Date of Conferral

2020

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Joan Moon

Abstract

In 2018, the state of Florida had a cesarean section birth rate of 38.3% which was the 3rd highest in the nation with the national average being 31.9%. Elective induction of labor (EIOL) involves the initiation of labor for convenience and not because of medical necessity. EIOL carries risks for the mother and fetus, including an unplanned cesarean section. The problem identified in this project was the lack of informed decision-making by pregnant women related to risks, benefits, and management of EIOL. Using the Informed Decision-Making through Engagement Model, the purpose of the project was to develop an evidence-based clinical practice patient education guideline (CPPEG) on informed decision-making for EIOL. The practice-focused questions guiding the CPPEG were what evidence from the literature supports the need for patient education related to EIOL and what evidence from the literature is available for the development of the CPPEG. After development of the CPPEG, a panel of content experts scored the guideline using the Appraisal of Guidelines Research and Evaluation II (AGREEII) instrument which included 23 questions in 6 different domains. Using descriptive statistics to analyze the results, the overall score from the panel was 83%, which indicated a high-quality guideline with the threshold being 70% according to the AGREE II model. The panel recommended that the guideline be made available to hospitals and provider offices. There may be positive social change as women receive education on the risks and benefits of EIOL in order to make informed decisions which may lead to better outcomes for mothers and newborns thus improving the human condition.

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