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Related Concept Videos

Nursing Implementation01:15

Nursing Implementation

6.4K
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.
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Fundamentals of Nursing Process II01:25

Fundamentals of Nursing Process II

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There are several characteristics related to delivering nursing care. One vital characteristic of the nursing process is that it can be used to protect nurses and justify the provided care. Productive use of the nursing process requires the knowledge and skills of nurses to assess and solve issues. Nurses should develop and strengthen their critical thinking skills and evidence-based nursing interventions to improve their skills in formulating nursing care plans. A well-defined approach to...
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Fundamentals of Nursing Process I01:27

Fundamentals of Nursing Process I

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The nursing process is the core of practice for every registered nurse to deliver holistic, patient-focused care. The following are the five steps in the nursing process.
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Nursing Process for Patient and Caregiver Teaching II: Planning and Implementation01:24

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

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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...
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Related Experiment Video

Updated: Feb 25, 2026

Assessment of the Efficacy of An Osteopathic Treatment in Infants with Biomechanical Impairments to Suckling
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Implementing a Four-Step Evidence-Based Pushing Protocol for Labor and Birth.

Sarah Long, Colleen Moreno, Sili Fan

    Nursing for Women'S Health
    |February 23, 2026
    PubMed
    Summary

    Implementing an evidence-based pushing protocol reduced perineal tears and operative vaginal births in laboring individuals with epidurals. This protocol improved clinical outcomes and nursing documentation during childbirth.

    Keywords:
    evidence-based practiceevidence-based pushing guidelinesmaternal positioningoperative vaginal birthsecond-stage laborwarm perineal compress

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    External Cephalic Version: Is it an Effective and Safe Procedure?
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    Area of Science:

    • Obstetrics and Gynecology
    • Evidence-Based Practice in Nursing
    • Maternal-Fetal Medicine

    Background:

    • The second stage of labor involves pushing, and interventions can impact maternal and fetal outcomes.
    • Evidence-based practice (EBP) protocols aim to standardize care and improve childbirth experiences.
    • Optimizing pushing techniques is crucial for reducing interventions and perineal trauma.

    Purpose of the Study:

    • To evaluate an evidence-based pushing protocol's effect on the second stage of labor duration, perineal lacerations, and operative vaginal birth rates.
    • To assess the impact of an educational intervention on nursing documentation of specific labor interventions.

    Main Methods:

    • A Four-Step Evidence-Based Pushing Protocol was developed and implemented in an acute care teaching hospital.
    • Nursing staff received education on the protocol and documentation guidelines.
    • Medical records of laboring patients were reviewed pre- and post-protocol implementation.

    Main Results:

    • No significant change in the duration of the second stage of labor was observed.
    • A significant decrease in the degree of perineal laceration was noted post-protocol (p = .026).
    • Operative vaginal birth rates decreased from 8.9% to 3.3%, and nursing documentation of protocol interventions increased by 23.7%.

    Conclusions:

    • The Four-Step Evidence-Based Pushing Protocol for Labor and Birth effectively reduced perineal tears and operative vaginal births.
    • The protocol, combined with educational interventions, demonstrated an association with improved clinical outcomes in labor and birth.
    • EBP implementation in labor care can lead to enhanced patient safety and reduced interventions.