Date of Award

2025

Document Type

Project

College/School

College of Nursing

Degree Name

Doctor of Nursing Practice (DNP)

Project Mentor

Kelly McBroom

Readers

Jessica M. Lopez

Abstract

The purpose of this study was to evaluate the impact of the implementation of the Reach Out, Stay Strong, Essentials for mothers of newborns (ROSE) curriculum amongst pregnant Latina’s in their third trimester, and to determine if participation in these classes increases patient awareness and management of perinatal mood and anxiety disorders. Using a nurse-led prenatal group setting, pregnant Latinas who are 18 years of age or older, are Spanish speakers, and at least 28 weeks gestation in pregnancy were presented with information about the intervention by their provider. Following informed consent, patients were to be asked to participate in an optional entrance and exit questionnaire as well as a pre and post intervention Multidimensional Perception of Social Support (MSPSS) assessment tool. Patient participation was not achieved during this project. After the intervention, semi-structured interviews were conducted with midwifery leadership as a transformative assessment to gauge interest in future implementation of nurse-led group prenatal classes focusing on perinatal mood disorders in the Latinx pregnant population. A thematic analysis of the transcripts revealed that program sustainability, clinic prosperity, logistical awareness, steps for success, and patient centering were the five overarching themes that emerged when considering offering this service. Despite the lack of patient attendance, clinical staff recognize the potential value of implementing The ROSE curriculum for their obstetric patients. Overall midwifery leadership believe that this type of programing can bring improvement to the clinic environment, can be effective in increasing patient awareness, and can bringing community members together when patient needs are centered at this structure. Funding sources, staff capacity, and clear administrative support would be necessary to ensure the future implementation of the ROSE Program in this community clinic setting.

This project underlines the unique challenges of recruitment and program piloting at this particular clinic organization. Group classes have the potential to hold great value but adequate preparation is needed in order to be efficient with limited funding and staff availability. Future utilization of programming like ROSE will require a shift from providers to practice structural competency to understand how best to meet their patients needs.

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