Management of the Second Stage of Labor: Using Evidence-Based Practice to Improve Patient Safety and Satisfaction

2.50
Hdl Handle:
http://hdl.handle.net/10755/308359
Category:
Abstract
Type:
Presentation
Title:
Management of the Second Stage of Labor: Using Evidence-Based Practice to Improve Patient Safety and Satisfaction
Author(s):
Mattes, Maryann G.; Hallahan, Lori W.
Lead Author STTI Affiliation:
Eta Beta
Author Details:
Maryann G. Mattes, BSN, RNC, mattesm@mlhs.org; Lori W. Hallahan, MSN, RNC
Abstract:

Poster presented on: Saturday, November 16, 2013, Sunday, November 17, 2013

Background:

Traditional approaches to the management of second stage of labor are commonly used in the hospital birth setting.  In 2006, the Association of Women’s Health, Obstetric, and Neonatal Nurses (AWHONN) published evidenced based clinical practice guidelines, “Nursing Care and Management of the Second Stage of Labor, Second Edition”.  Current research and evidence document the benefits of passive decent and open-glottis pushing. Using current evidence improves nursing skill and competency and can positively influence patient safety and satisfaction. Development of leadership skills and team building through collaboration in the scope of this project has enriched the leadership experience.

Objective:

The goals of the project are to evaluate current practices, educate nurses and physicians and implement practice changes.  Included in the project are the strategies employed to foster leadership and team development.

Methods: We employed a pre/post test design to assess the effectiveness of the educational offering on nurse/physician knowledge of current evidence, maternal satisfaction, and time and method of active pushing. A poster based on the guidelines was developed and an experienced team of five RNs created to educate the 33 RNs and 10 physicians on the unit. Team members employed one-on-one education which was implemented over one month.   

 

Evaluation: Completed data analysis will be presented at the conference.

 

Conclusion:  Incorporation of evidence-based practice into our culture requires effort and planning.  Building a team and facilitating collaboration has been challenging and rewarding but such efforts benefit practitioners and mothers and infants in our care.

Keywords:
Passive Descent; Non-directed pushing; Second Stage Labor
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.titleManagement of the Second Stage of Labor: Using Evidence-Based Practice to Improve Patient Safety and Satisfactionen_GB
dc.contributor.authorMattes, Maryann G.en_GB
dc.contributor.authorHallahan, Lori W.en_GB
dc.contributor.departmentEta Betaen_GB
dc.author.detailsMaryann G. Mattes, BSN, RNC, mattesm@mlhs.org; Lori W. Hallahan, MSN, RNCen_GB
dc.identifier.urihttp://hdl.handle.net/10755/308359-
dc.description.abstract<p>Poster presented on: Saturday, November 16, 2013, Sunday, November 17, 2013</p><b>Background:</b><p>Traditional approaches to the management of second stage of labor are commonly used in the hospital birth setting.  In 2006, the Association of Women’s Health, Obstetric, and Neonatal Nurses (AWHONN) published evidenced based clinical practice guidelines, “Nursing Care and Management of the Second Stage of Labor, Second Edition”.  Current research and evidence document the benefits of passive decent and open-glottis pushing. Using current evidence improves nursing skill and competency and can positively influence patient safety and satisfaction. Development of leadership skills and team building through collaboration in the scope of this project has enriched the leadership experience. <p><b>Objective:</b><p>The goals of the project are to evaluate current practices, educate nurses and physicians and implement practice changes.  Included in the project are the strategies employed to foster leadership and team development. <p><b>Methods:</b> We employed a pre/post test design to assess the effectiveness of the educational offering on nurse/physician knowledge of current evidence, maternal satisfaction, and time and method of active pushing. A poster based on the guidelines was developed and an experienced team of five RNs created to educate the 33 RNs and 10 physicians on the unit. Team members employed one-on-one education which was implemented over one month.    <p><b> </b><p><b>Evaluation: </b>Completed data analysis will be presented at the conference. <p><b> </b><p><b>Conclusion:  </b>Incorporation of evidence-based practice into our culture requires effort and planning.  Building a team and facilitating collaboration has been challenging and rewarding but such efforts benefit practitioners and mothers and infants in our care.en_GB
dc.subjectPassive Descenten_GB
dc.subjectNon-directed pushingen_GB
dc.subjectSecond Stage Laboren_GB
dc.date.available2013-12-19T17:30:18Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:30:18Z-
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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