Implementation methodology of practices based on scientific evidence for assistance in natural delivery: a pilot study

Revista da Escola de Enfermagem da USP

Clodoaldo Tentes Côrtes¹  Rafael Cleison Silva Dos Santos¹  Adriana De Souza Caroci¹  Sheyla Guimarães Oliveira¹  Sonia Maria Junqueira Vasconcelos De Oliveira¹  Maria Luiza Gonzalez Riesco¹ 

关键词: Evidence-Based Practice;    Clinic Audit;    Natural Childbirth;    Obstetric Nursing;    Práctica Clínica Basada en la Evidencia;    Auditoría Clínica;    Parto Normal;    Enfermería Obstétrica;    Prática Clínica Baseada em Evidências;    Auditoria Clínica;    Parto Normal;    Enfermagem Obstétrica;   

DOI  :  10.1590/S0080-623420150000500002

来源: SciELO

【 摘 要 】

AbstractOBJECTIVEPresenting methodology for transferring knowledge to improve maternal outcomes in natural delivery based on scientific evidence.METHOD: An intervention study conducted in the maternity hospital of Itapecerica da Serra, SP, with 50 puerperal women and 102 medical records from July to November 2014. The PACES tool from Joanna Briggs Institute, consisting of pre-clinical audit (phase 1), implementation of best practice (phase 2) and Follow-up Clinical Audit (phase 3) was used. Data were analyzed by comparing results of phases 1 and 3 with Fisher's exact test and a significance level of 5%.RESULTSThe vertical position was adopted by the majority of puerperal women with statistical difference between phases 1 and 3. A significant increase in bathing/showering, walking and massages for pain relief was found from the medical records. No statistical difference was found in other practices and outcomes. Barriers and difficulties in the implementation of evidence-based practices have been identified. Variables were refined, techniques and data collection instruments were verified, and an intervention proposal was made.CONCLUSIONThe study found possibilities for implementing a methodology of practices based on scientific evidence for assistance in natural delivery.

【 授权许可】

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