การพัฒนาแนวปฏิบัติการสนับสนุนผู้คลอดครรภ์แรกในระยะปากมดลูกเปิดเร็ว โรงพยาบาลเลย

Darawadee Poltaklang; Nittaya Panngam; Pattamaporn Phakaiya; Supanit Panyaphu

Authors

Darawadee Poltaklang Faculty of Nursing, Khon Kaen University
Nittaya Panngam Faculty of Nursing, Khon Kaen University
Pattamaporn Phakaiya Faculty of Nursing, Khon Kaen University
Supanit Panyaphu Faculty of Nursing, Khon Kaen University

Keywords:

supportive nursing practice guideline, active phase of labor, childbirth experience, research and development

Abstract

Introduction: The active phase of labor is a stage that causes pain and suffering for the childbearing woman, which leads to having negative experiences during childbirth.

Research objectives: To develop supportive practice guidelines during the active phase of labor in the Labor Room at Loei Hospital.

Research methodology: This research study applied the Iowa Practice Development Framework, consisting of three phases: 1) Preparation-situational analysis and development of guidelines; 2) Operation-implementation with 14 registered nurses, 3 patient care staff members, and 60 childbearing women; and 3) Evaluation-analysis, conclusions, and revisions. The research tools were supportive practice guidelines, for which content validity was confirmed (I-CVI = .99, S-CVI = .99) Data were collected using the Childbirth Experience Assessment Form and the User Opinion Questionnaire and analyzed with descriptive statistics and the independent t-test.

Results: 1) For the childbearing women, the experimental group had shown a higher childbirth experience perception score (M = 138.57) and had spent less time in the active phase of labor (M = 171.16 minutes), with a statistical significance of p < .001. 2) Regarding of the implementation of the guidelines, 100% of the nurses and patient care staff members had fully complied with the guidelines and had reported a high level of satisfaction (mean score 3.77 – 4.80).

Conclusions: The supportive practice guidelines, which have been developed for the active phase of labor. The registered nurses and patient care staff members were able to fully adhere to the guidelines and reported a high level of satisfaction. Women in the active phase of labor have more positive childbirth experiences and shorten the duration of the active phase of labor.

Implications: These supportive practice guidelines can be applied in the care of childbearing women who are experiencing the active phase of labor so that positive childbirth experiences can be enhanced, and the duration of labor can be reduced.

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