J Obstet Gynecol Neonatal Nurs. 2024 May;53(3):272-284. doi: 10.1016/j.jogn.2023.12.006. Epub 2024 Jan 9.
To explore the relationships among individual and workplace characteristics and self-efficacy in labor support among intrapartum nurses.
Cross-sectional survey.
Online distribution from April to August 2020.
Members of the Texas section of the Association for Women's Health, Obstetric, and Neonatal Nurses (N = 106).
I conducted descriptive analysis on individual and workplace characteristics, including scores on the Self-Efficacy Labor Support Scale. I conducted backward stepwise multivariate linear regression to assess the factors associated with self-efficacy in providing labor support.
Years as an intrapartum nurse had a positive association with self-efficacy in labor support. Experience with open-glottis pushing, the overall cesarean birth rate, and the use of upright positioning during labor and birth were also positively associated with self-efficacy in labor support. Conversely, lack of recognition by providers was negatively associated with self-efficacy in labor support.
Findings suggest that modifiable factors at the individual and hospital levels are associated with nurses' self-efficacy in labor support. Hospitals must work to engage in obstetric practices that are congruent with providing labor support, including the use of experienced nurses to mentor new nurses and the creation of a unit culture to reinforce the intent of individual nurses to provide labor support.
探讨产程护士个体特征和工作场所特征与分娩支持自我效能之间的关系。
横断面调查。
2020 年 4 月至 8 月的在线分布。
德克萨斯州妇女健康、产科和新生儿护士协会（AWHONN）分会的成员（N=106）。
对个体和工作场所特征进行描述性分析，包括自我效能分娩支持量表的评分。采用向后逐步多元线性回归分析评估与分娩支持自我效能相关的因素。
作为产程护士的年限与分娩支持的自我效能呈正相关。开声门推压、总体剖宫产率、分娩时采用直立姿势与分娩支持的自我效能也呈正相关。相反，提供者缺乏认可与分娩支持的自我效能呈负相关。
研究结果表明，个体和医院层面的可改变因素与护士在分娩支持方面的自我效能有关。医院必须努力开展与提供分娩支持一致的产科实践，包括使用有经验的护士来指导新护士，并营造一种单位文化，以强化个别护士提供分娩支持的意愿。
