Relationships Among Individual and Hospital Characteristics and Self-Efficacy in Labor Support Among Intrapartum Nurses in Texas

IF 1.8 4区医学 Q2 NURSING

Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing Pub Date : 2024-05-01 DOI:10.1016/j.jogn.2023.12.006

Lisette Saleh

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引用次数: 0

Abstract

Objective

To explore the relationships among individual and workplace characteristics and self-efficacy in labor support among intrapartum nurses.

Design

Cross-sectional survey.

Setting

Online distribution from April to August 2020.

Participants

Members of the Texas section of the Association for Women's Health, Obstetric, and Neonatal Nurses (N = 106).

Methods

I conducted descriptive analysis on individual and workplace characteristics, including scores on the Self-Efficacy Labor Support Scale. I conducted backward stepwise multivariate linear regression to assess the factors associated with self-efficacy in providing labor support.

Results

Years as an intrapartum nurse had a positive association with self-efficacy in labor support. Experience with open-glottis pushing, the overall cesarean birth rate, and the use of upright positioning during labor and birth were also positively associated with self-efficacy in labor support. Conversely, lack of recognition by providers was negatively associated with self-efficacy in labor support.

Conclusion

Findings suggest that modifiable factors at the individual and hospital levels are associated with nurses’ self-efficacy in labor support. Hospitals must work to engage in obstetric practices that are congruent with providing labor support, including the use of experienced nurses to mentor new nurses and the creation of a unit culture to reinforce the intent of individual nurses to provide labor support.

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得克萨斯州产科护士的个人和医院特征与分娩支持自我效能之间的关系

目的探讨产科护士的个人和工作场所特征与分娩支持自我效能之间的关系.设计横断面调查.设置2020年4月至8月的在线发放.参与者妇女健康、产科和新生儿护士协会德克萨斯分会的成员（N = 106）.方法我对个人和工作场所特征进行了描述性分析，包括分娩支持自我效能量表的得分。我对个人和工作场所的特征进行了描述性分析，包括分娩支持自我效能量表的得分。我进行了逆向逐步多元线性回归，以评估与分娩支持自我效能相关的因素。开气门助产经验、总体剖宫产率以及在分娩和生产过程中使用直立体位也与分娩支持的自我效能感呈正相关。结论研究结果表明，个人和医院层面的可调节因素与护士的分娩支持自我效能感相关。医院必须努力开展与提供分娩支持相一致的产科实践，包括使用经验丰富的护士指导新护士，以及创建单位文化以加强护士个人提供分娩支持的意图。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing 医学-妇产科学

CiteScore

3.20

自引率

5.60%

发文量

审稿时长

43 days

期刊介绍： JOGNN is a premier resource for health care professionals committed to clinical scholarship that advances the health care of women and newborns. With a focus on nursing practice, JOGNN addresses the latest research, practice issues, policies, opinions, and trends in the care of women, childbearing families, and newborns. This peer-reviewed scientific and technical journal is highly respected for groundbreaking articles on important - and sometimes controversial - issues. Articles published in JOGNN emphasize research evidence and clinical practice, building both science and clinical applications. JOGNN seeks clinical, policy and research manuscripts on the evidence supporting current best practice as well as developing or emerging practice trends. A balance of quantitative and qualitative research with an emphasis on biobehavioral outcome studies and intervention trials is desired. Manuscripts are welcomed on all subjects focused on the care of women, childbearing families, and newborns.