Supporting Women in Labor: A Work Sampling Study of the Activities of Labor and Delivery Nurses

Studies demonstrated that support during labor and birth has a positive impact on childbirth outcomes, and that women reported they received little supportive care from nurses during parturition. This study piloted a work sampling method that was adapted to determine the proportion of time the avera...

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Veröffentlicht in:Birth (Berkeley, Calif.) Calif.), 1992-03, Vol.19 (1), p.3-8
Hauptverfasser: McNiven, Patricia, Hodnett, Ellen, O'Brien-Pallas, Linda Lee
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container_title Birth (Berkeley, Calif.)
container_volume 19
creator McNiven, Patricia
Hodnett, Ellen
O'Brien-Pallas, Linda Lee
description Studies demonstrated that support during labor and birth has a positive impact on childbirth outcomes, and that women reported they received little supportive care from nurses during parturition. This study piloted a work sampling method that was adapted to determine the proportion of time the average intrapartum nurse at a Toronto teaching hospital spends in supportive care activities. Supportive care was operationally defined within four categories of activities: emotional support, physical comfort measures, instruction/information, and advocacy. Work sampling was an effective method of measuring support as a specific aspect of direct intrapartum care. The proportion of time that nurses spent in supportive versus all other activities was 9.9 percent (95% confidence interval 7.5% and 12%), based on a sample of 616 random observations of 18 nurses. Findings are discussed in terms of the social and political factors that affect the meaning and value of the supportive activities of work by obstetric nurses.
doi_str_mv 10.1111/j.1523-536X.1992.tb00363.x
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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Clinical Nursing Research
Communication
Female
Humans
Labor, Obstetric - psychology
Nursing
Obstetric Nursing
Patient Advocacy
Pregnancy
Pregnancy Outcome
Sampling Studies
Social Support
Time Factors
title Supporting Women in Labor: A Work Sampling Study of the Activities of Labor and Delivery Nurses
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