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Improving Perioperative Knowledge, Self-Efficacy, and Performance in Labor and Delivery Nurses: A Quality Improvement
Christian T Melendez1, Alice L March, Craig Cunningham
1Christian T. Melendez, DNP, RN, CNOR, NEA-BC, is Commander, Nurse Corps, U.S. Navy; and Senior Nurse Officer, ADM Joel T. Boone Branch Health Clinic, Virginia Beach, and Naval Medical Center Portsmouth, Virginia. Alice L. March, PhD, RN, FNP, CNE, is Professor, Capstone College of Nursing, The University of Alabama, Tuscaloosa. Craig Cunningham, PhD, RN, CNOR, is Captain, Nurse Corps, U.S. Navy; and Department Head, Nursing Research & Consultation Services, Naval Medical Center Portsmouth, Virginia.
A new obstetrics training program improved nurses' knowledge and confidence for cesarean births. The training also enhanced documentation accuracy and reduced incident reports.
Area of Science:
- Nursing Education
- Surgical Safety
- Obstetrics
Background:
- Cesarean births require specialized nursing knowledge and skills.
- Perioperative nurses need effective training to ensure patient safety.
- Current training methods may not fully address the complexities of circulating for cesarean births.
Purpose of the Study:
- To evaluate the effectiveness of the Periop 101: A Core Curriculum OB training program.
- To enhance perioperative nurses' knowledge, self-efficacy, and performance during cesarean births.
- To improve the quality of care and patient safety in the obstetrical unit.
Main Methods:
- Utilized the Periop 101: A Core Curriculum OB training product.
- Assessed perioperative knowledge through product-provided testing.
- Measured self-efficacy using a modified perioperative self-efficacy scale.
- Evaluated performance via documentation accuracy and incident report analysis.
Main Results:
- Significant improvements were observed in nurses' perioperative knowledge.
- Self-efficacy scores increased post-training.
- Documentation accuracy showed enhancement.
- A reduction in incident reports was noted.
Conclusions:
- The Periop 101: A Core Curriculum OB program effectively enhances nurses' perioperative knowledge and self-efficacy.
- The training positively impacts nursing performance, leading to better documentation and fewer incidents.
- This curriculum is a valuable tool for improving nursing care during cesarean births.
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