AI Article Synopsis
- The study investigates differences in labor management across various healthcare sites and explores how these variations affect clinical midwifery education.
- The research uses a descriptive approach, analyzing data from 498 intrapartum records collected by nurse-midwifery students at 23 different locations between 1995 and 1998.
- Findings reveal notable discrepancies between the theoretical training of midwifery students and the actual practices observed in clinical settings, highlighting the need for alignment between evidence-based guidelines and real-world applications in midwifery.
Article Abstract
Purpose: To examine site-specific differences in managing labor and to describe variations in intrapartum practice in the context of clinical midwifery education.
Design: Descriptive design based on secondary analysis of an existing data set collected to evaluate the intrapartum clinical experiences of nurse-midwifery students. The data set included 498 records collected by midwifery students in 23 sites from 1995-1998. The unit of analysis was the intrapartum record.
Methods: Students used The American College of Nurse-Midwives Clinical data Set for Intrapartum Care to collect data during clinical experiences, including patient demographic data, risk factors, and specific care processes and interventions.
Findings: Significant variations were found among settings despite use of the same clinical guidelines. Discrepancies between theoretical preparation of students for clinical practice and the realities of clinical practice were noted.
Conclusions: Despite a stated commitment to evidence-based practice, practice patterns varied significantly. Clinicians and educators need to find common ground for combining evidence-based theory with evidence-based practice.
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| http://dx.doi.org/10.1111/j.1547-5069.2002.00153.x | DOI Listing |
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