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

Authors :
Clodoaldo Tentes Côrtes
Rafael Cleison Silva dos Santos
Adriana de Souza Caroci
Sheyla Guimarães Oliveira
Sonia Maria Junqueira Vasconcelos de Oliveira
Maria Luiza Gonzalez Riesco
Source :
Revista da Escola de Enfermagem da USP, Vol 49, Iss 5, Pp 716-725 (2015)
Publication Year :
2015
Publisher :
SciELO, 2015.

Abstract

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.

Details

Language :
English, Spanish; Castilian, Portuguese
ISSN :
1980220X and 00806234
Volume :
49
Issue :
5
Database :
Directory of Open Access Journals
Journal :
Revista da Escola de Enfermagem da USP
Publication Type :
Academic Journal
Accession number :
edsdoj.f96b671322234f439aa2346516dd93bd
Document Type :
article
Full Text :
https://doi.org/10.1590/S0080-623420150000500002