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Show Postpartum Hypertension BACKGROUND Postpartum hypertension is a leading cause of hospital readmission. Many patients are discharged without proper education on symptoms, blood pressure monitoring, and when to seek care.1 Evidence shows that standardized, nurse-led discharge education improves early symptom recognition and reduces readmissions.4 • Postpartum hypertension accounts for about 9.3% of hospital readmissions.5 • Patients often receive discharge education that is inadequate.4 • Early recognition can prevent severe maternal complications.3 • Nurses play a key role in patient education.1 • Standardized teaching improves consistency.2 METHODS This project used Lewin’s Change Model by creating an education program for postpartum nurses. Deliverables include: • Educational PowerPoint • Patient handout • Pre- and post-survey Standardized Discharge Teaching Abigail Roberts, BSN, RN, MSN Student Trish Gibbs, DNP, RN, CNE Charlotte Andrus, RN, MSN INTERVENTIONS • Step 1: Analyze the gap in postpartum hypertension discharge education and perform a literature review • Step 2: Obtain approval from stakeholders • Step 3: Create deliverables • Step 4: Pre-implementation survey • Step 5: Provide nurse standardized discharge training and implement on unit • Step 6: Post-implementation survey and summative evaluation of data • Step 7: Disseminate findings IMPACTS Anticipated impacts include Short-term goals: • Increased nurse confidence in discharge teaching • Enhanced consistency in education.3 • Improved patient understanding of hypertension • Potential reduction in readmissions.2 Long-term goals: • Improved maternal outcomes.1 • Increased patient self-management CONCLUSIONS REFERENCES 1Clapp, M. A., Ray, A., Liang, P., James, K. E., Ganguli, I., & Cohen, J. L. (2024). Postpartum primary care engagement using default scheduling and tailored messaging: A randomized clinical trial. JAMA Network Open, 7(7), e2422500. https://doi.org/10.1001/jamanetworkopen.2024.22500 2de los Reyes, M. M., Campbell, S. H., & Gallis, J. A. (2022). AWHONN postpartum discharge education: Patient knowledge and sustainability. Journal of Obstetric, Gynecologic Evidence supports that standardized postpartum hypertension education improves patient preparedness at discharge and nurse confidence.4 Structured tools, such as the patient handout, help maintain consistency, support recognition of complications, and have the potential to reduce hospital readmissions. This project highlights the critical role nurses play in postpartum education and improving patient outcomes.5 & Neonatal Nursing, 51(6), 563–573. https://doi.org/10.1136/bmjoq-2021-001528 3McCarter, S. A., Brown, M. J., Scott, K., & Gray, M. J. (2022). Scoping review of postpartum discharge education provided by nurses. Nursing for Women’s Health, 26(3), 184– 196. https://doi.org/10.1016/j.jogn.2022.03.002 4Mei, J. Y., Corry-saavedra, K., Nguyen, T. A., & Murphy, A. (2023). Standardized clinical assessment and management plan to reduce readmissions for postpartum hypertension. Obstetrics & Gynecology 142(2), 384–392. https://doi.org/10.1097/AOG.0000000000005248 5Niu, B., Mukhtarova, N., Alagoz, O., & Hoppe, K. (2021). Cost-effectiveness of telehealth with remote patient monitoring for postpartum hypertension. The Journal of Maternal- Fetal & Neonatal Medicine, 35(25), 7555–7561. https://doi.org/10.1080/14767058.2021.1956456 Figure 1. Blood pressure measurement technique. From How to Measure Blood Pressure, by J. Smith, 2022, Healthline. https://www.healthline.com |
