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Promoting active labor admission: Early labor lounge implementation barriers and facilitators from the clinician perspective

机译：促进积极的劳动入学：从临床医生的角度来看，早期劳动休息室实施障碍和辅导员

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Abstract Background The cesarean birth rate for low‐risk pregnant individuals in the United States exceeds the recommended Healthy People 2020 rate. One recommended strategy to reduce cesarean in this population is delaying hospital admission until active labor commences. A quality improvement program was implemented at a community hospital using the early labor lounge (ELL) to promote admission in active labor. This study focuses on identifying the barriers and facilitators from the clinician perspective to implementing the ELL. Methods Interviews were conducted with a purposive sample of clinicians. Interview transcripts were open coded and themes identified inductively. A framework analysis was then conducted using the Consolidated Framework for Implementation Research (CFIR). Results Twenty‐five staff members participated. Barriers and facilitators were identified in four of the CFIR domains. Facilitators included the strength of the evidence and the ELL itself, including the tools it contained for supporting women in latent labor. Barriers to implementation included clinician self‐efficacy and perceived low usage of the ELL. Conclusion This analysis using, CFIR identified several barriers and facilitators to the implementation of the ELL. The context of the individual woman presenting in triage and the acceptability and self‐efficacy of the individual clinicians represented important factors for implementation.
机译：摘要背景，美国低风险怀孕人士的剖宫产率超过了建议的健康人2020率。在本人中减少剖宫产的一个推荐策略正在推迟入院入院，直至主动劳动力开始。使用早期劳动休息室（ELL）在社区医院实施了质量改进计划，促进了积极劳动的入学。本研究侧重于识别临床医生视角来实施屏幕的障碍和促进者。方法采访采访，用目的地临床医师进行。采访成绩单是开放的编码和禁用主题。然后使用综合实施研究（CFIR）进行框架分析。结果二十五名工作人员参加。在四个CFIR结构域中发现了障碍和促进者。协调人包括证据和ell本身的实力，包括所用工具，其中包含在潜在劳动中支持妇女。实施的障碍包括临床医生自我效力并感知到ELL的低使用情况。结论使用，CFIR确定了几个障碍和促进者，以实施ELL。在分类中出现的个体女性的背景以及个体临床医生的可接受性和自我效能，代表了实施的重要因素。

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    《Nursing forum》 |2020年第2期|共8页
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  • 正文语种 eng
  • 中图分类 护理学;
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