Date of Conferral

2022

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Anna Hubbard

Abstract

AbstractPerinatal depression is among the most common of mental illnesses a woman experiences during pregnancy and postpartum. Currently, in the Federally Qualified Health Center, patients are only screened at the postpartum visit while the evidence-based literature recommends screening in the prenatal period as well thus creating a gap in practice. The purpose of this project was to address this gap through the planning, implementation, and evaluation of a staff education project on perinatal depression and screening. Framed within the analysis, design, development, implementation, and evaluation model of instructional design, the project was guided by two questions: (a) What evidence in the literature supports the use of screening, intervention, referral, and follow-up for postpartum depression in the perinatal period? and (b) Will there be a change in knowledge upon implementation of an education program on screening, intervention, referral, and follow-up for perinatal depression and anxiety mood disorders as evidence by a pretest/posttest situation? The educational curriculum was developed based on the Consensus Bundle on Maternal Mental Health: Perinatal Depression and Anxiety guidelines. The 10 staff nurse participants completed a 10-question pretest/posttest based on the bundle and the Edinburgh Postnatal Depression Scale. Individual pretest scores ranged from 40-70 % with posttest scores ranging from 80-100%, indicating an increase in knowledge after the education. The Scale Content Validity Index (S-CV1) =1 indicating the test was highly relevant to the curriculum content and objectives. The findings of this project indicated that nurses could use the knowledge gained for early identification and intervention of perinatal depression and positive social change.

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