a tool developed for this study. A panel of experts confirmed the content validity of the tool. The reliability of data retrieval was supported through explicit directions and orientation of the data collectors. The IPM group was significantly younger, more diverse, had higher social risk factors and experienced more complications overall. Nevertheless, their outcomes were as good or better than TOB mothers. Charges and baby outcomes were similar for both groups. TOB mothers had almost twice as many induced labors and significantly more elective c-sections (Chi Square=9.6, p=.008). The research hypothesis was not entirely supported, yet the effectiveness of the IPM was demonstrated. This model enabled retention of higher risk mothers within the midwives’ practice, thus promoting holistic care. It is recommended that the IPM model be evaluated prospectively so that data recording can be more controlled. AN: MN030080
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleAn evaluation of a partnership model for childbearing careen_GB
dc.identifier.urihttp://hdl.handle.net/10755/160466-
dc.description.abstract<table><tr><td colspan="2" class="item-title">An evaluation of a partnership model for childbearing care</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2003</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Underwood, Patricia</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value"> Kirkhof School of Nursing, 401 West Fulton St, Grand Rapids, MI, 49504, USA</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Kerri Schuiling; Joan Slager</td></tr><tr><td colspan="2" class="item-abstract">Healthcare issues of cost and quality make it imperative to evaluate models of service delivery. The purpose of this study was to compare the clinical outcomes and charges of a model of care integrating the practices of Certified Nurse Midwives and Perinatologists (IPM) with that of traditional obstetric care (TOB). The IPM addresses the physical and psychological needs of the pregnant client and integrates high risk care in conjunction with a Perinatologist. CNM and Perinatology roles are blended, yet the unique contributions of each discipline are recognized and respected. King&rsquo;s Theory of Goal Attainment supported the hypothesis that IPM mothers would have higher percentage of positive mother/baby outcomes and lower mother/baby charges. A convenience sample of IPM patients (n=265) was compared with a randomly selected sample of TOB patients (n=347). Both groups delivered at the same Midwestern hospital and were compared on total hospital obstetric and infant charges and mother/baby outcomes. Data were collected through retrospective chart reviews using a tool developed for this study. A panel of experts confirmed the content validity of the tool. The reliability of data retrieval was supported through explicit directions and orientation of the data collectors. The IPM group was significantly younger, more diverse, had higher social risk factors and experienced more complications overall. Nevertheless, their outcomes were as good or better than TOB mothers. Charges and baby outcomes were similar for both groups. TOB mothers had almost twice as many induced labors and significantly more elective c-sections (Chi Square=9.6, p=.008). The research hypothesis was not entirely supported, yet the effectiveness of the IPM was demonstrated. This model enabled retention of higher risk mothers within the midwives&rsquo; practice, thus promoting holistic care. It is recommended that the IPM model be evaluated prospectively so that data recording can be more controlled. AN: MN030080 </td></tr></table>en_GB
dc.date.available2011-10-26T22:58:11Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T22:58:11Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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