Date of Award

Summer 2024

Project Type

Thesis

College or School

CHHS

Department

Nursing

Program or Major

Nursing

Degree Name

Master of Science

First Advisor

Pamela Kallmerten

Second Advisor

Elizabeth Evans

Abstract

Abstract

BACKGROUND:

Postpartum depression (PPD) is a prevalent and serious condition affecting new mothers, often underdiagnosed due to challenges in traditional screening methods. Early detection and intervention are crucial for improving maternal and infant health outcomes.

LOCAL PROBLEM:

On the maternity unit, existing PPD screening processes were insufficient, with significant barriers including patient reluctance to disclose mental health concerns, leading to missed or inadequately addressed PPD cases.

METHODS:

This quality improvement (QI) project utilized the Plan-Do-Study-Act (PDSA) framework. Pre-intervention surveys were conducted to identify current challenges and perceptions. An at-home PPD screening tool using the Edinburgh Postnatal Depression Scale (EPDS) was then introduced to postpartum women at discharge, accompanied by clear instructions and follow-up guidelines.

INTERVENTION:

The EPDS tool was provided for self-screening at home, enabling mothers to assess their symptoms and seek timely medical assistance if needed, rather than waiting for their scheduled postpartum appointment. The intervention included training for nurses on the tool’s use and patient education.

RESULTS:

Post-intervention surveys showed significant improvements. 100% of nurses agreed or strongly agreed that the at-home screening tool improved the quality of care provided, up from 77% pre-intervention. 80% of nurses reported reduced challenges in facilitating PPD screenings. 100% believed that patients were more comfortable disclosing mental health concerns using the at-home tool. Furthermore, 100% of nurses felt the tool potentially reduced the number of missed PPD cases.

CONCLUSION:

The at-home EPDS screening tool effectively enhanced PPD detection and care quality on the maternity unit. The intervention’s sustainability is promising, with potential for broader application in other settings. Future research should focus on long-term outcomes and expanding digital screening methods.

Download

Share

COinS