Date of Graduation

Spring 5-20-2022

Document Access

Project/Capstone - Global access

Degree Name

Master of Science in Nursing (MSN)


School of Nursing and Health Professions


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MSN project


Problem: This quality improvement project aims at Hospital X meeting the new Joint Commission (JC) provisional deadline through the implementation of simulation training and video development as a way of educating emergency department (ED) staff in recognizing and treating preeclampsia (PreE) and postpartum hemorrhage (PPH).

Context: This quality improvement project utilizes evidence-based practice, California Maternal Quality Care Collaborative (CMQCC) toolkits, and JC standards to educate ED staff on worsening cases of maternal morbidity and mortality nationwide. Research shows that early recognition and prevention of maternal hemorrhage and preeclamptic emergencies has the highest probability of decreasing maternal complications in the ED.

Intervention: This project implemented simulation training and video development in the ED showcasing a fictitious patient scenario with PreE and PPH. The participants involved included staff nurses, medical doctors (MDs), technicians, educators, and clinical nurse leader (CNL) students. A concept map and a plan-do-study-act (PDSA) cycle was also developed by the CNL students to outline project goals with the guidance, input, and approval from clinical educators.

Measures: The outcomes for the simulation training were measured through pre-and post-simulation training surveys and debriefing responses completed by ED staff. Measures for the training videos have not been analyzed as they will not be implemented into Hospital X’s online Knowledge Center module until early January 2023. Follow-up data will be collected by clinical educators.

Results: Results from the surveys showed that ED nursing staff did not feel confident in recognizing and treating PreE or PPH. The majority of them had little to no experience with labor and delivery patients and were not aware of the current policies and protocols in place at Hospital X’s ED. However, after participating in the simulation training, it was found that there was an increase in confidence level and educational knowledge among ED staff.

Conclusion: The objective of this project was for Hospital X to meet the JC deadline for implementing educational simulation training in the ED on early recognition and treatment of PreE and PPH. Through the project, it was found that ED nursing staff lacked confidence and knowledge in treating obstetric emergencies. After the simulation training was implemented, the staff’s confidence levels, and knowledge increased. This showcased positive results and motivated educators to create a simulation training video with CNL students to incorporate into future annual training sessions.