Perinatal Nurses Respond To Shared Decision-Making Education: A Quasi-Experimental Study

ASU Author/Contributor (non-ASU co-authors, if there are any, appear on document)
Dr.. Dana Brackney, Assistant Professor (Creator)
Ashley Furr (Creator)
Rebecca L. Turpin, Assistant Professor (Creator)
Appalachian State University (ASU )
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Abstract: 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. Women enter the hospital birthing center with expectations for their labor experience (Cook & Loomis, 2012). Postpartum women report greater satisfaction with their labor and birth experience when their goals are met; they have a voice in their care and they participate in shared decision- making (Reed et al., 2017). Additionally, evidence suggests that mothers and their newborns have better mental and physical outcomes when the mother's labor expectations and goals are achieved (Hidalgo-Lopezosa et al., 2017). Shared decision-making benefits from facilitated communication between the laboring woman, nurses, and others involved in her care. The SUPPORT tool was created to involve the expectant mother in shared decision- making. Any women's health-care provider can use the SUPPORT tool to facilitate communication in preparation for labor and birth. Specifically, a registered nurse (RN) can use the SUPPORT tool to discuss and educate pregnant women about interventions commonly used during labor by the health-care team and laboring women. To promote shared decision-making with the use of the SUPPORT tool, an educational module designed for women's health nurses was developed. This pre-/post-test quasi-experimental research study reports on the women's health nurses' responses to the education module and the nurses' recommendations for the use of the SUPPORT tool in practice.

Additional Information

Furr, A., Brackney, D., Turpin, R. (2021). Perinatal Nurses Respond to Shared Decision-Making Education: A Quasi-Experimental Study, The Journal of Perinatal Education. Vol. 30, Issue 3, DOI:10.1891/J-PE-D-20-00039. Publisher version of record available at:
Language: English
Date: 2021
pregnancy, personal satisfaction, shared decision-making, labor, obstetric, communication

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