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Implementation and Evaluation of a New Postpartum Depression Screening and Education Standard.

Record Type:	Language materials, manuscript : Monograph/item
Title/Author:	Implementation and Evaluation of a New Postpartum Depression Screening and Education Standard./
Author:	Rinehart, Julie Ann Cammon.
Description:	1 online resource (86 pages)
Notes:	Source: Dissertations Abstracts International, Volume: 85-11, Section: B.
Contained By:	Dissertations Abstracts International85-11B.
Subject:	Nursing. -
Online resource:	click for full text (PQDT)
ISBN:	9798382345772

Implementation and Evaluation of a New Postpartum Depression Screening and Education Standard.
Rinehart, Julie Ann Cammon.

Implementation and Evaluation of a New Postpartum Depression Screening and Education Standard. - 1 online resource (86 pages)

Source: Dissertations Abstracts International, Volume: 85-11, Section: B.

Thesis (D.N.P.)--Georgetown University, 2024.

Includes bibliographical references

Postpartum depression is a contributor to the high rate of maternal mortality in the United States. One approach to improving this national health crisis is through the impact of Postpartum Depression (PPD) education and screening practices in prenatal offices. In the office setting, Medical Assistants (MAs) can function as an initial point of care for PPD education and screening. The project participants included 11 medical assistants who attended a one-hour in-service regarding a new postpartum depression education and screening standard instituted by the physician-owner of a rural, Midwestern women's health clinic. A Continuing Professional Development Reaction Questionnaire (CPD) that assessed the MA's intention to implement the new PPD standard was completed following the required in-service. A pre-and postimplementation chart review was conducted to determine alignment with and outcomes of the new PPD standard. Chart data showed the completion rate of the Patient Health Questionnaire-2 (PHQ-2) screening at 36-weeks gestation and assessed the rate of positive Edinburgh Postnatal Depression Scale (EPDS) screenings at the two and six-week postpartum intervals. While the CPD questionnaire showed the MAs' strong intention to implement the new standard, the rate of PHQ-2 screening at 36-weeks gestation was 16.2%. The rate of the EPDS screening at two (pre-89.6%, post-87.5%) and six (pre-100%, post-97.1%) weeks postpartum remained stable, with a high level of completion. A statistically significant difference was noted in EPDS screening scores at two weeks postpartum (p = .037), indicating that more positive EPDS screens were found. The results of this project support the continued utilization of the PPD education and screening standard implemented by the MAs. Providing education to all office staff regarding how PPD can feel or present, along with consistent screening, creates the potential to improve health equity and access to perinatal mental health services for those in rural areas. The implementation of a new PPD screening standard in this rural office location can serve as a guide for other rural perinatal health settings.

Electronic reproduction.
Ann Arbor, Mich. :
ProQuest,
2024

Mode of access: World Wide Web

ISBN: 9798382345772Subjects--Topical Terms:

563081
Nursing.
Subjects--Index Terms:

Edinburgh Postnatal Depression ScaleIndex Terms--Genre/Form:

554714
Electronic books.

Implementation and Evaluation of a New Postpartum Depression Screening and Education Standard.
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520 $a Postpartum depression is a contributor to the high rate of maternal mortality in the United States. One approach to improving this national health crisis is through the impact of Postpartum Depression (PPD) education and screening practices in prenatal offices. In the office setting, Medical Assistants (MAs) can function as an initial point of care for PPD education and screening. The project participants included 11 medical assistants who attended a one-hour in-service regarding a new postpartum depression education and screening standard instituted by the physician-owner of a rural, Midwestern women's health clinic. A Continuing Professional Development Reaction Questionnaire (CPD) that assessed the MA's intention to implement the new PPD standard was completed following the required in-service. A pre-and postimplementation chart review was conducted to determine alignment with and outcomes of the new PPD standard. Chart data showed the completion rate of the Patient Health Questionnaire-2 (PHQ-2) screening at 36-weeks gestation and assessed the rate of positive Edinburgh Postnatal Depression Scale (EPDS) screenings at the two and six-week postpartum intervals. While the CPD questionnaire showed the MAs' strong intention to implement the new standard, the rate of PHQ-2 screening at 36-weeks gestation was 16.2%. The rate of the EPDS screening at two (pre-89.6%, post-87.5%) and six (pre-100%, post-97.1%) weeks postpartum remained stable, with a high level of completion. A statistically significant difference was noted in EPDS screening scores at two weeks postpartum (p = .037), indicating that more positive EPDS screens were found. The results of this project support the continued utilization of the PPD education and screening standard implemented by the MAs. Providing education to all office staff regarding how PPD can feel or present, along with consistent screening, creates the potential to improve health equity and access to perinatal mental health services for those in rural areas. The implementation of a new PPD screening standard in this rural office location can serve as a guide for other rural perinatal health settings.
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