Evidence-Based Practice Poster Session (Posters #29-#36)
30 - Impacting Obstetric Perioperative Knowledge, Confidence, and Skills with Education and Simulation
Description: Improving obstetric perioperative nursing skills using multi-modal trainingAbstractCDR Lacy Gee, NC, USNNaval Medical Center PortsmouthClinical Problem/Significance. Roughly 30% of all births in the United States are by cesarean section. Obstetric nurses must have the perioperative knowledge, confidence, and skills to respond quickly in emergent situations and provide the safest patient-centered care while decreasing preventable adverse events. There is widespread variability in quality and no standardization of perioperative obstetric training.Background. AORN's PERIOP 101: A Core Curriculum Cesarean Section is not utilized in the facility due the time it takes to complete, budgetary concerns, and staffing constraints. The current process of training new obstetric nurses is fragmented, lacking perioperative nursing oversight or involvement in any way, and has resulted in inconsistent levels of competency. Purpose. The purpose of this EBP activity is to assess if perioperative knowledge, confidence, and skills improve following didactic learning and high-fidelity simulation training interventions focused on non-novice obstetric registered nurses. EBP Questions. EBP1- Is there a difference in cesarean section decision to incision times for non-scheduled cesarean sections pre and post perioperative education intervention? EBP2- Within group comparisons, is there a difference in clinical confidence and knowledge ratings in obstetric nurses participating in a perioperative educational intervention? EBP3- Does clinical competency in the perioperative standards of care improve following a perioperative educational intervention? Description of Evidence based protocol. The evidence-based practice project was conducted on a labor and delivery unit, with a sample of 15 nurses that met inclusionary criteria. Participants completed two perioperative nursing interventions (didactic and simulation). Pre and post intervention clinical observation and chart reviews provided data on the effectiveness of the intervention. Their results on a pre and post-test assessed confidence and knowledge following the combination of the two interventions. Additionally, staff completed a pre and post assessment of knowledge and confidence. Implementation and Results. While all methods improved, there were no significant results due to the small number of participants.Conclusions/Discussion. The nurses reported greater knowledge, confidence, and skills during cesarean deliveries than before the interventions. In addition, there was a decrease in decision to incision times in cesarean deliveries. Perioperative Nursing Implications. This project highlighted the need for evidence based, standardized perioperative obstetric training across labor and delivery nursing practice. The views expressed in this article are those of the author and do not necessarily reflect the official policy or position of the Department of the Navy, Department of Defense or the United States Government.I am a military service member. This work was prepared as part of my official duties. Title 17 U.S.C. 105 provides that ‘Copyright protection under this title is not available for any work of the United States Government.’ Title 17 U.S.C. 101 defines a United States Government work as a work prepared by a military service member or employee of the United States Government as part of that person’s official duties.