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Nurse-Patient Communication During Postpartum Discharge Teaching: Protocol for a Mixed Methods Study.
Rebecca R S Clark1,2, Patrina Sexton Topper3, Tamar Klaiman4
1Center for Health Outcomes and Policy Research, School of Nursing, University of Pennsylvania, Philadelphia, PA, United States.
JMIR Research Protocols
|October 17, 2025
Summary
This study explores nurse-patient communication during postpartum discharge teaching for first-time mothers. It uses video-reflexive ethnography to identify improvements for maternal care and reduce preventable deaths.
Area of Science:
- Maternal Health
- Nursing Communication
- Health Services Research
Background:
- Communication failures in inpatient maternity care contribute significantly to preventable maternal mortality, particularly postpartum.
- Nurses are crucial in postpartum discharge teaching, a critical juncture for patient education on care plans and warning signs.
Purpose of the Study:
- To understand communication dynamics between nurses and first-time mothers during postpartum discharge.
- To identify factors supporting or hindering information transfer and gather improvement recommendations.
- To evaluate video-reflexive ethnography (VRE) for enhancing care quality and processes.
Main Methods:
- A health equity-informed mixed methods design.
- Utilizing VRE involving video recording, independent review by nurses and mothers, and group reflexivity sessions.
- Qualitative descriptive and content analyses of recordings and transcripts, supplemented by nurse surveys on VRE feasibility.
Main Results:
- Data collection is scheduled for 2024-2025, with results anticipated in 2026.
- The study is funded and received IRB approval in December 2023.
Conclusions:
- The research aims to pinpoint opportunities for enhancing postpartum discharge teaching and communication between nurses and new mothers.
- It will assess the feasibility, acceptability, and appropriateness of VRE as a tool for improving healthcare communication and quality.
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