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Birthing Unit Culture and Its Impact on How Nurses View and Enact Birth Plans

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Advisor
White, Deborah
Author
Sebastian, Sandra Jean
Accessioned
2013-09-23T22:11:05Z
Available
2013-11-12T08:00:17Z
Issued
2013-09-23
Submitted
2013
Other
birth plans
labour and delivery
nurses
Subject
Nursing
Obstetrics and Gynecology
Type
Thesis
Metadata
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Abstract
Pregnancy and childbirth are important milestones in the development of a family. Birth plans allow childbearing women to plan and express their wishes for their birth experience. Labour and delivery nurses play a key role in providing care on birthing units in Canada and are uniquely placed to enact a woman’s birth plan. A focused ethnographic study was undertaken to examine birthing unit culture and its impact on how labour and delivery nurses care for women with birth plans. Findings revealed three overarching themes (ensuring safe care, teamwork, and connecting with patients) that shaped birthing unit culture and impacted how labour and delivery nurses viewed and enacted birth plans. Organizational influences and individual healthcare provider preferences influenced how birth plans were enacted on the unit. Patient safety was a dominant driver of care. Challenges exist on how to partner with childbearing women and their families while assisting them in the goals for their birth experience. Collaboration is key as providers strive to embrace a woman’s birth plan expectations and work toward a shared understanding and partnership in childbirth.
Corporate
University of Calgary
Faculty
Graduate Studies
Doi
http://dx.doi.org/10.5072/PRISM/25143
Uri
http://hdl.handle.net/11023/1009
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