Vaginal Delivery Debrief Checklist to Improve Team Communication (VDD)

Vaginal Delivery Debrief: A Nursing Research Study

This study is to determine if using a standardized debrief checklist after vaginal delivery improves communication between the vaginal delivery health care team members and if using the checklist increases a sense of enhanced communication between team members.

Study Overview

• Status: Completed
• Conditions: Other Specified Complications of Labor and Delivery
• Intervention / Treatment: Other: Vaginal Delivery Debrief Checklist

Detailed Description

This is a study for providers who are a part of the health care team involved with vaginal delivery of newborns. A checklist has been developed that may improve communication between team members following birth. The goal of this study is to evaluate whether the checklist improves or enhances team member communication.

• Study Type: Interventional
• Enrollment (Actual): 44
• Phase: Not Applicable

Contacts and Locations

Study Locations

• United States
  • Washington
    • Olympia, Washington, United States, 98506
      • Providence St Peter Hospital 413 Lilly RD NE

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child; Adult; Older Adult
• Accepts Healthy Volunteers: Yes
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Registered Nurses (RNs) and Licensed Practical Nurses (LPNs) in the Women's and Children's Services Department who attend vaginal deliveries as well as providers who attend vaginal deliveries at Providence St Peter Hospital Family Birth Center in Olympia Washington (WA).

Exclusion Criteria:

• None

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Other
• Allocation: N/A
• Interventional Model: Single Group Assignment
• Masking: None (Open Label)

Number of Arms

1

Arms and Interventions

Participant Group / Arm

Intervention / Treatment

Other: vaginal delivery debrief checklist; Utilization of a Vaginal Delivery Debrief Checklist after vaginal deliveries for a period of three months, by team members who have consented to be a part of this study and who are present at vaginal deliveries. The Vaginal Delivery Debrief checklist consists of 2 levels. The first level includes a list of 6 key elements, such as APGAR scores,estimated blood loss, perineal repair, etc. The second level,or extended debrief, occurs whenever unanticipated outcomes, such as low APGAR scores, postpartum hemorrhage or a difficult delivery occurs. Team members complete the checklist after each delivery they attend.

Other: Vaginal Delivery Debrief Checklist; Participating team members will utilize Vaginal Delivery Debrief checklist

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Determine if there is a change in satisfaction with team communication following the use of a structured debrief checklist after vaginal deliveries.	An electronic opinion survey will be administered to participants both pre and post checklist utilization. The survey was derived from communication literature on medical teams such as the collaboration items and 3 subscales from the labour and delivery version of the Safety Attitudes Questionnaire (SAQ) and the Agency for Healthcare Research and Quality (AHRQ) TeamSTEPPS training program for high functioning medical teams.	Within 6 months of data collection

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Determine if the use of a vaginal delivery debrief checklist will reduce documentation of conflicting data in the electronic medical record.	Utilizing the pre-validated Vaginal Delivery Debrief Medical Record Audit Tool, records will be examined pre and post use of the Vaginal Delivery Debrief Checklist. Assessment will be made to determine if there are fewer conflicting data points in the electronic medical record (EMR) for key elements following use of the Vaginal Delivery Debrief Checklist.	Within 6 months of data collection

Collaborators and Investigators

• Sponsor: Providence Health & Services
• Investigators: Principal Investigator: Daren B Sachet, RN, BSN, MPA, Providence Health & Services

Study record dates

Study Major Dates

• Study Start (Actual): May 12, 2013
• Primary Completion (Actual): October 31, 2013
• Study Completion (Actual): December 31, 2013

Study Registration Dates

• First Submitted: March 20, 2013
• First Submitted That Met QC Criteria: April 1, 2013
• First Posted (Estimate): April 2, 2013

Study Record Updates

• Last Update Posted (Actual): April 4, 2019
• Last Update Submitted That Met QC Criteria: April 2, 2019
• Last Verified: March 1, 2019

More Information

Terms related to this study

• Keywords: Vaginal Delivery; Debrief; Medical Team Communication; Obstetrical Safety
• Additional Relevant MeSH Terms: Pregnancy Complications; Obstetric Labor Complications
• Other Study ID Numbers: PHS PSPH N 002

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No