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

Lisa Brozda RN, MSN, CNS

Second Advisor

Nicole Beamish, DNP, APRN, PHN, CNL

Abstract

Problem: This Quality Improvement project aimed to improve preeclampsia education among Registered Nurses (RNs) and simplify the preeclampsia assessment frequency for patients with non-severe features in the Mother-Baby Postpartum Unit at Hospital Y.

Context: The Quality Improvement project occurred in a 25-bed Mother-Baby Postpartum unit at Hospital Y. The nurse educators at Hospital Y requested that University of San Francisco (USF) nursing students focus on increasing preeclampsia education among nurses and reducing the nursing assessment frequency.

Interventions: Collect quantitative data through observation and hand anonymous questionnaires to the registered nurses and clinical nurse leaders (CNLs) to determine their knowledge of preeclampsia. No interventions have been applied at this time.

Measures: This project began with identifying the microsystem assessment utilizing the 5 P’s (purpose, patients, professionals, processes, and patterns). Edible incentives were given to encourage staff to participate in completing the surveys. We evaluated the nurses’ knowledge of preeclampsia topics and the frequency of preeclampsia assessments on Epic charting by asking questions on the surveys. Results illustrated that nurses have multiple learning resources in the unit such as frequent education from the staff developer/manager, unit policy updates, and annual E-learning courses. The outcome measure would be to see improvement in preeclampsia knowledge among the multidisciplinary team and a simplified version of the assessment.

Results: We concluded that the results combined qualitative and quantitative data. The response rate of nurses who find it beneficial to have preeclampsia refreshers was 69.3%. The most common barriers mentioned in the surveys included the frequency of the preeclampsia assessments needed for each patient without severe features and the lack of time nurses encounter to complete these surveys.

Conclusion: Surveys and ongoing research have shown increased preeclampsia education among nurses. However, having refresher courses was one suggestion made by the staff on the pre-assessment survey, as this will keep them updated and compliant with preeclampsia topics.

Keywords: preeclampsia, education, preeclampsia assessment, frequency, compliance, postpartum, improvement, nursing outcomes, maternal outcomes

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