Date of Award

2021

Document Type

Dissertation

Degree Name

Doctor of Philosophy (PhD)

College

College of Nursing

First Advisor

Lynne Nemeth

Second Advisor

Teresa Kelechi

Third Advisor

Kenneth Catchpole

Abstract

The United States has the worst maternal morbidity and mortality in the developed world, with a maternal death rate of 17.3/100,000 live births. Efforts to improve this have not been fruitful. This dissertation suggests that future research with a patient safety focus and human factors framework may improve our understanding of this multifactorial problem and identify new potential solutions for improving this devastating crisis. The first manuscript is a scoping review discussing the use of trigger tools to identify women in labor in need of care escalation. The second manuscript is a realist review describing current approaches to the problem of obstetric failure to rescue. The third manuscript details a convergent parallel mixed methods study looking at the systems-level factors affecting nurses who are caring for women in labor and makes recommendations for systems changes with the potential to improve outcomes.

Rights

All rights reserved. Copyright is held by the author.

Download

Share

COinS