Nursing Research Synthesis Essay

This essay will discuss a clinical skill in which I have become competent in practicing as a student nurse.

Nursing can be a demanding career, but the benefits far much outweigh the challenges. Most importantly, it’s the rewards it offers by allowing an opportunity to make a difference in another person’s life through the provision of care when they need it. Just as Patricia Benner theorized in her book “Novice to Expert,” nursing encompasses both educational knowledge and extensive clinical experience acquired throughout one’s career. This far, I continue to acquire knowledge and clinical knowhow which will promote proper and efficient care to patients. Since I began practicing one year ago in a long-term healthcare facility, I have interacted with patients, families, physicians and other members of the healthcare team to coordinate patient’s care which has enabled me to gain confidence in myself. While I cannot deny that it was difficult to transition from a student to a licensed nurse, I learnt to overcome these challenges and focus on my strengths. Practicing as an LPN has provided a platform to learn and gain experience even though the duties and responsibilities are limited by the scope of practice.

Childbirth is one of the greatest privileges on the earth anyone could have and we, as women, should feel proud to be major contributors for it. Thus, a mother has to play a key role in aiding the healthcare workers to mitigate the health crisis associated with childbirth by performing her duties faithfully. One such associated health crisis is “Premature (preterm) birth” which occurs when the baby is born too early, before 37 weeks of gestational period (CDC, 2015). The rate of preterm birth ranges from 5% to 18% of babies born across 184 countries (WHO, 2015).

The writer explained there could be no concern for fetal or maternal health during the delivery although some obstetricians tended to induce labor in all diabetic mothers to protect babies and mothers. Moreover, labor progress was supposedly assessed by old-fashioned methods, which resulted in performing unnecessary obstetrical practices. Intervention was imposed in cases of inaccurately labeled slow or abnormal labors and failures to progress. It is common practice that a primary cesarean generally produces subsequent surgical deliveries. The author realized that cesareans were performed because of insufficient data on laboring women’s

The author is a nurse in a level two trauma facility in a community of approximately fifty thousand people in Oregon. The community is a college-town surrounded by a large agricultural area. There is a minimal ethnic diversity within the community. The diversity present occurs mainly from internationally students and faculty from the college. There is a growing population of women who desire low interventional births in the community. The author has worked on the labor and delivery unit of the hospital for the last 14 years. The hospital is the only one in the area to offer trial of labor services to women who have previously undergone a cesarean section. The unit on average experiences around 1000 deliveries annually.

In many cases, a patient increases their odds of a cesarean section if they chose to be induced without causation. A study was conducted between the years of 1999 to 2000 with 3215 nulliparous women. The findings of this study showed that nulliparous women are at a significantly higher risk of needing a cesarean section if they were electively induced (Luthy et al., 2004). Multiple studies have looked at nulliparous versus multiparous women and have found that elective inductions do not look to increase the odds of a woman needing a cesarean section in multiparous women. Researchers have begun to look at other possible relationships between patients who undergo an elective induction that results in a caesarean section and they have found

A catalyst for unplanned cesarean deliveries are inappropriate elective inductions. Being that the direct consequence of inappropriate elective induction is a cesarean delivery, a change must occur in the elective induction process. In order to decrease cesarean delivery rates, the rates of inappropriate elective induction must be decreased. This

Knowledge is the driving force for change. As communities grow and expand, so do the issues and challenges facing healthcare. These issues influence the direction of nursing research which provides the scientific basis for our practice and provides answers to the demands for increasing efficiency in quality care, increased need for higher education and development in all areas of the nursing profession.

My assumptions for nursing before walking into this course were that this profession focused on quality care for all different types of patients. I viewed nurses as someone who is brave, courageous, always up for a challenge, and compassionate. When I made my career choice to become a nurse, I thought their main jobs were to spend time with the patients, help them feel comfortable, provide them with medication that was ordered by their physician, and help patients with day to day tasks. I looked at nurses as someone who is like a close family member – specifically a mother. They provide you with all of the love and care that a mother can provide. My impression of nursing was that nurses were given a plan of treatment ordered by the physician

Cesarean section (C/S) births can occur in the hospital for several reasons. Some women choose to have elective C/S birth and others require C/S births out of infant or maternal safety, complications, or by necessity. This paper discusses both elective and emergency C/S deliveries and reviews both National Guideline policy and Carilion Clinic policies on C/S births. The problem statement is: in pregnant women (population), does C/S delivery following National or Carilion policies (IV: exposure vs. none-exposure) differ in terms of patient care and outcomes concerning maternal and neonatal health (DV)?

Elective inductions are becoming increasing popular and the old wait till you go into labor is becoming something of the past. Many woman want to predict when their future offspring will be here and be able to have a plan for when to take off of work. But one thing about having these elective inductions is the fact that they are more of a social event rather than a medical necessity. Studies have shown that the elective induction group makes up more than one third of the pregnant population (Jonsson 2012, pg. 198). This means woman are volunteering to make themselves go into labor before their body is ready. Not only are elective inductions increasing but being induced has been associated with a 3 to 4 fold increase in having a cesarean section (Yogev 2013, pg.1736). A Bishop Score is done before the start of any induction. This score is based off of cervical dilation, cervical effacement and the station of the babies head compared to the ischial spines. The number produced from this score shows whether or not the cervix is favorable or unfavorable. A favorable score is a score above 7. If the score falls below this, the cervix is not favorable. “Women who were closed dilation

For almost all of the previous 25 years roughly, the knowledge of pregnancy, labor, and delivery has changed little for some women. But change is arriving to the most traditional establishing, the hospital.

Healthy childbirth is defined as a safe, natural process that rarely requires medical intervention (Goer & Romano, 2012). The medical model of care, however, often includes interventions that are not supported by the evidence and can increase a woman’s risk of having a cesarean section. These intrusions into labor and birth often lead to what has been called the “cascade of interventions” (DeClercq, Sakala, Corry,

The different diagnosis’ were classified according to the International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM). Every medical diagnosis that the researchers needed to study were classified by their consequential number. This study used exclusively public data, according to the Tri-Council Policy statement of 2010, the institutional review board approval was not required, which is not uncommon for retrospective designs. The statistical analysis of maternal outcomes were identified using the ICD-9 codes and categorized by antepartum, intrapartum, and postpartum. The diagnosis’ in each of those three categories were gestational hypertension, mild and severe pre-eclampsia, eclampsia, eclampsia superimposed on pre-existing hypertension, gestational diabetes, placental abruption, preterm rupture of membranes, vaginal or cesarean delivery, instrumental delivery, preterm delivery, hemorrhage, wound complications,

Vaginal birth after caesarean (VBAC) is the name used for identifying the method of giving birth vaginally after previously delivering at least one baby through a caesarean section (CS). A trial of labour (TOL) is the term used to describe the process of attempting a VBAC. An elected repeat caesarean (ERC) is the other option for women who have had a caesarean in the past. The rates of women choosing to deliver by means of an ERC has been increasing in many countries, this is typically due to the common assumption that there are too many risks for the baby and mother (Knight, Gurol-Urganci, Van Der Meulen, Mahmood, Richmond, Dougall, & Cromwell, 2013). The success rate of VBAC lies in the range of 56 - 80%, a reasonably high success rate, however, the repeat caesarean birth rate has increased to 83% in Australia (Knight et al., 2013). It is essential to inform women of the contraindications, success criteria, risks, benefits, information on uterine rupture and the role of the midwife in relation to considering attempting a VBAC (Hayman, 2014). This information forms the basis of an antenatal class (Appendix 1) that provides the necessary information to women who are considering attempting a VBAC and can therefore enable them to make their own decision regarding the mode of birth.