The Relationship of Nursing Staffing and Birth Outcomes in Labor/Delivery Unit

• Main Authors: Ya-Chuan Lin, 林雅娟
• Other Authors: Meei-Ling Gau
• Format: Others
• Language: zh-TW
• Published: 2008
• Online Access: http://ndltd.ncl.edu.tw/handle/69334317174949518117

碩士 === 國立台北護理學院 === 護理助產研究所 === 96 === ABSTRACT Labor support is an important nursing function in the obstetric care. Related research has pointed out the costs of nursing staffing to labor supports need to be explored. However, it is lack of research on correlation between obstetric nursing staffing and birth outcomes. Therefore, the purpose of this study was to investigate the relationship between nursing staffing and birth outcomes in labor/delivery unit. Using a descriptive study design and retrospective data-collection method, a total of five hospitals and 320 postpartum women were involved in this study. Using generalized estimating equations model inference analysis, the results showed that the hospital level and parity can predict the delivery mode. The number of primipara non-vaginal births is 0.2 times that of the multipara non-vaginal births; the number of local hospital non-vaginal natural births is 3.74 times that of the medical center non-vaginal natural births. Factors of parity, the use of oxytocin, the use of epidural pain control and on fetal monitor longer more than three hours can predict the labor duration. Primipara total labor length was longer than the multipara by more than 183 minutes; no use of oxytocin in the total labor length is less long than the use of oxytocin by 327.16 minutes; no use by the painless of total labor length is less than the use of epidural pain control by 198.74 minutes; no use fetal monitor by more than three hours while the total labor length, less by 194.45 minutes. Hospital level and nursing staff guide of the maternal breathing relaxation techniques are the predictors of labor support satisfaction. Local hospital labor support satisfied at the highest, medical center labor support satisfaction with the local hospital less than 5.89 points, regional hospital labor support satisfaction to local hospital less than 17.58 points. Nursing staff to guide mothers breathing relaxation techniques their labor support satisfaction have higher scores, as long as each additional nursing staff to guide a maternal breathing relaxation techniques, labor support satisfaction scores of more than 5.42 points. The delivery room nursing staffing and birth outcomes results no related. However, hospitals level and process variables (WHO does not recommend care measures) have an impact on birth outcomes. So on the clinical care to avoid excessive medical intervention measures. In addition nursing mothers breathing relaxation techniques to guide the labor support satisfaction can improve. The delivery room nursing staffing with birth outcomes in the future of relevant research need more research and greater number of samples. Key words: Nursing staffing, delivery mode, labor duration, labor support.