Doctor of Nursing Practice (DNP) Projects
Date of this Version
2020
Embargo Date
12-22-2021
Document Type
Project
Department
Nursing
Track
Post-BSN for Nurse Anesthetists (DNP-NA)
Keywords
cesarean delivery, cesarean section, avoidable c-section, patient education, education intervention, low-risk mothers, childbirth plans, c-section knowledge, childbirth confidence, conversation with providers
Abstract
Objective: To increase participant knowledge regarding avoidable cesarean sections (CS), and confidence to self-advocate and initiate conversation with their health care team regarding their birth plans, with a long-term goal of decreasing avoidable CS.
Design: Quality improvement initiative.
Setting/Local Problem: Obstetrics and gynecology clinic for low-income, underserved patients affiliated with an urban teaching hospital in Philadelphia, Pennsylvania.
Participants: Low-risk expectant mothers without prior cesarean sections.
Intervention/Measurements: Based on available literature, our educational intervention for the project included a brief video and modified pamphlet with information directly from the My Birth Matters free consumer toolkit. The intervention process consisted of a pre-intervention survey, video and modified pamphlet intervention, and post-intervention survey.
Results: Following implementation of the educational intervention, post-intervention survey results demonstrated statistically significant increases for both knowledge (t=5.165, p=<0.001) and confidence (t=2.563, p=0.017) scores, and 93% of participants reported hearing new information.
Conclusion: This quality improvement initiative was successful in educating participants regarding CS and increasing confidence to self-advocate. Due to the ease of implementation and potential magnitude of impact, low-risk pregnant women would benefit from receiving this valuable information about CS. Due to the COVID-19 pandemic, this also provides clinics an opportunity to continue patient education, whether in-person education is feasible or not. If long-term outcomes indicate reduction of avoidable CS, this brief educational intervention will serve as a simple, easy tool to implement in a variety of patient populations to address the rising rates of CS in the United States.
Included in
Community Health and Preventive Medicine Commons, Maternal and Child Health Commons, Maternal, Child Health and Neonatal Nursing Commons, Nursing Midwifery Commons, Public Health and Community Nursing Commons, Public Health Education and Promotion Commons, Women's Health Commons
Date Posted: 25 February 2022