Graduation Year
2025
Document Type
Senior Thesis
Degree
Bachelor of Science in Nursing
Primary Major
Nursing
Thesis Advisor
Kendra Hoepper DNP, APRN, PNP-BC
Abstract
Background: Postpartum hemorrhage (PPH) is a serious, often unexpected complication after childbirth involving excessive bleeding. It is a leading cause of maternal death and can happen quickly, even in healthy pregnancies. Risk factors may increase the chances of PPH, but it can also occur without warning. Nurses play a key role in recognizing early signs and taking quick action. However, delays still happen due to inconsistent training, unclear protocols, and lack of preparedness. Strengthening nurse education and improving emergency response systems are essential to improve care and achieve better outcomes for mothers. Objective: This study aims to evaluate the impact of simulation-based training combined with a best practice screening tool on nurses’ ability to recognize and manage PPH effectively. Method: A randomized control trial, pre- and post-test design will be used with 100 maternity nurses from four hospitals in Northern California. Participants will be randomly assigned to a control group or an intervention group that receives additional education and simulation training. Knowledge and response performance will be assessed before and after the intervention using validated tools. Results: The intervention group is anticipated to show better knowledge, faster responses, and improved protocol use, with results likely to be significant (p ≤ 0.05). Conclusion: Enhancing nurse training through simulation and structured screening tools may improve early recognition and management of PPH, contributing to better maternal outcomes and safer clinical practice.