Association of a self-efficacy theory-driven doula program combined with stage-focused nursing with delivery outcomes: a retrospective study - Scorecard - MDSpire

Association of a self-efficacy theory-driven doula program combined with stage-focused nursing with delivery outcomes: a retrospective study

  • By

  • Hongyan Xiao

  • Lijuan Li

  • June 11, 2026

  • 0 min

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Clinical Scorecard: Impact of a Doula Program Grounded in Self-Efficacy Theory and Stage-Specific Nursing on Delivery Outcomes: A Retrospective Analysis

At a Glance

CategoryDetail
ConditionVaginal delivery outcomes
Key MechanismsSelf-efficacy theory and stage-focused nursing
Target PopulationParturients undergoing vaginal delivery
Care SettingHospital

Key Highlights

  • Shorter total labor duration in the study group (562.76 min vs. 608.59 min, p < 0.001)
  • Lower labor pain scores in the study group
  • Higher neonatal Apgar scores in the study group (9.26 vs. 8.74, p < 0.001)
  • Improved psychological outcomes in the study group
  • Observational design limits causal inferences

Guideline-Based Recommendations

Diagnosis

    Management

      Monitoring & Follow-up

        Risks

          Patient & Prescribing Data

          98 parturients who underwent vaginal delivery

          Self-efficacy theory-based doula program combined with stage-focused nursing

          Clinical Best Practices

          • Integrate psychological support into conventional nursing models
          • Utilize self-efficacy theory to enhance coping confidence during labor
          • Consider holistic approaches to address psychological determinants of labor progression

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