Postpartum Hemorrhage Education – Best Capstone Project Proposal Example(2022)
This article provides a solution essay to Postpartum Hemorrhage Education.
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Clearly state what the purpose of the study is and explain the study\’s significance. The significance is addressed by discussing how the study adds to nursing\’s body of knowledge in the field and the study\’s practical significance for communication among professionals in the field. Without a clearly defined introduction, purpose and strong theoretical grounding, the project is fundamentally flawed from the outset.
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Postpartum Hemorrhage Education
Solution – Postpartum Hemorrhage Education
Postpartum Hemorrhage Education
Introduction
Post-partum hemorrhage (PPH) occurs in almost 1% to 6% of all childbirths (World Health Organization, 2019). This makes PPH the leading cause of morbidity and mortality in childbirth. Under the effective health care program, the Agency for Healthcare Research and Quality (AHRQ) highlights that mortality associated with PPH could be prevented through prompt recognition and more timely and adequate treatment. Since the occurrence of PPH is rarely associated with identifiable risk factors, preparation, patient education, and management of PPH is critical to the outcomes. A wide range of guidelines provides frameworks on PPH prevention and management that facilitate the identification of PPH, determining the cause, and implementing appropriate interventions based on the etiology (MacDorman, Declercq, Cabral, & Morton, 2016). Reducing the occurrence of PPH is a public health and clinical health issue as it helps improve clinical outcomes while also assisting in mitigating maternal mortality and morbidity. (Postpartum Hemorrhage Education)
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Purpose
The goal of any birth is to have an outcome that is healthy for both the mother and the child, but current indications are that maternal mortality rate continues to increase not just in the US but worldwide (World Health Organization, 2019). Most importantly, maternal morbidity and mortality happen to be unexpected outcomes of childbirth, where post-partum hemorrhage is a leading cause. As such, healthcare professionals have a significant role in the prevention of maternal morbidity and mortality through timely treatment and management of post-partum hemorrhage (Besaina et al., 2018). The project aims at decreasing the rate of maternal mortality and morbidity by promoting optimal management and prevention of PPH. The purpose of the capstone project is to equip nursing student with knowledge and evidence on PPH and enhance their ability to develop and implement interventions that reduce maternal mortality and morbidity.
Problem Statement
PPH severity and varied etiology is a significant challenge in treatment and management. Due to the relative infrequency of PPH, student nurses may miss opportunities to practice critical skills and gain knowledge in a supervised learning environment. It is imperative to develop frameworks that improve the competence of nursing students on the management and treatment of PPH (Wormer et al., 2020). The capstone acknowledges that clinicians may face a wide range of challenges in managing PPH due to lack of consistent terminology, which delays time diagnosis and the appropriate intervention. Moreover, ARHQ also acknowledges that there is a limited understanding of optimal assessment methods to determine the cause of PPH, and in the administration of medications, especially first-line medication(s), and the order in which multiple medications are administered (Sentilhes et al., 2016). The capstone investigates how training student nurses on identification, treatment and management of PPH, would help improve their capability in addressing PPH. (Postpartum Hemorrhage Education)
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The capstone project will use a pre-test, intervention, and post-test design. The pre-test will be first administered to the participants, followed by a 20-minute presentation given to 6 groups of 5 students, and finally, a post-test is administered. Simulation-based education is used to provide real-time scenarios and improve the engagement of the students. The student nurses were able to feel a firm fundus in the simulation lab and weigh different chux with bloody substances on them to calculate and quantify blood loss. The simulation training will involve care for a client experiencing post-partum hemorrhage (r/t Uterine Atony), performing nursing interventions for the patient experiencing PPH, providing emotional support to a patient experiencing PPH, and professional communication a PPH.
The participants will be expected to complete post-partum assessment, assess if the patient has a PPH, call a code for PPH (Code PPH), perform fundal massage, and perform NI. During a PPH (insert a foley catheter / administer IVF), and provide emotional support (Gingrey 2020). The capstone will rely on the facility simulation-lab equipped with all resources to simulate a PPH clinical scenario effectively. Pre-test and the intervention, plus post-intervention for each of the groups, will be achieved over one week. Simulation-based training will follow through the following week, covering all the highlighted areas and coordinated by the nurse educator (MacDorman et al., 2018). The post-test evaluation will be administered at the end of the simulation.
Theoretical Foundation
In nursing education, simulation is founded on the cognitive learning theory (CLT), which actively engages students in the learning process. Since each PPH incidence presents diverse challenges, the theoretical models presuppose that the learners maintain flexibility, thinking, organizing, and understanding to facilitate the better provision of care. Hence, the theoretical framework focuses on changing the capacity and capability of the nurses in delivering care and managing PPH. CLT makes learning an inductive process that progresses from the understanding of general concepts to the gradual engagement with complicated and specific details (Farber et a., 2017). The CLT provides a comprehensive framework to guide the simulation-based education on PPH and a rationale for it’ effective implementation.
Clinical Significance
The capstone improves the capacity of nursing students to illustrate and reiterate the sequence of care and set up a care plan for women experiencing a PPH. Through the project, the students will set up a treatment and care plan that utilizes the unit standard, the stage-oriented management plan for obstetric hemorrhage emergency with accompanying checklists for optimum care (Aliakbari, 2015). This is being demonstrated during a simulation lab on the college campus and evaluated. The capstone project will also ensure student nurses can approve and justify the list of pharmacological interventions used to treat PPH and specifying the follow-up care the women who experience PPH need (Wormer et al., 2020). Suffice it to say that these implications contribute to knowledge development, inculcation of the relevant skills, and nurturing the right attitudes in this nursing specialty area of practice. (Postpartum Hemorrhage Education)
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Besides, the capstone also ensures that nursing students can define what post-partum hemorrhage (PPH) is besides cataloging the PPH risk factors. This contributes to developing the clinical ability to assess the risk that every woman in labor and giving birth has the potential risk of experiencing a PPH. For example, this is in appreciation that some women like African American women, are at risk of dying from pregnancy-related issues as many as four times compared to their white counterparts (Peterson et al., 2019). Through the knowledge shared in the capstone, the clinical nurses will learn how best to improve the outcomes of at-risk populations at birth. Besides, the capstone identifies a public health problem and delivers the solution to the most appropriate community (Muñoz et al., 2016). Hence, the capstone will contribute to better integration between nursing education and community-level health. With the increasing focus on interlinked integrations in different models of care, the capstone equips nurses with the knowledge they require to address community issues.
The project’s outcomes are geared towards enhancing knowledge, understanding, and clinical judgment of nursing students. This will be indicated by the nursing students’ ability to prioritize care during a simulated PPH, promote nursing program learning outcomes of therapeutic intervention, intellectual inquiry and analysis, communication, and collaborative caring (Pacheco, Saade & Hankins, 2019). The capstone provides a higher fidelity simulation experience, utilizing currently owned simulation manikins, with minimal financial impact to ensure practical know-how on managing PPH. Through this, the study develops a framework that can be implemented to improve the capacity of nursing students as well as staff nurses. With the continued focus on quality improvement, the study builds systematic frameworks that ensure PPH is addressed in a standardized approach. (Postpartum Hemorrhage Education)
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Professionally, the capstone will help in increasing the nursing students’ knowledge of the clinical practice problem. The project enhances the understanding of student nurses through simulation training and typical training. The capacity building capstone will also facilitate effective prevention of maternal morbidity and mortality caused by post-partum hemorrhage (Gingrey 2020). In particular, the capstone addresses PPH by focusing on unit readiness, recognition and prevention, response, and systems teaching (Wormer et al., 2020). By contributing to the improved competence of student nurses, the project provides a platform to implement current teaching frameworks to facilitate improved quality of maternal care.
References – Postpartum Hemorrhage Education
Evensen, A., Anderson, J. M., & Fontaine, P. (2017). Post-partum hemorrhage: prevention and treatment. American family physician, 95(7), 442-449.
World Health Organization WHO (2019). Maternal Mortality. URL:https://www.who.int/news-room/fact-sheets/detail/maternal-mortality.
People, H. (2020). Topics and Objectives: Maternal, Infant and child Health.(2010).
Aliakbari, Fatemeh et al. “Learning theories application in nursing education.” Journal of education and health promotion vol. 4 2. 23 Feb. 2015, doi:10.4103/2277-9531.151867
Muñoz, M., Stensballe, J., Ducloy-Bouthors, A. S., Bonnet, M. P., De Robertis, E., Fornet, I., & Nizard, J. (2019). Patient blood management in obstetrics: prevention and treatment of post-partum hemorrhage. A NATA consensus statement. Blood Transfusion, 17(2), 112.
Farber, M. K., Miller, C. M., Ramachandran, B., Hegde, P., Akbar, K., Goodnough, L. T., & Butwick, A. J. (2016). knowledge of blood loss at delivery among post-partum patients. PeerJ, 4, e2361. https://doi.org/10.7717/peerj.2361
Gingrey J. P. (2020). Maternal Mortality: A US Public Health Crisis. American journal of public health, 110(4), 462–464. https://doi.org/10.2105/AJPH.2019.305552
Johnson, N. B., Hayes, L. D., Brown, K., Hoo, E. C., Ethier, K. A., & Centers for Disease Control and Prevention (CDC) (2014). CDC National Health Report: leading causes of morbidity and mortality and associated behavioral risk and protective factors–the United States, 2005-2013. MMWR supplements, 63(4), 3–27.
MacDorman, M. F., Declercq, E., Cabral, H., & Morton, C. (2016). Recent Increases in the U.S. Maternal Mortality Rate: Disentangling Trends From Measurement Issues. Obstetrics and gynecology, 128(3), 447–455. https://doi.org/10.1097/AOG.0000000000001556
Sentilhes, L., Vayssière, C., Deneux-Tharaux, C., Aya, A. G., Bayoumeu, F., Bonnet, M. P., Djoudi, R., Dolley, P., Dreyfus, M., Ducroux-Schouwey, C., Dupont, C., François, A., Gallot, D., Haumonté, J. B., Huissoud, C., Kayem, G., Keita, H., Langer, B., Mignon, A., Morel, O., … Goffinet, F. (2016). Post-partum hemorrhage: guidelines for clinical practice from the French College of Gynaecologists and Obstetricians (CNGOF): in collaboration with the French Society of Anesthesiology and Intensive Care (SFAR). European journal of obstetrics, gynecology, and reproductive biology, 198, 12–21. https://doi.org/10.1016/j.ejogrb.2015.12.012
Wormer KC, Jamil RT, Bryant SB. Acute Postpartum Hemorrhage. [Updated 2019 Nov 19]. In: StatPearls [Internet]. Treasure Island (F.L.): StatPearls Publishing; 2020 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK499988/
Pacheco, L. D., Saade, G. R., & Hankins, G. D. (2019, February). Medical management of post-partum hemorrhage: An update. In Seminars in Perinatology (Vol. 43, No. 1, pp. 22-26). WB Saunders.
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Question – Postpartum Hemorrhage Education
Clearly state what the purpose of the study is and explain the study\’s significance. The significance is addressed by discussing how the study adds to nursing\’s body of knowledge in the field and the study\’s practical significance for communication among professionals in the field. Without a clearly defined introduction, purpose and strong theoretical grounding, the project is fundamentally flawed from the outset.
I have included files from my project so you can see what my project is about, paper is to be written about this topic
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