Research Article
Comparison of the Effects of Supportive Care Provided by Student Nurses and Routine Care in Normal Delivery on Birth Comfort
Abstract
The purpose of the study is to compare the effects of supportive care provided by student nurses and routine care in normal delivery on birth comfort. It is an experimental study. 108 women who had normal vaginal delivery in the province of Burdur constituted the sample. The data have been collected with face-to-face interview method by using a descriptive information form and the Childbirth Comfort Scale. A total of 108 cases have been included to the study, they have been divided as; 54 experiment (given supportive care by the student nurse) and 54 control (given routine care) group. The level of statistical significance has been accepted as p<0.05. The mean ages in the experiment and control groups have been found as 26.5±6.3 and 26.2±5.3 respectively, the mean ages of the participants’ spouses have been found as 30.0±6.6 and 30.2±6.4 (p>0.05). The experiment and control groups are similar in terms of; education status, occupation, economic status, spouse’s education status and spouse’s occupation (p>0.05). While the mean score of the experiment group’s Birth Comfort Scale was 36.0±3.7, it has been founda as 34.7±4.2 in the control group (p<0.05). It has been determined that, one-to-one fulfillment of the care needs and expectations of the woman regarding herself and her baby by supportive care approach of the student nurse, increased birth comfort in the women. Student nurses' orientation to the practice areas better and faster with an education system that provides hospital-school integration at the national level, strategies supporting one-to-one care such as increasing the number of midwives / nurses working in clinics and reducing the workload can improve the quality of care by increasing the comfort level.
Keywords
References
- Arslan, H., Konuk Şener, D. (2009). Stigma, spiritüalite ve konfor kavramlarının Meleis’ in kavram geliştirme sürecine göre irdelenmesi. Maltepe Üniversitesi Hemşirelik Bilim ve Sanatı Dergisi, 2(1), 51-58.
- Bassah, N., Nkengbeza, N. F., Ambe, N. C., Ebob-Anya, B. A. (2020). Postpartum mothers’ perspectives of comfort measures used by nurses and midwives during labor and delivery in a secondary level hospital maternity in cameroon. Asian Research Journal of Gynaecology and Obstetrics, 31-37.
- Behruzi, R., Hatem, M., Goulet, L., Fraser, W. D. (2014). Perception of humanization of birth in a highly specialized hospital: let’s think differently. Health Care Women Int. 35, 127–148. doi: 10.1080/07399332.2013.857321
- Betty J. A., Ladwig G. B., Makic M. B. F. (2018). Çeviren: Gürhan N., Kitiş Y., Polat Ü. ve Fidancı B. E. Hemşirelik Tanılari El Kitabı Bakım Planlamasında Kanıta Dayalı Rehber, 11 Baskı, Ankara: Nobel Tıp Kitapevleri, 505-508.
- Britton J. R. (2006). Global satisfaction with perinatal care: stability and relation to anxiety, depression, and stressful medical events. American Journal of Medical Quality; 21(3),200-5.
- Deliktas A., Kukulu, K. (2018). A meta-analysis of the effect on maternal health of upright positions during the second stage of labour, without routine epidural analgesia. J Adv Nurs, 74(2), 263–278. doi:10.1111/jan.13447
- Foureur, M., Davis, D., Fenwick, J., Leap, N., Iedema, R., Forbes, I., Homer, C. S. (2010). The relationship between birth unit design and safe, satisfying birth: developing a hypothetical model. Midwifery, 26, 520–525. doi: 10.1016/j.midw.2010.05.015
- Garlock, A. E., Arthurs, J. B., Bass, R. J. (2017). Effects of comfort education on maternal comfort and labor pain. The Journal of perinatal education, 26(2), 96.
- Gungor, I., Beji, N. K. (2012). Development and psychometric testing of the scales for measuring maternal satisfaction in normal and caesarean birth. Midwifery, 28(3), 348–357.
- Güvenç, M., Kanan, N. (1993). Cerrahi hastaların hemşirelerden ve öğrenci hemşirelerden beklentileri. Hemşirelik Bülteni 7(30), 83-96
- Hall, P. J., Foster, J. W., Yount, K. M., Jennings, B. M. (2018). Keeping it together and falling apart: women’s dynamic experience of birth. Midwifery, 58,130–136.
- Hauck, Y., Nathan, E., Ball, C., Hutchinson, M., Somerville, S., Hornbuckle, J., Doherty, D. (2018). Women’s reasons and perceptions around planning a homebirth with a registered midwife in Western Australia. Women and Birth, 33(1), e39-e47.
- Hodnett, E. D., Gates, S, Hofmeyr, G. J., Sakala, C. (2011). Continuous support for women during childbirth. Cochrane Database Syst Rev. 10, CD003766. doi: 10. 10 02/14651858.CD0 03766.pub4
- Iliadou, M. (2012). Supporting women in labour. Health Scıence Journal, 6, 385–391.
- Iravani, M., Zarean, E., Janghorbani, M., Bahrami, M. (2015). Women’s needs and expectations during normal labor and delivery. J. Educ. Health Promot, 4, 6. doi: 10.4103/2277-9531.151885
- Kalisch B. J., Tschannen, D., Lee, K. H. (2011). Do staffing levels predict missed nursing care? Int J Qual Health C, 23(3), 302-8.
- Kalisch, B. J., Xie, B. Q. (2014). Errors of omission: Missed nursing care. Western J Nurs Res, 36(7),875-90.
- Kolcaba, K. (1992). Holistic Comfort: operationanalizing the construct as a nurse – sensitive outcome. Advances in Nursing Science, 15(1), 1–10.
- Kolcaba, K. Y. (1994). A theory of holistic comfort for nursing. Journal of Advanced Nursing; 19(6), 1178-1184.
- Kolcaba, K. (2001). Evolution of the mid-range theory of comfort for outcomes research. Nursing Outlook, 49(2), 86–92.
- Kolcaba, K. (2003). Comfort theory and practice: a vision for holistic health care and research. New York: Springer Publishing Company.
- Konak, Ş. D., Dericioğulları, A., Kılınc, G. (2008). Burdur Devlet Hastanesi’nde çalışan hemşirelerin, öğrenci hemşirelerinin klinik uygulamalarına ve öğretim elemanlarıyla işbirliği yapmaya ilişkin görüşleri. S.D.U. Tıp Fakültesi Dergisi, 15(1), 1-5.
- Leap, N., Sandall, J., Buckland, S., Huber, U. (2010). Journey to confidence: women’s experiences of pain in labor and relational continuity of care. J Midwifery Womens Health, 55, 534–542.
- Lothian, J. A. (2009). Safe, healthy birth: what every pregnant woman needs to know. J. Perinat. Educ. 18, 48–54. doi: 10.1624/105812409X461225.
- Mazúchová, L., Kelčíková, S., Štofaníková, L., Kopincová, J., Malinovská, N., Grendár, M. (2020). Satisfaction of Slovak Women with Psychosocial Aspects of Care during Childbirth. Midwifery, 102711.
- Miltenburg, A. S., Lambermon, F., Hamelink, C., Meguid, T. (2016). Maternity care and human rights: what do women think? BMC Int. Health Hum. Rights 16, 17. doi: 10.1186/s12914- 016- 0091- 1.
- Mousa, O., Abdelhafez, A. A., Abdelraheim, A. R., Yousef, A. M., Ghaney, A. A., El Gelany, S. (2018). Perceptions and Practice of Labor Pain-Relief Methods among Health Professionals Conducting Delivery in Minia Maternity Units in Egypt. Obstetrics and Gynecology International. doi: 10.1155/2018/3060953
- Nilsson, L., Thorsell, T., Hertfelt Wahn, E., Ekström, A. (2013). Factors influencing pos- itive birth experiences of first-time mothers. Nurs. Res. Pract, 6. doi: 10. 1155/2013/349124
- Orak, N. Ş. (2013). Konfor kuramı. Ocakçı A. F., Alpar, Ş. E. (Eds). Hemşirelikte Kavram, Kuram ve Model Örnekleri içinde. (ss.39-56). İstanbul:İstanbul Tıp Kitabevi.
- Potur, D. C., Merih, Y. D., Külek, H., Gürkan, Ö. C. (2015). Doğum konforu ölçeği’nin türkçe geçerlik ve güvenirlik çalışması. Journal of Anatolia Nursing and Health Sciences, 18(4).
- Potur, D. C., Karabacak, Ü. (2017). Katharine Kolcaba Konfor teorisi. Karadağ, A., Çalışkan, N., Baykara, Z. G. (Eds.). Hemşirelik teorileri ve modelleri içinde. (ss.653-675). İstanbul: Akademi Basın ve Yayıncılık.
- Reis, T. L., Padoin, S. M., Toebe, T. R., Paula, C. C., Quadros, J. S. (2017). Women’s autonomy in the process of labour and childbirth: integrative literature review. Rev Gaucha Enferm, 38(1), e64677. doi:10.1590/1983-1447.2017.01.64677
- Sato, C., Phongluxa, K., Toyama, N., Gregorio, E. R., Miyoshi, C., Nishimoto, F., . . . Kobayashi, J. (2019). Factors influencing the choice of facility-based delivery in the ethnic minority villages of Lao PDR: a qualitative case study. Tropical medicine and health, 47(1), 50.
- Schuiling, K. D., Sampslelle, C., Kolcaba, K. (2011). Exploring the presence of comfort within the context of childbirth.. In: Rosamund Bryar, Marlene Sinclair eds. Theory for Midwifery Practice . Second Edition, New York: Palgrave Macmillan Publisher, 197- 212.
- Smith, C. A., Levett, K. M., Collins, C. T., Crowther, C. A. (2018). Relaxation techniques for pain management in labour. Cochrane Database Syst. Rev. doi: 10.1002/ 14651858.CD009514
- Thorstensson, S., Andersson, A., Israelsson, S., Ekström, A., Hertfelt Wahn, E. (2016). To build a bridge between two worlds: mothers’ experiences of professional sup- port at the maternity ward. Health Care Women Int. 37, 1067–1081. doi: 10.1080/ 07399332.2015.1094072
- Wolfe, A. (2001). Institute of Medicine report: crossing the quality chasm: a new health care system for the 21st century. Policy Polit Nurs Pract, 2(3), 233–235.
- Yaşar, E., Yücel, S. Ç., (2015), Türkiye'de hemşirelerin 2004-2014 yılları arasında konfor kuramını kullandıkları çalışmaların değerlendirilmesi. Uluslararası Hakemli Hemşirelik Araştırmaları Dergisi, 2(5), 113-128.
NORMAL DOĞUMDA ÖĞRENCİ HEMŞİRE TARAFINDAN VERİLEN DESTEKLEYİCİ BAKIM İLE RUTIN BAKIMIN DOĞUM KONFORUNA ETKİSİNİN KARŞILAŞTIRILMASI
Abstract
Araştırmanın amacı normal doğumda öğrenci hemşire tarafından verilen destekleyici bakım ile rutin bakımın doğum konforuna etkisini karşılaştırmaktır. Deneysel bir çalışmadır. Örneklemi Burdur ilinde vajinal doğum yapmış 108 kadın oluşturmuştur. Veriler tanıtıcı veri formu ve Doğum konfor Ölçeği kullanılarak yüz yüze görüşme yöntemi ile toplanmıştır. Toplamda 108 vaka çalışmaya alınmış olup; 54 deney (öğrenci hemşire tarafından destekleyici bakım verilen) ve 54 kontrol (rutin bakım verilen) grubu olarak ayrılmıştır. İstatistiksel anlamlılık p<0.05 kabul edilmiştir. Deney ve kontrol gruplarında yaş ortalaması sırasıyla 26.5±6.3, 26.2 ±5.3 iken; eşlerin yaş ortalaması 30.0±6.6 ve 30.2±6.4 olarak bulunmuştur (p>0.05). Eğitim durumu, meslek, ekonomik durum, eşin eğitim durumu, eşin mesleği açısından deney ve kontrol grupları benzerdir (p>0.05). Deney grubunda doğum konfor ölçeği puanı 36.0±3.7 iken; kontrol grubunda 34.7±4.2 olarak bulunmuştur (p<0.05). Doğum eyleminde öğrenci hemşirenin verdiği destekleyici yaklaşımla kadının kendisi ve bebeğiyle ilgili bakım ihtiyaçları ve beklentilerinin öğrenci hemşire tarafından birebir karşılanmasının kadınlarda doğum konforunu artırdığı saptanmıştır. Öğrenci hemşirelerin ulusal düzeyde hastane okul entegrasyonunun sağlandığı bir eğitim sistemiyle, uygulama alanlarına daha iyi ve hızlı oryante olması, kliniklerde çalışan ebe/hemşire sayısının artırılarak iş yükünün azaltılması gibi birebir bakımı destekleyen stratejiler konfor düzeyini yükselterek bakım kalitesini iyileştirebilir.
Keywords
References
- Arslan, H., Konuk Şener, D. (2009). Stigma, spiritüalite ve konfor kavramlarının Meleis’ in kavram geliştirme sürecine göre irdelenmesi. Maltepe Üniversitesi Hemşirelik Bilim ve Sanatı Dergisi, 2(1), 51-58.
- Bassah, N., Nkengbeza, N. F., Ambe, N. C., Ebob-Anya, B. A. (2020). Postpartum mothers’ perspectives of comfort measures used by nurses and midwives during labor and delivery in a secondary level hospital maternity in cameroon. Asian Research Journal of Gynaecology and Obstetrics, 31-37.
- Behruzi, R., Hatem, M., Goulet, L., Fraser, W. D. (2014). Perception of humanization of birth in a highly specialized hospital: let’s think differently. Health Care Women Int. 35, 127–148. doi: 10.1080/07399332.2013.857321
- Betty J. A., Ladwig G. B., Makic M. B. F. (2018). Çeviren: Gürhan N., Kitiş Y., Polat Ü. ve Fidancı B. E. Hemşirelik Tanılari El Kitabı Bakım Planlamasında Kanıta Dayalı Rehber, 11 Baskı, Ankara: Nobel Tıp Kitapevleri, 505-508.
- Britton J. R. (2006). Global satisfaction with perinatal care: stability and relation to anxiety, depression, and stressful medical events. American Journal of Medical Quality; 21(3),200-5.
- Deliktas A., Kukulu, K. (2018). A meta-analysis of the effect on maternal health of upright positions during the second stage of labour, without routine epidural analgesia. J Adv Nurs, 74(2), 263–278. doi:10.1111/jan.13447
- Foureur, M., Davis, D., Fenwick, J., Leap, N., Iedema, R., Forbes, I., Homer, C. S. (2010). The relationship between birth unit design and safe, satisfying birth: developing a hypothetical model. Midwifery, 26, 520–525. doi: 10.1016/j.midw.2010.05.015
- Garlock, A. E., Arthurs, J. B., Bass, R. J. (2017). Effects of comfort education on maternal comfort and labor pain. The Journal of perinatal education, 26(2), 96.
- Gungor, I., Beji, N. K. (2012). Development and psychometric testing of the scales for measuring maternal satisfaction in normal and caesarean birth. Midwifery, 28(3), 348–357.
- Güvenç, M., Kanan, N. (1993). Cerrahi hastaların hemşirelerden ve öğrenci hemşirelerden beklentileri. Hemşirelik Bülteni 7(30), 83-96
- Hall, P. J., Foster, J. W., Yount, K. M., Jennings, B. M. (2018). Keeping it together and falling apart: women’s dynamic experience of birth. Midwifery, 58,130–136.
- Hauck, Y., Nathan, E., Ball, C., Hutchinson, M., Somerville, S., Hornbuckle, J., Doherty, D. (2018). Women’s reasons and perceptions around planning a homebirth with a registered midwife in Western Australia. Women and Birth, 33(1), e39-e47.
- Hodnett, E. D., Gates, S, Hofmeyr, G. J., Sakala, C. (2011). Continuous support for women during childbirth. Cochrane Database Syst Rev. 10, CD003766. doi: 10. 10 02/14651858.CD0 03766.pub4
- Iliadou, M. (2012). Supporting women in labour. Health Scıence Journal, 6, 385–391.
- Iravani, M., Zarean, E., Janghorbani, M., Bahrami, M. (2015). Women’s needs and expectations during normal labor and delivery. J. Educ. Health Promot, 4, 6. doi: 10.4103/2277-9531.151885
- Kalisch B. J., Tschannen, D., Lee, K. H. (2011). Do staffing levels predict missed nursing care? Int J Qual Health C, 23(3), 302-8.
- Kalisch, B. J., Xie, B. Q. (2014). Errors of omission: Missed nursing care. Western J Nurs Res, 36(7),875-90.
- Kolcaba, K. (1992). Holistic Comfort: operationanalizing the construct as a nurse – sensitive outcome. Advances in Nursing Science, 15(1), 1–10.
- Kolcaba, K. Y. (1994). A theory of holistic comfort for nursing. Journal of Advanced Nursing; 19(6), 1178-1184.
- Kolcaba, K. (2001). Evolution of the mid-range theory of comfort for outcomes research. Nursing Outlook, 49(2), 86–92.
- Kolcaba, K. (2003). Comfort theory and practice: a vision for holistic health care and research. New York: Springer Publishing Company.
- Konak, Ş. D., Dericioğulları, A., Kılınc, G. (2008). Burdur Devlet Hastanesi’nde çalışan hemşirelerin, öğrenci hemşirelerinin klinik uygulamalarına ve öğretim elemanlarıyla işbirliği yapmaya ilişkin görüşleri. S.D.U. Tıp Fakültesi Dergisi, 15(1), 1-5.
- Leap, N., Sandall, J., Buckland, S., Huber, U. (2010). Journey to confidence: women’s experiences of pain in labor and relational continuity of care. J Midwifery Womens Health, 55, 534–542.
- Lothian, J. A. (2009). Safe, healthy birth: what every pregnant woman needs to know. J. Perinat. Educ. 18, 48–54. doi: 10.1624/105812409X461225.
- Mazúchová, L., Kelčíková, S., Štofaníková, L., Kopincová, J., Malinovská, N., Grendár, M. (2020). Satisfaction of Slovak Women with Psychosocial Aspects of Care during Childbirth. Midwifery, 102711.
- Miltenburg, A. S., Lambermon, F., Hamelink, C., Meguid, T. (2016). Maternity care and human rights: what do women think? BMC Int. Health Hum. Rights 16, 17. doi: 10.1186/s12914- 016- 0091- 1.
- Mousa, O., Abdelhafez, A. A., Abdelraheim, A. R., Yousef, A. M., Ghaney, A. A., El Gelany, S. (2018). Perceptions and Practice of Labor Pain-Relief Methods among Health Professionals Conducting Delivery in Minia Maternity Units in Egypt. Obstetrics and Gynecology International. doi: 10.1155/2018/3060953
- Nilsson, L., Thorsell, T., Hertfelt Wahn, E., Ekström, A. (2013). Factors influencing pos- itive birth experiences of first-time mothers. Nurs. Res. Pract, 6. doi: 10. 1155/2013/349124
- Orak, N. Ş. (2013). Konfor kuramı. Ocakçı A. F., Alpar, Ş. E. (Eds). Hemşirelikte Kavram, Kuram ve Model Örnekleri içinde. (ss.39-56). İstanbul:İstanbul Tıp Kitabevi.
- Potur, D. C., Merih, Y. D., Külek, H., Gürkan, Ö. C. (2015). Doğum konforu ölçeği’nin türkçe geçerlik ve güvenirlik çalışması. Journal of Anatolia Nursing and Health Sciences, 18(4).
- Potur, D. C., Karabacak, Ü. (2017). Katharine Kolcaba Konfor teorisi. Karadağ, A., Çalışkan, N., Baykara, Z. G. (Eds.). Hemşirelik teorileri ve modelleri içinde. (ss.653-675). İstanbul: Akademi Basın ve Yayıncılık.
- Reis, T. L., Padoin, S. M., Toebe, T. R., Paula, C. C., Quadros, J. S. (2017). Women’s autonomy in the process of labour and childbirth: integrative literature review. Rev Gaucha Enferm, 38(1), e64677. doi:10.1590/1983-1447.2017.01.64677
- Sato, C., Phongluxa, K., Toyama, N., Gregorio, E. R., Miyoshi, C., Nishimoto, F., . . . Kobayashi, J. (2019). Factors influencing the choice of facility-based delivery in the ethnic minority villages of Lao PDR: a qualitative case study. Tropical medicine and health, 47(1), 50.
- Schuiling, K. D., Sampslelle, C., Kolcaba, K. (2011). Exploring the presence of comfort within the context of childbirth.. In: Rosamund Bryar, Marlene Sinclair eds. Theory for Midwifery Practice . Second Edition, New York: Palgrave Macmillan Publisher, 197- 212.
- Smith, C. A., Levett, K. M., Collins, C. T., Crowther, C. A. (2018). Relaxation techniques for pain management in labour. Cochrane Database Syst. Rev. doi: 10.1002/ 14651858.CD009514
- Thorstensson, S., Andersson, A., Israelsson, S., Ekström, A., Hertfelt Wahn, E. (2016). To build a bridge between two worlds: mothers’ experiences of professional sup- port at the maternity ward. Health Care Women Int. 37, 1067–1081. doi: 10.1080/ 07399332.2015.1094072
- Wolfe, A. (2001). Institute of Medicine report: crossing the quality chasm: a new health care system for the 21st century. Policy Polit Nurs Pract, 2(3), 233–235.
- Yaşar, E., Yücel, S. Ç., (2015), Türkiye'de hemşirelerin 2004-2014 yılları arasında konfor kuramını kullandıkları çalışmaların değerlendirilmesi. Uluslararası Hakemli Hemşirelik Araştırmaları Dergisi, 2(5), 113-128.
There are 38 citations in total.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Clinical Sciences |
| Journal Section | Araştırma Makalesi |
| Authors | |
| Publication Date | June 25, 2021 |
| Submission Date | December 13, 2020 |
| Acceptance Date | February 18, 2021 |
| Published in Issue | Year 2021 Volume: 9 Issue: 2 |
