The Process for Initiating Nursing Practice Changes in the Intrapartum: Findings From a Multisite Research Utilization Project

Niesen, Kathryn M.; Quirk, Anne G.

doi:10.1111/j.1552-6909.1997.tb02746.x

Cited by 15 publications

(10 citation statements)

References 8 publications

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“…There has been much research on the best way for women to bear down during the second stage, all indicating that directed pushing (prolonged breath holding and straining throughout the contraction) is associated with higher rates of fetal and neonatal hypoxia than spontaneous bearing down (Aldrich et al, 1995;Crawford, 1983;Nikodem, 2001;Petersen & Besuner, 1997;Roberts, 2002;Walsh, 2000) and possibly greater perineal damage (Allen, Hosker, Smith, & Warrell, 1990;Beynon, 1957;Handa, Harris, & Ostergard, 1996). Despite negative outcomes with directed pushing, spontaneous pushing has not been widely implemented, which illustrates the difficulty of incorporating evidence-based practice into perinatal units (Niesen & Quirk, 1997;Roberts, 2002).…”

Section: The Take Charge Routinementioning

confidence: 99%

Supportive Care During Labor: A Guide for Busy Nurses

Simkin¹

2002

Journal of Obstetric, Gynecologic & Neonatal Nursing

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Section: The Take Charge Routinementioning

confidence: 99%

Supportive Care During Labor: A Guide for Busy Nurses

Simkin¹

2002

Journal of Obstetric, Gynecologic & Neonatal Nursing

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“…17 Niesen and Quirk reported on the implementation of a protocol by obstetric nurses for the management of the second stage of labour. 18 The nurses reported positive outcomes for their clients and were proud to be involved in the evaluation of a protocol for a practice they knew was right. Other specialities that have reported benefits from protocols and guidelines include oncology nursing, 19 dermatology nursing, 20 and accident and emergency nursing.…”

Section: Introductionmentioning

confidence: 99%

Exploring the relationship between nursing protocols and nursing practice in an Irish intensive care unit

Flynn

Sinclair²

2005

Int J of Nursing Practice

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Nursing practice no longer relies on tradition or ritual; instead, it is based on research and empirical evidence. The emphasis on evidence-based nursing, as well as standardization of nursing practice, has resulted in the production of policies, protocols and guidelines aimed at directing numerous aspects of nursing care. The aim of this study was to explore the relationship between these documents and actual nursing practice. To this end, this descriptive study employed a case study approach to examine the experiences of nurses in an Irish intensive care unit with a protocol on endotracheal tube suctioning. Focus group interviews of 17 nurses in six focus groups provided a significant insight into the experiences of these nurses in relation to policies, protocols and guidelines. Analysis of the data afforded some highly relevant findings, including the fact that nurses adapt clinical protocols as they see fit, thus demonstrating the importance that they place on their own professional judgement and autonomy.

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“…Others have noted the impact medical staff can have on attempts to implement nursing innovations, although medical resistance does not always result in failure (Niesen and Quirk 1997). In all four cases, struggle with medical staff was evident and was resolved in unique ways.…”

Section: Discussionmentioning

confidence: 99%

Implementing evidence‐based nursing practice: a tale of two intrapartum nursing units

2003

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Despite concerns that the rise of evidence-based practice threatens to transform nursing practice into a performative exercise disciplined by scientific knowledge, others have found that scientific knowledge is by no means the preeminent source of knowledge within the dynamic settings of health-care. We argue that the contexts within which evidence-based innovations are implemented are as influential in the outcomes as the individual practitioners who attempt these changes. A focused ethnography was done in follow-up to an earlier trial that evaluated the effectiveness of a marketing strategy to encourage the adoption of evidence-based intrapartum nursing practice. Bourdieu's (1990, 1991) concepts of habitus, capital and social field were used in our refinement of the analysis of the ethnographic findings. Nursing leadership, interprofessional struggle with physicians, the characteristics of the community and the physical environment were prominent issues at all of the sites. Detailed descriptions of the sociohistorical context and of the experiences at two sites are presented to illustrate the complexities encountered when implementing innovations.

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The Process for Initiating Nursing Practice Changes in the Intrapartum: Findings From a Multisite Research Utilization Project

Cited by 15 publications

References 8 publications

Supportive Care During Labor: A Guide for Busy Nurses

Supportive Care During Labor: A Guide for Busy Nurses

Exploring the relationship between nursing protocols and nursing practice in an Irish intensive care unit

Implementing evidence‐based nursing practice: a tale of two intrapartum nursing units

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