Objective: This study examines the gaps in nurses’ knowledge of the doula scope of practice within the postpartum hospital stay and identifies attitudes and experiences these nurses have had with doulas. Identifying and addressing possible conflict can increase the utilization of doula support in the postpartum hospital stay to facilitate collaboration to support patient-centered care. Methods: A qualitative descriptive study using an online survey, developed to evaluate the attitudes toward, knowledge of, and experiences with volunteer doulas by postpartum nurses within an academic hospital in the southeastern United States. Survey questions related to respondents’ engagement with doulas volunteering in an affiliated hospital-based doula program. Results: Nurses surveyed responded positively about their experiences with doulas, responding strongly agree and somewhat agree with statements, “In my practice, doulas are welcome” and “There is a need for doulas in maternity care”. About 50% of respondents felt that they strongly understood the doula scope of practice within the postpartum period. Most participants who had collaborated with doulas mentioned “support” and “assistance” concerning requests for doula care (62.5%). Respondents requested volunteer doula support due to patient needs, including additional support due to lack of familial presence and support with lactation. Conclusion: Findings identify factors that influence collaboration, including gaps in knowledge that can be addressed to increase utilization and patient benefits of doula support in the postpartum period. Results of this study may be used to inform further development within the volunteer program and recommendations to facilitate collaboration between postpartum nurses and volunteer doulas.
Bryanna Schutze (Sat,) studied this question.