Date of Award

2025

Document Type

Project

College/School

College of Nursing

Degree Name

Doctor of Nursing Practice (DNP)

Project Mentor

Elizabeth Gabzdyl

Readers

Lisa Abel

Abstract

Background: Preeclampsia (PreE) is a major concern for prenatal care providers treating pregnant patients due to the potentially fatal risks associated with the disorder for both the patient and the fetus. Evidence suggests that recommending low-dose aspirin (LDA) screening and prescribing can reduce PreE risk; however, this practice is often overlooked during new and repeat prenatal visits.

Objective: The purpose of this DNP project is to enhance Certified Nursemidwives' (CNMs) knowledge of consistent and accurate LDA screening practices for patients a moderate to high risk of developing PreE.

Methods: Project implementation consisted of two parts: a 20-minute in-service education designed to improve provider attitudes toward PreE risk screening and a survey with 10 statements regarding beliefs and practices related to screening for LDA eligibility, where participants rated their level of agreement or disagreement. Participants were asked to complete this survey pre- and post-in-service education to compare responses.

Results: Pre-intervention survey data suggest that participants had more confidence in their screening abilities than they felt motivated to practice these abilities in a clinical setting. A comparison of pre- and post-intervention responses regarding participants’ perception of their knowledge also indicated a 33% increase in the average score. However, the statements with the lowest overall average score related to patient follow-up and having sufficient time to review the recommendation with patients.

Implications for practice: CNMs can be empowered by educational services to improve PreE risk prevention. Additional support may be needed to address clinical barriers hindering patient follow-up.

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