Thesis

Preeclampsia: understanding and implementing the California maternal quality care collaborative toolkit

The California Maternal Quality Care Collaborative (CMQCC) created a toolkit that defined the best practices for hypertensive disorders in pregnancy. Knowledge gaps exist in the understanding of pathophysiology, history, and treatment of preeclampsia. According to the CMQCC, hypertensive disorders occur in 12-22% of pregnancies, resulting in the leading cause of maternal mortality. The purpose of this culminating project is to implement an adult learning program that includes both a didactic portion and an experiential component focusing on preeclampsia. Various theoretical frameworks, teaching strategies, and learning theories will be discussed to build the background foundation. These theories include: Knowles Adult Learning theory, Kolb’s Experiential Learning theory, Kotter’s Change theory, Online and Computer based learning, and the power of the checklist in the field of healthcare. The aim of this project is to assist staff nurses and providers who work in maternal health departments. Key words include: Preeclampsia, adult learning theory, andragogical, online and computer based learning, checklist in nursing, evaluation, and simulation. The outcome of this project will be a computer based learning module, a team based simulation scenario, and finally a best practice checklist and algorithms regarding the history, pathophysiology and current treatment for preeclampsia, supported by the elements from the CQMCC toolkit. The rewards of an evidence based learning program for nurses, implications for future research and implications for nursing practice regarding preeclampsia will be explored.

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