Implementation methodology of practices based on scientific evidence for assistance in natural delivery: a pilot study

Côrtes, Clodoaldo Tentes; Santos, Rafael Cleison Silva dos; Caroci, Adriana de Souza; Oliveira, Sheyla Mara Silva de; Oliveira, Sônia Maria Junqueira Vasconcellos de; Riesco, Maria Luiza Gonzalez

doi:10.1590/s0080-623420150000500002

Cited by 25 publications

(41 citation statements)

References 16 publications

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“…Whereas the theoretical exploration did not include any studies that specifically address the ambience in the context of health or obstetrics, the selected publications present the elements of the concept of ambience for labor and normal institutionalized delivery, such as the element of NIT. Most (11)(12)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(27)(28)30,(32)(33)(34)(35)37,(40)(41)(42)(43)(44) publications consist of empirical studies, confirming the property of the antecedent, defining attributes and the consequent analyzed. Regarding the country of origin of studies, almost half of them were conducted in America (12,14,(16)(17)20,22,(26)(27)(30)(31)34,(36)(37)(38)41,43,45) , more specifically in Brazil (12,(16)…”

Section: Studies Characteristicsmentioning

confidence: 85%

Concept formation of ambience for labor and normal institutionalized delivery

et al. 2019

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Objective: to develop the concept ambience for labor and normal institutionalized delivery, identifying in the literature its antecedent, defining attributes and the consequent. Method: the method used was the analysis of literature, corresponding to the first stage of the qualitative method of concept analysis. The theoretical operation was performed in the databases CINAHL COCHRANE, LILACS, PsycINFO, and PubMed. Results: aspects of the parturient woman and the qualification of the physical and social space are presented as the antecedent. The defining attributes outline the assistance interaction process with Non-Invasive Technologies. As the consequent, we highlight the outcome for normal delivery, pain relief and comfort, woman satisfaction and well-being. Final considerations: the analysis of the antecedent, defining attributes and the consequent allowed the elaboration of an unprecedent theoretical proposition of this concept. RESUMOObjetivo: elaborar o conceito ambiência para trabalho de parto e parto normal institucionalizado, identificando na literatura seus antecedentes, atributos definidores e consequentes. Método: empregou-se o método da análise crítica da literatura, correspondendo à primeira etapa da metodologia qualitativa de análise de conceito. A exploração teórica foi realizada nas bases de dados CINAHL, COCHRANE, LILACS, PsycINFO e PubMed. Resultados: elementos referentes à parturiente e à qualificação do espaço físico e social são apresentados como antecedentes. Os atributos definidores delineiam o processo de interação assistencial com o uso das Tecnologias Não Invasivas. Como consequentes, destacam-se desfecho para o parto normal, alívio e conforto da dor, satisfação e bem-estar da parturiente. Considerações finais: a análise dos antecedentes, atributos definidores e consequentes permitiu elaborar uma proposição teórica inédita desse conceito. Descritores: Trabalho de Parto; Parto Normal; Hospitais; Formação de Conceito; Maternidades. RESUMENObjetivo: elaborar el concepto ambiencia para el trabajo de parto y el parto normal institucionalizado, identificando en la literatura sus antecedentes, sus atributos definidores y consecuentes. Método: se utilizó el método de análisis crítico de la literatura, que corresponde al primer paso de la metodología cualitativa del análisis de concepto. Se hizo una búsqueda teórica en las bases de datos CINAHL, COCHRANE, LILACS, PsycINFO y PubMed. Resultados: los elementos relativos a la parturienta y a la calificación del espacio físico y social se presentan como antecedentes. Los atributos definidores delimitan el proceso de interacción de la atención con el uso de las tecnologías no invasivas. Ya de los consecuentes, se destacan el resultado del parto normal, el alivio del dolor y comodidad, la satisfacción y el bienestar de la parturienta. Pain management, relief and comfortSelf-confidence of the mother (15,39) ; Acupuncture (28) ; Music therapy (28,35) ; Aromatherapy (42) ; Mobility of the woman (28,33) ; Shower (25)(26) ; Practice exercises (27,44) ; Mass...

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Section: Studies Characteristicsmentioning

confidence: 85%

Concept formation of ambience for labor and normal institutionalized delivery

et al. 2019

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“…An intervention study conducted in a maternity ward of Itapecerica da Serra/SP, with 50 mothers and 102 clinical records, from July to November of 2014, identified barriers and difficulties for implementation of evidence-based practices. However, a significant increase in the use of bath, ambulation, and massage for pain relief was verified (10) .…”

Section: Discussionmentioning

confidence: 99%

Applying best practices to pregnant women in the obstetric center

et al. 2019

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Objective: To identify the meaning attributed by nursing technicians to good care practices based on scientific evidence used with the pregnant women during the dilation stage of labor. Method: A qualitative study, based on Grounded Theory principles. Twelve interviews with nursing technicians attending labor in the obstetric center of two public hospitals, in Florianópolis/SC, were performed, from August of 2016 to March of 2017. Data were analyzed using open, axial coding. Results: The implementation of good practices, for nursing technicians, means adequately performing their activities, providing humanized care to the pregnant woman, respecting her autonomy, promoting pain relief, and a peaceful labor. Final Considerations: An adequate number of technicians must be determined to maintain quality of care, and to complete nursing records in a more detailed and systematized manner.

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“…Before and after quasi-experimental intervention study, according to the methodology of implementation (11) of scientific evidence in clinical practice, from the Joanna Briggs Institute (JBI). This methodology consists of a clinical audit process and comprises three phases: 1) pre-audit and baseline audit; 2) implementation of best practices; 3) post-implementation audit.…”

Section: Methodsmentioning

confidence: 99%

Implementação de práticas assistenciais para prevenção e reparo do trauma perineal no parto

Santos

Riesco

2016

Rev. Gaúcha Enferm.

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How to cite this article:Santos RCS, Riesco MLG. Implementation of care practices to prevent and repair perineal trauma in childbirth. Rev Gaúcha Enferm. 2016;37(spe):e68304. doi: http:// dx.doi. org/10.1590/1983-1447.2016. esp.68304. doi: http://dx.doi. org/10.1590/1983-1447.2016.esp.68304 Implementation of care practices to prevent and repair perineal trauma in childbirth ABSTRACTObjective: To implement care practices for perineal trauma prevention and repairing in normal birth. Method: Quasi-experimental study conducted at Hospital da Mulher Mãe-Luzia, in Macapá, AP, Brazil. Seventy-four (74) nurses and obstetricians and 70 post-partum women were interviewed and the records of 555 patients were analyzed. The study was conducted in three stages: pre-audit and baseline audit (phase 1); educational intervention and implementation of best practices (phase 2); post-implementation audit (phase 3). Data was analyzed by comparison of the results of phases 1 and 3.Results: Following the educational intervention, a lower number of health professionals encouraged directed pushing, performed episiotomies and repaired first-degree lacerations; more women reported lithotomy position; more patient records indicated the use of Vicryl™ to suture the perineal mucosa and skin. Conclusion:The educational intervention improved birth care and perineal outcomes. Nevertheless, gaps were identified in the implementation of evidence, as well as inappropriate perineal care management Keywords: Evidence-based practice. Parturition. Obstetric nursing. RESUMO Objetivos: Implementar práticas assistenciais para prevenção e reparo do trauma perineal no parto normal. Métodos: Estudo quase-experimental, realizado no Hospital da Mulher Mãe-Luzia, Macapá, AP. Realizaram-se 74 entrevistas com enfermeiros e médicos e 70 com puérperas, e analisaram-se dados de prontuários (n=555). O desenvolvimento da pesquisa se deu em três fases: pré-auditoria e auditoria de base (fase 1); intervenção educativa e implementação de boas práticas assistenciais (fase 2); auditoria pós-implementação (fase 3); a análise foi pela comparação das fases 1 e 3.Resultados: Após a intervenção educativa, menos profissionais incentivavam puxos dirigidos, realizavam episiotomia e suturavam lacerações de primeiro grau; mais mulheres informaram que o parto foi em posição litotômica; mais registros nos prontuários indicaram o uso de Vicryl ® na sutura da mucosa e pele. Conclusões:A intervenção educativa melhorou os cuidados e os desfechos perineais, porém há lacunas na implementação das evidências e inadequações no manejo do cuidado perineal. Palavras-chave:Prática clínica baseada em evidências. Parto. Enfermagem obstétrica. RESUMEN Objetivo: Implementar prácticas asistenciales para la prevención y reparación del trauma perineal en el parto. Método: Estudio casi experimental, conducido en el Hospital da Mulher Mãe-Luzia, Macapá, AP. Se realizaron 74 entrevistas con médicos y enfermeras y 70 con puérperas y se analizaron los datos de registros médicos (n=555). La investigaci...

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Implementation methodology of practices based on scientific evidence for assistance in natural delivery: a pilot study

Cited by 25 publications

References 16 publications

Concept formation of ambience for labor and normal institutionalized delivery

Concept formation of ambience for labor and normal institutionalized delivery

Applying best practices to pregnant women in the obstetric center

Implementação de práticas assistenciais para prevenção e reparo do trauma perineal no parto

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