Implementation of Robert's Coping with Labor Algorithm in a large tertiary care facility.

Objective: to implement use of Roberts' Coping with Labor Algorithm (CWLA) with laboring women in a large tertiary care facility.

Design: this was a quality improvement project to implement an alternate approach to pain assessment during labor. It included system assessment for change readiness, implementation of the algorithm across a 6-week period, evaluation of usefulness by nursing staff, and determination of sustained change at one month.