Abstract：
OBJECTIVE: To measure the impact of an evidence-based guideline on respectful maternity care on nurses\' attitudes and beliefs about childbirth practices.
METHODS: A quality improvement pilot project with a pretest/posttest design examining the attitudes and beliefs of intrapartum nurses about childbirth practices of respectful care.
METHODS: High-risk intrapartum unit at a tertiary care center in the southeastern United States.
METHODS: A convenience sample of 130 registered nurses were invited to participate, and nine completed the pre- and posttests.
METHODS: The intervention included a recorded webinar, access to printed and electronic copies of the guideline, discussions in daily huddles, and a virtual journal club. Data were collected using the 42-item Nurse Attitudes and Beliefs Questionnaire-Revised. Lower scores are reflective of attitudes and beliefs that support a medical model of care, whereas higher scores are reflective of a physiologic model of care. Descriptive statistics and the Wilcoxon signed rank test were used to analyze changes in attitudes and beliefs based on the aggregate scores of the nurse participants.
RESULTS: Although there was no change in nurse attitude and beliefs about childbirth practices after 3 months (p = .058), the aggregate scores on a scale of 42 to 168 increased by 5.6 points. Two subscales of the Nurse Attitudes and Beliefs Questionnaire-Revised-Medical Model of Conflict and Women\'s Autonomy-had the greatest increase in aggregate scores.
CONCLUSIONS: Understanding nurses\' attitudes and beliefs can assist in identifying barriers to the provision of respectful care, particularly during labor and birth, when patients are most vulnerable. Measurement of nurse attitudes and beliefs regarding respectful maternity care may require a longer immersion in a respectful maternity care program to allow for changes over time.
METHODS: A quality improvement pilot project with a pretest/posttest design examining the attitudes and beliefs of intrapartum nurses about childbirth practices of respectful care.
METHODS: High-risk intrapartum unit at a tertiary care center in the southeastern United States.
METHODS: A convenience sample of 130 registered nurses were invited to participate, and nine completed the pre- and posttests.
METHODS: The intervention included a recorded webinar, access to printed and electronic copies of the guideline, discussions in daily huddles, and a virtual journal club. Data were collected using the 42-item Nurse Attitudes and Beliefs Questionnaire-Revised. Lower scores are reflective of attitudes and beliefs that support a medical model of care, whereas higher scores are reflective of a physiologic model of care. Descriptive statistics and the Wilcoxon signed rank test were used to analyze changes in attitudes and beliefs based on the aggregate scores of the nurse participants.
RESULTS: Although there was no change in nurse attitude and beliefs about childbirth practices after 3 months (p = .058), the aggregate scores on a scale of 42 to 168 increased by 5.6 points. Two subscales of the Nurse Attitudes and Beliefs Questionnaire-Revised-Medical Model of Conflict and Women\'s Autonomy-had the greatest increase in aggregate scores.
CONCLUSIONS: Understanding nurses\' attitudes and beliefs can assist in identifying barriers to the provision of respectful care, particularly during labor and birth, when patients are most vulnerable. Measurement of nurse attitudes and beliefs regarding respectful maternity care may require a longer immersion in a respectful maternity care program to allow for changes over time.
摘要：
目的：评估尊重产妇护理的循证指南对护士对分娩实践的态度和信念的影响。
方法：一项质量改进试点项目，其前测/后测设计检查了产期护士对分娩实践尊重护理的态度和信念。
方法：在美国东南部的三级护理中心的高危分院。
方法：邀请130名注册护士参加，九人完成了前测和后测。
方法：干预包括记录的网络研讨会，获取指南的印刷和电子副本，每天都在讨论，还有一个虚拟的日记俱乐部.使用42项修订的护士态度和信念问卷收集数据。较低的分数反映了支持医疗护理模式的态度和信念，而更高的分数反映了生理护理模式。描述性统计和Wilcoxon符号秩检验用于根据护士参与者的总分分析态度和信念的变化。
结果：尽管3个月后护士对分娩方式的态度和信念没有改变（p=.058），42至168分的总分增加了5.6分。护士态度和信念问卷的两个子量表-修订的冲突和妇女自主性医学模型-在总分上增加最大。
结论：了解护士的态度和信念可以帮助识别提供尊重护理的障碍，特别是在分娩和分娩期间，当病人最脆弱的时候。衡量护士对尊重产妇护理的态度和信念可能需要更长时间地沉浸在尊重产妇护理计划中，以允许随着时间的推移而发生变化。
方法：一项质量改进试点项目，其前测/后测设计检查了产期护士对分娩实践尊重护理的态度和信念。
方法：在美国东南部的三级护理中心的高危分院。
方法：邀请130名注册护士参加，九人完成了前测和后测。
方法：干预包括记录的网络研讨会，获取指南的印刷和电子副本，每天都在讨论，还有一个虚拟的日记俱乐部.使用42项修订的护士态度和信念问卷收集数据。较低的分数反映了支持医疗护理模式的态度和信念，而更高的分数反映了生理护理模式。描述性统计和Wilcoxon符号秩检验用于根据护士参与者的总分分析态度和信念的变化。
结果：尽管3个月后护士对分娩方式的态度和信念没有改变（p=.058），42至168分的总分增加了5.6分。护士态度和信念问卷的两个子量表-修订的冲突和妇女自主性医学模型-在总分上增加最大。
结论：了解护士的态度和信念可以帮助识别提供尊重护理的障碍，特别是在分娩和分娩期间，当病人最脆弱的时候。衡量护士对尊重产妇护理的态度和信念可能需要更长时间地沉浸在尊重产妇护理计划中，以允许随着时间的推移而发生变化。
