Effect of Evidence-Based Nursing Interventions Package Implementation on Maternity Nurses' Performance regarding Postpartum Hemorrhage

Background: The implementation or adoption of evidence-based nursing interventions (EBNI)package into maternity nurses' practices related to obstetric emergency care, particularly postpartumhemorrhage (PPH) could potentially result in a reduction of PPH mortality. The research aimed toevaluate the effect of evidence-based nursing interventions package implementation on maternity nurses'performance regarding postpartum hemorrhage. Research design: A quasi-experimental design wasutilized. Setting: The research study was carried out at Tanta University Hospital, El-Menshawy GeneralHospital and El-Mabara Hospital, Tanta, Egypt. Subjects: All available nurses (85 nurses) at thepreviously mentioned study settings. Two tools were utilized for data collection; Tool (I): Maternitynurses′ knowledge assessment questionnaire regarding evidence based nursing intervention package inrelation to postpartum hemorrhage; that included two parts: part (1): Nurses′ socio-demographic data,part (2): Nurses′ knowledge regarding EBNI package for prevention and management of PPH. Tool (II):Nurses' practices observational checklist regarding evidence based nursing intervention package inrelation to postpartum hemorrhage, included three parts: part (1): Prevention of PPH during the thirdstage of labor, part (2): Prevention of PPH during the fourth stage of labor, part (3): Management incase of PPH Results: A statistically significant improvement of maternity nurses' performance wasdemonstrated immediately and one month after EBNI package implementation as compared to preimplementation. Conclusion and recommendations: EBNI package implementation enhanced maternitynurses' knowledge in relation to prevention and management of PPH with satisfactory practices regardingit. Evidence- based nursing interventions package should be applied as a recommended nursing protocolfor PPH.