Donna Sauls

Reliability and Validity of an Instrument to Measure the Beliefs of Intrapartum Nurses

Journal of Perinatal & Neonatal Nursing, Apr 1, 2014

Intrapartum nurses assume a central role in the birth process and make decisions driven by a set ... more Intrapartum nurses assume a central role in the birth process and make decisions driven by a set of beliefs. Therefore, the purpose of this study was to develop a valid and reliable instrument to measure birth beliefs of intrapartum nurses related to birth practice. A total of 313 intrapartum nurses accessed this online, self-administered instrument over a 3-month period. The Theory of Planned Behavior guided development of the Intrapartum Nurses' Beliefs Related to Birth Practice scale and provided a basis for the connection between beliefs and practice. This article describes the psychometric analysis of the instrument. Findings include a moderate, positive correlation with a similar instrument, a Cronbach α of 0.797, and 2 factors identifying belief systems. With further revision, this instrument may provide an accurate measure of the birth beliefs of intrapartum nurses.

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Development of the Intrapartum Nurses’ Beliefs Related to Birth Practice Scale

Journal of Nursing Measurement, 2014

Background and Purpose: Intrapartum (IP) nurses make decisions driven by beliefs. This study’s pu... more Background and Purpose: Intrapartum (IP) nurses make decisions driven by beliefs. This study’s purpose was to develop an instrument measuring birth beliefs of the IP nurse related to birth practice. Methods: The theory of planned behavior guided the development process, providing a connection between beliefs and practice. This article describes the domain identification, item generation, and instrumentation process. Results: The Intrapartum Nurses’ Beliefs Related to Birth Practice (IPNBBP) is an online, self-administered instrument with 36 Likert scale items measuring the birth beliefs of IP nurse and categorizes medicalized birth beliefs, normal birth beliefs, and beliefs outlined in the theory of planned behavior. Conclusion: Following psychometric testing, the IPNBBP may be used to provide a link between the beliefs and practice of IP nursing and maternal and neonatal outcomes.

Intrapartum Nurses’ Beliefs Related to Birth Practice Scale

Evaluation of the Supportive Needs of Adolescents During Childbirth (SNAC©) Intervention

41st Biennial Convention (29 October - 2 November 2011), Jan 4, 2012

Objective: To evaluate the effect of the Supportive Needs of Adolescents during Childbirth (SNAC)... more Objective: To evaluate the effect of the Supportive Needs of Adolescents during Childbirth (SNAC) intrapartum nursing intervention on adolescents' childbirth satisfaction and breastfeeding rates. Setting: A tertiary hospital intrapartum unit. Participants: A convenience sample of 106 parturient adolescents. During Phase 1 the control group received current standard of intrapartum care. During Phase 2, the interventionist nurses provided the SNAC intervention and standard of care to the intervention group. Results: The t test indicated higher childbirth satisfaction in the intervention group. Chi-square analysis indicated that the intervention group was more likely to breastfeed within the first hour after birth. There was no significant relationship between childbirth satisfaction and breastfeeding at three months and no differences between the groups in breastfeeding rates at hospital discharge and three months. Conclusions: These results suggest that learning the SNAC intervention may help nurses positively influence adolescents' childbirth experience and timing of breastfeeding initiation. Replication of the study is needed to further explore whether the intervention can significantly influence breastfeeding duration.

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Intrapartum Nurses’ Beliefs Related to Birth Practice Scale

PsycTESTS Dataset, 2014

Development of the Adolescent Support Model

Journal of Theory Construction Testing, 2011

Adolescents approach their childbirth and breastfeeding experiences through the lens of their cog... more Adolescents approach their childbirth and breastfeeding experiences through the lens of their cognitive and psychosocial needs. Developing interventions which facilitate adolescents\u27 childbirth satisfaction and initiation ofbreastfeeding may promote the health of these young mothers and their children through increasing their breastfeeding rates. The authors propose the Adolescent Support Model as a potential framework. Three studies have been conducted to facilitate the model\u27s development. Six theoretical constructs were developed fi^om the findings of these studies. These constructs include the client\u27s perspective, the nurse\u27s perspective, supportive needs of adolescents during childbirth, professional labor support, coping resources, and health outcomes. Although the Adolescent Support Model needs testing and refinement, it can provide a framework for planning and implementing interventions to enhance adolescents\u27 childbirth and early breastfeeding experiences

Reliability and Validity of an Instrument to Measure the Beliefs of Intrapartum Nurses

Journal of Perinatal & Neonatal Nursing, 2014

Intrapartum nurses assume a central role in the birth process and make decisions driven by a set ... more Intrapartum nurses assume a central role in the birth process and make decisions driven by a set of beliefs. Therefore, the purpose of this study was to develop a valid and reliable instrument to measure birth beliefs of intrapartum nurses related to birth practice. A total of 313 intrapartum nurses accessed this online, self-administered instrument over a 3-month period. The Theory of Planned Behavior guided development of the Intrapartum Nurses' Beliefs Related to Birth Practice scale and provided a basis for the connection between beliefs and practice. This article describes the psychometric analysis of the instrument. Findings include a moderate, positive correlation with a similar instrument, a Cronbach α of 0.797, and 2 factors identifying belief systems. With further revision, this instrument may provide an accurate measure of the birth beliefs of intrapartum nurses.

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Evaluation of the Supportive Needs of Adolescents during Childbirth Intrapartum Nursing Intervention on Adolescents’ Childbirth Satisfaction and Breastfeeding Rates

Journal of Obstetric, Gynecologic & Neonatal Nursing, 2012

Objective: To evaluate the effect of the Supportive Needs of Adolescents during Childbirth (SNAC)... more Objective: To evaluate the effect of the Supportive Needs of Adolescents during Childbirth (SNAC) intrapartum nursing intervention on adolescents' childbirth satisfaction and breastfeeding rates. Setting: A tertiary hospital intrapartum unit. Participants: A convenience sample of 106 parturient adolescents. During Phase 1 the control group received current standard of intrapartum care. During Phase 2, the interventionist nurses provided the SNAC intervention and standard of care to the intervention group. Results: The t test indicated higher childbirth satisfaction in the intervention group. Chi-square analysis indicated that the intervention group was more likely to breastfeed within the first hour after birth. There was no significant relationship between childbirth satisfaction and breastfeeding at three months and no differences between the groups in breastfeeding rates at hospital discharge and three months. Conclusions: These results suggest that learning the SNAC intervention may help nurses positively influence adolescents' childbirth experience and timing of breastfeeding initiation. Replication of the study is needed to further explore whether the intervention can significantly influence breastfeeding duration.

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Promoting a Positive Childbirth Experience for Adolescents

Journal of Obstetric, Gynecologic & Neonatal Nursing, 2010

A total of 2 contact hours may be earned as CNE credit for reading ''Promoting a Positive Childbi... more A total of 2 contact hours may be earned as CNE credit for reading ''Promoting a Positive Childbirth Experience for Adolescents, '' and for completing an online post-test and evalution. is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation. AWHONN holds a California BRN number: California CNE Provider #CEP580. Keywords childbirth adolescents labor support intrapartum care

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Development of the Intrapartum Nurses’ Beliefs Related to Birth Practice Scale

Journal of Nursing Measurement, 2014

Background and Purpose: Intrapartum (IP) nurses make decisions driven by beliefs. This study’s pu... more Background and Purpose: Intrapartum (IP) nurses make decisions driven by beliefs. This study’s purpose was to develop an instrument measuring birth beliefs of the IP nurse related to birth practice. Methods: The theory of planned behavior guided the development process, providing a connection between beliefs and practice. This article describes the domain identification, item generation, and instrumentation process. Results: The Intrapartum Nurses’ Beliefs Related to Birth Practice (IPNBBP) is an online, self-administered instrument with 36 Likert scale items measuring the birth beliefs of IP nurse and categorizes medicalized birth beliefs, normal birth beliefs, and beliefs outlined in the theory of planned behavior. Conclusion: Following psychometric testing, the IPNBBP may be used to provide a link between the beliefs and practice of IP nursing and maternal and neonatal outcomes.

Development of the Adolescent Support Model

Journal of Theory Construction and Testing, Apr 1, 2011

Adolescents approach their childbirth and breastfeeding experiences through the lens of their cog... more Adolescents approach their childbirth and breastfeeding experiences through the lens of their cognitive and psychosocial needs. Developing interventions which facilitate adolescents\u27 childbirth satisfaction and initiation ofbreastfeeding may promote the health of these young mothers and their children through increasing their breastfeeding rates. The authors propose the Adolescent Support Model as a potential framework. Three studies have been conducted to facilitate the model\u27s development. Six theoretical constructs were developed fi^om the findings of these studies. These constructs include the client\u27s perspective, the nurse\u27s perspective, supportive needs of adolescents during childbirth, professional labor support, coping resources, and health outcomes. Although the Adolescent Support Model needs testing and refinement, it can provide a framework for planning and implementing interventions to enhance adolescents\u27 childbirth and early breastfeeding experiences

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