2.50
Hdl Handle:
http://hdl.handle.net/10755/308349
Category:
Abstract
Type:
Presentation
Title:
Implementing Family Centered Cesarean Birth
Author(s):
Grassley, Jane S.; Jones, Judith
Lead Author STTI Affiliation:
N/A
Author Details:
Jane S. Grassley, PhD, RN, IBCLC, janegrassley@boisestate.edu; Judith Jones, RN, MSN, NEA-C
Abstract:

Purpose: The purpose of this presentation is to describe a leadership journey to facilitate family-centered birth experiences in the OR by implementing skin to skin contact following uncomplicated cesarean births. The target audience includes clinicians interested in the adventure of planning and implementing practice change projects.

Background: Although immediate skin to skin contact (SSC) benefits newborns and mothers following birth, few research or evidence-based projects about SSC after a cesarean delivery are reported in the literature.

Methods: An interprofessional team used the KP leadership model to plan and evaluate the feasibility of skin-to-skin contact in the OR after an uncomplicated cesarean birth. They 1) developed a process for offering SSC in the OR; 2) partnered with a group of nursing leadership students to develop a parent information flyer, staff orientation module and short video; 3) implemented staff education using the orientation module; 4) conducted a pilot with 44 families with scheduled uncomplicated cesarean births; 5) incorporated SSC into the EHR.

Results: Forty-four families participated in the pilot.  Four declined SSC; 19 held their newborns at least15 minutes; 16 less than 15 minutes; five dyads experienced an infant or mother’s health condition that precluded SSC. Parents liked the experience, particularly those who had had previous cesarean births without SSC. Members of the health care team gave positive feedback and SSC is now offered to all appropriate families at the hospital. Plans are underway to teach SSC in the OR in six SLHS hospitals and a multi-state perinatal course.

Discussion: Adequate preparation by addressing staff concerns and involving an interprofessional team facilitated this practice change. Having the team work together to problem-solve the process as a simulation in the OR created a commitment to champion the change. Evaluating feasibility with a pilot eased staff concerns and generated enthusiasm for sustaining the change.

Keywords:
Skin-to-skin contact; Cesarian birth; EBP
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleImplementing Family Centered Cesarean Birthen_GB
dc.contributor.authorGrassley, Jane S.en_GB
dc.contributor.authorJones, Judithen_GB
dc.contributor.departmentN/Aen_GB
dc.author.detailsJane S. Grassley, PhD, RN, IBCLC, janegrassley@boisestate.edu; Judith Jones, RN, MSN, NEA-Cen_GB
dc.identifier.urihttp://hdl.handle.net/10755/308349-
dc.description.abstract<p><b>Purpose:</b> The purpose of this presentation is to describe a leadership journey to facilitate family-centered birth experiences in the OR by implementing skin to skin contact following uncomplicated cesarean births. The target audience includes clinicians interested in the adventure of planning and implementing practice change projects. <p><b>Background:</b> Although immediate skin to skin contact (SSC) benefits newborns and mothers following birth, few research or evidence-based projects about SSC after a cesarean delivery are reported in the literature. <p><b>Methods: </b>An interprofessional team used the KP leadership model to plan and evaluate the feasibility of skin-to-skin contact in the OR after an uncomplicated cesarean birth. They 1) developed a process for offering SSC in the OR; 2) partnered with a group of nursing leadership students to develop a parent information flyer, staff orientation module and short video; 3) implemented staff education using the orientation module; 4) conducted a pilot with 44 families with scheduled uncomplicated cesarean births; 5) incorporated SSC into the EHR. <p><b>Results:</b> Forty-four families participated in the pilot.  Four declined SSC; 19 held their newborns at least15 minutes; 16 less than 15 minutes; five dyads experienced an infant or mother’s health condition that precluded SSC. Parents liked the experience, particularly those who had had previous cesarean births without SSC. Members of the health care team gave positive feedback and SSC is now offered to all appropriate families at the hospital. Plans are underway to teach SSC in the OR in six SLHS hospitals and a multi-state perinatal course. <p><b>Discussion: </b>Adequate preparation by addressing staff concerns and involving an interprofessional team facilitated this practice change. Having the team work together to problem-solve the process as a simulation in the OR created a commitment to champion the change. Evaluating feasibility with a pilot eased staff concerns and generated enthusiasm for sustaining the change.en_GB
dc.subjectSkin-to-skin contacten_GB
dc.subjectCesarian birthen_GB
dc.subjectEBPen_GB
dc.date.available2013-12-19T17:30:10Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:30:10Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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