Nurses’ Views of Factors That Help and Hinder Their Intrapartum Care

Sleutel, Martha Rider; Schultz, Susan; Wyble, Kerri

doi:10.1111/j.1552-6909.2007.00146.x

Cited by 51 publications

(78 citation statements)

References 6 publications

(6 reference statements)

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“…A facility culture that supports implementing evidence-based change is more likely to institute IA policies for healthy women with uncomplicated pregnancies than one that doesn't (Graham et al, 2004;Sleutel et al, 2007). Although change can occur from administration, change is more likely to be implemented if nursing staff have input into creating and supporting the change prior to the initiation of the new policy (Graham et al, 2004).…”

Section: Institutional Barriersmentioning

confidence: 99%

“…Many barriers exist preventing nurses from implementing IA during the intrapartum period (Graham, Logan, Davies, & Nimrod, 2004;Lewis & Rowe, 2004;Rattray, Flowers, Miles, & Clarke, 2011;Regan & Liaschenko, 2007;Sleutel, Schultz, & Wyble, 2007). The purpose of this article is to review the history of fetal monitoring; address factors influencing the fetal heart rate during labor; report on the different types of fetal monitoring available; discuss barriers identified in the literature inhibiting the implementation of fetal monitoring choice in childbirth; and provide suggestions to incorporate evidence-based material into childbirth classes.…”

Section: Different Types Of Fetal Monitoringmentioning

confidence: 99%

“…Nurses want to provide optimal care during labor but feel that birth today is hastened and controlled, which leads to medical interventions that are not necessary (Sleutel et al, 2007). Nurses, physicians, administrators, and patients are viewed by nurses as all contributing toward a culture where the focus is on the technology, and the patient is forgotten (Sleutel et al, 2007).…”

Section: Institutional Barriersmentioning

confidence: 99%

“…Nurses, physicians, administrators, and patients are viewed by nurses as all contributing toward a culture where the focus is on the technology, and the patient is forgotten (Sleutel et al, 2007).…”

Section: Institutional Barriersmentioning

confidence: 99%

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Fetal Monitoring: Creating a Culture of Safety With Informed Choice

Heelan¹

2013

J Perinat Educ

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The dominant culture in labor and birth is the medical model, not the midwifery model of woman-centered care. Consensus among professional and governmental groups is that, based on the evidence, intermittent auscultation is safer to use in healthy women with uncomplicated pregnancies than electronic fetal monitoring (EFM). Barriers impact the laboring woman's ability to give informed choice regarding fetal monitoring. Lack of informed choice denies a woman her right to be in control of her birth experience, and is in opposition to a woman's right to autonomy and self-determination.

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Section: Institutional Barriersmentioning

confidence: 99%

Section: Different Types Of Fetal Monitoringmentioning

confidence: 99%

Section: Institutional Barriersmentioning

confidence: 99%

Section: Institutional Barriersmentioning

confidence: 99%

See 2 more Smart Citations

Fetal Monitoring: Creating a Culture of Safety With Informed Choice

Heelan¹

2013

J Perinat Educ

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“…Their contribution to utilization of CB is likely to become more pronounced as organizations adopt the use of standardized practice guidelines and order sets that prescribe the care used to manage labor. Those approaches provide intrapartum nurses with a higher level of autonomy to decide what types of clinical interventions are used, and how and when they are used in the course of labor [29] . That increased autonomy necessitates a clear need to build understanding about the factors that influence the likelihood of primary cesarean, particularly in nulliparous women.…”

Section: Discussionmentioning

confidence: 99%

Place, provider and timing: Factors influencing the overuse of cesarean in low-risk primigravid women

Regan

McElroy

Chung

et al. 2014

JNEP

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The purpose of this study was to examine the relationship between the type and timing of commonly used intrapartum clinical factors and their relationship to birth outcomes. The factors included in the analysis were type of provider (midwife or obstetrician), place of birth (home or hospital), cervical dilation on admission, and commonly used labor interventions, namely use of continuous electronic fetal monitoring, epidural anesthesia and oxytocin on the type of birth (cesarean or vaginal birth). The research question guiding the analysis was: what factors increase the likelihood of cesarean birth (CB)? The findings reported here are parts of a larger mixed methods study that used three data collection methods: a projective test, a focus group, and a semi-structured postpartum interview. The study took place in an urban area in the mid-Atlantic United States and the sample was comprised of 49 low-risk primigravid women recruited between 28-36 weeks gestation. The analysis reported here only used data from the postpartum interview. During the interview, each woman reported the events of their labor and birth that were then mapped along a timeline. The findings show that admission to hospital early in labor played a key role in increasing the number of interventions used and was associated with increased risk of CB. The small, homogenous sample limited the ability to conduct more comprehensive statistical analysis and to generalize to more diverse groups, however, the proportional differences are highly suggestive and warrant further investigation.

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Family centered nursing practices towards women and their families in the birthing context: A qualitative systematic review

2023

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AimSynthesize qualitative evidence examining how nurses' attitudes, beliefs, and sense of efficacy and the context surrounding birth facilitate or hinder family‐centered nursing practice.DesignThematic synthesis of qualitative studies.MethodsA literature search was conducted in CINAHL, MEDLINE, PsycINFO, SCOPUS, SCIENCE DIRECT, REPÈRES, CAIRN, and ÉRUDIT from October 2020 to June 2021. The PRISMA guidelines were followed, and studies were critically appraised using the Critical Appraisal Skills Programme checklist. Data were extracted by two independent reviewers, and Thomas and Harden's qualitative thematic synthesis method was performed for data analysis.ResultsThirteen studies were included. Three analytical themes were generated: (1) sharing power: opposing beliefs, (2) feeling a sense of efficacy in fulfilling one's role, and (3) managing a challenging work environment.Patient or Public ContributionSynthesizing nurses' experience is essential to promote implementation of favourable changes for care that is more focused on the needs of families.

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Nurses’ Views of Factors That Help and Hinder Their Intrapartum Care

Cited by 51 publications

References 6 publications

Fetal Monitoring: Creating a Culture of Safety With Informed Choice

Fetal Monitoring: Creating a Culture of Safety With Informed Choice

Place, provider and timing: Factors influencing the overuse of cesarean in low-risk primigravid women

Family centered nursing practices towards women and their families in the birthing context: A qualitative systematic review

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