Background: There is a documented overuse of C-sections (CS) in the United States. The majority of research surrounding CS overuse focuses on the physician’s role, location (state, city, hospital), hospital policies, and the reason why the CS is being performed. Little research focuses on the nurse’s influence on CS outcomes, although nurses spend the longest amount of time with the patient. Methods: Data for this literature review examined 13 research articles between 1992 to present, exploring factors relating to the overuse of CS, specifically, data relating to the correlation between CS and the nurse’s role. Results: Recent research has shown that factors such as short staffing affect nursing care provided to patients. Likewise, a nurse’s attitude towards patient care has influenced the level of attention and advocacy patients receive regarding CS. Experience level of nurses can also influence the outcome of CS deliveries. For example, experienced nurses showed higher CS rates among patients and were less likely to utilize therapeutic amounts of oxytocin during labor compared to newer nurses. Conclusion: The nurse’s influence also has implications on the outcome of CS delivery and requires further research. As the main advocate for patients, understanding how the nurse can help avoid unnecessary CS procedures is of great importance.
Bachelor of Science in Nursing (B.S.N.)
College of Nursing
Cornelius, Ayana, "Obstetrical Nursing Care and Cesarean Section Delivery Rates in Laboring Women: An Integrative Review of Literature" (2022). Honors Undergraduate Theses. 1126.