Abstract
Session presented on Saturday, March 18, 2017: Laboring women have a right to informed consent and autonomy of their healthcare decisions. Having control over one's own healthcare decisions is an important element of autonomy and one that should be extended to pregnant women, just as it is to other healthcare populations. The American Congress of Obstetricians and Gynecologists supports informed consent and autonomy of women (Informed Consent, 2009). The Association of Women's Health, Obstetric, and Neonatal Nurses' (AWHONN) positions statement Nursing Support of Laboring Women (2011) describes the responsibility of nurses to advocate and support laboring women. A Birth Preference Protocol is developed and implemented to address the practice change needed to bring the clinical nurse team at Texas Children's Hospital Pavilion for Women into line with the positon statements of both ACOG and AWHONN. The Humanbecoming theory (Parse, 2001) is the framework and theoretical basis for the described practice change. The theory of Humanbecoming is used to influence change in nursing care and alter the view of patients which facilitates the desired culture shift. Pregnant women are easily objectified and there is a common assumption in obstetrics that the only thing that women do (or should) care about is the health of her infant. Human subjectivity is not addressed due to providers being focused on cervical dilation and patient throughput (Bournes & Mitchell, 2014). Birth plans, which are the written expression of the mother's values regarding her birth, are often dismissed, derided or blamed for unexpected outcomes. In situations like this, nurses arecreating a reality with their patients that have vastly different meanings. According to Parse's definition of freedom, nurses and patients can choose the attitude they will maintain towards anysituation (Parse, 2001). The Birth Preference Protocol is the structure by which the clinical nurse and laboring woman create a birth experience that is mutually satisfying, safe and desirable. True collaboration between clinical nurses and women in labor is reached through the building of trust through communication. Barriers to collaboration are addressed and overcome through the implementation of the Birth Preference Protocol and Parse's Theory of Humanbecoming. Learning Objectives: The learner will be able to describe Parse's Theory of Humanbecoming. The learner will be able to identify two professional nursing organizations which support the nurse's duty to support patient autonomy. The learner will be able to list three benefits of nurses collaborating with patients in support of their care preferences.
Sigma Membership
Upsilon Kappa
Type
Poster
Format Type
Text-based Document
Study Design/Type
N/A
Research Approach
N/A
Keywords:
Collaboration, Patient Autonomy, Birth Preferences
Recommended Citation
Halsey, Carrie Sue, "Implementing a birth preference protocol for intrapartal women to promote collaboration, autonomy and patient satisfaction" (2017). Creating Healthy Work Environments Event Materials. 20.
https://www.sigmarepository.org/chwe/2017/posters_2017/20
Conference Name
Creating Healthy Work Environments 2017
Conference Host
Sigma Theta Tau International
Conference Location
Indianapolis, Indiana, USA
Conference Year
2017
Rights Holder
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Review Type
Abstract Review Only: Reviewed by Event Host
Acquisition
Proxy-submission
Implementing a birth preference protocol for intrapartal women to promote collaboration, autonomy and patient satisfaction
Indianapolis, Indiana, USA
Session presented on Saturday, March 18, 2017: Laboring women have a right to informed consent and autonomy of their healthcare decisions. Having control over one's own healthcare decisions is an important element of autonomy and one that should be extended to pregnant women, just as it is to other healthcare populations. The American Congress of Obstetricians and Gynecologists supports informed consent and autonomy of women (Informed Consent, 2009). The Association of Women's Health, Obstetric, and Neonatal Nurses' (AWHONN) positions statement Nursing Support of Laboring Women (2011) describes the responsibility of nurses to advocate and support laboring women. A Birth Preference Protocol is developed and implemented to address the practice change needed to bring the clinical nurse team at Texas Children's Hospital Pavilion for Women into line with the positon statements of both ACOG and AWHONN. The Humanbecoming theory (Parse, 2001) is the framework and theoretical basis for the described practice change. The theory of Humanbecoming is used to influence change in nursing care and alter the view of patients which facilitates the desired culture shift. Pregnant women are easily objectified and there is a common assumption in obstetrics that the only thing that women do (or should) care about is the health of her infant. Human subjectivity is not addressed due to providers being focused on cervical dilation and patient throughput (Bournes & Mitchell, 2014). Birth plans, which are the written expression of the mother's values regarding her birth, are often dismissed, derided or blamed for unexpected outcomes. In situations like this, nurses arecreating a reality with their patients that have vastly different meanings. According to Parse's definition of freedom, nurses and patients can choose the attitude they will maintain towards anysituation (Parse, 2001). The Birth Preference Protocol is the structure by which the clinical nurse and laboring woman create a birth experience that is mutually satisfying, safe and desirable. True collaboration between clinical nurses and women in labor is reached through the building of trust through communication. Barriers to collaboration are addressed and overcome through the implementation of the Birth Preference Protocol and Parse's Theory of Humanbecoming. Learning Objectives: The learner will be able to describe Parse's Theory of Humanbecoming. The learner will be able to identify two professional nursing organizations which support the nurse's duty to support patient autonomy. The learner will be able to list three benefits of nurses collaborating with patients in support of their care preferences.