Online Program

Simulation in public health nursing education: Improving pregnancy outcomes and reducing infant mortality

Monday, November 2, 2015 : 12:30 p.m. - 12:45 p.m.

Stacey Van Gelderen, DNP, PHN, RN, School of Nursing, Minnesota State University, Mankato, Mankato, MN
Kelly Krumwiede, PhD, PHN, RN, School of Nursing, Minnesota State University, Mankato, Mankato, MN
Norma Krumwiede, EdD, PHN, RN, School of Nursing, Minnesota State University, Mankato, Mankato, MN
Problem statement: U.S. infant mortality rate is 6.17 per 1,000 live birthsThe purpose is to educate baccalaureate nursing students on prioritizing antepartum and post-partum maternal-child health resources, access to care, educational needs, and assessment techniques to improve pregnancy outcomes and reduce infant mortality.

Approach: Development of an unfolding simulation experience

Simulated Patient Case: Suzie Wu Stang; 22 y.o.; female

Family History: Adopted from China to two Caucasian U.S. citizens; Suzie ran away from home at 13 years old due to her adoptive father abusing alcohol.  She met a friend who introduced her to a pimp.

1)     Scenario1: Antepartum (20 weeks gestation, primip): Arrives to a community-free clinic seeking help for signs of a STI, overdosed on methamphetamine. Social determinants of health: Lives on streets, lacks proper nutrition and prenatal care.

Setting: Free clinic

Role: Free clinic staff RN

2)     Scenario 2: Antepartum (38 weeks gestation): Presenting with suicidal ideations, self-cutting behaviors, HIV+, no pre-natal education or care.

Setting: Brothel apartment

Role: County public health nurse; maternal-child health visit

3)     Scenario 3: Postpartum (1 week): Presents with severe post-partum depression, needs education focused on newborn care, referral with county human service healthy families program and WIC

Setting: Women’s shelter

Role: County public health nurse; maternal-child health visit

Outcome: Students prioritized intervention plans which considered the client’s mental, physical, emotional, socioeconomic, spiritual, and environmental health needs to improve pregnancy outcomes and reduce the incidence of infant mortality.

Implications: Students learned real-world skills which will allow transferability into future practice.

Learning Areas:

Advocacy for health and health education
Assessment of individual and community needs for health education
Diversity and culture
Protection of the public in relation to communicable diseases including prevention or control
Public health or related education
Public health or related nursing

Learning Objectives:
Describe how simulation is an effective teaching strategy to improve pregnancy outcomes and decrease infant mortality.

Keyword(s): Public Health Curricula & Competencies, Maternal and Child Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been the principal and co-principal author of multiple funded grants focusing on public health initiatives. I have been a practicing public health nurse since 1994 and have been educating baccalaureate nursing students since 2005. Among my scientific interests has been teaching baccalaureate nursing students how to provide care to public health populations with the emphasis of care of women and children, families, health promotion, disease prevention, policy development, and improving societal health outcomes.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

Back to: 3286.0: Maternal Child Health