Many women express a desire to experience labor and birth without epidural anesthesia and look to those assisting them through the labor process for support and guidance. Despite the evidence that demonstrates the safety of epidural analgesia, many risks have been identified for women receiving epidural analgesia in labor. Nurses caring for women in labor require the confidence, knowledge and skills to provide care and support that includes alternatives to epidural analgesia for pain relief for women who desire to give birth without an epidural. The purpose of this Clinical Doctorate Capstone Project was to increase nurses’ self-efficacy and knowledge through an education program by providing information regarding the provision of labor support that included alternative means of pain relief. Labor and delivery nurses in a small community hospital in Lewiston, Maine were invited to a two day educational program promoting activities to support women in labor, especially women that choose to give birth without an epidural. Lecture and simulation were used between pre-test and post-test data collection. Nurses’ self-efficacy for labor support was measured using a self-efficacy tool developed by Davies and Hodnett (2002). Participant knowledge regarding the provision of support during labor and birth was obtained with a multiple-choice tool developed by the project director. Twelve participants completed the program. There was a statistically significant difference in pre and post intervention outcome measures. These findings suggest lecture and simulation may lead to improved knowledge and self-efficacy in nurses who provide labor support to women.