Guiding Nurses and Patients Toward Engagement

Schumann, Mary Jean

doi:10.1016/j.mnl.2012.10.001

Cited by 5 publications

(3 citation statements)

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“…As the focus in health-care turns more toward patient engagement where patients have an active rather than passive role in their health-care, childbirth educators and nurses have a role to support client choices (Sherman & Hilton, 2014). The childbirth educator and nurse working together need to assist the engaged patient to stay engaged and to encourage those not engaged in their own care to become engaged (Schumann, 2013). The results can be improved patient care outcomes and improved patient satisfaction with the birthing experience (Guglielmi et al, 2014).…”

Section: Resultsmentioning

confidence: 99%

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Birth Plans: Encouraging Patient Engagement

Waller-Wise¹

2016

J Perinat Educ

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Patient engagement is defined as a set of actions by patients, family members, and health-care providers that promotes patients and family members as active participants of the health-care team. As focus turns toward patient engagement where patients have an active role in their health care, childbirth educators and nurses are in a position to support patient choices. The focus is to assist the engaged woman to stay engaged and to encourage those not engaged to become engaged. The results can be improved patient care outcomes and improved patient satisfaction. One way to promote patient engagement can be the birth plan. This process can be facilitated through education of choices and assisting with writing choices into a formal birth plan.

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Section: Resultsmentioning

confidence: 99%

“…Ultimately, the patient is the best source of information on his or her own conditions. The challenge for health-care professionals is to assist the engaged patient to stay engaged and to encourage those not engaged in their own care to become engaged (Schumann, 2013).…”

Section: History Of Birth Plansmentioning

confidence: 99%

Birth Plans: Encouraging Patient Engagement

Waller-Wise¹

2016

J Perinat Educ

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“…The patient is the best source of information on his or her own condition. The challenge for healthcare professionals is to encourage people not engaged in their own care to become involved and help the engaged those to stay engaged [ 60 ]. Researches indicate that people who remain engaged in their own health care are more likely to remain healthy.…”

Section: Discussionmentioning

confidence: 99%

Effect of implementing a birth plan on maternal and neonatal outcomes: a randomized controlled trial

Ahmadpour

Moosavi

Mohammad‐Alizadeh‐Charandabi

et al. 2022

BMC Pregnancy Childbirth

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Background The birth plan is an approach for pregnant women to offering their expectations of labor and birth. The purpose of this study was to investigate the effect of birth plan on maternal and neonatal outcomes. Methods This study was a randomized controlled clinical trial performed on 106 pregnant women, 32–36 weeks of pregnancy, referring to Taleghani educational hospital in Tabriz city-Iran. Participants were randomly assigned to the two groups of birth plan and control using a randomized block method. Participants in the birth plan group received the interventions based on the mother's requested birth plan. The birth plan included items of the mother's preferences in labor, mobility, eating and drinking, monitoring, pain relief, drug options, labor augmentation, pushing, amniotomy, episiotomy, infant care, and caesarean section. The control group received routine hospital care. The primary outcomes were childbirth experience and duration of the active phase of labor and the secondary outcomes were support and control in labor, fear of labor, post-traumatic stress disorder (PTSD), postpartum depression, duration of the second and third phases of labor, frequency of vaginal delivery, frequency of admission of newborn in NICU (Neonatal Intensive Care Unit), the mean first and fifth minute Apgar scores. The socio-demographic and obstetrics characteristics questionnaire, Wijma Delivery Expectancy/Experience Questionnaire (W-DEQ-versions A), and Edinburgh Postnatal Depression Scale (EPDS) were completed at the beginning of the study (at the gestational age of 32–36 weeks). The questionnaire of delivery information, neonatal information, and Delivery Fear Scale (DFS) was completed during and after the delivery. Also, a partogram was completed for all participants by the researcher. The participants in both groups followed up until 4–6 weeks post-delivery, whereby the instruments of Childbirth Experience Questionnaire 2.0 (CEQ2.0), Support and Control In Birth (SCIB) scale, EPDS, and PTSD Symptom Scale 1 (PSS-I) were completed by the researcher through an interview. The independent t-test, the chi-square test, and ANCOVA was used to analyze. Results The mean (SD) of CEQ score was singificnalty higher in in the birth plan group (3.2 ± 0.2) compared to the control (2.1 ± 0.2) (MD = 1.0; 95% CI: 1.1 to 0.9; P˂0.001). Also, the mean (SD) SCIB score in the birth plan group was significantly higher than that of those in the control group (P˂0.001). The mean scores of DFS (P = 0.015), EPDS (P˂0.001), and PTSD (P˂0.001) as well as the frequency of emergency caesarean section (P = 0.007) in the birth plan group were significantly lower than those in the control group. Conclusion This was the first study to assess the implementation of a birth plan in Iran. Based on the findings, a birth plan improves childbirth experiences; increases perceived support and control in labor; reduces fear of delivery; suppresses psychological symptoms of depression and PTSD, and increases the frequency of vaginal delivery. Trial registration. Iranian Registry of Clinical Trials (IRCT): IRCT20120718010324N58. Date of registration: 07/07/2020; URL: https://en.irct.ir/trial/47007; Date of first registration: 19/07/2020.

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Salutogenesis

Hudson

2013

Nursing Management

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Guiding Nurses and Patients Toward Engagement

Cited by 5 publications

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Birth Plans: Encouraging Patient Engagement

Birth Plans: Encouraging Patient Engagement

Effect of implementing a birth plan on maternal and neonatal outcomes: a randomized controlled trial

Salutogenesis

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