Document Type
DNP - Open Access
Award Date
2024
Degree Name
Doctor of Nursing Practice (DNP)
Department
Graduate Nursing
First Advisor
Brandi Pravecek
Second Advisor
Cynthia Elverson
Abstract
Background: Nationwide focus has been placed on the reduction of incidence of adverse maternal and neonatal outcomes in nulliparous, term, singleton, vertex (NTSV) patients.
Local Problem: Nursing leaders of a maternal child health unit in the upper Midwest recognized a need to reduce the rate of adverse maternal outcomes with evidence-based practice. The facility does not currently have an induction of labor (IOL) protocol.
Methods: The California Maternal Quality Care Collaboration Toolkit to Support Vaginal Birth and Reduce Primary Cesarean Sections was used to create an IOL protocol to prevent adverse maternal outcomes. Categorical outcome data was compared for 6 months pre-post implementation.
Intervention: Educational forms were used to guide the scheduling of IOL, patient education regarding IOL, and a Bishop score sheet and create awareness for both physicians and nurses when scheduling, admitting, and caring for the NTSV induced patient.
Results: A decreased number of adverse maternal outcomes were noted, however statistical significance was not achieved. No conclusion can be made regarding the IOL protocol and the outcomes variables.
Conclusion: Hospital-level quality improvement projects, when used with interdisciplinary collaboration, may positively influence maternal outcomes, and improve overall patient care and healthcare spending.
Publisher
South Dakota State University
Rights
Copyright © 2024 Rebecca Erickson
Recommended Citation
Erickson, Rebecca A., "Implementation of an Induction of Labor Protocol" (2024). Doctor of Nursing Practice (DNP) Practice Innovation Projects. 198.
https://openprairie.sdstate.edu/con_dnp/198