REM Initiative to Develop Educational Strategies for Inductions of Labor

REM Initiative to Develop Educational Strategies for Inductions of Labor By Chandra Evette Jones-Worthing MS, Walden University, 2011 BS, Valdosta State University, 2007 Project Submitted in Partial Fulfillment Of the Requirements for the Degree of Doctor of Nursing Practice Walden University May 2018 Abstract Inductions of labor that occur prior to 39 weeks’ gestation can pose increased risks for the mother-baby dyad. In the target setting, there is a gap in knowledge among the pregnant women about options for delivery, hospital policies and procedures, and what to expect in the labor and delivery experience. Because of this gap in knowledge, the pregnant patient is unable to make informed decisions regarding her needs, expectations, and care. This lack of knowledge has resulted in a 40-50% rate of inductions of labor at the target site, which is well above the 2014 national average of 25%. In response to this gap, an evidence-based initiative was developed that focused on appropriate use of inductions of labor to increase safety and quality of care of the pregnant patient in a suburban women’s hospital located in southeastern Georgia. The design used for this project was the development of an evidence-based, theory-supported educational initiative that underwent a formative and summative evaluation by a 10 member, interdisciplinary expert panel. Watson’s theory of human caring provided the theoretical basis for the educational program. The interdisciplinary expert panel found that the initiative was educationally sound. The materials were found suitable for the intended audience and easy to understand. It is projected that the initiative will not only benefit the pregnant woman but will also increase the interaction, collaboration, and respect of members of the healthcare team. Implications for positive social change include the development of an educational program that will result in patients being more informed and becoming active participants in their care which will result in better outcomes for the mother and baby dyad.Inductions of labor that occur prior to 39 weeks’ gestation can pose increased risks for the mother-baby dyad. In the target setting, there is a gap in knowledge among the pregnant women about options for delivery, hospital policies and procedures, and what to expect in the labor and delivery experience. Because of this gap in knowledge, the pregnant patient is unable to make informed decisions regarding her needs, expectations, and care. This lack of knowledge has resulted in a 40-50% rate of inductions of labor at the target site, which is well above the 2014 national average of 25%. In response to this gap, an evidence-based initiative was developed that focused on appropriate use of inductions of labor to increase safety and quality of care of the pregnant patient in a suburban women’s hospital located in southeastern Georgia. The design used for this project was the development of an evidence-based, theory-supported educational initiative that underwent a formative and summative evaluation by a 10 member, interdisciplinary expert panel. Watson’s theory of human caring provided the theoretical basis for the educational program. The interdisciplinary expert panel found that the initiative was educationally sound. The materials were found suitable for the intended audience and easy to understand. It is projected that the initiative will not only benefit the pregnant woman but will also increase the interaction, collaboration, and respect of members of the healthcare team. Implications for positive social change include the development of an educational program that will result in patients being more informed and becoming active participants in their care which will result in better outcomes for the mother and baby dyad. REM Initiative to Develop Educational Strategies for Inductions of Labor By Chandra Evette Jones-Worthing MS, Walden University, 2011 BS, Valdosta State University, 2007 Project Submitted in Partial Fulfillment Of the Requirements for the Degree of Doctor of Nursing Practice Walden University May 2018 Dedication This paper is dedicated to my parents, Rodger and Marilyn Jones. At times, you cannot see where the sacrifices made in your youth will lead. As the light at the end of the tunnel gets brighter, I now know that because of what you both have done for me, all of this is possible. From a mischievous little girl growing up to a young, educated woman on the cusp of completing doctoral studies, you have helped shape who I have become. Thank you for always supporting my dreams, even when you may have had ones of your own. I hope that my achievements have and will continue to make you proud. I can never thank you enough for your love, guidance, and support. I thank God for you both and I am eternally grateful to have you both as parents. The very best is yet to come! Acknowledgments I would like to acknowledge my family for all their love and support. Thanks so much for your constant prayers and guidance. This is truly an achievement for my entire family and I am very proud to share it with you all. Pastor Cutter, Lady Cutter, and Growing in Grace Ministries: many thanks to you all for building my faith and foundation in God. I am proud to share this achievement with all of you. To Dr. Sharon Moses: Thank you so much for being my preceptor and my mentor. You will never know how much your time and knowledge helped me along this journey. I will always remember the kindness, understanding, and consideration you have shown me. To my Birthplace at Telfair family: I can never forget the encouragement and support you all have given me. You ladies were and are some of my biggest cheerleaders. I can never repay you all for all your love, understanding, and help. A huge thanks to Dr. Shawn Stewart and Dr. Marisa Wilson: Your guidance and words of encouragement truly helped me finish this project. Last, but not least, a special, heartfelt acknowledgement to my husband, Marcus. Thank you for traveling this road with me. I know it has not always been easy, but thank you for being by my side. I thank God for you and our precious union. I share this achievement with you and I pray that I make you as proud of me as I am of you. Thanks also for my early graduation gift, our first son, Mason Phoenix!