Labor Support for Intended Vaginal Birth

doi:10.1016/j.nwh.2022.04.002

Cited by 2 publications

(2 citation statements)

References 17 publications

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“…Evidence from recent literature was then assembled, appraised, and synthesized, as described earlier. The significance of this issue was confirmed by the literature, particularly the calls from AWHONN and the American College of Obstetricians and Gynecologists (ACOG) to universally implement a trauma-responsive approach in the perinatal environment 29,30. Following the Iowa Model, the next step was to design and pilot the practice change, which is presented in this evidence-based project 54…”

Section: Quality Improvement Processmentioning

confidence: 99%

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Trauma-Informed Care Education Initiative Explores Impact on Perinatal Nurse Secondary Traumatic Stress and Workforce Challenges

Runyon,

Irby,

Rojas Landivar

2024

Journal of Perinatal &Amp; Neonatal Nursing

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Background: Psychological trauma refers to long-lasting adverse effects on well-being precipitated by the experience of a distressing event or a combination of events. High rates of psychological birth trauma in patients contribute to secondary traumatic stress (STS) in perinatal nurses, creating workplace challenges and resulting in dissatisfaction, apathy, and attrition. Perinatal nurses experience high rates of STS, and researchers have called for a universal standard of trauma-informed care (TIC). However, there is a lack of published results on effectively creating TIC education in this nurse population. Methods: A pre/posttest design evaluated an online pilot evidence-based practice project addressing a perinatal nurse education initiative on STS and its correlation with nurse attitudes toward TIC. Participants include perinatal nurses in the United States (n = 29). Two scales measured the program’s effect on nurses: the Secondary Traumatic Stress Scale (STSS) and the Attitudes Related to Trauma-Informed Care (ARTIC) scale. Results: A paired t test evaluating pre- and postprogram levels of the STSS showed a decrease in STS (t 28 = −3.28, P = .003, Cohen’s d = 0.609), the ARTIC scale results showed an increased receptiveness to TIC (t 28 = 3.8, P < .001, Cohen’s d = 0.706], and a not significant correlation was found between pretest STS and ARTIC scores (Spearman’ ρ = −0.248, P = .194). Conclusion: This program supported a significant reduction in nurses’ identification of STS. Future perinatal nurse education can expand to build a standard of TIC that is patient-centered and reduces nurse STS.

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Section: Quality Improvement Processmentioning

confidence: 99%

“…The Substance Abuse and Mental Health Services Administration (SAMHSA) has heralded TIC for decades,26 and it is recommended specifically as a universal standard in reproductive healthcare 22,23,27–30. Targeted education about TIC in the perinatal environment is imperative to increase nurses’ knowledge and application of these principles 31.…”

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confidence: 99%

Trauma-Informed Care Education Initiative Explores Impact on Perinatal Nurse Secondary Traumatic Stress and Workforce Challenges

Runyon,

Irby,

Rojas Landivar

2024

Journal of Perinatal &Amp; Neonatal Nursing

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A concept analysis of psychological trauma in labour and delivery nurses

Runyon,

Copel,

Trout

2024

Journal of Advanced Nursing

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AimTo facilitate an understanding of the risk for psychological trauma in labour and delivery nurses.DesignConcept analysis.MethodsThe Walker and Avant method of concept analysis was applied to 56 articles. The characteristics, antecedents, and consequences of psychological trauma in labour and delivery nurses were identified.Data sourcesPeer‐reviewed articles in English from CINAHL, PubMed and Google Scholar were reviewed on July 2023.ResultsThe characteristics of psychological trauma in labour and delivery nurses are overwhelming distress, intrusive symptoms, avoidance and numbing behaviours, hypervigilance or hyperarousal, emotional dysregulation, cognitive distortions, and interpersonal challenges. The antecedents are exposure to one or more of the following nurse‐specific traumas: natural or person‐made disasters, historical role limitations, second victim situations, secondary trauma, system‐mediated or over‐medicalized care, insufficient resources, or workplace incivility. The consequences are disruptions in mental health, diminished physical health, alterations in relationships, and variable work performance.ConclusionLabour and delivery nurses experience unique causes of psychological trauma due to their practice environment and patient population. The consequences of labour and delivery nurses' psychological trauma extend beyond individual health and impact the quality of patient care and organizational capacity.Implications for the profession and/or patient careFurthermore, research is needed to inform education, support and policy measures to mitigate harm effectively.What problem did the study address?Nurse‐specific trauma theory has not been applied to the unique labour and delivery environment with a high incidence of patient trauma.What were the main findings?Multiple causes of trauma in the perinatal context have created a pervasive yet largely preventable issue.Where and on whom will the research have an impact?This research will impact labour and delivery nurses, their leadership, and their patients.Patient or public contributionNo patient or public contribution.

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Labor Support for Intended Vaginal Birth

Cited by 2 publications

References 17 publications

Trauma-Informed Care Education Initiative Explores Impact on Perinatal Nurse Secondary Traumatic Stress and Workforce Challenges

Trauma-Informed Care Education Initiative Explores Impact on Perinatal Nurse Secondary Traumatic Stress and Workforce Challenges

A concept analysis of psychological trauma in labour and delivery nurses

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