Date of Conferral

2023

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Donna Bailey

Abstract

Maternal and neonatal deaths remain a significant healthcare concern globally. For instance, 4% of pregnancies in the United States are affected by pre-eclampsia, which is the second leading cause of maternal mortality globally. However, evidence shows that African American women are at higher risk of developing pre-eclampsia during pregnancy, and the population experiences severe maternal outcomes compared to other communities. Therefore, the goal of the project was to assess nurses' level of knowledge working in maternal units on pre-eclampsia and eclampsia and assess the effectiveness of simulation-based training on pre-eclampsia on improving nurse knowledge and self-efficacy. Several models were used to guide this project, Leininger’s transcultural nursing model, Orem’s self-care model, and the competency-based model. A pre-post-test design was used to assess the project questions. The project was implemented in the labor and delivery ward of a hospital in the southeastern part of the United States. Nurses took the pretest to assess their understanding and participated in the simulation activity, followed by a post-test. The pre-test results showed that nurses had moderate to low knowledge of pre-eclampsia management and practices. Post-test results also showed that simulation-based training on pre-eclampsia was effective in improving nurses’ knowledge and self-efficacy in managing pre-eclampsia. The project concluded that simulation-based training is an effective method of constantly training nurses and it should be adopted in nursing education to help improve the health outcomes of African American women suffering from pre-eclampsia. Positive social change can occur when care is evidence-based and culturally appropriate.

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