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School of Nursing

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Browsing School of Nursing by Subject "adolescent"

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    Improving Postpartum Contraception Intention in Young Adolescent Patients
    (2025) Reaves, Jennifer; Lee, Amy; Fairchild, Esther
    Reducing adolescent pregnancy is a global challenge that has been the focus of many organizations for decades. Utilizing contraception postpartum in young adolescent patients, 14 years of age or younger, will help to decrease the rates of repeat adolescent pregnancies. This educational intervention will focus on educating young adolescent on the risks and benefits of available contraception methods, taking into account their wishes, beliefs, and medical conditions. This intervention will be given in the third trimester, at the 28-week prenatal visit, and/or later, with documentation of their intention to use a contraceptive method after delivery. McNemar’s Chi-Square test was performed on the data collected. Participants (n=11) ranged in gestational age from 28 to 36 weeks. Before the educational intervention, none of the participants reported intent to contracept. After the intervention, 10 of the 11 participants significantly (p=0.0044) reported contraceptive intent. Eighty percent of these (8 out of 10) who reported post-intervention contraceptive intent were interested in a long-acting reversible contraceptive (LARC) option. At the same time, only one was interested in the moderate-acting Depo Provera or a LARC, and one was interested in Depo Provera only. Adolescent pregnancy is a global challenge. The problem is very complex and requires a multidisciplinary approach. Preventing repeat adolescent pregnancy is critical to help decrease the risk of poor physical, emotional, social, financial, and educational outcomes for these young parents and their children.
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    The OAS-M Tool: Reducing Seclusion and Restraint Use
    (2025) Ponce de Leon, John P.; Lee, Amy
    Introduction/Purpose: The Modified Overt Aggression Scale (OAS-M) is a validated state-based aggression assessment tool used on an adolescent in-patient psychiatric unit in Cincinnati, OH. The tool allows for objective documentation of aggressive behaviors on a shift-by-shift basis. According to the Six Core Strategies (6CS) method of restraint reduction, the appropriate use of an aggression assessment tool is a pillar of its strategies. This project aimed to decrease seclusion and restraint (S/R) use by reinforcing education regarding the proper implementation and documentation of the OAS-M amongst unit staff. Methods: Over an eight-week period, unit staff were provided with presentations at the start of their shifts five days a week along with educational flyers/ handouts regarding guidelines to proper OAS-M documentation. Results: After the eight-week period seclusions, restraints, OAS-M scores, and staff injuries all rose when compared to data collected over the immediate eight weeks prior to implementation. However, compared to pre-implementation, statistical analysis of seclusion and restraint use rates demonstrated to not be statistically significant (p= 0.4538). Discussion: Education on an assessment tool alone did not prove effective enough to decrease S/R rates. Future quality improvement projects aimed at decreasing S/R rates may benefit from a more encompassing approach such as the full spectrum of the 6CS to create significant results. Although all metrics demonstrated an increase overall, an increase in average daily OAS-M scores may be interpreted as being due to admitted higher acuity patients or better adherence to documentation guidelines.