A learning resource for novice labor and delivery nurses in obstetrical operating rooms
Bibliographic record
Abstract
Background: Registered nurses working in the Case Room at the Janeway Children’s hospital have a unique scope of practice that includes both labor and delivery nursing and Operating Room nursing. The orientation program for the Case Room includes extensive theoretical and practical teaching relating to vaginal childbirth but the resources to support novice nurses’ knowledge development of surgical deliveries, known as Cesarean sections, is limited. As approximately one third of childbirth in Canada is via Cesarean section, a learning resource for the Janeway Case Room’s Operating Room that is specific to Cesarean sections can help enhance the knowledge and skills of novice labor and delivery nurses, and ultimately, promote enhanced maternal and fetal outcomes. Purpose: To develop a resource manual for novice labor and delivery nurses to support knowledge uptake and skill development in the Case Room Operating Rooms for nursing care of patients undergoing Cesarean section. Methods: I completed a literature review, consultations with local key stakeholders, and an environmental scan. These methods were integral to determine if there was a need for a learning resource specific to Cesarean sections, identify content for the resource, as well as potential effective modes of delivery. Results: The results of the literature review, consultations, and environmental scan assisted with content development of the learning resource, as well as the most appropriate mode of delivery. The evidence supported a need for a learning resource that was both specific to Cesarean sections and to the Janeway Case Room setting. Content of the educational resource includes roles and responsibilities of the Operating Room nurse, regulations for the Operating Room, instruments specific to Cesarean sections, a review of appropriate anesthesia for Cesarean sections, a timeline for typical Cesarean sections as well as emergency preparedness. The chosen mode of delivery is a hard copy of a resource manual that can also be available online in the future. Conclusion: A learning resource for the Janeway Case Room Operating Room specific to Cesarean sections is expected to enhance the understanding of nursing care for novice labor and delivery nurses by supporting their theoretical knowledge uptake, skill development, and confidence. It is further anticipated that implementation of the learning resource will positively contribute to enhanced maternal and fetal outcomes before, during, and after Cesarean sections.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.009 | 0.025 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.001 |
| Bibliometrics | 0.003 | 0.002 |
| Science and technology studies | 0.002 | 0.001 |
| Scholarly communication | 0.003 | 0.006 |
| Open science | 0.003 | 0.007 |
| Research integrity | 0.002 | 0.002 |
| Insufficient payload (model declined to judge) | 0.047 | 0.011 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".