Date of Graduation

Fall 12-15-2017

Document Access

Project/Capstone - Global access

Degree Name

Master of Science in Nursing (MSN)


School of Nursing and Health Professions

First Advisor

Mary Lou De Natale, EdD, RN, CNL

Second Advisor

Robyn Jackson, RN, MA, MSN, OCN, CNL

Third Advisor

Elena Capella


The “Coping With Labor Education for Nurses” education plan is substantiated by data from the California Maternal Quality Care Collaborative (CMQCC) vaginal birth initiative toolkit and other research. Evidence-based data from multiple sources indicates that improving how labor support is offered at the bedside for the laboring patient can potentially decrease cesarean rates, reduce expenses, and increase savings. The objectives of this plan are to improve patient advocacy and the level of labor support interventions labor and delivery nurses will provide for patients to improve patient satisfaction score above 80%, decrease or maintain cesarean rates below 24.9%, and improve patient communication and satisfaction scores by 5% by January 2018 in the labor and delivery department. This was accomplished through the use of in-service training and an online HealthStream module. A Likert scale questionnaire was used after the training to evaluate the effectiveness of the plan. As expected, evaluations confirmed that there is inconsistency in labor support knowledge among nurses, and that this project is useful in decreasing the knowledge gap between nurses. Most nurses reported that the material covered were valuable, applicable to their practice, and that they will most likely practice it.