Date of Conferral

11-7-2025

Date of Award

November 2025

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Maria Revell

Abstract

This doctoral project focuses on the development of a clinical practice guideline (CPG) aimed at addressing a critical gap in postpartum care, particularly postpartum depression (PPD), inconsistent follow-up, and low breastfeeding continuation rates, which disproportionately affect African American women and other underserved populations. These gaps contribute to preventable morbidity, poor maternal experiences, and health inequities, making this issue a priority for nursing and public health. The guiding practice-focused question asked if an interdisciplinary team would achieve consensus on a clinical practice guideline for the development of a comprehensive care partner program for postpartum women. Analytical strategies included a systematic evidence review using the Johns Hopkins Evidence-Based Practice (JHEBP) model and synthesizing research and non-research evidence. The draft CPG was reviewed by an interdisciplinary panel of four expert reviewers, one each from obstetrics, nursing, behavioral health, and social work. They used the Appraisal of Guidelines for Research and Evaluation (AGREE) II tool, which is a validated instrument used to evaluate the quality of clinical practice guidelines. Expert reviewers demonstrated a mean of 6.45/7 on the six AGREE II domains, with reviewers recommending the guideline for clinical use. The project has important implications for nursing, advancing equity, and reducing racial disparities in healthcare. By emphasizing diversity and inclusion to ensure culturally competent care for all postpartum women, the guideline fosters trust between healthcare providers and patients while enhancing maternal health outcomes.

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