Date of this Version

12-14-2022

Document Type

DNP Project

Abstract

Abstract Background: To examine the effects of implementing patient education on preconception care to all women including women of reproductive age. This quality improvement (QI) project was formed with evidence-based research that provides awareness to women on their fertility and conception, and to become their advocates to their reproductive health. Purpose: The purpose of the study is to improve the quality of reproductive health for young women of childbearing age and to educate women on preconception care and fertility awareness. Methods: Recruitment were chosen at random until the goal of 20 participants were obtained. Participants were directed to use a tablet device or phone to complete the pretest and posttest via QR code or web link. Frequency counts were used to examine the distribution of categorical demographic variables to determine the appropriate statistical test to report knowledge about preconception care. Parametric statistics were determined to be most appropriate due to the nature of the data and distribution of scores. Specifically, the Wilcoxon Signed Rank test was used to examine whether the change in knowledge was statistically significant. Frequency distributions were also used to report the distribution of responses on additional items asked at the posttest. Results: At the pretest, scores ranged from 4 to 7 with a mean of 6.65 (SD = 0.75). At the posttest, scores ranged from 5 to 7 with a mean of 6.5 (SD = 0.71). 20 participants were recruited with 50% attrition rate as not all had completed the post-test individually from the same tablet or device. Analysis of the 10 cases with matched data from pre- and post- revealed that knowledge did not change significantly from pre- to post- (p = 1.00). Despite the fact that the P value was not statistically significant change in knowledge, when asked whether they believed they learned more about preconception health after viewing the PowerPoint, 100% of the women said yes. Conclusions: Preconception care is important for all women including women of childbearing age but results reveal it may not be discussed to each woman in primary care practice. It is important for women to become more empowered to talk about their reproductive and pregnancy plans with their PCP. For providers, cultural and familial influences should be considered and taken into account for each individual.

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