What interventions does the nurse perform to provide emotional support to a patient in labor?

Nurses are a trusted part of care delivery. Because they spend so much one-on-one time, they get to know their patients in a way few others can. They answer questions for family and friends and are relied upon to be an advocate.

While monitoring patient data and physical improvements is an obvious part of the job, emotional and mental well-being is no less important. The De Souza Institute notes that psychosocial distress affects patient recovery and can contribute to physical symptoms like pain. Healthy emotional and mental states can improve outcomes, and nurses are in a unique position to help patients with challenges in these areas.

Giving Support

Nurses spend a significant amount of time with the patients in their care. Night shifts mean the nurse is there after visiting hours end, when a patient’s thoughts, demeanor and words may become a bit more negative than when they are with family members and friends.

Illness, injury, trauma or a terminal diagnosis can all cause setbacks to a patient’s psychosocial health. MedCrave specifies that patients may experience depression, anxiety, despair and disturbed body image while receiving care. Anyone dealing with adverse medical news can experience fear, helplessness, sadness and frustration, as reported by health organization Marie Curie. Patients can feel alone despite having a strong support network of family and friends.

How Nurses Can Help

The best thing a nurse can do is develop strong communication and assessment skills. Recognizing the indicators of a less-than-optimal psychosocial state allows the nurse to know when to intervene. Observation is a useful tool to interpret when a patient might want to talk about their thoughts and feelings about an injury or illness.

Some nurses may feel ill-equipped to have these kinds of discussions, not knowing how to lead a conversation on such topics. Taking a few minutes to ask questions and listen is an excellent way to identify what specific challenges each patient is facing.

Cultural sensitivity and an understanding of the traditions and spiritual practices of patients in the area can provide the nurse with information about priorities and taboos. Areas that have a high incidence of adverse childhood experiences (ACEs) require an insight into signals of distress or potential barriers to healing.

Enhancing your communication skills can help you navigate challenging discussions smoothly. Lamar University’s Registered Nurse to Bachelor of Science in Nursing (BSN) degree program includes an assessment of sociological, psychological, cultural and familial factors in treatment as well as a review of community care and communication skills. Starting a conversation, listening to patients and understanding their personal values assists the nurse in providing emotional support.

Some topics and concerns that come up during discussions with patients and their friends and family will be outside the scope of your work. Resources within your organization, community and state can assist everyone on the patient’s care team.

Emotional Support and Patient Outcomes

Studies have been conducted to assess the effects of emotional support on patient outcomes. The National Center for Biotechnology Information reported on a 2015 study monitoring patients electing to have total hip or knee arthroplasty to alleviate arthritis. The study found that those who received psychological support reached mobility objectives at an average of 1.2 days sooner than the control group.

Cost effectiveness is paramount for healthcare facilities and insurance companies. Addressing psychosocial aspects of patient health can help reduce the length of stay after procedures and treatments. Healthy minds and happy hearts have been proven to contribute to recovery. An interested, friendly nurse can nurture emotional and mental health while lending an ear and addressing any situations or concerns that may arise. That extra bit of care also contributes to job satisfaction and can help nurses notice when a patient needs help.

Learn more Lamar University’s online RN to BSN program.

Sources:

De Souza Institute: Providing Emotional Care to Our Patients: Not Enough Time? Or, Too Little Skill?

MedCrave: Psycho Social Nursing Care for Better Patient Outcome

Marie Curie: Providing Emotional Care

NCBI: Effectiveness of Psychological Support in Patients Undergoing Primary Total Hip or Knee Arthroplasty: A Controlled Cohort Study

Labor support is one of the most important intrapartum nursing functions, with measurable effects on the outcomes of labor and birth. Supportive activities fall within five categories: emotional support, comfort measures, advocacy, supporting the husband/ partner, and information/advice. Labor support is a repertoire of techniques the nurse can use to help women during one of the most memorable and personally challenging experiences of their lives. JOGNN, 25, 257–264; 1996.

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  1. Discount functions and the measurement of patient’s values: Women’s decisions during childbirth.

    Medical Decision Making. 1984; 4: 47-57

    View in Article

    • Scopus (171)
    • PubMed
    • Crossref
    • Google Scholar

  2. ()The Cochrane collaboration pregnancy and childbirth database. Cochrane Updates on Disk, Update Software, Oxford, UK1994
  3. A guide to effective care in pregnancy and childbirth.

    2nd ed. Oxford University Press, New York1995

    View in Article

  4. Support from caregivers during childbirth. [Computer software].

    in: Keirse M.J.N.C. Renfrew M.J. Neilson J.P. Crowther C. Cochrane database of systematic reviews (Disk Issue 2). BMJ Publishing Group, London1995

    View in Article

  5. A randomized trial of the effects of monitrice support during labor: Mothers’ views two to four weeks postpartum.

    Birth. 1989; 16: 177-183

    View in Article

    • Scopus (42)
    • PubMed
    • Crossref
    • Google Scholar

  6. Transcutaneous nerve stimulation (TENS).

    in: Enkin M.W. Keirse M.J.N.C. Renfrew M.J. Neilson J.P. Cochrane database of systematic reviews. Cochrane Updates on Disk, Update Software, Oxford, UK1994

    View in Article

  7. Supporting women in labor: A work sampling study of the activities of labor and delivery nurses.

    Birth. 1992; 79: 3-8

    View in Article

  8. A case of conflicting paradigms: nursing and reproductive technology.

    Advances in Nursing Science. 1988; 10: 35-45

    View in Article

    • Scopus (39)
    • PubMed
    • Crossref
    • Google Scholar

  9. The birth partner.

    The Harvard Common Press, Boston, MA1989

    View in Article

  10. Diagnosis of dystocia and management with cesarean sec tion among primiparous women in Ottawa-Carleton.

    Canadian Medical Association Journal. 1990; 142: 459-463

    View in Article

  11. Active management of labour: Current knowledge and research issues.

    British Medical Journal. 1994; 309: 366-369

    View in Article

    • Scopus (89)
    • PubMed
    • Crossref
    • Google Scholar

DOI: //doi.org/10.1111/j.1552-6909.1996.tb02434.x

© 1996 AWHONN, the Association of Women's Health, Obstetric and Neonatal Nurses. Published by Elsevier Inc. All rights reserved.

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