Pushing Class Survey

Your feedback and insight is INVALUABLE to us shaping this class together. The more info you give, the better I can address your current issues. Please answer the following:

What's your primary role?

A

Labor & Delivery Nurse

B

CNM/Midwife

C

OBGYN

D

Doula

E

Clinical Educator

F

Nurse Manager/Leader

G

Other

How many years of experience do you have in your current role?

A

<6 months

B

6 mo - 1 year

C

1-2 years

D

2-3 years

E

3-5 years

F

5-10 years

G

10-20 years

H

20+ years

Have you taken the Physiologic Birth Class?

A

Yes

B

No, but I'm registered for Sept 4

C

No, I'm not currently registered

Are you registered for the Pushing Class on Sept 5?

A

Yes

B

No, but I plan to register

C

No, and I don't plan to register

How would you describe the current pushing practices on your unit?

A

Very physiologic/evidence-based

B

Somewhat physiologic with room for improvement

C

Traditional/directed pushing is the norm

D

Mixed - varies by provider/nurse

E

I'm not sure/it's inconsistent

What is your biggest challenge when supporting patients during second stage? (Select all that apply)

Not knowing what the evidence actually says

Lack of confidence in teaching pushing techniques

Provider resistance to physiologic approaches

Unit culture that doesn't support change/evidence

Time pressures during busy shifts

Lack of resources or equipment for positioning

Patient/family resistance or expectations

Fear of complications or outcomes

Have you witnessed or been involved in a case of LENI (lower extremity nerve injury) during birth?

A

Yes, and I want to understand prevention better

B

Yes, but I felt confident in the prevention strategies used

C

No, but I'm concerned about it

D

No, and I'm not familiar with LENI

E

I'm not sure

How confident do you feel explaining the difference between open-glottis and closed-glottis pushing to a patient?

A

Very confident - I do this regularly

B

Somewhat confident - I know the basics

C

Not very confident - I need more knowledge

D

Not confident at all - this is new to me

How comfortable are you advocating for upright/alternative positioning during second stage when providers prefer supine?

A

Very comfortable - I do this consistently

B

Somewhat comfortable - but I could use better scripts

C

Not very comfortable - I avoid conflict

D

Not comfortable at all - I need help with this

What specific pushing scenarios do you encounter that you'd like help navigating? (Select all that apply)

Patients with epidurals who can't feel the urge to push

Patients who want to push in non-traditional positions

Long second stages with provider pressure to intervene

Patients who are afraid to push or seem to "hold back"

Malpositioned babies (OP, asynclitic, etc.)

Patients with previous birth trauma

Multips who push "too fast"

Primips who seem to push "ineffectively"

Something else (specify next):

What other pushing scenarios do you encounter that you'd like help with?

If you could only choose one, what advocacy situation would you most like to practice/discuss?

A

Talking to a provider who insists on supine positioning

B

Educating a patient about why physiologic pushing is beneficial

C

Discussing patient pushing with an impatient provider

D

Advocating for position changes during active pushing

E

Addressing family concerns about "taking too long"

F

Other (please note in the next question)

Are there any specific topics you're hoping we'll cover?

How would you describe your unit's openness to practice change?

A

Very open - we embrace evidence-based changes

B

Somewhat open - changes happen but slowly

C

Resistant - change is difficult here

D

Very resistant - I feel like I'm swimming upstream

E

Mixed - depends on the provider/shift

What's your main goal for taking this class or not taking this class?

Is there anything else you'd like me to know about your experience or what would make this class most valuable for you?

Thank you for taking the time to help us customize this class to your needs! Your responses will help ensure we address the most important topics for our group!

Survey responses are confidential and will only be used to enhance your learning experience.