Date of Graduation

Fall 12-15-2023

Document Access

Project/Capstone - Global access

Degree Name

Master of Science in Nursing (MSN)

College/School

School of Nursing and Health Professions

Program

MSN project

First Advisor

Nicole Beamish

Abstract

Problem: This study aims to improve maternal-child health education and assessment among the multidisciplinary staff in a postpartum unit. Pre-assessment questionnaires and data will be collected over one month, and will guide the changes that need to be implemented.

Context: Clinical Nurse Leader students conducted a microsystem assessment in the Postpartum Unit of a hospital in the Bay Area, conducive to improving preeclampsia education and the frequency of assessment for patients with preeclampsia without severe features.

Intervention: We implemented supplemental Preeclampsia education for the nurses on the Maternal-Child Postpartum Unit. In addition to the education, we used pre- and post- intervention surveys. To further increase remembrance we created a handout for the nurses to take home with the same information we had discussed while on the unit.

Measures: A pre-intervention survey assessed the nurses overall experience with preeclampsia knowledge, protocol, and their comfort levels. The post-intervention survey re-assessed the comfort level with preeclampsia after the education, if they felt the education was helpful, and how satisfied they were with the recommendation.

Results: Although 70% of nurses on the unit felt that they already knew the information from the educational handout, the post-intervention assessment endorsed increased education frequency with 50% of nurses moving from being comfortable to very comfortable with preeclampsia.

Conclusion: The post-intervention data show the need for further research to determine the safety of monitoring preeclamptic patients without severe features once every 8 hours compared to every 4 hours. Furthermore, a random controlled trial study would be beneficial for assessing patient safety, nurse satisfaction, and significant outcomes.

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