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


Autoria(s): Côrtes,Clodoaldo Tentes; Santos,Rafael Cleison Silva dos; Caroci,Adriana de Souza; Oliveira,Sheyla Guimarães; Oliveira,Sonia Maria Junqueira Vasconcelos de; Riesco,Maria Luiza Gonzalez
Data(s)

01/10/2015

Resumo

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.

Formato

text/html

Identificador

http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342015000500716

Idioma(s)

en

Publicador

Universidade de São Paulo, Escola de Enfermagem

Fonte

Revista da Escola de Enfermagem da USP v.49 n.5 2015

Palavras-Chave #Evidence-Based Practice #Clinic Audit #Natural Childbirth #Obstetric Nursing
Tipo

journal article