Experienced Obstetric Nurses' Decision‐Making in Fetal Risk Situations
Identifieur interne : 001024 ( Istex/Corpus ); précédent : 001023; suivant : 001025Experienced Obstetric Nurses' Decision‐Making in Fetal Risk Situations
Auteurs : Lois A. Haggerty ; Ronald L. NuttallSource :
- Journal of Obstetric, Gynecologic, & Neonatal Nursing [ 0884-2175 ] ; 2000-09.
English descriptors
Abstract
To determine which clinical factors experienced obstetric nurses consider most important in determining fetal risk during the intrapartum period.
Url:
DOI: 10.1111/j.1552-6909.2000.tb02769.x
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ISTEX:EDE155E8B3DF77082B72F86D6322523889E62462Le document en format XML
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Nuttall is a professor, Boston College, School of Education, Chestnut Hill, MA.</mods:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:EDE155E8B3DF77082B72F86D6322523889E62462</idno><date when="2000" year="2000">2000</date><idno type="doi">10.1111/j.1552-6909.2000.tb02769.x</idno><idno type="url">https://api.istex.fr/document/EDE155E8B3DF77082B72F86D6322523889E62462/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">001024</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">001024</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">Experienced Obstetric Nurses' Decision‐Making in Fetal Risk Situations</title><author><name sortKey="Haggerty, Lois A" sort="Haggerty, Lois A" uniqKey="Haggerty L" first="Lois A." last="Haggerty">Lois A. Haggerty</name><affiliation><mods:affiliation>Lois A. Haggerty is an associate professor at Boston College, School of Nursing, Chestnut Hill, MA.</mods:affiliation></affiliation><affiliation><mods:affiliation>E-mail: haggerty@bc.edu</mods:affiliation></affiliation></author><author><name sortKey="Nuttall, Ronald L" sort="Nuttall, Ronald L" uniqKey="Nuttall R" first="Ronald L." last="Nuttall">Ronald L. Nuttall</name><affiliation><mods:affiliation>Ronald L. Nuttall is a professor, Boston College, School of Education, Chestnut Hill, MA.</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j">Journal of Obstetric, Gynecologic, & Neonatal Nursing</title><idno type="ISSN">0884-2175</idno><idno type="eISSN">1552-6909</idno><imprint><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2000-09">2000-09</date><biblScope unit="volume">29</biblScope><biblScope unit="issue">5</biblScope><biblScope unit="page" from="480">480</biblScope><biblScope unit="page" to="490">490</biblScope></imprint><idno type="ISSN">0884-2175</idno></series><idno type="istex">EDE155E8B3DF77082B72F86D6322523889E62462</idno><idno type="DOI">10.1111/j.1552-6909.2000.tb02769.x</idno><idno type="ArticleID">JOGN480</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0884-2175</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Clinical decision‐making</term><term>Electronic fetal monitoring</term><term>Fractional factorial vignettes</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract">To determine which clinical factors experienced obstetric nurses consider most important in determining fetal risk during the intrapartum period.</div></front></TEI><istex><corpusName>wiley</corpusName><author><json:item><name>Lois A. 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Haggerty is an associate professor at Boston College, School of Nursing, Chestnut Hill, MA.</affiliation></author><author xml:id="author-2"><persName><forename type="first">Ronald L.</forename><surname>Nuttall</surname></persName><roleName type="degree">PhD, MPH</roleName><affiliation>Ronald L. Nuttall is a professor, Boston College, School of Education, Chestnut Hill, MA.</affiliation></author></analytic><monogr><title level="j">Journal of Obstetric, Gynecologic, & Neonatal Nursing</title><idno type="pISSN">0884-2175</idno><idno type="eISSN">1552-6909</idno><idno type="DOI">10.1111/(ISSN)1552-6909</idno><imprint><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2000-09"></date><biblScope unit="volume">29</biblScope><biblScope unit="issue">5</biblScope><biblScope unit="page" from="480">480</biblScope><biblScope unit="page" to="490">490</biblScope></imprint></monogr><idno type="istex">EDE155E8B3DF77082B72F86D6322523889E62462</idno><idno type="DOI">10.1111/j.1552-6909.2000.tb02769.x</idno><idno type="ArticleID">JOGN480</idno></biblStruct></sourceDesc></fileDesc><profileDesc><creation><date>2000</date></creation><langUsage><language ident="en">en</language></langUsage><abstract><p>To determine which clinical factors experienced obstetric nurses consider most important in determining fetal risk during the intrapartum period.</p></abstract><abstract><p>Ten dichotomized variables relevant to participants' clinical decision‐making were manipulated in fractional factorial vignettes. Participants were asked to rate the severity of fetal risk on a Likert scale after reading the vignettes.</p></abstract><abstract><p>About 87% of the participants worked in institutions with 4,000 or fewer deliveries per year. More than 25% worked in tertiary level facilities, and the remainder were employed in primary or secondary level facilities.</p></abstract><abstract><p>Participants (N= 573, randomly selected from a list of nurses certified in “inpatient obstetric nursing” by the National Certification Corporation, were mailed the vignettes. The average number of years of intrapartum nursing experience was 13.</p></abstract><abstract><p>Multiple regression analysis was used to determine the weights given to the 10 clinical factors by participants.</p></abstract><abstract><p>Fetal scalp pH, maternal parity, amniotic fluid color, and long‐term variability of the fetal heart rate were the most important predictors of nurses' fetal risk assessments.</p></abstract><abstract><p>Long‐term variability was the most important cardiotocographic factor in nurses' fetal risk assessments and the only cardiotocographic factor of the best 4 predictors of fetal risk. This indicated that participants were realistic about the limitations of electronic fetal monitoring (EFM).</p></abstract><textClass xml:lang="en"><keywords scheme="keyword"><list><head>keywords</head><item><term>Clinical decision‐making</term></item><item><term>Electronic fetal monitoring</term></item><item><term>Fractional factorial vignettes</term></item></list></keywords></textClass></profileDesc><revisionDesc><change when="2000-09">Published</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/EDE155E8B3DF77082B72F86D6322523889E62462/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Blackwell Publishing Ltd</publisherName><publisherLoc>Oxford, UK</publisherLoc></publisherInfo><doi origin="wiley" registered="yes">10.1111/(ISSN)1552-6909</doi><issn type="print">0884-2175</issn><issn type="electronic">1552-6909</issn><idGroup><id type="product" value="JOGN"></id><id type="publisherDivision" value="ST"></id></idGroup><titleGroup><title type="main" sort="JOURNAL OF OBSTETRIC GYNECOLOGIC NEONATAL NURSING">Journal of Obstetric, Gynecologic, & Neonatal Nursing</title></titleGroup></publicationMeta><publicationMeta level="part" position="09005"><doi origin="wiley">10.1111/jogn.2000.29.issue-5</doi><numberingGroup><numbering type="journalVolume" number="29">29</numbering><numbering type="journalIssue" number="5">5</numbering></numberingGroup><coverDate startDate="2000-09">September 2000</coverDate></publicationMeta><publicationMeta level="unit" type="article" position="0048000" status="forIssue"><doi origin="wiley">10.1111/j.1552-6909.2000.tb02769.x</doi><idGroup><id type="unit" value="JOGN480"></id></idGroup><countGroup><count type="pageTotal" number="11"></count></countGroup><titleGroup><title type="tocHeading1">CLINICAL STUDIES</title></titleGroup><eventGroup><event type="firstOnline" date="2006-07-28"></event><event type="publishedOnlineFinalForm" date="2006-07-28"></event><event type="xmlConverted" agent="Converter:BPG_TO_WML3G version:2.3.5 mode:FullText source:HeaderRef result:HeaderRef" date="2010-04-07"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.8.8" date="2014-02-01"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.1.7 mode:FullText,remove_FC" date="2014-10-30"></event></eventGroup><numberingGroup><numbering type="pageFirst" number="480">480</numbering><numbering type="pageLast" number="490">490</numbering></numberingGroup><correspondenceTo>Address for correspondence: Lois A. Haggerty, RNC, PhD, Boston College, School of Nursing, Chestnut Hill, MA 02467. E‐mail: <email>haggerty@bc.edu</email>.</correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:JOGN.JOGN480.pdf"></link></linkGroup></publicationMeta><contentMeta><unparsedEditorialHistory>Accepted: January 2000</unparsedEditorialHistory><countGroup><count type="referenceTotal" number="31"></count><count type="linksCrossRef" number="3"></count></countGroup><titleGroup><title type="main">Experienced Obstetric Nurses' Decision‐Making in Fetal Risk Situations</title></titleGroup><creators><creator creatorRole="author" xml:id="cr1" affiliationRef="#a1" corresponding="yes"><personName><givenNames>Lois A.</givenNames><familyName>Haggerty</familyName><degrees>RNC, PhD</degrees></personName></creator><creator creatorRole="author" xml:id="cr2" affiliationRef="#a2"><personName><givenNames>Ronald L.</givenNames><familyName>Nuttall</familyName><degrees>PhD, MPH</degrees></personName></creator></creators><affiliationGroup><affiliation xml:id="a1"><unparsedAffiliation>Lois A. Haggerty is an associate professor at Boston College, School of Nursing, Chestnut Hill, MA.</unparsedAffiliation></affiliation><affiliation xml:id="a2"><unparsedAffiliation>Ronald L. Nuttall is a professor, Boston College, School of Education, Chestnut Hill, MA.</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en"><keyword xml:id="k1">Clinical decision‐making</keyword><keyword xml:id="k2">Electronic fetal monitoring</keyword><keyword xml:id="k3">Fractional factorial vignettes</keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><section xml:id="abs1-1"><title type="main">Objective:</title><p>To determine which clinical factors experienced obstetric nurses consider most important in determining fetal risk during the intrapartum period.</p></section><section xml:id="abs1-2"><title type="main">Design:</title><p>Ten dichotomized variables relevant to participants' clinical decision‐making were manipulated in fractional factorial vignettes. Participants were asked to rate the severity of fetal risk on a Likert scale after reading the vignettes.</p></section><section xml:id="abs1-3"><title type="main">Setting:</title><p>About 87% of the participants worked in institutions with 4,000 or fewer deliveries per year. More than 25% worked in tertiary level facilities, and the remainder were employed in primary or secondary level facilities.</p></section><section xml:id="abs1-4"><title type="main">Participants:</title><p>Participants (<i>N</i>= 573, randomly selected from a list of nurses certified in “inpatient obstetric nursing” by the National Certification Corporation, were mailed the vignettes. The average number of years of intrapartum nursing experience was 13.</p></section><section xml:id="abs1-5"><title type="main">Main Outcome Measure:</title><p>Multiple regression analysis was used to determine the weights given to the 10 clinical factors by participants.</p></section><section xml:id="abs1-6"><title type="main">Results:</title><p>Fetal scalp pH, maternal parity, amniotic fluid color, and long‐term variability of the fetal heart rate were the most important predictors of nurses' fetal risk assessments.</p></section><section xml:id="abs1-7"><title type="main">Conclusions:</title><p>Long‐term variability was the most important cardiotocographic factor in nurses' fetal risk assessments and the only cardiotocographic factor of the best 4 predictors of fetal risk. This indicated that participants were realistic about the limitations of electronic fetal monitoring (EFM).</p></section></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Experienced Obstetric Nurses' Decision‐Making in Fetal Risk Situations</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Experienced Obstetric Nurses' Decision‐Making in Fetal Risk Situations</title></titleInfo><name type="personal"><namePart type="given">Lois A.</namePart><namePart type="family">Haggerty</namePart><namePart type="termsOfAddress">RNC, PhD</namePart><affiliation>Lois A. Haggerty is an associate professor at Boston College, School of Nursing, Chestnut Hill, MA.</affiliation><affiliation>E-mail: haggerty@bc.edu</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Ronald L.</namePart><namePart type="family">Nuttall</namePart><namePart type="termsOfAddress">PhD, MPH</namePart><affiliation>Ronald L. Nuttall is a professor, Boston College, School of Education, Chestnut Hill, MA.</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article"></genre><originInfo><publisher>Blackwell Publishing Ltd</publisher><place><placeTerm type="text">Oxford, UK</placeTerm></place><dateIssued encoding="w3cdtf">2000-09</dateIssued><edition>Accepted: January 2000</edition><copyrightDate encoding="w3cdtf">2000</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType><extent unit="references">31</extent></physicalDescription><abstract>To determine which clinical factors experienced obstetric nurses consider most important in determining fetal risk during the intrapartum period.</abstract><abstract>Ten dichotomized variables relevant to participants' clinical decision‐making were manipulated in fractional factorial vignettes. Participants were asked to rate the severity of fetal risk on a Likert scale after reading the vignettes.</abstract><abstract>About 87% of the participants worked in institutions with 4,000 or fewer deliveries per year. More than 25% worked in tertiary level facilities, and the remainder were employed in primary or secondary level facilities.</abstract><abstract>Participants (N= 573, randomly selected from a list of nurses certified in “inpatient obstetric nursing” by the National Certification Corporation, were mailed the vignettes. The average number of years of intrapartum nursing experience was 13.</abstract><abstract>Multiple regression analysis was used to determine the weights given to the 10 clinical factors by participants.</abstract><abstract>Fetal scalp pH, maternal parity, amniotic fluid color, and long‐term variability of the fetal heart rate were the most important predictors of nurses' fetal risk assessments.</abstract><abstract>Long‐term variability was the most important cardiotocographic factor in nurses' fetal risk assessments and the only cardiotocographic factor of the best 4 predictors of fetal risk. This indicated that participants were realistic about the limitations of electronic fetal monitoring (EFM).</abstract><subject lang="en"><genre>keywords</genre><topic>Clinical decision‐making</topic><topic>Electronic fetal monitoring</topic><topic>Fractional factorial vignettes</topic></subject><relatedItem type="host"><titleInfo><title>Journal of Obstetric, Gynecologic, & Neonatal Nursing</title></titleInfo><genre type="journal">journal</genre><identifier type="ISSN">0884-2175</identifier><identifier type="eISSN">1552-6909</identifier><identifier type="DOI">10.1111/(ISSN)1552-6909</identifier><identifier type="PublisherID">JOGN</identifier><part><date>2000</date><detail type="volume"><caption>vol.</caption><number>29</number></detail><detail type="issue"><caption>no.</caption><number>5</number></detail><extent unit="pages"><start>480</start><end>490</end><total>11</total></extent></part></relatedItem><identifier type="istex">EDE155E8B3DF77082B72F86D6322523889E62462</identifier><identifier type="DOI">10.1111/j.1552-6909.2000.tb02769.x</identifier><identifier type="ArticleID">JOGN480</identifier><recordInfo><recordContentSource>WILEY</recordContentSource><recordOrigin>Blackwell Publishing Ltd</recordOrigin></recordInfo></mods></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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