The Intrapartum nurses in labor and delivery birth

Question: Do the Intrapartum nurses in labor and delivery have birth beliefs related to the birth practices that support medicalized birth or support normal birth?


overall health issue is the high rate of cesarean birth rates and the primary

cesarean birth rate in hospitals. The focus population is the Intrapartum

nurses who are likely to influence the use of vaginal births which are mostly



the years, the rate of cesarean section has increased significantly in the

United States with 1 out of 3 women undergoing the procedure. In the United

States, Mississippi has the highest rate of cesarean sections as it stands as

38 percent. The rate of cesarean is increasing and there is no sign of it

slowing down. In private health care facilities, the rate is higher compared to

public health care institutions (Adams & Sauls, 2014).


is that cesarean sections are beneficial to the mother or baby when a vaginal

birth is not a safe option. In some situations, the procedure is lifesaving.

However, in case the procedure is unnecessary the cesarean section can do more

harm than good to both the mother and the baby. The procedure increased the

rate of mortality and morbidity in maternities. The procedure is associated

with life-threatening complications such as uterine rupture, cardiac arrest,

bleeding, and hysterectomy. Such risk increase with subsequent deliveries.

The investigator focused

on intrapartum nurses because there are likely to influence nursing

intervention or behavior during the labor and birth process. Having a clear

understanding of the belief of the nurses will help in the establishment and

implementation of safe vaginal births, which will, in turn, reduce cesarean

births and its negative consequences (Adams & Sauls, 2014).

Population health focus


health focus is Vaginal birth deliveries, which will, in turn, reduce the high

rate of unnecessary sections, which has several complications while increasing

the rate of mortality and morbidity in the maternity section.

There is a need for nurses to educate pregnant mothers on the need for safe, normal vaginal births.

Epidemiological method


method used was the exploratory method, which involved the development and

refinement of a key central research question which facilitates facilitate

careful consideration of the population. The population, in this case, is the

Intrapartum nurses

Research design

The research design used

was a survey on Intrapartum nurse’s beliefs related to birth practices. In

health care research, surveys are of importance as they easy to perform and

they cost less than other designs. In this case, the survey was an invaluable

asset to gain insights regarding the beliefs and practices of Intrapartum


Evaluation – proposed outcomes


proved that the belief of the Intrapartum nurses supports the vaginal birth

delivery culture (Chabeli et al., 2017). Nurses are ready to support and

promote normal births. Due to this, nurses should be educated and trained to

effectively support intended vaginal births, which will increase the success

rate of the procedure.



the beliefs of the healthcare professions might side with the normal vaginal

birth process, such beliefs might be affected by factors such as financial,

technical, and legal issues. For C-section nurses, their beliefs might be

limited because most of the times have the final say. For health doctors, at

times it boils down to the pay, the time spent, and legal issues. With the C-section

patients will pay more, they are likely not to sue and the procedure will be

done in an hour.

PICO Question


the PICOT question was answered directly as it was evident that Intrapartum

nurses’ beliefs are likely to affect the practices of C-section births while

increasing the rate of normal safe vaginal births.

Take away thoughts


enforce change in the public health care system it is worth identifying the

beliefs of the professionals as this will help reduce resistance. Since nurses

believe in normal vaginal births unlike C-section this makes them ready to

facilitate patient education while advocating for a vaginal birth (Adams & Sauls, 2014). Through this nurses begin to educate their patients

since the admission period.


Adams, E. D., & Sauls, D. J. (2014). Development of the intrapartum nurses’ beliefs related to birth practice scale. Journal of nursing measurement, 22(1), 4-13.

Chabeli, M. M., Malesela, J. M., & Nolte, A. G. (2017). Best practice during intrapartum care: A concept analysis. health sa gesondheid, 22(1), 9-19.

Loren Jamison and Ashley Minor (NAP-Nurse Anesthesia

Program Students)

TIME 2:30-46:00

Project Title: Cultural Competence OSCE for Student Nurse Anesthetist


The populace in the United States is quickening in culture and ethnicity; with this expanding bearing, more than 47 million individuals communicate in a language other than English (McFarland & Wehbe-Alamah, 2015). In addition, culture includes unmistakably more than ethnicity or race but on the other hand is controlled by age, sexual orientation, instruction, religion, financial status, geographic district, and occupation (Cai, 2016). Conveying socially skillful consideration requires the supplier to comprehend the multifaceted determinants of culture. With the developing assorted variety in the United States, the significance of having socially able suppliers is crucial to giving quality and compatible care. Cultural competence is portrayed as having the attributes of compatible mentalities, information, and practices of suppliers that empower compelling aptitudes in multifaceted experiences (Cai, 2016). Each social gathering accompanies explicit wellbeing incongruities that require social information and aptitudes to help in giving socially skillful consideration. McFarland & Wehbe-Alamah (2015), referenced that the numbness of the distinctions in social uniqueness thusly intrudes on the uniformity of care and improvement in care divergence in the individuals of our country.


project is of great importance because for an anesthesia provider as cultural

competence skills it easy to reduce patient anxiety which bridges the patient

connection gap thus providing quality care. Cultural competency training allows

anesthesia providers to more aware, sensitive, and respectful of the different

cultures while appreciating the uniqueness of the different patient thus

facilitating a positive effect in health care outcomes.

Health needs


quality of care is greatly affected by cultural boundaries. For safe quality

anesthesia care to be offered, the provider should understand the cultural

background, needs, and circumstances of the patients. The aim of the project

was to determine if the level of understanding increased during the

preoperative interview. The project focuses on system and organizational

leadership for system thinking and quality improvement. The project correlates

the cultural competency need and the need of delivering safe and quality care

within the system which to increased patient satisfaction.

Epidemiological method


qualitative research method was used in this case



design used involved the use of 2 different scenarios which would help in the

analysis of language and literacy barriers. The sample population involved 4

anesthetics who were student volunteers. In addition, the sample population

involved patients. The process used was interviewing whereby they were

completing simulations and constructive feedbacks was offered back. The

simulations that were completed were offered to experts for viewing and


Proposed outcomes


culturally competent providers leads to great patient satisfaction and outcome.

Language acts as a barrier because patients lack an understanding of healthcare

treatments which reduces patient satisfaction with health care. Nurse

anesthetics should be trained to overcome language and literacy barriers which

makes them more culturally aware and sensitive to the precise needs of the

patients which bring about congruent healthcare. Language and literacy

competence meet the cultural needs of patients thus the patients do not feel

intimidated (McFarland & Wehbe-Alamah, 2015).

The patients understand the medical treatments and risks of health care

provided. Nurse anesthetics who are language and literacy competent are able to

obtain informed consent from the patients.

Thought exploration


competence training should start in school before the health care providers

join the medical field. This is important because of the growing diverse

population in the country. However, for the current healthcare providers,

cultural competence training should be performed. Lack of culturally competent

health care professional in current facilities means that majority of the

patient will not participate in the services aimed at preventing or treating

diseases at an early age which lead to poor health outcomes. Illness, disease

response, healthcare access, healthcare services affect health care. Through

training, cultural competence training offers a framework for awareness,

sensitivity, and knowledge on health care differences which facilitates

specific addresses of some health needs (McFarland & Wehbe-Alamah, 2015).

PICOT Question


PICOT question was answered directly as it was evident that language and

literacy competency assists nurses in considering the best plan for patients.

Language and literacy barriers limits, quality patient care, and patient safety.

Take –away


interventions given during clinical training experience can be the inception of

creating cultural competency abilities that are facilitated through deep-rooted

future practice past graduation (Cia, 2016). Getting readily capable of

anesthesia providers will be advantageous later as it will facilitate

conveyance of care, tolerant fulfillment, and wellbeing results in the calling

of anesthesia.

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