Gennaro Susan, Mayberry Linda J, Kafulafula Ursula
College of Nursing, New York University, NY 10003, USA.
J Obstet Gynecol Neonatal Nurs. 2007 Nov-Dec;36(6):598-604. doi: 10.1111/j.1552-6909.2007.00194.x.
Although nursing practice is responsive to research findings, the practice site in which a nurse works has an impact on the ability to incorporate research changes into practice in a timely fashion. This review of the evidence base for nursing management of labor care focuses on care that typically falls within the nurses' domain and highlights the evidence in five areas in which there is research on patient preferences. These include management of admission and of progression during the first stage of labor, fetal monitoring, care and comfort practices during labor, and the management of second-stage labor. Directions for achieving progress toward practice change are highlighted.
尽管护理实践会对研究结果做出反应,但护士工作的实践场所会影响将研究变革及时纳入实践的能力。本次对分娩护理的护理管理证据基础的综述聚焦于通常属于护士职责范围内的护理,并突出了五个存在关于患者偏好研究的领域中的证据。这些领域包括分娩第一阶段的入院管理和产程进展管理、胎儿监测、分娩期间的护理与舒适措施,以及第二产程的管理。文中还强调了在实践变革方面取得进展的方向。