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From:
Martha & Greg <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Mon, 30 Oct 2000 21:22:46 -0800
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Lactnetters,
    Thanks VERY MUCH to all of you who are helping spread the word of my
questionnaire on to your intrapartum (LD) nurse colleagues.  PLEASE continue
to let LD nurses know about the research project.  I am happy to mail paper
versions to those with no internet access (preferably those who promise to
return them, since I'll include a stamped, self addressed envelope!).
    To answer Winnie's questions, yes, surveys of this type (not randomized,
but a convenience sample) have a greater likelihood of bias. However, the
purpose of the dissertation is to develop the questionnaire,
NOT draw conclusions.  I asked a lot of organizational and other
characteristics because I wanted to explore the influence of the other
factors on nurses' actions.  I will describe those because I am very
interested in that, but the real focus is on developing the questionnaire
(using proper statistical techniques on a large enough group for accuracy).
The more responses I get, the better off I'll be as far as bias goes.
    Regarding epidural use, that is one of the characteristics I am looking
at in my questionnaire.  My faculty wanted to know if it was an independent
variable (do epidurals influence the nurses' ability to perform supportive
actions?) or a dependent variable (Do nurses' action influence the patient's
need for an epidural?).  I said BOTH, and had some explaining to do!
    So Winnie, whenever you get to evaluate the epidurals, you might see if
there is a correlation between higher or lower epidural use and 1) certain
MDs, 2) certain RNs, and even 3) the shift.  Night shift (and late evenings
and weekends and holidays) can often be more innovative and more supportive
since they get less interference and have fewer scheduled procedures!
        Thanks again to all of you for passing on the information about my
research study!  Here's the link again, just in case!
http://wnt.cc.utexas.edu/~sleutel/survey/
    Martha Sleutel

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