Optimizing Postpartum Care: The Development of a Debriefing Tool and Guideline for Healthcare Providers

This capstone project was a quality improvement project to reinforce evidence based practice for the care of postpartum women and their infants. The aim of the project was to provide a guideline and tool to allow for assessment of needs, resources available, and ongoing support to promote well-being, improved quality of life, and physical and mental health needs. Research showed postpartum care in the United States has been found to be fragmented with communication deficits between healthcare providers including maternal and pediatric providers and patients (American Congress of Obstetricians and Gynecologists [ACOG], 2016). Patients who attended a scheduled postpartum visit reported not receiving enough information or education at their postpartum visit with regard to “postpartum depression, birth spacing, healthy eating, the importance of exercise, or changes in their sexual response and emotions” (AGOG, 2016, p. 2). This fragmented care results in the mother uncertain of her future healthcare needs, timing, and potential risk factors adversely affecting her health and future pregnancies. At the postpartum visit, providers should assist the patient to identify “who will assume primary responsibility for her ongoing care in her primary care medical home” (ACOG, 2016, p. 4). This should also include documentation for the patient or other healthcare providers iv including pregnancy complications, risks, timing, and intervals of future medical needs such as contraception or family planning, cervical cancer screening pap smear, diabetes screening, cholesterol screening, as well as any other ongoing treatments for health issues such as thyroid disorder or depression. This would allow the patient to be fully aware of her health conditions, ongoing health care needs, and care coordination. The project was developed with the use of a Delphi method and process to create the tool and practice guideline. Staff from Kaiser Permanente’s Obstetrics and Gynecology Departments within metro Denver were surveyed with the use of Delphi questionnaires. Once the tool and guideline were created, the quality department must approve the guideline and implementation shall occur within Kaiser Permanente’s Obstetrics and Gynecology Departments. Implementation was not accomplished by the completion of this capstone project due to the prolonged time of the quality department’s approval. Once implementation occurs, a brief survey will be conducted of healthcare providers within several weeks of use to determine effectiveness and changes that might need to be made. The Stetler (2001) model provided the framework of this project to assure appropriate evidence-based medicine was incorporated into nursing practice once determined effective

Computer Self-Efficacy: Finding the Right Construct, for the Right Job, using the Right Measurement

Computer self-efficacy is a commonly used construct to explore user behavior and adoption of IS systems. However, there has been limited and somewhat conflicting empirical evidence to support the theorizing about the construct. After conducting a multi-discipline literature review of self-efficacy and analyzing the IS field’s usage of computer self-efficacy, we offer a discussion about the challenges and opportunities we see for the construct’s use in IS research. We state 6 propositions in this article that are structured around: (1) the nomological network of computer self-efficacy and the opportunities to refocus theorizing around generative capability as a source of performance mechanisms and (2) the appropriate task context in which to consider computer self-efficacy as a predictor. Next, we offer a discussion and set of recommendations around the challenges and considerations associated with current computer self-efficacy scales

An analysis of the prevalence of musculoskeletal disorders in heavy, civil construction operations and the impact of job, age, and experience

Includes bibliographical references

Understanding Primary Appraisal in User Adoption: an Exploration case study of a Telehealth Project

Implementation of a new system typically results in significant change for users’ work processes who engage in adaptation processes to cope with the change. Coping theory explains how people choose adaptation behaviors after a series of appraisal processes. Primary appraisal results in the categorization of the IT artifact as a threat or an opportunity. Understanding these primary appraisals, specifically what antecedents produce various appraisal results, allows better prediction of user behaviors and ultimately of implementation success. Drawing on observations during a case study of a telehealth pilot project in six sites, we offer a theoretical model to better understand the antecedents of primary appraisal