Dallas Campus (Online)
Date of Award
Doctor of Nursing Practice
Committee Chair or Primary Advisor
Second Committee Member or Secondary Advisor
Third Committee Member or Committee Reader
This quality improvement project was designed to increase staff adherence to an existing Pitocin titration protocol used in a labor and delivery unit at a community hospital. In the current U.S. health care climate, safe patient care is paramount and the Institute for Safe Medication Practices identified Pitocin as a high-alert medication. Evidence-based practice recommends the use of a titration protocol to guide proper use of Pitocin. Prior research has shown improvements in patient outcomes when facilities implement Pitocin titration protocols, with staff adherence key to the successful implementation of evidence-based titration protocols, which may be improved with the use of adult learning techniques. This project therefore utilized Knowles’s adult learning theory and Donabedian’s quality of care framework to inform the improvement measures. The results showed a statistically significant increase in staff adherence to the Pitocin titration protocol and a trend of improvement in most measured patient outcomes. Keywords: Pitocin titration, oxytocin, labor augmentation, staff education, training
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Cassell, Tara N., "Comprehensive Staff Education and Implementation of a Checklist Tool to Increase Staff Adherence to Pitocin Titration Protocols" (2019). Digital Commons @ ACU, Electronic Theses and Dissertations. Paper 164.