Provider Attitudes Toward Clinical Protocols in Obstetrics

Sayeedha G. Uddin, Jill A. Marsteller, J. Bryan Sexton, Susan E. Will, Harold E. Fox

Research output: Contribution to journalArticlepeer-review

2 Scopus citations


The Johns Hopkins Oxytocin Protocol (JHOP) Survey was distributed to clinical labor and delivery staff to compare obstetrical providers' attitudes toward clinical protocols and the JHOP. Agreement by registered nurses (RNs), physicians in training (PIT), and attending physicians (APs) and certified nurse midwives (CNMs) was assessed with each of 4 attitudinal statements regarding whether clinical protocol and JHOP use result in better practice and are important to ensure patient safety. Odds of agreement with positive statements regarding clinical protocols did not differ significantly among groups. Odds of agreement with JHOP use resulting in better practice also did not differ significantly among provider groups. Odds of agreement with the JHOP being important to ensure patient safety were lower for the AP/CNM group compared with the RN group. Clinical protocol use is generally well received by obstetrical providers; however, differences exist in provider attitudes toward the use of an institutional oxytocin protocol.

Original languageEnglish (US)
Pages (from-to)335-340
Number of pages6
JournalAmerican Journal of Medical Quality
Issue number4
StatePublished - Jul 2012


  • clinical protocols
  • obstetrics
  • oxytocin
  • provider attitudes

ASJC Scopus subject areas

  • Health Policy


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