자료유형  

 학위논문

Control Number  

0016933382

International Standard Book Number  

9798379725686

Dewey Decimal Classification Number  

610.73

Main Entry-Personal Name  

Cole, Terri Lynn.

Publication, Distribution, etc. (Imprint  

[S.l.] : University of California, Los Angeles., 2023

Publication, Distribution, etc. (Imprint  

Ann Arbor : ProQuest Dissertations & Theses, 2023

Physical Description  

1 online resource(71 p.)

General Note  

Source: Dissertations Abstracts International, Volume: 84-12, Section: B.

General Note  

Advisor: Blake, Nancy T.

Dissertation Note  

Thesis (D.N.P.)--University of California, Los Angeles, 2023.

Restrictions on Access Note  

This item must not be sold to any third party vendors.

Summary, Etc.  

요약Background: Interdisciplinary collaboration of the labor & delivery team during their urgent cesarean huddles was not conducive to prompt decision-making. These delays led to unfavorable outcomes for the mother and baby, signifying a need for improvement in their process and a shared mental model in conducting this important huddle and their decision process. Objectives: An estimated 47% of cesarean delivery complications are attributed to delayed or fractured communication. This quality improvement project objective, using a pre and post-survey, is to improve the shared mental model of the team through their values, beliefs, and attitudes. Methods: A convenience sample of 24 participants, consisting of registered nurses and physicians, the Jefferson Scale of Attitudes Towards Nurse/Physician Collaboration (JSATNPC) was distributed as pre and post-survey before and after role-play simulation exercises. The teams used a briefing checklist and the TeamStepps concepts of checkback, the two-challenge rule, and Concern, Uncomfortable, and Safety. Results: This QI project did not improve the decision-to-incision times of the labor and delivery team. The pre-intervention mean and median time was 66.1 and 28 minutes, respectively; and the post-intervention scores were a mean of 116.6 and a median of 98 minutes. There were 24 pre-surveys of the (JSATNPC) and one post-survey completed. Conclusion: Several physicians and nurses were supportive and appreciative of the structure applied to their briefing. The team held the same concern for the safety of the mother and baby but did not have the support in organizing their process. The DNP student has returned to the project site to organize a team and revisit implementing the project with an assigned team and committed stakeholders.

Subject Added Entry-Topical Term  

Nursing.

Subject Added Entry-Topical Term  

Health care management.

Subject Added Entry-Topical Term  

Obstetrics.

Index Term-Uncontrolled  

Briefing

Index Term-Uncontrolled  

Cesarean delivery

Index Term-Uncontrolled  

Expectant mother

Index Term-Uncontrolled  

Neonate

Index Term-Uncontrolled  

Simulation

Index Term-Uncontrolled  

TeamStepps

Added Entry-Corporate Name  

University of California, Los Angeles Nursing 0597

Host Item Entry  

Dissertations Abstracts International. 84-12B.

Host Item Entry  

Dissertation Abstract International

Electronic Location and Access  

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Control Number  

joongbu:639918