Developing a Systematic Approach to Obstetric Emergencies |
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| Institution: | A clinical nurse specialist and Clinical Director of Women’s Services, Washington Regional Medical Center, Fayetteville, AR;An administrator, Women’s Service Line, West Florida Healthcare, Pensacola, FL;Chief Medical Officer, Washington Regional Medical Center, Fayetteville, AR;A professor and Director of the Byrdine F. Lewis School of Nursing, Georgia State University, Atlanta, GA;Bronson School of Nursing, Western Michigan University, Kalamazoo, MI;Professor of pharmacy practice, Ferris State University, Kalamazoo, MI;Master faculty specialist, Bronson School of Nursing, Western Michigan University, Kalamazoo, MI;Master faculty specialist, Bronson School of Nursing, Western Michigan University, Kalamazoo, MI;A doctoral student, University of Pennsylvania, Philadelphia, PA;A professor, Department of Nursing, Dongguk University, GyeongJu, South Korea;A postdoctoral researcher, University of Pennsylvania, Philadelphia, PA;A research associate professor, University of Pennsylvania, Philadelphia, PA;A professor and Marjorie O. Rendell Endowed Professor, University of Pennsylvania, Philadelphia, PA;Division of Informatics, Health Systems & Leadership, College of Nursing, University of Colorado, Aurora, CO;Executive Director of the National Alliance for Breastfeeding Advocacy, Weston, MA;Professor emerita, College of Nursing, University of Wisconsin Milwaukee, Milwaukee, WI;Director of the Center for Nursing Inquiry, Bronson Methodist Hospital, Kalamazoo, MI;visiting professor, Tanner Health System School of Nursing, University of West Georgia, Carrollton, GA;Department of Reproductive Medicine, Ghent University Hospital, Ghent, Belgium;Department of Experimental Clinical and Health Psychology, Ghent University, Ghent, Belgium;Faculty of Psychology and Educational Sciences, Ghent University, Ghent, Belgium;Department of Reproductive Medicine, Ghent University Hospital, Ghent, Belgium;Department of Experimental Clinical and Health Psychology, Ghent University, Ghent, Belgium;Head of the Department of Reproductive Medicine, Ghent University Hospital, Ghent, Belgium |
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| Abstract: | ObjectiveTo determine the effect of standardized education specific to maternal resuscitation on nurses’ confidence and competence during obstetric emergencies and to determine the cost savings associated with the program.DesignPre- and postintervention surveys designed to measure perceived confidence and competence in resuscitation before and after Advanced Cardiac Life Support (ACLS) certification in combination with obstetric drills.SettingThe project was conducted at a 12-bed labor and delivery, mother/baby unit in an acute care, community-based hospital in Northwest Arkansas.ParticipantsSixty-seven registered nurses (RNs) who were hospital employees with at least 6 months experience in labor and delivery or the neonatal intensive care unit completed focused education and training.Interventions/MeasurementsThe obstetric ACLS program targeted obstetric emergencies, cardiac arrest in the mother, and simulated drills. Obstetric emergencies included cardiac arrest, postpartum hemorrhage, STAT cesarean, uterine rupture, prolapsed umbilical cord, shoulder dystocia, operative vaginal delivery, and eclampsia.ResultsComparison of pre- and postassessments revealed improvements in perceived confidence and competence when managing obstetric emergencies. Nurse confidence increased by 35% and nurse competence increased by 32%. The 2-day educational program also realized significant cost savings. Overall costs for the educational program decreased from $94849 to $42974.ConclusionAn educationally sound program that included classroom time and focused drills led to increased perceived confidence and competence for nurses and cost savings related to employee education. |
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