Despite a strong research base to support alternative positioning during second stage labor, pushing in supine lithotomy position is commonly practiced in most labor and delivery. The purpose of this quasi-experimental study, was to determine if an educational program, based upon the Association of Women's Health, Obstetric, and Neonatal Nurses (AWHONN, 2008) Evidence-Based Clinical Guideline, provided the knowledge needed for nurses to facilitate maternal position change during the second stage of labor, at a large, regional mid-western hospital. A convenience sample of seventy-two Registered Nurses with at least one-year of experience in a Labor and Delivery unit, participated in the study. The structured method of pretest and posttest was used to collect knowledge prior to and after a computer-based educational intervention. Results revealed this group of nurses had previous knowledge of options for maternal position change during second stage labor. Changes in practice after the educational intervention were not observed. More research is needed to understand factors that support nursing practice change and barriers that prevent usage of evidence-based guidelines.
|School:||Northern Kentucky University|
|School Location:||United States -- Kentucky|
|Source:||MAI 49/06M, Masters Abstracts International|
|Keywords:||Alternative maternal position, Labor and delivery, Maternal|
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