Educational Intervention for an Evidence-Based Nursing Practice of Skin-to-Skin Contact at Birth

Abstract

This article presents the development and evaluation of an educational intervention aiming at an evidence-based practice of skin-to-skin contact at birth among nurses of a maternity care unit. Based on the Iowa Model of Evidence-Based Practice to Promote Quality Care, four educational sessions were developed according to an active-learning pedagogy. Even if the nurses' practice did not fully meet the recommendations for skin-to-skin contact, a pre- and postintervention evaluation showed some positive results, such as a longer duration of skin-to-skin contact immediately after birth, delivery of some routine care directly on mothers' chest, and improved parent education. The educational intervention seems to have enacted some evidence-based nursing practice changes regarding skin-to-skin contact at birth.

Adherence to evidence-based recommendations for surgical site infection prevention: Results among Italian surgical ward nurses

“…Indeed, knowledge and attitudes were found to be the strongest predictors of the investigated evidence-based practices. These findings, that are comparable with results across the literature [25–27], highlight how an update in knowledge regarding SSI prevention performed through educational programs could positively affect attitudes and, ultimately, tendency to perform current evidence-based practices [28,29].…”

The content, experiences and outcomes of interventions designed to increase early skin‐to‐skin contact in high‐income settings: A mixed‐methods systematic review

“…30 However, whilst this a widely used approach, it has been criticised due to the complexity of the model and difficulty in achieving certain steps in practice. 38 This was apparent in the current review with one paper failing to provide details on the team recruited to support implementation, 27 and two failing to evidence that all seven steps had been completed. 22,27 Other studies used theories which were not specific to practice in a healthcare setting (e.g.…”

“…38 This was apparent in the current review with one paper failing to provide details on the team recruited to support implementation, 27 and two failing to evidence that all seven steps had been completed. 22,27 Other studies used theories which were not specific to practice in a healthcare setting (e.g. Lewin's Change Theory, DMAIC, PDSA).…”

“…These data indicate that although there were targeted efforts to increase SSC practices, the results were still not aligned with WHO recommendations or the BFHI standard of immediate and uninterrupted SSC for at least 60 min. 1,35 It may be that the barriers noted in Similarly, while most SSC interventions were found to increase breastfeeding/exclusive breastfeeding rates, inferential statistics were rarely reported, 21,27 and where present did not meet significance. 24,25 This could in part be related to the limited duration of SSC as noted above, thus preventing infants from being able to engage in the later stages i.e.…”

“…Two studies explored staff satisfaction with the SSC intervention in the labour and delivery room. Turenne et al 27 used a survey to 21 reported that 1 month after early SSC was piloted, nurses anecdotally reported no increase in workload or delays in transferring mothers to the postpartum unit and that positive comments had been received from mothers about performing SSC with their infants.…”