Date of Conferral

2017

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Mary Verklan

Abstract

Postpartum hemorrhage (PPH) remains a major traumatic event that can occur after delivery. All expectant women are considered to be at risk of PPH and its effects. PPH is a preventable condition and primary interventions including active management of the 3rd stage of labor, use of uterotonics, and uterine massage. Analysis of the project site showed that PPH affected approximately 15% of all deliveries that occurred between 2014 and 2015. The overarching aim of the project was to determine how a nursing-focused educational intervention would affect staff nurse knowledge regarding PPH to decrease the incidence rate. The goal of the project was to develop an educational module for obstetric and postpartum nurses about prevention and management of PPH, decrease the PPH incidence rate from 15% to 10%, and evaluate the obstetric and postpartum nurses' attitudes toward the Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN) guideline used to decrease the risk of PPH. Bandura's social learning and self-efficacy theories were used to guide the development and implementation of the educational intervention. A paired t test was used to analyze the differences in the staff nurses' knowledge of PPH before and after the educational intervention. The group's mean score preintervention was 53.65% and 90% postintervention, representing a 36.35% increase in the knowledge scores. The PPH rate decreased from 15% to 0% after implementation of the project. Social change will occur through a better understanding of the physiology of PPH and the positive adaptation of the use of AWHONN guidelines in managing PPH as such, may decrease mortality.

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