Abstract：
OBJECTIVE: To increase nurses\' knowledge using innovative education and to improve maternal outcomes by reducing postpartum readmission rates of women with preeclampsia.
METHODS: Quality improvement project implementing escape room-style education for nurses.
METHODS: A large tertiary hospital in southeastern Michigan with initial postpartum readmission rates of women with preeclampsia exceeding national averages.
METHODS: Registered nurses (n = 71) working on the hospital postpartum unit; 70 completed the project.
METHODS: Participants completed a knowledge survey on the care and management of women in the postpartum period with preeclampsia and then engaged in an escape room game scenario involving an increasingly acute case of a woman with preeclampsia. Debriefing occurred after the education, and then participants completed the same survey. Using data collected after the project, we compared postpartum readmission rates of women with preeclampsia to the median national average of 3.55%.
RESULTS: Nurse knowledge increased by 10.5% from the pre- to posttest period. For the 2-month project time period, the average readmission rate was 1.49%.
CONCLUSIONS: Offering innovative, interactive education to nurses, such as an escape room game, appeared to be an effective method to increase nurses\' knowledge and may have improved maternal outcomes, as demonstrated through a readmission rate lower than the median national average. Further projects using longer time periods are needed to understand the true impact of the education on readmission rates.
METHODS: Quality improvement project implementing escape room-style education for nurses.
METHODS: A large tertiary hospital in southeastern Michigan with initial postpartum readmission rates of women with preeclampsia exceeding national averages.
METHODS: Registered nurses (n = 71) working on the hospital postpartum unit; 70 completed the project.
METHODS: Participants completed a knowledge survey on the care and management of women in the postpartum period with preeclampsia and then engaged in an escape room game scenario involving an increasingly acute case of a woman with preeclampsia. Debriefing occurred after the education, and then participants completed the same survey. Using data collected after the project, we compared postpartum readmission rates of women with preeclampsia to the median national average of 3.55%.
RESULTS: Nurse knowledge increased by 10.5% from the pre- to posttest period. For the 2-month project time period, the average readmission rate was 1.49%.
CONCLUSIONS: Offering innovative, interactive education to nurses, such as an escape room game, appeared to be an effective method to increase nurses\' knowledge and may have improved maternal outcomes, as demonstrated through a readmission rate lower than the median national average. Further projects using longer time periods are needed to understand the true impact of the education on readmission rates.
摘要：
目的：通过创新教育增加护士的知识，并通过降低子痫前期妇女的产后再入院率改善产妇结局。
方法：实施护士逃生室式教育质量改进项目。
方法：密歇根州东南部的一家大型三级医院，先兆子痫妇女产后的初次再入院率超过全国平均水平。
方法：在医院产后单元工作的注册护士（n=71）；70人完成了该项目。
方法：参与者完成了一项关于先兆子痫妇女产后护理和管理的知识调查，然后参与了一个涉及先兆子痫妇女日益急性病例的逃生室游戏场景。汇报发生在教育之后，然后参与者完成了同样的调查。使用项目后收集的数据，我们比较了子痫前期妇女产后再入院率和全国平均水平3.55%.
结果：从测试前到测试后，护士知识增加了10.5％。对于2个月的项目时间段，平均再入院率为1.49%。
结论：提供创新，对护士进行互动教育，比如逃生室游戏，似乎是增加护士知识的有效方法，并可能改善产妇结局，再入院率低于全国平均水平。需要使用更长时间段的其他项目来了解教育对再入院率的真正影响。
方法：实施护士逃生室式教育质量改进项目。
方法：密歇根州东南部的一家大型三级医院，先兆子痫妇女产后的初次再入院率超过全国平均水平。
方法：在医院产后单元工作的注册护士（n=71）；70人完成了该项目。
方法：参与者完成了一项关于先兆子痫妇女产后护理和管理的知识调查，然后参与了一个涉及先兆子痫妇女日益急性病例的逃生室游戏场景。汇报发生在教育之后，然后参与者完成了同样的调查。使用项目后收集的数据，我们比较了子痫前期妇女产后再入院率和全国平均水平3.55%.
结果：从测试前到测试后，护士知识增加了10.5％。对于2个月的项目时间段，平均再入院率为1.49%。
结论：提供创新，对护士进行互动教育，比如逃生室游戏，似乎是增加护士知识的有效方法，并可能改善产妇结局，再入院率低于全国平均水平。需要使用更长时间段的其他项目来了解教育对再入院率的真正影响。
