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Dissertation
Improving Early Identification of Hypertension in IVF Patients
University of Iowa
Doctor of Nursing Practice (DNP), University of Iowa
Spring 2024
Abstract
Background In vitro fertilization (IVF) treatment is costly, time-consuming, and emotionally taxing. Before reaching the goal of a healthy parent taking their healthy baby home from the hospital, numerous steps must be achieved from undergoing an egg retrieval procedure, transferring an embryo to an intended parent’s uterus, a positive pregnancy test, a viable, term pregnancy, and a safe delivery. Addressing the threat of hypertension and its risks in IVF treatment and pregnancy is essential to promote the health and success of IVF patients. Purpose The problem of undiagnosed or untreated hypertension in patients seeking IVF therapy was addressed in this project. Hypertension detected late in the process can conceivably impact care delays and cancellation for concern of patient safety during pregnancy. No current process existed for nurse screening and communication to providers of hypertension in IVF patients at the project site. Methods Baseline and post-implementation data were collected including blood pressure measurement at pre-operative appointment and blood pressure measurement at procedure. If either systolic blood pressure (SBP) measurement exceeded 130mmHg, it was noted whether provider communication about measurement was documented. Staff nurse education was prepared and disseminated in person and electronically to address frequency of blood pressure measurement and provider communication of patient SBP ≥ 130. Findings The mean compliance in blood pressure measurement by nursing staff was higher post-implementation compared to pre-implementation. Pre-implementation, 2% of blood pressure measurements with SBP ≥ 130 was accompanied by appropriate documentation in one month. Post implementation, this number increased to 3%, 4%, 11% and 3% monthly. The number of patients reporting to embryo transfer with SBP ≥ 130 fluctuated throughout this project without clear downward trend. Discussion Creation of a process and implementation of staff education led to clinically significant improved compliance of blood pressure monitoring documentation and an increase in documentation of provider notification of hypertensive levels.
Details
- Title: Subtitle
- Improving Early Identification of Hypertension in IVF Patients
- Creators
- Lauren Elizabeth Schoonover - University of Iowa
- Contributors
- Patricia Groves (Chair) - University of Iowa
- Resource Type
- Dissertation
- Project Type
- Poster
- Degree Awarded
- Doctor of Nursing Practice (DNP), University of Iowa
- Degree in
- Health Systems/Administration
- Date degree season
- Spring 2024
- Publisher
- University of Iowa
- Number of pages
- 1 page
- Copyright
- Copyright © 2024 Lauren Elizabeth Schoonover
- Language
- English
- Academic Unit
- College of Nursing; Doctor of Nursing Practice Projects
- Record Identifier
- 9984627255402771
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