C301 Paper Outline_9April2018 (1).docx - Running head...

Running head: TRANSLATIONAL RESEARCH 1
Translational Research
Tara Garofalo
Western Governors University

Translational Research 2
Translational Research
This paper will discuss what professional practice in nursing means. Studies regarding
the standard of care for patients in the second stage of labor will also be discussed. Discussion
between whether patients should be able to labor down versus active pushing immediately when
complete and the different outcomes there are for the patient, her baby, the family, and staff.
Professional Practice Description
A professional practice model describes how registered nurses practice, collaborate,
communicate, and develop professionally to provide the highest-quality care for those served by
the organization (UC Regents, 2020). It sets a standard of care for treating patients in a certain
care setting, but sometimes those standards need to be updated. In labor and delivery, there has
been a lot of discussions recently between nurses and providers regarding laboring down versus
immediate active pushing in the second stage of labor. From personal experience, I have seen
the effects that prolonged active pushing can have on a patient, her baby, the family, and the
staff. And have seen great results with laboring down for an hour before pushing.
In the second stage of labor should you start to push immediately, or should you let
nature take its course and labor down? Studies have not shown too much of a difference in one
versus the other, but from the first-hand experience, there have been better outcomes and results
from laboring down.
Key Stakeholders
Per the Patient Factor (2020), Merriam-Webster’s online dictionary defines a stakeholder
as one who is involved in or affected by a course of action. In a hospital setting, there can be
multiple stakeholders. Some different examples could include physicians, midwives, nurses,

Translational Research 3
administrators, patients, families, and ancillary personnel. In this paper, the key stakeholders
will be patients, their families, nurses, physicians, and midwives.
The main stakeholders in this paper would be the pregnant mothers and their unborn
child. Labor can be a long and exhausting process. After a four-day induction of labor, to have a
mother push for four to five hours just seems cruel. It is not only exhausting for the mother, but
the fetus can be affected too. It can also affect the family members and the nurses that are there
supporting the patient. The physicians and midwives would also be included as stakeholders in
this paper because they may have the final say to any change in policy regarding pushing during
labor.
Evidence Critique Table
Full APA citation for 5 sources.
Include doi or url.
Evidence Strength
(I-VII) and
Evidence
Hierarchy
Grobman WA, Bailit J, Lai Y, Reddy UM, Wapner RJ, Varner MW, et al.