Name 5

Emma Krick, RN, DNP, CRNA

DNP Nurse Anesthesia

Educational Modules and Cognitive Aids for Providers Caring for Patients Suffering from Obstetric Hemorrhage   

Project Category:  Original Research 

Project Team: Emma Krick, DNP, CRNA, Jennifer Dickert, DNP, CRNA

Abstract

Background: Obstetric hemorrhage (OBH) continues to be the leading cause of maternal mortality despite OBH protocol implementation efforts. Prior studies have investigated the efficacy of OBH protocol implementation through patient clinical parameters, but few studies have assessed provider knowledge and self-confidence levels in protocol implementation.

Methods: A single group pre-test/post-test study was conducted that consisted of a web-based educational module which was disseminated to staff caring for parturients at a Midwestern community hospital from 4/29/24 to 7/1/24. The obstetric nurse manager and chief anesthesiologist recruited participants through email. An electronic web-based educational module including the risk factors, signs and symptoms, and initial management for OBH, as well as a physical cognitive aid (CA) were implemented among staff. Electronic surveys were issued via Qualtrics both pre- and post-implementation to assess participants’ knowledge and confidence levels.

Results: Six staff members completed both pre- and post-surveys and were included in the data analysis. Results showed increases in both knowledge exam scores and confidence levels in all roles, although not statistically significant (pre-test 56.95%, post-test 64.7%) and (pre-test 3.5, post-test 2.67), respectively.

Conclusion: Results on the efficacy of OBH-specific educational modules and CAs toward provider knowledge and confidence levels were inconclusive. The small sample size captured for this study may have been a factor. The benefits of standardized education materials for low-incidence/high-mortality events should still be considered clinically important.

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