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提高产后出院教育的倡议。

An Initiative to Improve Postpartum Discharge Education.

出版信息

Nurs Womens Health. 2023 Aug;27(4):270-282. doi: 10.1016/j.nwh.2023.04.007. Epub 2023 Jun 17.

DOI:10.1016/j.nwh.2023.04.007
PMID:37336492
Abstract

OBJECTIVE

To evaluate an online POST-BIRTH Warning Signs (PBWS) project focused on improving nurses' knowledge and how they teach individuals in the postpartum period about potential complications.

DESIGN

Quality improvement project with exploratory pretest/posttest.

SETTING

Seventy hospitals with maternity services throughout the United States.

PARTICIPANTS

A sample of 2,363 registered nurses.

INTERVENTION/MEASUREMENTS: An online educational program with four surveys and a chart audit tool were used as evaluation measures.

RESULTS

There was an 11% increase in nurses' knowledge after the online course intervention. A majority of nurses reported that they would improve how they educate patients and families about PBWS, that they would change their clinical practice based on what they learned, and that their facility implemented a protocol to educate patients about PBWS after the implementation of the course. The nurses' reported confidence in their teaching increased 59% after implementation of the course.

CONCLUSION

The majority of maternal deaths in the United States occur during the postpartum period. Therefore, it is vital that nurses provide standardized and structured educational messaging when teaching individuals in the postpartum period about signs and symptoms of potential complications. This quality improvement project demonstrated that the PBWS online education course was associated with an increase in nurses' knowledge and confidence when teaching about potential complications that can arise during the postpartum period.

摘要

目的

评估一个专注于提高护士知识以及他们在产后阶段教授个体潜在并发症相关内容的在线产后警告症状(PBWS)项目。

设计

具有探索性预测试/后测试的质量改进项目。

设置

全美 70 家具有产科服务的医院。

参与者

2363 名注册护士的样本。

干预/措施:使用在线教育计划和四个调查以及图表审核工具作为评估措施。

结果

在在线课程干预后,护士的知识增加了 11%。大多数护士报告说,他们将改善对 PBWS 的教育方式,他们将根据所学内容改变他们的临床实践,并且他们的设施在课程实施后实施了一项教育患者关于 PBWS 的协议。在实施课程后,护士的教学信心增加了 59%。

结论

在美国,大多数产妇死亡发生在产后阶段。因此,护士在向个体教授产后期间潜在并发症的症状时提供标准化和结构化的教育信息至关重要。这个质量改进项目表明,PBWS 在线教育课程与护士在教授产后期间可能出现的潜在并发症方面的知识和信心的增加有关。

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