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Improving Perioperative Knowledge, Self-Efficacy, and Performance in Labor and Delivery Nurses

A Quality Improvement Project

Melendez, Christian T. DNP, RN, CNOR, NEA-BC; March, Alice L. PhD, RN, FNP, CNE; Cunningham, Craig PhD, RN, CNOR

Journal for Nurses in Professional Development: July/August 2019 - Volume 35 - Issue 4 - p E9–E14
doi: 10.1097/NND.0000000000000559
Articles: Online Only

The obstetrical unit utilized a training product (Periop 101: A Core Curriculum OB) to enhance the knowledge, self-efficacy, and performance of nurses circulating for cesarean births. Knowledge was measured using product provided testing. Self-efficacy was assessed using a modified perioperative self-efficacy scale, and performance was evaluated by analyzing documentation accuracy and incident reports. Results demonstrated improvements in perioperative knowledge, self-efficacy, and documentation as well as a reduction in incident reports.

Christian T. Melendez, DNP, RN, CNOR, NEA-BC, is Commander, Nurse Corps, U.S. Navy; and Senior Nurse Officer, ADM Joel T. Boone Branch Health Clinic, Virginia Beach, and Naval Medical Center Portsmouth, Virginia.

Alice L. March, PhD, RN, FNP, CNE, is Professor, Capstone College of Nursing, The University of Alabama, Tuscaloosa.

Craig Cunningham, PhD, RN, CNOR, is Captain, Nurse Corps, U.S. Navy; and Department Head, Nursing Research & Consultation Services, Naval Medical Center Portsmouth, Virginia.

The authors declare no conflicts of interest.

The views expressed in this article are those of the author(s) and do not necessarily reflect the official policy or position of the Department of the Navy, Department of Defense, or the United States Government.

ADDRESS FOR CORRESPONDENCE: Christian T. Melendez, ADM Joel T. Boone Branch Health Clinic, 1035 Nider Blvd, Suite 100, Virginia Beach, Virginia 23459 (e-mail:

Online date: May 23, 2019

© 2019 by Lippincott Williams & Wilkins, Inc.