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Running head: TRANSLATIONAL RESEARCH1Translational ResearchTara GarofaloWestern Governors University
Translational Research 2Translational ResearchThis 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 DescriptionA 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 StakeholdersPer 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 3administrators, 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 amother 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 TableFull APA citation for 5 sources. Include doi or url.Evidence Strength(I-VII) andEvidenceHierarchyGrobman WA, Bailit J, Lai Y, Reddy UM, Wapner RJ, Varner MW, et al.