Toolbox: Unit Culture

Resources and Tools

To show the list of resources and tools available within each category, click "Click to Expand" under the category subhead. Click on the icon to the left of the resource you wish to download or, in the case of a weblink, be taken to. You can also search our entire library of resources and tools by keyword, category or topic by going to our "Browse All' page

Improvement Stories

Audit Tools

DocumentsReturn to Normalcy Process Form
A check list to support unit based teams in making changes to promote physiologic birth.

Model Policies

LinkBaby-Friendly USA
This site provides all of the resources and guidelines for implentation and accreditation as a baby friendly hospital. Includes evidence based care of the newborn and promotion of the transition for the newborn to breastfeeding.

LinkTemplates for Protocols and Procedures, 3rd Edition (AWHONN)
This resource is designed to assist nurse managers and other administrators of labor and delivery, mother-baby, and normal newborn nurseries to develop policies and procedures, clinical pathways, patient care guidelines, and sample orders for labor and delivery, mother-baby, and normal newborn nurseries.

DocumentsWhere Midwives Work ACNM Issue Brief
Service Directors Network assists with starting or strengthening midwifery services. ACNM Issue Brief, May 2012.

LinkQuality Patient Care in Labor and Delivery: A Call to Action
Link to the PDF download of this joint statement issued by leading maternity care professional organizations addresses the critical elements that are necessary to promote safe, quality care. Published by ACNM.

LinkAdministrative Manual for Midwifery Practices (MBN1)
This manual provides detailed information for the management of midwifery services and practices in any setting, including staffing, productivity and billing information. Published by the Midwifery Business Network (MBN).

LinkGuidelines for Professional Registered Nurse Staffing on Perinatal Units (AWHONN)
These comprehensive Guidelines reflect the increased complexity of today's perinatal settings and detail the effects of change and trends in perinatal care on nursing care and workloads. The goal is to promote a safe environment and allow perinatal RNs to spend more time caring for mothers and babies.

LinkOB and Nurse–Midwife Collaboration: Successful Public Health-Private Practice Partnership (AWHONN)
Abstract evaluating eollaborative models incorporating midwife-led care, from AWHONN.


Clinical Education/Staff Training Resources

DocumentsIntrapartum Nurse's Beliefs Related to Birth Practice
A useful tool to help assess nursing beliefs about normal birth.

LinkEvidence-Based Maternity Care: What It Is and What It Can Achieve
This is a detailed review of the current state of the maternity care system in the United States with policy recommendations for change co-published by Childbirth Connection, the Reforming States Group, and the Milbank Memorial Fund

LinkConfronting safety gaps across labor and delivery teams
Link to PDF download. A study about the experience of physicians, nurses and midwives observing conflicts in care.

LinkTeam Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS)
A teamwork system designed for health care professionals focused on improving patient safety, which has been applied to maternity care.

LinkManaging Obstetrical Risks Efficiently (MORE OB)
A comprehensive, three-year, patient safety, professional development, and performance improvement program for caregivers and administrators in hospital obstetrics units.

LinkEvidence-based PEARLS of Midwifery
A power point presentation that outlines care practices and physiologic approaches to childbirth developed by the American College of Nurse Midwives. The information is presented in a format for use in Grand Rounds, educational training for staff and students.

Patient Education

LinkSix Steps to Shared Decision Making for Providers
To assist providers in implementing shared decision making, this document offers the six steps of shared decision making, along with some sample language that may be helpful in working with your patients to make better decisions together.

LinkPatient- and Family-Centered Care Self-Assessment Tools for Maternity Care
These assessment inventories, available for a nominal fee from the Institute for Patient- and Family-Centered Care, were developed to help birth settings and professional practices/clinics operationalize patient- and family-centered care. They are designed for use with an interdisciplinary team that includes women and families.

Position Statements/Related Guidelines/Toolkits

LinkPatient-centered Care Improvement Guide
Link to PDF download. Tools and resources for organizing the delivery of care around the needs of the patient, produced by Planetree.



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