Preeclampsia (PE) is a complex and severe hypertensive disorder of pregnancy, contributing to a leading cause of maternal and fetal mortality worldwide. Currently, there is no recognized, evidence-based testing to effectively screen for PE in a nulliparous woman. Early recognition, intervention, and surveillance remains critical in preventing eclampsia, multi-organ failure, and stroke. This quality improvement DPI project aimed to translate existing evidence of PE risk factor screening and electronic health record (EHR) reminder systems tools into a community maternity clinic, to encourage clinician screening adherence, accurate identification of at-risk PE patients, and early provision of disease education through delivery of a one-page visual handout. Applying concepts of the health belief model, this project utilized quantitative methodology, with quasi-experimental pretest-posttest design to implement a PE Risk Factor Screening Tool within an EHR reminder system for community maternity care providers (MCP). The project evaluated retrospective and prospective data comparing 36 pre-and 36 post-intervention patient charts from six MCPs (n = 72). Post-intervention data demonstrated a 66.7% increase in identifying at-risk for PE patients (p < .001); and, a 72% increase in PE education using a one-page, visual handout to those identified at risk, determining a statistically significant relationship between the studied categorical variables (p < .001). Recommendations from findings include broad implementation of PE risk factor screening tools into multidisciplinary maternity care settings.
|Advisor:||Brodie, Jennifer, McCuaig, Fairleth|
|School:||Grand Canyon University|
|Department:||College of Nursing and Health Care Professions|
|School Location:||United States -- Arizona|
|Source:||DAI-A 81/2(E), Dissertation Abstracts International|
|Subjects:||Nursing, Womens studies, Health sciences|
|Keywords:||Early disease education, Electronic reminder systems, Preeclampsia risk factors, Preeclampsia risk factor screening, Preeclampsia screening, Preeclampsia tools|
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