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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.
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Nursing Clinical Information System (NCIS)
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Updated: Jun 3, 2026

A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
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Published on: January 12, 2018

A Capacity-Building, Multisite, Quality Improvement Project Aimed at Respectful Maternity Care.

Angela Lober, Carrie Morgan Eaton, Shawana Burnette

    Nursing for Women'S Health
    |June 1, 2026
    PubMed
    Summary
    This summary is machine-generated.

    An evidence-based respectful maternity care program improved nurses' attitudes and beliefs about childbirth. Barriers included institutional constraints, but peer support and autonomy facilitated positive shifts in care.

    Keywords:
    intrapartumnurse attitudes and beliefspatient-centered carequality improvementrespectful maternity care

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    Published on: February 5, 2019

    Area of Science:

    • Nursing Education and Practice
    • Maternity Care Quality Improvement
    • Evidence-Based Healthcare Delivery

    Background:

    • Respectful maternity care is crucial for positive childbirth experiences.
    • Nurses' attitudes and beliefs significantly influence care practices.
    • Implementing evidence-based programs requires understanding facilitators and barriers.

    Purpose of the Study:

    • Evaluate the impact of an evidence-based respectful maternity care program on nurses' attitudes and beliefs.
    • Assess maternal perceptions of care.
    • Identify facilitators and barriers to program adoption in U.S. hospital units.

    Main Methods:

    • Utilized a Plan-Do-Study-Act framework with a pretest-posttest design.
    • Intervention: Association of Women's Health, Obstetric and Neonatal Nurses Respectful Maternity Care Framework.
    • Collected quantitative (Nurse Attitudes and Beliefs Questionnaire) and qualitative (focus groups, patient surveys) data from 9 U.S. maternity units.

    Main Results:

    • Significant improvement in nurses' attitudes and beliefs scores post-intervention (p = .008).
    • Barriers identified: institutional constraints, hierarchies, lack of training time.
    • Facilitators identified: peer support, autonomy, commitment to humanized care; no significant change in patient perspectives.

    Conclusions:

    • Evidence-based respectful maternity care programs can positively shift nurses' attitudes and beliefs.
    • Local culture, interdisciplinary alignment, and reflection opportunities support attitude shifts.
    • Program adoption is influenced by overcoming institutional barriers and leveraging supportive factors.