Amy L Ford1, Mary E Cramer2, Leeza Struwe3. 1. University of Nebraska Medical Center, College of Nursing-Omaha, 985330 Nebraska Medical Center, Omaha, NE 68198-5330, United States. Electronic address: alford@unmc.edu. 2. University of Nebraska Medical Center, College of Nursing-Omaha, 985330 Nebraska Medical Center, Omaha, NE 68198-5330, United States. Electronic address: mecramer@unmc.edu. 3. University of Nebraska Medical Center, College of Nursing-Lincoln, 1230 O St., Suite 131, Lincoln, NE 68588. Electronic address: lstruwe@unmc.edu.
Abstract
BACKGROUND: Maternity care and women's health are measured, in part, by the stillbirth rate of a country. The purposes of this pilot project were to: a) establish a baseline of health care provider knowledge regarding stillbirth risk factors based on geographic distribution (urban/rural) and provider licensure (MD, APRN, PA, CNM) and b) evaluate the utility of a Stillbirth Risk Factor Toolkit and its effects on provider knowledge. METHODS: Evaluative research using a retrospective pre-posttest survey design was completed. The study setting included primary care clinics (urban [n=25] and rural [n=25]) in Nebraska. Health care providers from N=50 clinics were surveyed about their knowledge of stillbirth risk factors (modifiable and non-modifiable) before and after reading the Toolkit. RESULTS: Providers were least knowledgeable regarding the definition of stillbirth and the number of weeks' gestation that constitute a stillbirth. Overall, there was no significant difference in baseline knowledge between rural and urban providers. Nearly half (43.8%) found the Toolkit to be very helpful and applicable to their patient population, and 34.8% said they would be very likely to utilize it with their patients. There was a statistically significant increase in knowledge of stillbirth risk factors among all health care providers after reviewing the Toolkit (p<0.001). CONCLUSIONS: Health providers had varied baseline knowledge about stillbirth. The Toolkit improved provider knowledge, but further research is needed to assess its impact on clinical practice.
BACKGROUND: Maternity care and women's health are measured, in part, by the stillbirth rate of a country. The purposes of this pilot project were to: a) establish a baseline of health care provider knowledge regarding stillbirth risk factors based on geographic distribution (urban/rural) and provider licensure (MD, APRN, PA, CNM) and b) evaluate the utility of a Stillbirth Risk Factor Toolkit and its effects on provider knowledge. METHODS: Evaluative research using a retrospective pre-posttest survey design was completed. The study setting included primary care clinics (urban [n=25] and rural [n=25]) in Nebraska. Health care providers from N=50 clinics were surveyed about their knowledge of stillbirth risk factors (modifiable and non-modifiable) before and after reading the Toolkit. RESULTS: Providers were least knowledgeable regarding the definition of stillbirth and the number of weeks' gestation that constitute a stillbirth. Overall, there was no significant difference in baseline knowledge between rural and urban providers. Nearly half (43.8%) found the Toolkit to be very helpful and applicable to their patient population, and 34.8% said they would be very likely to utilize it with their patients. There was a statistically significant increase in knowledge of stillbirth risk factors among all health care providers after reviewing the Toolkit (p<0.001). CONCLUSIONS: Health providers had varied baseline knowledge about stillbirth. The Toolkit improved provider knowledge, but further research is needed to assess its impact on clinical practice.
Authors: Robert L Goldenberg; Elizabeth M McClure; Zulfiqar A Bhutta; José M Belizán; Uma M Reddy; Craig E Rubens; Hillary Mabeya; Vicki Flenady; Gary L Darmstadt Journal: Lancet Date: 2011-04-13 Impact factor: 79.321
Authors: Joy E Lawn; Mohammad Yawar Yakoob; Rachel A Haws; Tanya Soomro; Gary L Darmstadt; Zulfiqar A Bhutta Journal: BMC Pregnancy Childbirth Date: 2009-05-07 Impact factor: 3.007
Authors: Vicki Flenady; Aleena M Wojcieszek; Philippa Middleton; David Ellwood; Jan Jaap Erwich; Michael Coory; T Yee Khong; Robert M Silver; Gordon C S Smith; Frances M Boyle; Joy E Lawn; Hannah Blencowe; Susannah Hopkins Leisher; Mechthild M Gross; Dell Horey; Lynn Farrales; Frank Bloomfield; Lesley McCowan; Stephanie J Brown; K S Joseph; Jennifer Zeitlin; Hanna E Reinebrant; Joanne Cacciatore; Claudia Ravaldi; Alfredo Vannacci; Jillian Cassidy; Paul Cassidy; Cindy Farquhar; Euan Wallace; Dimitrios Siassakos; Alexander E P Heazell; Claire Storey; Lynn Sadler; Scott Petersen; J Frederik Frøen; Robert L Goldenberg Journal: Lancet Date: 2016-01-19 Impact factor: 79.321