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Perinatal outreach education. A continuation strategy for a basic program.

J Kattwinkel, G A Nowacek, L J Cook

    American Journal of Perinatology
    |July 1, 1984
    PubMed
    Summary
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    A follow-up perinatal continuing education program improved hospital care practices. This intervention helps institutionalize new knowledge and practices among nurses and physicians, enhancing patient care quality.

    Area of Science:

    • Medical Education
    • Nursing Education
    • Healthcare Quality Improvement

    Background:

    • Community hospitals require ongoing education for nurses, physicians, and support staff to maintain and improve perinatal care.
    • Previous interventions like the Perinatal Continuing Education Program (PCEP) have been implemented.
    • Assessing the long-term impact and sustainability of such programs is crucial for healthcare quality.

    Purpose of the Study:

    • To outline a follow-up strategy for the PCEP.
    • To describe the changes in community hospital knowledge and care practices between the basic and follow-up programs.
    • To evaluate the institutionalization of new knowledge and care practices.

    Main Methods:

    • A nine-month intervention involving community hospital nurses, physicians, and support personnel.

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  • Components included a hospital self-inventory, coordination by staff, a skills workshop, and self-instructional materials.
  • A follow-up program with a modified coordinators' workshop, updated materials, and a self-survey of recommended routines was implemented.
  • Evaluation involved participant testing and review of 1435 hospital charts at sequential time periods.

    • Main Results:

    • A decline in mean knowledge scores was observed between programs.
    • New participants showed higher pre-follow-up scores compared to pre-basic program scores.
    • Patient care quality showed a plateau between programs, followed by further improvement after the follow-up program.
    • Evaluation measures indicated that new knowledge and care practices became institutionalized.

    Conclusions:

    • A follow-up program is beneficial for sustaining and improving perinatal care quality in community hospitals.
    • The timing of the follow-up program is not critical, though acceptance is noted after three years.
    • The program facilitates the institutionalization of altered care practices, indicating a systemic rather than individual performance improvement.