Nurses' and midwives' experiences of the sustainability of evidence-based inpatient postnatal care: an interpretive...

Nurses and midwives play a central role in ensuring the sustainability of evidence-based practices in the clinical setting. However, for this role to be effectively fulfilled, an understanding is needed of how sustainability concepts are applied, together with the continuous evaluation of practice changes over time.

This study aimed to explore nurses' and midwives' experiences regarding the sustainability of evidence-based inpatient postnatal care in a maternity unit in Kazakhstan.

The study used an interpretive description design and individual in-depth interviews with nine participants. The COREQ checklist was used to report the study.

Four themes emerged from the analysis. Theme 1: Awareness and Accessibility of Evidence-Based Inpatient Postnatal Care Standards . This theme emphasizes the importance of nurses and midwives continuously using the protocol or standards for postnatal care while being aware of and having access to the protocol and standards. Theme 2: Management Support, Relationships, and Professional Satisfaction. This theme focuses on the dynamics within the unit among nurses and midwives and their managers, and the impact of these dynamics on staff autonomy and professional identity. Theme 3: Training and Updates. This theme refers to the regular training conducted in the unit on the protocol for postnatal care. Theme 4: Practicing Evidence-Based Inpatient Postnatal Care. This theme relates to the activities of nurses and midwives while caring for patients.

The study findings suggest that sustainability in the clinical setting is precarious and multifaceted. The four themes related to the experiences of the staff, were a dynamic and integral component of patient care, driving the sustainability of evidence in the clinical setting.

http://links.lww.com/IJEBH/A428.