Open AccessPerinatal Nurses Respond to Shared Decision-Making Education: A Quasi-Experimental Study
Author(s) -
Dana E. Brackney,
Ashley Furr,
Rebecca L. Turpin
Publication year - 2021
Publication title -
the journal of perinatal education
Language(s) - English
Resource type - Journals
eISSN - 1548-8519
pISSN - 1058-1243
DOI - 10.1891/j-pe-d-20-00039
Subject(s) - autonomy , childbirth , test (biology) , nursing , medicine , psychology , medical education , family medicine , pregnancy , political science , paleontology , biology , law , genetics
Women describe a loss of autonomy during childbirth as a contributing factor to labor dissatisfaction. Shared decision-making with choice, option, and decision talk may improve satisfaction. Nurses ( n = 29) received education on supporting women's autonomy with a standardized communication tool (SUPPORT) to facilitate shared decision-making and create an evolving birth plan. This quasi-experimental pre-/post-test design evaluated participant responses to the education module. Participants supported the use of the SUPPORT tool for shared decision-making and developing evolving birth plans. Most recommended initiation between 13- and 26-weeks' gestation. Nurses' willingness to advocate for women's autonomy increased significantly after education ( p = .022). Shared decision-making with standardized perinatal communication may support a woman's perinatal education and her satisfaction with labor.