Strategies for change: nursing implementation of the birthing room.
Nurses were primary participants in introducing the birthing room for maternity care in their respective institutions. Based on tape-recorded interviews, this paper is a report on how the idea of a birthing room was initiated, the resistance it encountered, the eight strategies used to implement the idea, and appropriation of the idea by physicians. Although the examples are specific to the development of a birthing room, the strategies can be used by nurses to initiate other changes in perinatal health care delivery. In addition, increased collaboration between nurses and physicians may make some strategies obsolete.
College of Nursing, University of South Carolina, Columbia 29208.
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Mackey
D001291:Attitude of Health Personnel; D003696:Delivery Rooms / Q000191:economics / Q000331:legislation & jurisprudence / Q000458:organization & administration; D006801:Humans; D007400:Interprofessional Relations; D016389:Maternal-Child Nursing / Q000191:economics / Q000331:legislation & jurisprudence / Q000458:organization & administration; D008505:Medical Staff, Hospital; D009726:Nurses; D009741:Nursing Staff, Hospital; D009774:Obstetrics; D009775:Obstetrics and Gynecology Department, Hospital / Q000191:economics / Q000458:organization & administration; D010358:Patient Participation