Dissertation
Improving perception of racial bias and attitudes towards enhanced recovery after cesarean protocol
Doctor of Nursing Practice (D.N.P.), Drexel University
16 Mar 2025
DOI:
https://doi.org/10.17918/etd-3715
Abstract
Minority groups undergoing cesarean sections have higher morbidity and mortality rates, increase length of stay, and a disproportionate decrease in prescribed medications when compared to non-Hispanic white parturients in the United States. This project examined how education on enhanced recovery after cesarean sections and racial disparities influences anesthesia providers' awareness of racial disparities and attitudes toward enhanced recovery after cesarean sections protocol implementation. A pre-post study design was used, with nurse anesthetists as participants. The intervention consisted of an educational session on enhanced recovery after cesarean sections and racial disparities in obstetric anesthesia. The Modified Practice Attitude Scale and a self-developed questionnaire were used as questionnaires. Data analysis consisted of descriptive statistics to assess demographic data from pre and post intervention surveys and an unpaired t-test to compare means pre and post intervention. The education led to a statistically significant reduction in perceived barriers to enhanced recovery after cesarean sections implementation and resistance to adopting new practices (p < 0.05). However, there was no significant change in participants' perception of racial bias in anesthesia care. Education effectively decreased resistance to enhanced recovery after cesarean sections and lowered perceived barriers to its use, potentially improving adherence to best practices. However, it did not shift perceptions of racial bias, suggesting the need for additional interventions to enhance awareness of healthcare disparities.
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Details
- Title
- Improving perception of racial bias and attitudes towards enhanced recovery after cesarean protocol
- Creators
- Damien BohamPeg (Penny) Cheong
- Contributors
- Jessica Ann Hessel (DNP Chair) - Drexel University, Nurse Anesthesia
- Awarding Institution
- Drexel University
- Degree Awarded
- Doctor of Nursing Practice (D.N.P.)
- Publisher
- Drexel University; Philadelphia, Pennsylvania
- Number of pages
- 58 pages
- Resource Type
- Dissertation
- Language
- English
- Academic Unit
- Nurse Anesthesia; Nursing (Graduate); College of Nursing and Health Professions; Drexel University
- Other Identifier
- 991014632382104721