A Program Evaluation to Measure the Feasibility of the Team Birth Project
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Pregnancy Complications
- Sponsor
- Harvard School of Public Health (HSPH)
- Enrollment
- 5217
- Locations
- 4
- Primary Endpoint
- Percent of Clinicians Recommending TeamBirth Project
- Status
- Completed
- Last Updated
- 11 months ago
Overview
Brief Summary
The purpose of this study is to evaluate the feasibility of a pilot project to improve communication and teamwork and to increase vaginal delivery rates at hospital in the United States
Detailed Description
The purpose of this study is to evaluate the feasibility of a pilot project to improve communication and teamwork and to increase vaginal delivery rates at hospital in the United States. TeamBirth is a rigorously designed care process to improve care and SDM across the full care team, which includes the patient, their support person(s), nurse and physician or midwife, by ensuring reliability for best practices in communication and teamwork during labor and delivery. TeamBirth aims to operationalize best practices in communication and clinical care from the major professional organizations in obstetrics, including the American College of Obstetricians \& Gynecologists (ACOG), Society for Maternal-Fetal Medicine (SMFM), American College of Nurse-Midwives (ACNM), and Association of Women's Health, Obstetric, and Neonatal Nurses (AWHONN), to ensure these practices are occurring consistently throughout labor. Key TeamBirth practices include: 1. Promoting the roles of the laboring patient, nurse, and delivering provider as members of the care team with equally valuable input for SDM, 2. Eliciting the patient's preferences, symptoms, and subjective experiences and integrating them with clinical data to inform patient care plans, 3. Distinguishing statuses and care plans for the mother, fetus, and labor progress, and 4. Setting shared expectations for the next planned evaluation.
Investigators
Neel Shah
Principal Investigator
Harvard School of Public Health (HSPH)
Eligibility Criteria
Inclusion Criteria
- •All clinicians who have practice privileges at a study site
- •Clinician Participant
Exclusion Criteria
- •Implementation Team Participant Inclusion Criteria:
- •Champions, super-users and others who have been involved in the implementation of "Team Birth Project" at a study site
- •Implementation Team Participant Exclusion Criteria:
- •Patient Participant Inclusion Criteria:
- •18 years or older
- •Live birth. Includes: spontaneous or induction of labor; Vaginally, with an instruments (forceps / vacuum), or unscheduled cesarean delivery
- •Patient at a study site piloting "Team Birth Project"
- •Patient Participant Exclusion Criteria:
- •Under 18 years old
- •Scheduled cesarean delivery
Outcomes
Primary Outcomes
Percent of Clinicians Recommending TeamBirth Project
Time Frame: The window begins on the 180th day to the 270th day from the start date at each site (180 days to 270 days). If clinicians complete more than one survey in the window, we will use the first one.
At the project midline, percent of clinicians (physicians, midwives, and nurses) who would definitely or probably recommend the Team Birth project tools for use in other labor and delivery units.
Percent of Patients With the Role They Wanted in Decision-Making
Time Frame: The window begins on the 180th day to the 270th day from the start date at each site (180 days to 270 days). Patients were only offered the survey once within the window.
At the project midline, percent of patients who definitely or somewhat had the role they wanted in making decisions about their labor, among patients who wanted to make collaborative decisions with clinicians.