Evidence map›Paper›PMID 29538583›Full record

ArticleRevista latino-americana de enfermagem2018

Implementation of evidence-based practices in normal delivery care.

Clodoaldo Tentes Côrtes, Sonia Maria Junqueira Vasconcellos de Oliveira, Rafael Cleison Silva Dos Santos, Adriana Amorim Francisco, Maria Luiza Gonzalez Riesco, Gilceria Tochika Shimoda

Open access · diamondAbstract readComparative Study
In one paragraph

Article in Revista latino-americana de enfermagem, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
6.3field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 69 citations in OpenAlex.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Clodoaldo Tentes CôrtesDoctoral student, Escola de Enfermagem, Universidade de São Paulo, São Paulo, SP, Brazil. Assistant Professor, Departamento de Ciências Biológicas e da Saúde, Universidade Federal do Amapá, Macapá, Amapá, Brazil.
Sonia Maria Junqueira Vasconcellos de OliveiraPhD, Associate Professor, Escola de Enfermagem, Universidade de São Paulo, São Paulo, SP, Brazil.
Rafael Cleison Silva Dos SantosPhD, Adjunct Professor, Departamento de Ciências Biológicas e da Saúde, Universidade Federal do Amapá, Macapá, AP, Brazil.
Adriana Amorim FranciscoPhD, Professor, Escola de Enfermagem, Universidade de São Paulo, São Paulo, SP, Brazil.
Maria Luiza Gonzalez RiescoPhD, Associate Professor, Escola de Enfermagem, Universidade de São Paulo, São Paulo, SP, Brazil.
Gilceria Tochika ShimodaPhD, RN, Hospital Universitário, Universidade de São Paulo, São Paulo, SP, Brazil.
Universidade de São Paulo · BRUniversidade Federal do Amapá · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveto evaluate the impact of the implementation of evidence-based practices on normal delivery care.

methodquasi-experimental, before-and-after intervention study conducted in a public maternity hospital, Amapá. Forty-two professionals and 280 puerperal women were interviewed and data from 555 medical records were analyzed. The study was developed in three phases: baseline audit (phase 1), educational intervention (phase 2) and post-intervention audit (phase 3).

resultsafter the intervention, there was an increase of 5.3 percentage points (p.p.) in the normal delivery rate. Interviews with the women revealed a significant increase of the presence of companions during labor (10.0 p.p.) and of adoption of the upright or squatting position (31.4 p.p.); significant reduction of amniotomy (16.8 p.p.), lithotomy position (24.3 p.p.), and intravenous oxytocin (17.1 p.p.). From the professionals' perspective, there was a statistical reduction in the prescription/administration of oxytocin (29.6 p.p.). In the analysis of medical records, a significant reduction in the rate of amniotomy (29.5 p.p.) and lithotomy position (1.5 p.p.) was observed; the rate of adoption of the upright or squatting position presented a statistical increase of 2.2 p.p.

conclusionsthere was a positive impact of the educational intervention on the improvement of parturition assistance, but the implementation process was not completely successful in the adoption of scientific evidence in normal delivery care in this institution.

Indexed as

Evidence-Based MedicineDelivery, ObstetricFemaleHospitals, PublicHumansPregnancy

Identifiers

PMID29538583
PMCPMC5863276
OpenAlexW2948760409

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.