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Decreasing Barriers to Research Utilization Among Labor and Delivery Nurses

Heelan-Fancher, Lisa; Edmonds, Joyce K.; Jones, Emily J.

doi: 10.1097/NNR.0000000000000388
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Background Intermittent fetal monitoring (IFM) is a recommended strategy for intrapartum fetal heart rate assessment in low-risk pregnancies; however, this “high touch, low tech” approach is underutilized.

Objective The aim of the study was to examine the relationships between labor and delivery nurses’ intellectual capital and their perceptions of barriers to research utilization in the work setting.

Methods A cross-sectional correlational design using data derived from a larger study of labor and delivery nurses (N = 248) was used. Covell’s theory of nursing intellectual capital was used as the conceptual and analytic framework to examine labor and delivery nurses’ intellectual capital and their perceived barriers to research utilization.

Results Nurses who receive paid time off from their employer to attend conferences (p < .01) and nurses who do not report nurse-to-patient ratios as a problem in providing IFM (p < .01) perceive fewer barriers to research utilization.

Discussion Time, especially available time, has an effect on labor and delivery nurses’ attitude toward IFM and their perceptions of barriers to research utilization.

Lisa Heelan-Fancher, PhD, FNP-BC, CNE, is Assistant Professor, University of Massachusetts Boston College of Nursing and Health Sciences.

Emily J. Jones, PhD, RNC-Ob, is Associate Professor, University of Massachusetts Boston College of Nursing and Health Sciences.

Joyce K. Edmonds, PhD, MPH, RN, is Associate Professor, Boston College Cornell School of Nursing, Chestnut Hill, Massachusetts.

Accepted for publication January 26, 2019.

Institutional review board approval obtained for the initial study at Seton Hall University where the corresponding author earned her PhD and the Association of Women’s Health, Obstetrics and Neonatal Nurses (AWHONN). This current study was deemed exempt (#2016213) from the University of Massachusetts Boston and AWHONN (e-mail correspondence 11/30/2016).

The authors have no conflicts of interest to report.

Corresponding author: Lisa Heelan-Fancher, PhD, FNP-BC, CNE, University of Massachusetts Boston College of Nursing and Health Sciences, 100 Morrissey Blvd., Boston, MA 02125 (e-mail: lisa.heelan-fancher@umb.edu).

Online date: September 13, 2019

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