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Related Concept Videos

Nursing Implementation01:15

Nursing Implementation

Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
Nursing Process for Patient and Caregiver Teaching II: Planning and Implementation01:24

Nursing Process for Patient and Caregiver Teaching II: Planning and Implementation

Planning for learning involves the development of a teaching plan. Teaching plans are similar to nursing care plans—both follow the steps of the nursing process. Planning in the teaching process involves setting goals and outcomes. Here, goals identify what a patient needs to achieve to understand a healthcare topic better, whereas the outcomes are the action to be performed by the patient to achieve the goal within a timeframe. For example, if the goal is to educate the patient about insulin...
Guidelines for Nursing Documentation II01:26

Guidelines for Nursing Documentation II

Effective documentation is an integral part of nursing practice. Here are some essential guidelines to follow when documenting patient care:
Timely documentation is crucial to ensure continuity of care for patients. Any delays in recording or reporting medical information can result in medical errors and even adverse patient outcomes. From medication administration to diagnostic test results, every detail must be accurately and promptly documented to provide the best possible care for patients.
International Nursing Organizations II01:28

International Nursing Organizations II

The World Health Organization (WHO) is a specialized agency of the United Nations based in Geneva. The WHO has many initiatives that center around health. Primarily, they lead global efforts to expand universal health coverage using science-based policies and programs. They are also responsible for shaping health research agendas and developing norms and standards.
The WHO provides expert team support, including funding, vaccines, testing, and treatment tools at the country level to fight...
Nursing Interventions II: Selecting and Classifying the Nursing Interventions01:29

Nursing Interventions II: Selecting and Classifying the Nursing Interventions

Creating and executing a nursing diagnosis helps nurses plan care and guide patient, family, and community interventions. They are developed based on a patient's physical evaluation and support measuring the outcomes. It is not recommended to select random interventions throughout the planning process. Instead, consider the following six essential factors when choosing interventions:
Guidelines for Writing Outcome01:11

Guidelines for Writing Outcome

When developing expected outcomes for a patient care plan, the nurse should adhere to the following recommendations:
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care evaluation by...

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Related Experiment Video

Updated: Jul 5, 2026

A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
14:43

A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting

Published on: January 12, 2018

Knowledge to action: implementing a guideline for second stage labor.

Ann E Sprague1, Lawrence Oppenheimer, Linda McCabe

  • 1Perinatal Partnership Program of Eastern and Southeastern Ontario, Canada. asprague@ottawahospital.on.ca

MCN. the American Journal of Maternal Child Nursing
|May 6, 2008
PubMed
Summary
This summary is machine-generated.

Implementing a clinical practice guideline for the second stage of labor increased waiting time before pushing at one hospital site. Knowledge translation strategies require enhancement for successful practice change in obstetrics.

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Electromyometrial Imaging of Uterine Contractions in Pregnant Women
08:07

Electromyometrial Imaging of Uterine Contractions in Pregnant Women

Published on: May 26, 2023

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Last Updated: Jul 5, 2026

A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
14:43

A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting

Published on: January 12, 2018

Electromyometrial Imaging of Uterine Contractions in Pregnant Women
08:07

Electromyometrial Imaging of Uterine Contractions in Pregnant Women

Published on: May 26, 2023

Area of Science:

  • Obstetrics and Gynecology
  • Clinical Practice Guidelines
  • Knowledge Translation

Background:

  • The second stage of labor management for term nulliparous women with epidural anesthesia is a focus for clinical practice improvement.
  • Clinical practice guidelines aim to standardize care and improve outcomes.

Purpose of the Study:

  • To quantify practice changes following the implementation of a clinical practice guideline for the second stage of labor.
  • To describe lessons learned regarding knowledge translation strategies in an obstetrical setting.

Main Methods:

  • A pre- and post-implementation evaluation design was used.
  • Clinical outcomes and knowledge translation strategies were assessed at two birthing units.
  • The guideline recommended waiting up to 2 hours before pushing after full dilatation.

Main Results:

  • Median waiting time before pushing increased by 33 minutes at Site 1, with a twofold increase in women waiting >120 minutes.
  • No significant change in waiting time was observed at Site 2.
  • The duration of the second stage of labor did not change significantly; median pushing time decreased at both sites.

Conclusions:

  • Implementing practice guidelines in obstetrics is complex and requires more than guideline dissemination.
  • Enhanced provider feedback and regular practice audits are crucial for successful implementation.
  • Understanding cultural and attitudinal factors is essential for achieving desired practice changes.