Neuraxial in Obstetrics: Education Tool for Improved Outcomes

Neuraxial in Obstetrics: Education Tool for Improved Outcomes

Bibliography

Name: James R. Birkla

Rank: LCDR

Presenter/Poster: Poster

Year: 2017

Abstract

Does implementation of a standardized audio-visual education tool as an adjunct to the informed consent process for labor analgesia improve knowledge and retention of information in parturients compared to current practice?
SPECIFIC AIMS/BACKGROUND: Less than 50 percent of beneficiaries receiving maternity care would recommend a military treatment facility to friends and family. To address the issues of providing adequacy of information presented to laboring parturients, maternal knowledge and retention of information discussed during the informed consent process, and maternal satisfaction with the consent process, an audio-visual education program was created to specifically target negative experiences to include the feeling of not being sufficiently informed in advance regarding difficulties in placement of an epidural, expected outcomes, possible complications, and a perception of being pressured and not offered any alternatives.
METHODS: The Iowa Model of Evidence-Based Practice was used to guide this project. As a result, single-site educational video tool for neuraxial analgesia in obstetric patients was developed and implemented as an adjunct to the informed consent process at a large military treatment facility (MTF) between 14 November 2016 and 30 January 2017. A total of 100 will be participants enrolled, and posttest scores demonstrated improved knowledge and satisfaction regarding neuraxial analgesia for labor pain.
FINDINGS: (NOT COMPLETE)
IMPLICATION FOR MILITARY NURSING: In addition to the standard informed consent, offering a short audio-visual educational presentation to a parturient may help to improve knowledge and increase satisfaction with respect to anesthesia services provided for the management of labor pain among beneficiaries at a military treatment facility. Further dissemination of the educational presentation using other technologies and at an earlier antenatal period has the potential to improve beneficiaries in recommending maternity services at a military treatment facility.
KEY WORDS: neuraxial, obstetrics, education video, improving knowledge