Date of Graduation

Winter 12-11-2020

Document Type

Project

Degree Name

Doctor of Nursing Practice (DNP)

College/School

School of Nursing and Health Professions

Department/Program

Nursing

Program

Family Nurse Practitioner

First Advisor

Dr. Jo Loomis

Second Advisor

Dr. Nancy Selix

Abstract

Problem: Sexually active women between the ages of 14 and 44 are at risk of pregnancy. This risk puts these women at high rate of unintended pregnancies.

Purpose: Currently, there is a nationwide initiative, Healthy People 2030, to reduce the rate of unintended pregnancies. Pre-conception screening is a method of mitigating this concern. Women typically receive pre-conception screening from an obstetrician, whom they visit during their annual well woman visit. The primary care setting is unique because women typically visit a primary care provider more frequently than their obstetricians. Every visit to a primary care provider is an opportunity to discuss pre-conception care.

Method: Preconception health PowerPoint and small group meetings were presented to physician, medical assistants, as well as nurse practitioner and physician assistant students. Pre-questionnaire and post questionnaire were utilized to evaluate effectiveness of education on clinic staff. A chart review of appropriate documentation of pre-conception screening was conducted. A comparison of birth control utilization and referral to obstetrician were conducted prior to implementation and post implementation. Finally, a post survey was conducted to evaluate staff acceptance and utilization of screening tool.

Findings: Following the completion of the pre-conception screening tool implementation a post-questionnaire and post-interview was conducted. The post-implementation questionnaire noted an increase in staff knowledge of modifiable pregnancy risk factors as well as risk factors for poor or adverse pregnancy outcomes. The post implementation interview noted 100% of respondents had positive feelings toward the implementation of the screening tool. The interview also noted 85% of women of reproductive age were screened using the pre-conception screening tool.

Conclusion: The education provided to the staff was effective in improving staff knowledge of pre-conception risk factors, adverse pregnancy outcomes, and supplements that can improve pregnancy outcomes. The screening tool is an effective method of screening women for pre-conception.

Available for download on Tuesday, December 19, 2023

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