Campus Location

Dallas Campus (Online)

Date of Award



Document Type

DNP Project



Degree Name

Doctor of Nursing Practice

Committee Chair or Primary Advisor

Lawrence Santiago

Second Committee Member or Secondary Advisor

Sandra Cleveland

Third Committee Member or Committee Reader

Linda Gibson


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

Creative Commons License

Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.



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