Evidence-Based Maternity Care: Can New Dogs Learn Old Tricks?

Curl, Marilyn; Lothian, Judith A.

doi:10.1891/1058-1243.22.4.234

Cited by 3 publications

(2 citation statements)

References 8 publications

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“…The participants believed that health providers may refuse to accept new care because they do not have the needed skills to do new practices, Belizan et al ( 18 ). Furthermore, changing a complex process requires commitment and strong, relentless, and creative leadership within the institution ( 19 ). Another barrier at this level was lack of authority to make decisions by midwives.…”

Section: Discussionmentioning

confidence: 99%

Barriers to Implementing Evidence-Based Intrapartum Care: A Descriptive Exploratory Qualitative Study

Iravani¹,

Janghorbani²,

Zarean³

et al. 2016

Iran Red Crescent Med J

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Background:Evidence based practice is an effective strategy to improve the quality of obstetric care. Identification of barriers to adaptation of evidence-based intrapartum care is necessary and crucial to deliver high quality care to parturient women.Objectives:The current study aimed to explore barriers to adaptation of evidence-based intrapartum care from the perspective of clinical groups that provide obstetric care in Iran.Materials and Methods:This descriptive exploratory qualitative research was conducted from 2013 to 2014 in fourteen state medical training centers in Iran. Participants were selected from midwives, specialists, and residents of obstetrics and gynecology, with a purposive sample and snowball method. Data were collected through face-to-face semi-structured in-depth interviews and analyzed according to conventional content analysis.Results:Data analysis identified twenty subcategories and four main categories. Main categories included barriers were related to laboring women, persons providing care, the organization environment and health system.Conclusions:The adoption of evidence based intrapartum care is a complex process. In this regard, identifying potential barriers is the first step to determine and apply effective strategies to encourage the compliance evidence based obstetric care and improves maternity care quality.

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Section: Discussionmentioning

confidence: 99%

Barriers to Implementing Evidence-Based Intrapartum Care: A Descriptive Exploratory Qualitative Study

Iravani¹,

Janghorbani²,

Zarean³

et al. 2016

Iran Red Crescent Med J

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“…Care should be culturally sensitive and equitable (Oosthuizen et al, 2017). Curl & Lothian, 2013 found that generational characteristics amongst midwives influenced to some extent the culture of service delivery during childbirth with younger nurses being more abusive and disrespectful. Practice should be supported by top leadership as well as policies and protocols that reflect best evidence and having responsive healthcare systems (Bingham & Main, 2010;Mwaniki et al, 2014).…”

Section: Clinical Audits and Feedbackmentioning

confidence: 99%

Respectful Maternity Care Interventions: A Systematic Literature Review.

Namusonge

Ngachra²

2021

East Afr. j. health sci.

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High maternal and new born mortality remains a pressing problem in developing settings. Poor treatment during childbirth contributes directly and indirectly to this problem at a rate of 82%. Many women experience disrespectful and abusive treatment during childbirth in facilities worldwide which violates their rights to respectful care and a threat to their right to life, health, bodily integrity and freedom from discrimination. Majority of women report to have experienced some form of disrespect and abuse during childbirth. This systematic literature review aimed at reviewing studies on Respectful Maternity Care interventions aimed at promoting Quality of Maternal and New born Care. Objectives were to assess literature on how mothers are treated during childbirth (experience of care/respectful maternity care), to find out the factors contributing to disrespect and abuse during childbirth, to identify strategies for addressing issues affecting respectful maternity care. The literature review employed a quality assessment tool ‘PRISMA’, by the WHO. Eligibility criteria was studies published between 1992 and 2020 in indexed national and international journals in English language focusing on Respectful Maternity Care interventions in promoting Quality of Maternal and New born Care. Literature was reviewed from academic databases, project reports and documents. Electronic searches included reference libraries: PubMed, Cochrane Reference Libraries, google scholar, Medline on Mega scope data bases, CINAHL, Embase data bases and grey literature. Studies meeting the following criteria were included in the review: 1) Respectful Maternity Care; 2) Facilitators to dignity and respect during childbirth; and 3) Quality of Maternal and New born Care (QMNC). Disrespect and abuse appear to be widespread and research and implementation efforts must continue, there is lack of standardized definitions, instruments hence affecting generalizability and comparability, there are no adequate available data to quantify the prevalence of these behaviours. No matter the conceptual framework used in future investigations, studies should seek to accomplish three objectives: (1) to measure the perceived and observed frequencies of mistreatment in maternal health settings, (2) to examine the macro and micro level factors that drive mistreatment, (3) to assess the impact of mistreatment on the health outcomes of women and their new borns, and 4) to employ mixed method design as an optimal strategy to evaluate mistreatment and include direct observations to bridge the gap between observed measures and participants’ self-reported experiences of mistreatment.

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A Project to Increase Nurses’ Comfort in Offering Bedpans to Women Laboring With Epidural Analgesia

McLain¹

2019

Nursing for Women's Health

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Evidence-Based Maternity Care: Can New Dogs Learn Old Tricks?

Cited by 3 publications

References 8 publications

Barriers to Implementing Evidence-Based Intrapartum Care: A Descriptive Exploratory Qualitative Study

Barriers to Implementing Evidence-Based Intrapartum Care: A Descriptive Exploratory Qualitative Study

Respectful Maternity Care Interventions: A Systematic Literature Review.

A Project to Increase Nurses’ Comfort in Offering Bedpans to Women Laboring With Epidural Analgesia

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