Dissertation
CenteringPregnancy®: provider attitudes of adopting an EBP and patient satisfaction after implementation in an urban medical center
Doctor of Nursing Practice (D.N.P.), Drexel University
2016
DOI:
https://doi.org/10.17918/etd-6827
Abstract
Background: Because Philadelphia's infant mortality rate is well above the national average of 6.7 per 1,000 live births at 10.8 per 1,000 births, an Evidenced-based Practice model of group prenatal care, Centering Pregnancy, was implemented through an innovative opt-out approach for medically high-risk pregnant women. Funded by the Center for Medicare and Medicaid (CMS) Strong Start for Mothers and Newborns Initiative, Einstein Medical Center Philadelphia (EMCP) implemented this model of group prenatal care model with urban pregnant women who are at risk for having a preterm birth and also enrolled in Medicaid or CHIP. This Doctor of Nursing (DNP) project focused on the feasibility of implementing and sustainability of the model post grant funding by examining the staff's attitudes about implementing evidence-based practice (EBP) and patients' satisfaction with their group model of prenatal care. Methods: A descriptive research design was used. The Evidence-Based Practice Attitude Scale (EBPAS) tool measured staff attitudes towards adopting evidence-based practice. Patient satisfaction was measured by analyzing existing information that was already collected from patients participating in Centering Pregnancy model of prenatal care. Results: Among 26 staff that was surveyed about their attitudes towards adopting EBP, variation existed. The mean score among physicians on the EBPAS was the highest, which was over 10 points compared to nurses and the support staff. The vast majority of the patients (> 90%) who completed evaluations of CP during their 10th group session reported they liked this group model of prenatal care. Conclusions: Tremendous administrative efforts were invested to implement this evidence-based practice known as Centering Pregnancy. Most relevant were study findings that reveal high levels of staff adoption and patient satisfaction, which are important reasons to sustain this group model of prenatal care.
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Details
- Title
- CenteringPregnancy®
- Creators
- Judith Faust - DU
- Contributors
- Joan R. Bloch (Advisor) - Drexel University (1970-)
- Awarding Institution
- Drexel University
- Degree Awarded
- Doctor of Nursing Practice (D.N.P.)
- Publisher
- Drexel University; Philadelphia, Pennsylvania
- Resource Type
- Dissertation
- Language
- English
- Academic Unit
- Doctoral Nursing; Nursing (Graduate); College of Nursing and Health Professions; Drexel University
- Other Identifier
- 6827; 991014632239304721