The authors report no conflict of interest or relevant financial relationships.
Factors Associated with Differences in Canadian Perinatal Nurses’ Attitudes Toward Birth Practices
Article first published online: 2 OCT 2012
© 2012 AWHONN, the Association of Women's Health, Obstetric and Neonatal Nurses
Journal of Obstetric, Gynecologic, & Neonatal Nursing
Volume 41, Issue 6, pages 761–773, November/December 2012
How to Cite
Liva, S. J., Hall, W. A., Klein, M. C. and Wong, S. T. (2012), Factors Associated with Differences in Canadian Perinatal Nurses’ Attitudes Toward Birth Practices. Journal of Obstetric, Gynecologic, & Neonatal Nursing, 41: 761–773. doi: 10.1111/j.1552-6909.2012.01412.x
- Issue published online: 26 NOV 2012
- Article first published online: 2 OCT 2012
- Manuscript Accepted: JUN 2012
- Canadian Institutes for Health Research
- birth practices;
- hospital level;
- epidural analgesia;
- personal choices
To test whether demographic characteristics predict registered nurses’ attitudes toward birth practices.
A secondary analysis of a cross-sectional survey, the National Maternity Care Attitudes Survey.
A national survey conducted with health care providers providing maternity care in Canada.
A convenience sample of 545 registered nurses.
Hierarchical regression analysis was used to examine three hypotheses about nurses’ demographic differences in relationship to their attitudes toward birth practices. Attitude scales included acceptability of doulas, effects of routine electronic fetal monitoring, factors decreasing cesarean birth rates, the importance of vaginal birth for women, safety of birth, episiotomy, and epidural analgesia.
Tertiary hospital–level of employment was associated with more positive attitudes toward epidural analgesia and less positive attitudes toward the importance of vaginal birth. Nurses working at a tertiary hospital were more likely to select an obstetrician for their own maternity care. Those who worked at a community hospital were more likely to select a family physician. Nurses’ selection of an obstetrician was associated with less positive attitudes toward the safety of birth and importance of vaginal birth and more positive attitudes toward electronic fetal monitoring, episiotomy, and epidural analgesia.
Nurses’ attitudes may be influenced by exposure in their workplaces to predominant care providers’ birth practices. Research examining the relationships between nurses’ workplace exposures, attitudes, and practice behaviors is needed to develop understanding about how nurses contribute to rates of intervention in maternity care.