Applied Evidence-Based Project and Practicum NRS-465/Topic 6 DQ 2-peer participation

Mary Iverson

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Postpartum hemorrhage (PPH) is a significant concern in labor and delivery units, often leading to maternal morbidity and mortality. Over a span of 20 years, in the United States, there was a rise in postpartum hemorrhage occurrences and associated risk factors (Corbetta-Rastelli et al., 2023).  The implementation plan involves my PICOT question,  “In staff working in a labor and delivery recovery and postpartum (LDRP) unit (Population), how does in-person postpartum hemorrhage education, drills, and training (Intervention) compared to no further education or training past orientation and varied field experience (Comparison) decrease the incidences of postpartum hemorrhage cases and increases nurse confidence in managing the PPH (Outcome) within a four week period (Time)?” The intervention is the drills and skills sessions in person for training the staff members that are involved in postpartum hemorrhages (PPH). In order to implement this plan there would be several steps to take. Here is an overview of the plan:

Initially, we would conduct a thorough assessment to identify any gaps in staff knowledge and confidence regarding postpartum hemorrhage (PPH) management. Subsequently, a customized training program centered on PPH skills and drills, integrating evidence-based practices, and guidelines, would be developed. This program may encompass instructional sessions, practical simulations, and case-based learning activities to enhance staff proficiency in effectively handling PPH scenarios (Pansuwan, K. & Klankhajhon, S., 2021). Following this, we would arrange regular simulation exercises to provide practical experience in addressing PPH emergencies, mimicking real-life situations encountered in labor and delivery units, enabling staff to apply their skills in a controlled setting. Promoting interdisciplinary collaboration among obstetricians, midwives, nurses, and other healthcare professionals during training sessions would be crucial. Encouraging open communication and teamwork to improve coordination and response to PPH emergencies is essential during the implementation phase. Additionally, evaluating staff performance during drills and offering constructive feedback to pinpoint areas for enhancement would be prioritized. Ultimately, fostering a culture of reflection and continuous learning would be essential to maintain competence and confidence in managing PPH cases over time.

Resources:

Corbetta-Rastelli, C. M., Friedman, A. M., Sobhani, N. C., Arditi, B., Goffman, D., & Wen, T.
(2023). Postpartum Hemorrhage Trends and Outcomes in the United States, 2000-2019. Obstetrics and gynecology, 141(1), 152–161.
https://doi.org/10.1097/AOG.0000000000004972

Pansuwan, K. & Klankhajhon, S. (2021). Effect of Using Simulation-Based Learning on Nursing Performances of Early Postpartum Hemorrhage in Nursing Students. JKP (Jurnal Keperawatan Padjajaran), 9(3), 175–180. https://doi-org.lopes.idm.oclc.org/10.24198/jkp.v9i3.1682