Ina J. Bramadat

Induction of labor: An integrated review

Womens response to induction and augmentation of labor has received little attention in North America. A review of the literature revealed that these procedures epitomize the use of technology in childbirth. From a psycho-emotional perspective, women respond less positively to induction and augmentation than to spontaneous labor and report less satisfaction with the birth experience. In this review of the research and anecdotal literature, reasons for inattention to induction and augmentation are explored, and the nature of the procedures and womens response to them are examined.

The Changing Environment of Community Health Practice and Education: Perceptions of Staff Nurses, Administrators, and Educators

Historically, baccalaureate nursing programs in Canada have prepared graduates to practice in the community. Two recent trends-the move to prepare all registered nurses in degree programs and the changing climate in which community nursing is practiced-made it timely to explore the educational preparation required for community health practice. This article reports on one part of the study, i.e., on findings that explicate the nature of community health nursing practice in a western Canadian province, as it has changed during the past decade, as it is currently practiced, and as it is expected to develop in the future. What, in other words, is the nature of the community practice for which nursing students should be prepared? An action research design guided the study. Participants were recruited from all major urban, rural, and northern settings in which baccalaureate nurses practice throughout the province. The perspective of relevant people was considered important, i.e., nurses practicing in the community, administrators, and educators of future community nurses. One hundred eighteen (118) participants were interviewed in 27 focus groups. Data were tape recorded, transcribed, and analyzed for content. Among the themes identified were those that captured changes community health nurses experienced in their nursing practice. Nurses also described how they thought practice would evolve in the years to come. These themes are discussed within a primary health care framework in which nurses can be expected to play a more active role in shaping community health nursing practice.