Management of Women in the Second Stage of Labor
This project examined the process issues involved when a research based protocol is implemented into practice. A research based protocol on the management of the second stage of labor was developed and site coordinators at forty hospitals were identified. The site coordinators developed strategies to implement the protocol that were individualized to their site.
During the project obstacles and energizers to the implementation of the protocol were identified. The term "research utilization" elicited ideas of rigid rules typical of research studies so a different term can be used such as "continuing quality improvement". Administrative or other leadership support can be helpful.
Other disciplines, such as medical, should be included in the implementation and it should be anticipated that disagreements and negotiations will be part of the process. Resistance to change should be expected and addressed. Reminders regarding change should be made to attend to the yearning to revert to the "old way".
A bibliography of articles about this protocol and its research outcomes follows. (Note: This practice project may also be referred to as "RU2").
Mayberry, L. J., & Strange, L. B. (1997). Strategies for designing a research utilization project with labor and delivery nurses. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 26(6), 701-708.
Niesen, K. M., & Quirk, A. G. (1997). The process for initiating nursing practice changes in the intrapartum: Findings from a multisite research utilization project. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 26(6), 709-718.
Petersen, L., & Besuner, P. (1997). Pushing techniques during labor: Issues and controversies. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 26(6), 719-726.
Shermer, R., & Raines, D. A. (1997). Positioning during the second stage of labor: Moving back to basics. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 26(6), 727-734.
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