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The Impact of Evidence-Based Guidelines on Utilization of First-Trimester Fetal Ultrasounds Performed by Certified Nurse-Midwives and Advanced Practice Registered Nurses in an Obstetric Triage Setting.

Record Type:	Electronic resources : Monograph/item
Title/Author:	The Impact of Evidence-Based Guidelines on Utilization of First-Trimester Fetal Ultrasounds Performed by Certified Nurse-Midwives and Advanced Practice Registered Nurses in an Obstetric Triage Setting./
Author:	DeLong, Sarah.
Published:	Ann Arbor : ProQuest Dissertations & Theses, : 2022,
Description:	55 p.
Notes:	Source: Dissertations Abstracts International, Volume: 83-10, Section: B.
Contained By:	Dissertations Abstracts International83-10B.
Subject:	Nursing. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=29165312
ISBN:	9798426833432

The Impact of Evidence-Based Guidelines on Utilization of First-Trimester Fetal Ultrasounds Performed by Certified Nurse-Midwives and Advanced Practice Registered Nurses in an Obstetric Triage Setting.
DeLong, Sarah.

The Impact of Evidence-Based Guidelines on Utilization of First-Trimester Fetal Ultrasounds Performed by Certified Nurse-Midwives and Advanced Practice Registered Nurses in an Obstetric Triage Setting. - Ann Arbor : ProQuest Dissertations & Theses, 2022 - 55 p.

Source: Dissertations Abstracts International, Volume: 83-10, Section: B.

Thesis (D.N.P.)--Georgetown University, 2022.

This item must not be sold to any third party vendors.

The scope of practice for Certified Nurse-Midwives (CNMs) and Advanced Practice Registered Nurses (APRNs) has expanded to encompass the performance of obstetrical ultrasounds in a variety of settings, including obstetric triage. The focus of this Doctor of Nursing Practice (DNP) project evaluated the impact of implementation of evidenced-based guidelines on the utilization of first-trimester ultrasound by CNMs and APRNs in an obstetric triage unit. The project took place over a six-month period of time and data collection included three consecutive months of retrospective data prior to implementation of guidelines followed by three consecutive months post-implementation of guidelines. A two-sample test of proportions using Stata 17 (StataCorp, College Station, TX) was performed. The rate of first ultrasounds performed pre-implementation of evidence-based practice guidelines was 8.92% and post-implementation was 8.03%. This difference was not statically significant with p= 0.108 and z=1.240. There was not a statistically significant difference in the rate of first-trimester ultrasounds being performed by CNMs and APRNs pre-implementation versus post-implementation of evidence-based practice guidelines. However, best practices were identified and included improved consistency and accuracy in ultrasound documentation, utilization of first-trimester ultrasounds based on clinical indications, and adoption of the evidenced based protocol by the institution as part of assessing ongoing quality of care. First-trimester ultrasounds within obstetric triage are now being performed based on medical indications outlined by the guidelines that were implemented through this DNP project.

ISBN: 9798426833432Subjects--Topical Terms:

528444
Nursing.
Subjects--Index Terms:

Advanced practice registered nurses

The Impact of Evidence-Based Guidelines on Utilization of First-Trimester Fetal Ultrasounds Performed by Certified Nurse-Midwives and Advanced Practice Registered Nurses in an Obstetric Triage Setting.
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506 $a This item must not be sold to any third party vendors.
520 $a The scope of practice for Certified Nurse-Midwives (CNMs) and Advanced Practice Registered Nurses (APRNs) has expanded to encompass the performance of obstetrical ultrasounds in a variety of settings, including obstetric triage. The focus of this Doctor of Nursing Practice (DNP) project evaluated the impact of implementation of evidenced-based guidelines on the utilization of first-trimester ultrasound by CNMs and APRNs in an obstetric triage unit. The project took place over a six-month period of time and data collection included three consecutive months of retrospective data prior to implementation of guidelines followed by three consecutive months post-implementation of guidelines. A two-sample test of proportions using Stata 17 (StataCorp, College Station, TX) was performed. The rate of first ultrasounds performed pre-implementation of evidence-based practice guidelines was 8.92% and post-implementation was 8.03%. This difference was not statically significant with p= 0.108 and z=1.240. There was not a statistically significant difference in the rate of first-trimester ultrasounds being performed by CNMs and APRNs pre-implementation versus post-implementation of evidence-based practice guidelines. However, best practices were identified and included improved consistency and accuracy in ultrasound documentation, utilization of first-trimester ultrasounds based on clinical indications, and adoption of the evidenced based protocol by the institution as part of assessing ongoing quality of care. First-trimester ultrasounds within obstetric triage are now being performed based on medical indications outlined by the guidelines that were implemented through this DNP project.
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