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Learning Objective 1: Describe the steps undertaken in the implementation of an EBP change involving passive descent and self-directed pushing on women's birth experiences and labor outcomes.
Learning Objective 2: Discuss strategies employed to foster leadership and team development through nurse/physician collaboration.
Traditional approaches to the management of second stage of labor are commonly used in the hospital birth setting. In 2006, the Association of Women’s Health, Obstetric, and Neonatal Nurses (AWHONN) published evidenced based clinical practice guidelines, “Nursing Care and Management of the Second Stage of Labor, Second Edition”. Current research and evidence document the benefits of passive decent and open-glottis pushing. Using current evidence improves nursing skill and competency and can positively influence patient safety and satisfaction. Development of leadership skills and team building through collaboration in the scope of this project has enriched the leadership experience.
Objective:
The goals of the project are to evaluate current practices, educate nurses and physicians and implement practice changes. Included in the project are the strategies employed to foster leadership and team development.
Methods: We employed a pre/post test design to assess the effectiveness of the educational offering on nurse/physician knowledge of current evidence, maternal satisfaction, and time and method of active pushing. A poster based on the guidelines was developed and an experienced team of five RNs created to educate the 33 RNs and 10 physicians on the unit. Team members employed one-on-one education which was implemented over one month.
Evaluation: Completed data analysis will be presented at the conference.
Conclusion: Incorporation of evidence-based practice into our culture requires effort and planning. Building a team and facilitating collaboration has been challenging and rewarding but such efforts benefit practitioners and mothers and infants in our care.
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