000007597 001__ 7597
000007597 005__ 20240507103548.0
000007597 0247_ $$2DOI$$a10.6083/m40v8c92
000007597 037__ $$aETD
000007597 245__ $$aUnderstanding and identifying opportunities for improvement in the latent labor obstetric triage process
000007597 260__ $$bOregon Health and Science University
000007597 269__ $$a2017
000007597 336__ $$aFinal project
000007597 502__ $$bD.N.P.
000007597 520__ $$aCurrent variation in the care during triage of obstetric patients regarding coping in latent labor can impact the timing of admission for these patients. It has been shown that admission in active labor rather than latent labor is associated with improved obstetric outcomes. An understanding of current triage care practices at a rural community hospital's family birth center was obtained through the use of the Ishikawa cause-and-effect tool.  Opportunities for improvement in the processes of care in labor triage were identified, and a latent labor triage intervention was developed to address the lack of educational tools and improve patient coping skills. A series of rapid process improvement cycles over a period of three months was conducted. Outcomes measured focused on the use of the intervention consistently with all eligible patients. By the end of the quality improvement cycles, the intervention was being implemented with a majority (68%) of the patients who met criteria for the triage intervention and nursing staff reported that the interventions facilitated their ability to provide quality care during the latent labor triage project. This project could be replicated easily on other units and the triage tools generated in the project are still in use even after completion of the project.
000007597 542__ $$fIn copyright - single owner
000007597 650__ $$aPrenatal Education$$040341
000007597 650__ $$aPregnancy$$024523
000007597 650__ $$aLabor Onset$$021255
000007597 650__ $$aParturition$$034786
000007597 650__ $$aLabor Stage, First$$021257
000007597 650__ $$aLabor, Obstetric$$021253
000007597 6531_ $$alabor
000007597 691__ $$aSchool of Nursing$$041370
000007597 7001_ $$aSwain, Lori L.$$uOregon Health and Science University$$041354
000007597 8564_ $$9ab72b5e7-71c3-43ac-8cf4-eb4553bf0652$$s5660067$$uhttps://digitalcollections.ohsu.edu/record/7597/files/Swain.Lori.2017.pdf
000007597 905__ $$a/rest/prod/3t/94/5r/46/3t945r468
000007597 909CO $$ooai:digitalcollections.ohsu.edu:7597$$pstudent-work
000007597 980__ $$aTheses and Dissertations