Graduation Semester and Year

2022

Language

English

Document Type

Dissertation

Degree Name

Doctor of Nursing Practice

Department

Nursing

First Advisor

Tamara Eades

Second Advisor

Debra Hurd

Abstract

Severe hypertension in pregnancy is leading to increased rates of maternal morbidity and mortality. A lack of knowledge and awareness regarding protocols for the treatment of hypertensive crises in pregnancy is leading to adverse patient outcomes in the obstetrical units within the hospital. A pretest/posttest design was used to evaluate the effect of simulations on nurse self-efficacy and knowledge of hypertension treatment protocols and algorithms over an 8-week period. The project took place in a labor and delivery unit with a Level III Maternal Designation using convenience sampling of staff nurses. Data was collected using the Self-Efficacy for Obstetric Critical Episodes Evaluation tool. Descriptive statistics and a one-way repeated measures ANOVA test were used to analyze data. Results showed a significant difference in nurse self-efficacy scores between pre, immediately post, and 8-weeks post intervention (p<.001). The findings of the project support the use of simulation-based training to increase nurse self-efficacy for this population. Further research is needed to evaluate efficacy in other settings.

Keywords

Pregnancy, Hypertension, Severe hypertension, Hypertensive crisis, Simulation, Self-efficacy, Nursing education

Disciplines

Medicine and Health Sciences | Nursing

Comments

Degree granted by The University of Texas at Arlington

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