Intrapartum Nurse Perception of Labor Support After Implementation of the Coping With Labor Algorithm.

The purpose of this research project was to determine if using the Coping with Labor Algorithm would lead to changes in the perception of the intrapartum (IP) nurses' beliefs toward birth practices and frequency of labor support interventions. Twenty-three participants completed the preintervention survey, which included the IP Nurses' Belief Toward Birth Practice Scale and the Labor Support Scale. Following completion of the preintervention survey, participants received a copy of the Coping with Labor Algorithm and Toolkit and then began implementation of the Coping with Labor Algorithm. After implementation, 13 IP nurses completed the postintervention survey. The surveyed IP nurses reported positive changes in their perceived frequency of labor support and a slight change in their birth beliefs.

Adherence: a concept analysis.

PURPOSE: To utilize a Wilsonian method of concept analysis to define and describe the concept of adherence. DATA SOURCES: Published research articles, nursing literature, published books, and national and international advisory reports. DATA SYNTHESIS: The concept of adherence was analyzed using the Wilson method. Results, applications, and practice implications in regards to the concept of adherence were then derived from the analysis. CONCLUSIONS: Adherence is a complex, multifaceted concept that can greatly impact patient behaviors and nursing practice. Further clarification of adherence is needed to help delineate this concept from other related terms. IMPLICATIONS: Healthcare providers should have an understanding of the concept of adherence in the context of patient care in order to guide patient self-care behaviors.

Customization of electronic medical record templates to improve end-user satisfaction.

Since 2004, increasing importance has been placed on the adoption of electronic medical records by healthcare providers for documentation of patient care. Recent federal regulations have shifted the focus from adoption alone to meaningful use of an electronic medical record system. As proposed by the Technology Acceptance Model, the behavioral intention to use technology is determined by the person's attitude toward usage. The purpose of this quality improvement project was to devise and implement customized templates into an existent electronic medical record system in a single clinic and measure the satisfaction of the clinic providers with the system before and after implementation. Provider satisfaction with the electronic medical record system was evaluated prior to and following template implementation using the current version 7.0 of the Questionnaire for User Interaction Satisfaction tool. Provider comments and improvement in the Questionnaire for User Interaction Satisfaction levels of rankings following template implementation indicated a positive perspective by the providers in regard to the templates and customization of the system.