Nurses' Own Birth Experiences Influence Labor Support Attitudes and Behaviors

Aschenbrenner, Ann P.; Hanson, Lisa; Johnson, Teresa S.; Kelber, Sheryl T.

doi:10.1016/j.jogn.2016.02.014

Cited by 29 publications

(31 citation statements)

References 32 publications

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“…The current study reported that obstetric caregivers who had an experience of 6-9 and ≥ 10 years were more likely to use labour pain relief methods than those who had ≤5 years' experience [AOR = 2.56,95% CI = (1.350-4.845) and [AOR = 2.50,95% CI = (1.132-5.524), respectively. This finding is similar to a study done in the U.S where more experienced nurses provide more labour support [23]. In this study, high patient flow, small number of staff, lack of knowledge, limited skill and unavailability of equipment and drugs for managing labour pain were factors affecting the use of labour pain relief methods.…”

Section: Use Of Labour Pain Relief Methods Among Obstetric Caregiverssupporting

confidence: 89%

Knowledge, and use of labour pain relief methods and associated factors among obstetric caregivers at public health centers of East Gojjam zone, Amhara region, Ethiopia: a facility based cross- sectional study

Bishaw

Sendo

Abebe

2020

BMC Pregnancy Childbirth

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Background The study was conducted in public health centers of East Gojjam Zone, Amhara region, Ethiopia. The purpose of this study was to assess knowledge, and use of labour pain relief methods and associated factors among obstetric caregivers in the study setting. Methods A facility-based cross-sectional study design was conducted from March 1–30, 2018. The study was conducted among three hundred and nine sampled obstetric caregivers. Structured questionnaire was used to collect the data. The data were entered into Epi-data version 4.2 Software for cleaning and exported to SPSS version 23.0 for data analysis. Multivariate logistic regression was carried out for variables with a p-value < 0.25 in bivariate logistic regression to determine significant relationships between the dependent and independent variables. Statistical significance was determined at 95% confidence interval (CI) and p-value below 0.05. Result The overall use of labour pain relief methods reported was 34.4%, (30.4% non-pharmacological and 8.4 pharmacological, respectively). More than half of the study participants (54.2%) had adequate knowledge about labour pain relief methods. In multivariate analysis, being a midwifery profession [AOR =2.814, 95% CI = (1.574–5.031)], having positive attitude [AOR = 4.370, 95% CI = (2.523–7.567)], and professionals with a medium level of education [AOR = 3.450, 95% CI = (1.993–5.971)] were factors significantly associated with knowledge of obstetric caregivers about labour pain relief methods. In multivariate analysis, knowledge of obstetric caregivers [AOR = 3.821, 95% CI = (2.091–6.980)], positive attitude of obstetric caregivers [AOR = 2.455, 95% CI = ((1.358–4.436))] and experience of obstetric caregivers [AOR = 2.56, 95% CI = (1.350–4.845) were factors significantly associated with the use of labour pain relief methods. Conclusion In this study, the overall use of labour pain relief methods by obstetric caregivers was low. Systemic opioid (Pethdine) was reportedly one of the most known pharmacological pain relief methods in this study. Providers’ knowledge, attitude and work experience had shown statistical significance with the use of labour pain relief methods. Task-oriented in- service training is required to fortify obstetric caregivers’ knowledge and attitude towards the use of labour pain relief methods.

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Section: Use Of Labour Pain Relief Methods Among Obstetric Caregiverssupporting

confidence: 89%

Knowledge, and use of labour pain relief methods and associated factors among obstetric caregivers at public health centers of East Gojjam zone, Amhara region, Ethiopia: a facility based cross- sectional study

Bishaw

Sendo

Abebe

2020

BMC Pregnancy Childbirth

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“…The self‐efficacy of the nurses to demonstrate and use all aspects of the lounge was variable. Previous studies support that nurses own personal birth experiences can affect their ability to support women during labor . Personal birth experiences were only mentioned in two interviews and were not seen to be a barrier.…”

Section: Discussionmentioning

confidence: 84%

Promoting active labor admission: Early labor lounge implementation barriers and facilitators from the clinician perspective

Breman

Low

Paul³

et al. 2019

Nurs Forum

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Background: The cesarean birth rate for low-risk pregnant individuals in the United States exceeds the recommended Healthy People 2020 rate. One recommended strategy to reduce cesarean in this population is delaying hospital admission until active labor commences. A quality improvement program was implemented at a community hospital using the early labor lounge (ELL) to promote admission in active labor. This study focuses on identifying the barriers and facilitators from the clinician perspective to implementing the ELL. Methods: Interviews were conducted with a purposive sample of clinicians. Interview transcripts were open coded and themes identified inductively. A framework analysis was then conducted using the Consolidated Framework for Implementation Research (CFIR). Results: Twenty-five staff members participated. Barriers and facilitators were identified in four of the CFIR domains. Facilitators included the strength of the evidence and the ELL itself, including the tools it contained for supporting women in latent labor. Barriers to implementation included clinician self-efficacy and perceived low usage of the ELL. Conclusion: This analysis using, CFIR identified several barriers and facilitators to the implementation of the ELL. The context of the individual woman presenting in triage and the acceptability and self-efficacy of the individual clinicians represented important factors for implementation. | BACKGROUNDCesarean birth is the most frequent surgical procedure for women of reproductive age, 1 and although it can be life-saving, it is not without risk. The current US cesarean rate for first-time mothers with a singleton, term fetuses in a vertex position is 25.7%, 2 exceeding the recommended Healthy People 2020 rate of 23.9%. 3 The 15-fold variation (2.4-36.5) in hospital cesarean birth rates, even among lowrisk pregnant women, indicates a wide variation in clinical practice. 4

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“…The 2018 AWHONN Position Statement Continuous Labor Support for Every Woman fully supports continuously available LS from a registered nurse and recognizes LS as essential in achieving optimal birth outcomes. Subsequently, a foundational understanding of the importance of LS may be a key to providing women and families with the best perinatal care (Aschenbrenner, Hanson, Johnson, & Kelber, 2016). Due to competition for maternal child/obstetrical clinical sites, as well as increasing acuity of obstetrical patients, nursing students often have limited opportunities to observe physiologic birth.…”

Section: Labor Support In Undergraduate Nursing Educationmentioning

confidence: 99%

A Labor Support Workshop to Improve Undergraduate Nursing Students' Understanding of the Importance of High Touch in a High-Tech World

Burgess¹,

Morin²,

Shiffer³

2019

J Perinat Educ

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This article presents the development and evaluation of a labor support workshop aimed at providing senior undergraduate nursing students with education on the provision of labor support. In collaboration with a Lamaze educator, a two and half hour interactive educational session was developed. The workshop included both a didactic and a hands-on component which included physical labor support strategies, which could be utilized in the clinical setting. Pre-and postintervention data was collected on students' knowledge and self-efficacy in the provision of labor support, as well as, data on their use of these strategies while in the clinical setting. The labor support workshop was well received by students (4.9/5) and increased their self-reported knowledge (p = <.001) and self-efficacy (p = <.001) in the provision of labor support.

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Nurses' Own Birth Experiences Influence Labor Support Attitudes and Behaviors

Cited by 29 publications

References 32 publications

Knowledge, and use of labour pain relief methods and associated factors among obstetric caregivers at public health centers of East Gojjam zone, Amhara region, Ethiopia: a facility based cross- sectional study

Knowledge, and use of labour pain relief methods and associated factors among obstetric caregivers at public health centers of East Gojjam zone, Amhara region, Ethiopia: a facility based cross- sectional study

Promoting active labor admission: Early labor lounge implementation barriers and facilitators from the clinician perspective

A Labor Support Workshop to Improve Undergraduate Nursing Students' Understanding of the Importance of High Touch in a High-Tech World

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