Implementing an intervention to promote normal labour and birth: a study of clinicians’ perceptions

Wong Shee, A., Robertson, C., McKenzie, A., Frawley, N., Lodge, J., Versace, V., Corboy, D., and Nagle, C. (2018) Implementing an intervention to promote normal labour and birth: a study of clinicians’ perceptions. Journal of Paediatrics and Child Health, 54 (S1). p. 126.

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Background: Confronted with an increasing caesarean section rate, a regional Victorian hospital has introduced an intervention to support safe, normal labour and birth for low risk primigravidas, consisting of a change in protocol and practice, supported by education. Prior to implementation of the Normal Labour and Birth Bundle (NLBB), this study aimed to identify any clinician factors that may have influenced the uptake, acceptance and of use of the intervention.

Method: The Theory of Planned Behaviour (TPB) provided the framework for the conduct and analysis of the staff survey and focus groups. Descriptive and inferential statistics where used to anlayse the survey and findings from the focus groups were derived from thematic analysis.

Results: Seventy-six clinicians (88.8%) responded to the survey. Mean scores for TPB constructs were well above the mid-scale score of 4, indicating strong positive attitudes, high levels of self-efficacy and positive social pressure to use the (NLBB) and strong intentions to use it in the future. Self-efficacy was the strongest independent predictor (β =0.48, p<.05) of intention to use the NLBB. The themes identified from the two focus groups were philosophy of care, effective collaboration, clinical decision making during labour and the regional health environment.

Conclusions: Understanding staff perceptions allowed for specific strategies to be employed to implement and sustain the intervention.

Item ID: 53057
Item Type: Article (Abstract)
ISSN: 1440-1754
Date Deposited: 06 Apr 2018 05:12
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1110 Nursing > 111006 Midwifery @ 75%
11 MEDICAL AND HEALTH SCIENCES > 1114 Paediatrics and Reproductive Medicine > 111402 Obstetrics and Gynaecology @ 25%
SEO Codes: 92 HEALTH > 9205 Specific Population Health (excl. Indigenous Health) > 920507 Womens Health @ 100%
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