Date of Award

Summer 2026

Abstract

Abstract

Background: Postpartum hemorrhage (PPH) is a serious condition that can lead to maternal morbidity or mortality following the birth of their child. It is important for nurses to be properly educated to manage this condition quickly and efficiently. Night shift nurses often face barriers to accessing educational opportunities during their shift because most education is tailored to daytime hours.

Local Problem: At the project site facility, night shift nurses perceived inconsistent access to education compared to day shift nurses. This gap highlighted the need for more flexible educational modalities to meet the needs of night shift nurses.

Methods: This quality improvement assessed the implementation of brief and flexible educational resources during their scheduled night shift to improve access to education, specifically PPH management. Pre- and post-intervention surveys utilized the Likert scale to measure their perceived satisfaction, accessibility, and confidence on the topic.

Interventions: An asynchronous video, in-person session, and a quick tips reference sheet were implemented. Quick Reference (QR) codes were utilized to provide easy access to the educational materials during the implementation period.

Results: Key findings of the project indicated a 52.6% increase in perceived accessibility, improved satisfaction showing 100% of nurses scoring 4 or higher on the Likert scale post-survey, and increased confidence on PPH management among the night shift nurses. Limitations included a small sample size, shortened implementation period, and a lower than anticipated post-survey response rate.

Conclusion: Flexible educational methods improved perceived access to PPH education for the night shift nurses and demonstrated feasibility of the implemented resources into clinical practice. Continued use and evaluation of these resources may support long term sustainability and improve equitable access to education among all shift workers.

Key Words: Quality Improvement, Postpartum Hemorrhage, Night Shift Nurses, Labor and Delivery Nurses, Nurse Satisfaction, Educational Accessibility, Asynchronous Learning, Likert Scale, Postpartum Hemorrhage Management

Document Type

Master's Thesis

First Advisor

Elizabeth Evans

Second Advisor

April Phelps

Third Advisor

Pamela Kallmerten

College or School

CHHS

Department or Program

Direct Entry Master's of Nursing

Degree Name

Master of Science

Download

Share

COinS