Implementation of evidence-based practices in normal delivery care

被引:12
|
作者
Cortes, Clodoaldo Tentes [1 ,2 ]
Junqueira Vasconcellos de Oliveira, Sonia Maria [1 ]
Silva dos Santos, Rafael Cleison [2 ]
Francisco, Adriana Amorim [1 ]
Gonzalez Riesco, Maria Luiza [1 ]
Shimoda, Gilceria Tochika [3 ]
机构
[1] Univ Sao Paulo, Escola Enfermagem, Sao Paulo, SP, Brazil
[2] Univ Fed Amapa, Dept Ciencias Biol & Saude, Rod Juscelino Kubitscheck de Oliveira,Km 02, BR-68902280 Macapa, Amapa, Brazil
[3] Univ Sao Paulo, Hosp Univ, Sao Paulo, SP, Brazil
来源
关键词
Labor Obstetric; Natural Childbirth; Evidence-Based Practice; Translational Medical Research; Clinical Audit; Obstetric Nursing; TRANSLATING EVIDENCE; LABOR;
D O I
10.1590/1518-8345.2177.2988
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Objective: to evaluate the impact of the implementation of evidence-based practices on normal delivery care. Method: quasi-experimental, before-and-after intervention study conducted in a public maternity hospital, Amapa. Forty-two professionals and 280 puerperal women were interviewed and data from 555 medical records were analyzed. The study was developed in three phases: baseline audit (phase 1), educational intervention (phase 2) and post-intervention audit (phase 3). Results: after the intervention, there was an increase of 5.3 percentage points (p.p.) in the normal delivery rate. Interviews with the women revealed a significant increase of the presence of companions during labor (10.0 p.p.) and of adoption of the upright or squatting position (31.4 p.p.); significant reduction of amniotomy (16.8 p.p.), lithotomy position (24.3 p.p.), and intravenous oxytocin (17.1 p.p.). From the professionals' perspective, there was a statistical reduction in the prescription/administration of oxytocin (29.6 p.p.). In the analysis of medical records, a significant reduction in the rate of amniotomy (29.5 p.p.) and lithotomy position (1.5 p.p.) was observed; the rate of adoption of the upright or squatting position presented a statistical increase of 2.2 p.p. Conclusions: there was a positive impact of the educational intervention on the improvement of parturition assistance, but the implementation process was not completely successful in the adoption of scientific evidence in normal delivery care in this institution.
引用
收藏
页数:11
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