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Changes in maternity care and the impact on nurses and nursing practice
Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN
|September 1, 1994
Summary
Maternity nurses experienced significant changes in care, including technology and family-centered practices. While beneficial, these changes were demanding, often driven by administration.
Area of Science:
- Nursing
- Healthcare Management
- Maternity Care
Background:
- Maternity care has undergone substantial evolution.
- Nurses are central to adapting and implementing these changes.
- Understanding the impact of change on nursing practice is crucial.
Purpose of the Study:
- To identify changes experienced by maternity nurses.
- To assess the impact of these changes on nursing practice.
- To explore nurses' perceptions of these evolving dynamics.
Main Methods:
- A descriptive survey design was employed.
- A randomized sample of 451 inpatient female maternity nurses participated.
- Data collected focused on changes in maternity care, practice impact, and nurse perceptions.
Main Results:
- Key changes included technology adoption, legal/economic pressures, and single-room maternity care.
- Family inclusion, technology, and single-room care were highly valued for improving care quality.
- While rewarding, change was perceived as energy-draining and often administratively mandated.
Conclusions:
- Nurses' perceptions of change are varied; implementation is challenging.
- Staff input, administrative support, and adequate resources are vital for successful adjustment to change.
- Facilitating nurse adjustment requires proactive strategies during transitions.