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Perinatal Nurses Respond to Shared Decision-Making Education: A Quasi-Experimental Study
The Journal of Perinatal Education
|March 21, 2022
Summary
Supporting women's autonomy in childbirth through shared decision-making and communication tools can improve labor satisfaction. Nurses showed increased advocacy for patient autonomy after training on the SUPPORT tool, enhancing perinatal care.
Area of Science:
- Obstetrics and Gynecology
- Nursing Research
- Patient Advocacy
Background:
- Loss of autonomy during childbirth is a significant factor in labor dissatisfaction.
- Shared decision-making, incorporating choice, option, and decision talk, shows potential to improve patient satisfaction.
- Standardized communication tools may facilitate shared decision-making in perinatal care.
Purpose of the Study:
- To evaluate the impact of education on nurses' support for women's autonomy during childbirth.
- To assess the utility of a standardized communication tool (SUPPORT) in facilitating shared decision-making and evolving birth plans.
- To determine if enhanced nurse advocacy improves patient satisfaction with labor.
Main Methods:
- Quasi-experimental pre-/post-test design involving 29 nurses.
- Education module focused on supporting women's autonomy using the SUPPORT tool.
- Evaluation of nurses' responses and willingness to advocate for autonomy post-intervention.
Main Results:
- Nurses found the SUPPORT tool effective for shared decision-making and creating evolving birth plans.
- Most nurses recommended initiating the SUPPORT tool between 13- and 26-weeks' gestation.
- Significant increase in nurses' willingness to advocate for women's autonomy (p = .022) after education.
Conclusions:
- Standardized perinatal communication, like the SUPPORT tool, can enhance shared decision-making.
- Supporting women's autonomy through improved communication may positively impact perinatal education and labor satisfaction.
- Nurse education on patient autonomy is crucial for improving the childbirth experience.
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