Factors Associated with Differences in Canadian Perinatal Nurses’ Attitudes Toward Birth Practices

Liva, Sarah; Hall, Wendy A.; Kleín, Michael C.; Wong, Sabrina T.

doi:10.1111/j.1552-6909.2012.01412.x

Cited by 17 publications

(18 citation statements)

References 49 publications

(82 reference statements)

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“…There is some evidence that nurses with more experience hold more positive attitudes toward labor support and more negative views of technology and interventions than less experienced nurses (Carlton, Callister, Christiaens, & Walker, 2009;James, Simpson, & Knox, 2003;Sleutel, Schultz, & Wyble, 2007). However, Liva, Hall, Klein and Wong (2012) found weak or no relationship between L&D nurses' years of experience and attitudes toward birth practices (Liva et al, 2012).…”

Section: Attitudesmentioning

confidence: 99%

“…The scales with the weakest internal reliability were those for attitudes toward induction and cesarean delivery. However, following Liva et al (2012), we retained these scales because a Cronbach's alpha below 0.7 is common for attitudinal scales and attitudes about standard obstetric practices are theoretically relevant for attitudes about nurse-doula relationships (Kline, 2000). The remaining scales for attitudes toward epidural analgesia and the dependent variables had moderate to strong internal reliability.…”

Section: Datamentioning

confidence: 99%

See 1 more Smart Citation

North American Nurses' and Doulas' Views of Each Other

Roth¹,

Henley²,

Seacrist³

et al. 2016

Journal of Obstetric, Gynecologic & Neonatal Nursing

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2Objective:To analyze factors that lead nurses and doulas to have positive views of each 3 other. 4 Design:A multivariate analysis of a cross-sectional survey, the Maternity Support Survey. 5 Setting:Online survey with labor and delivery (L&D) nurses, doulas, and childbirth 6 educators, in the United States and Canada. 7Participants: A convenience sample of 704 L&D nurses and 1,470 doulas. 8 Methods:Multiple regression analysis was used to examine five sets of hypotheses about 9 nurses' and doulas' attitudes toward each other. Scales of nurses' attitudes toward 10 doulas and doulas' attitudes toward nurses included beliefs that nurses/doulas 11 enhance communication, are collaborative team members, enhance a woman's 12 birth experience, interfere with the ability to provide care, or interfere with 13 relationships with patients/clients. 14 Results:For nurses, exposure to doulas in their primary hospital was associated with more 15 positive views, while working more hours, feelings of overwork, and a preference 16for clinical tasks over labor support were associated with more negative views of 17 doulas. For doulas, working primarily in one hospital and certification were 18 associated with more positive views of nurses. Nurses with more positive attitudes 19 toward common obstetric practices had more negative attitudes toward doulas, 20 while doulas with more positive attitudes toward common obstetric practices had 21 more positive attitudes toward nurses. Conclusion:These findings reveal factors that influence mutual understanding and 23 appreciation of nurses and doulas of each other. These factors can be influenced 24 by educational efforts to improve interprofessional collaboration between these 25 maternity support roles. 26

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Section: Attitudesmentioning

confidence: 99%

Section: Datamentioning

confidence: 99%

North American Nurses' and Doulas' Views of Each Other

Roth¹,

Henley²,

Seacrist³

et al. 2016

Journal of Obstetric, Gynecologic & Neonatal Nursing

View full text Add to dashboard Cite

show abstract

“…North American recommendations for intrapartum care call for reductions in medical interventions such as use of epidural analgesia, and increased attention to patient satisfaction . Reducing epidural rates may be particularly challenging in tertiary obstetric referral centers where rates are higher . In Canada, these obstetrician‐led units have on‐site perinatal, neonatal, and anesthetic specialty services .…”

Section: Introductionmentioning

confidence: 99%

Barriers and facilitators to birth without epidural in a tertiary obstetric referral center: Perspectives of health care professionals and patients

Knox

Rouleau

Semenic

et al. 2017

Birth

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Reconciling patient birth goals with staff focus on patient safety is challenging in the tertiary context. Discrepancies between health care professional and patient attitudes about childbirth pain may influence decision-making about epidural use. Maintaining labor support skills is challenging for health care professionals who have limited exposure to birth without epidural. There is a need to allocate dedicated resources to better support birth without epidural. Specifically, support could be improved through the implementation of guidelines for assessment and management of labor pain, provision of a variety of pain management options, and labor support training for health care professionals.

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“…Normal birth is defined as birth without induction, pharmaceutical anaesthesia, continuous electronic fetal monitoring, forceps, ventouse, caesarean or episiotomy (Maternity Care Worker Party, 2007). Two studies using web-based surveys (Liva et al, 2012;Wiklund et al, 2012) identified that perinatal nurses and midwives working in standard obstetric-led labour wards are less likely to see normal birth as safe or important than midwives working in midwifery-led settings. Although midwives are professionally recognised as the experts in normal birth, this role is becoming eroded in obstetric-led units as an increased culture of risk and fear is leading to a veneration of obstetric decision-making for all women (Hood et al, 2010;Healy et al, 2015).…”

Section: Structural Factors Of Maternity Care Affecting Riskmentioning

confidence: 99%

“…This is so that they understand risk and can make informed decisions. Midwives operating in this system have developed skewed perceptions of risk (Page and Mander, 2014;Liva et al, 2012), resulting in a loss of midwifery skills in facilitating normal birth (Larsson et al, 2009;Carlton et al, 2009). Midwives must engage in re-creating a culture of normality and trust in birth that places the woman at the centre of compassionate, relationship-based models of care (Cooper, 2015).…”

Section: Structural Factors Of Maternity Care Affecting Riskmentioning

confidence: 99%

Can maternity care move beyond risk? Implications for midwifery as a profession

Healy

Humphreys

Kennedy

2016

British Journal of Midwifery

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Maternal and infant mortality rates are reassuringly low in developed countries. Despite this, birth is increasingly seen as risky by women, health professionals and society in general. In wider society, women are subjected to a litany of risks regarding birth, including sensationalising negative incidents by the media. Within maternity care, both structural and operational factors contribute to heightened risk perceptions. Women are processed through a system where risk-management strategies can take precedence over individualised care as health professionals attempt to protect themselves from implication in adverse outcomes and litigation. This results in increasingly interventionist care, depriving women of psychosocial safety in the birth process. Midwifery, as a profession promoting trust in normal birth, is threatened by this dominant medical model of maternity care and interventionist birth practices. Midwives need to act to reclaim their role in promoting normal birth, while balancing considerations of risk with the principle of woman-centred care.

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Factors Associated with Differences in Canadian Perinatal Nurses’ Attitudes Toward Birth Practices

Cited by 17 publications

References 49 publications

North American Nurses' and Doulas' Views of Each Other

North American Nurses' and Doulas' Views of Each Other

Barriers and facilitators to birth without epidural in a tertiary obstetric referral center: Perspectives of health care professionals and patients

Can maternity care move beyond risk? Implications for midwifery as a profession

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