Please formulate a response to this discussion

Please formulate a response to this discussion My experience with using evidenced based practice providing patients with the best care is pretty extensive in my area of expertise in labor and delivery. I fortunately work in a hospital that takes evidenced based care very serious and changes are made all the time to update policies and procedures to reflect that. However, I have not been involved in the direct research. I have used the results of research by others in my practice. I do keep up with the latest science by reading articles and journals. My department has up-to-date available to us as a resource, and we also have a great education department that stays on top of the latest best practice and shares with our team. We are held accountable to comply to policy and procedure implemented due to new EBP. One initiative that we use in my facility was implemented as best practice was introduced after scientific research per California Maternal Quality Care Collaboration (CMQCC). The CMQCC checklist that we use is for pre-cesarean labor dystocia. The reason this checklist was implemented was to decrease cesarean rates on our unit. This is a checklist that nurses and providers review prior to every cesarean section to confirm that all straps were taken prior to calling a cesarean section for delivery. This initiative was taken to prevent providers that were too quick to choose an operative delivery for patients. This helped on our unit to keep everyone responsible to follow the evidence and the science and to prevent unnecessary surgeries. The CMQCC checklist specifies the requirements that must be met before decision is made to perform a cesarean section. In the latent or early phase of labor meaning less than 6 centimeters dilated, the patient must have moderate or strong contractions palpated for more than 12 hours without cervical change or an intrauterine pressure catheter placed and greater than 200 mvu for over 12 hours. Diagnosis of dystocia or arrest of labor need to be greater than 6 centimeters, ruptured membranes, no cervical change for over four hours of adequate uterine contractions or 6 hours of oxytocin without adequate contractions. Second stage arrest is at least 4 hours of pushing in nulliparous or first time mothers with epidural or three hours of pushing without epidural. Patients that have had a baby previously have to push for 3 hours with epidural and 2 hours without epidural (Supporting Vaginal Birth, n.d.). My facility has decreased our cesarean section rate since implementation of this process. Our current goal is 31.5% and the rate is 32.5% as of the month of September 2022 and that is a high month for our department. The process was a little difficult at first to get some providers to change their own practice. Knowing that NTSV rates can be 11%-77% it is evident that changes need to be made in practice (Supporting Vaginal Birth, n.d.). Once we implemented the checklist and collaborated with the providers, nurses and administration we started seeing results. Evidence based practice helped us in preventing unnecessary surgeries as well as risks of surgery. We are proud of that as a team. please provide references SCIENCE HEALTH SCIENCE NURSING BIOL 32000

******CLICK ORDER NOW BELOW AND OUR WRITERS WILL WRITE AN ANSWER TO THIS ASSIGNMENT OR ANY OTHER ASSIGNMENT, DISCUSSION, ESSAY, HOMEWORK OR QUESTION YOU MAY HAVE. OUR PAPERS ARE PLAGIARISM FREE*******."