Dissertation Help

[Billcrna]

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I am a CRNA currently working on my Doctorate in Health Administration in the dissertation phase.. My dissertation is focusing on Increasing epidural utilization in laboring patient with a primary focus on our Hispanic patients. The town I work is about 60% Hispanic. Many do not speak English and the majority seem to be from Guatemala. If I would hazard a guess as I haven't pulled the data yet we only do epidurals on about 50-60% of our Hispanic population. Many have these fears that the epidural will cause permanent back damage etc. I talked to the clinics and surveyed OB and they get zero information about pain relief during labor. So I have handouts in both English and Spanish and also Injoy videos on labor epidurals in both English and Spanish that I am trying to link to the health care website so they can access them directly from any Wi-Fi device. I am also putting them onto the hospital TV system so they can watch them when they are admitted to L&D since some do not get prenatal care. We do about 400+ deliveries a year. My question for the group I am trying to make create a pre and post survey form mostly a likert scale but I would like some feedback on what questions I should include on the form? obviously pain and pain relief would be measured, and also gravida, para, age, previous epidural use etc., but I also want to measure the effects of the handouts and the videos on their decision making. Anyone have any suggestions on what questions I should include on the assessment form? Any other constructive suggestions would be appreciated as well.

Thanks

 

[vector2]

Lmfao this is what passes as a "dissertation" for a "doctorate"

 

[coffeebythelake]

I am a CRNA currently working on my Doctorate in Health Administration in the dissertation phase.. My dissertation is focusing on Increasing epidural utilization in laboring patient with a primary focus on our Hispanic patients. The town I work is about 60% Hispanic. Many do not speak English and the majority seem to be from Guatemala. If I would hazard a guess as I haven't pulled the data yet we only do epidurals on about 50-60% of our Hispanic population. Many have these fears that the epidural will cause permanent back damage etc. I talked to the clinics and surveyed OB and they get zero information about pain relief during labor. So I have handouts in both English and Spanish and also Injoy videos on labor epidurals in both English and Spanish that I am trying to link to the health care website so they can access them directly from any Wi-Fi device. I am also putting them onto the hospital TV system so they can watch them when they are admitted to L&D since some do not get prenatal care. We do about 400+ deliveries a year. My question for the group I am trying to make create a pre and post survey form mostly a likert scale but I would like some feedback on what questions I should include on the form? obviously pain and pain relief would be measured, and also gravida, para, age, previous epidural use etc., but I also want to measure the effects of the handouts and the videos on their decision making. Anyone have any suggestions on what questions I should include on the assessment form? Any other constructive suggestions would be appreciated as well.

Thanks

The fear of back injury and low overall utilization of epidurals by Hispanic population is pervasive. I'm not exactly sure what your study outcomes are or how you are actually going to gather this information without institutional support and potentially IRB approval. And if you are in a town with only 400 deliveries a year you are going to get not well generalizable results and a very small data set when you consider the typically low response rate from such surveys. I recommend you reach out to OB anesthesiologists and OBGYNs at big instiutions who study this for more insight and suggestions. You are probably not going to find much help on SDN.

 

[vector2]

. You are probably not going to find much help on SDN.

Why are you offering any advice at all? The only two outcomes here are: 1. "Doctor" Bill uses his fluff degree to move up to nurse manager or nurse administrator where he will continue to lobby his hospital and legislators for nurse only anesthesia care, particularly if he's benefitted from rural passthrough legislation in his career. Or 2. "Doctor" Bill continues anesthesia practice and uses his fluff degree to add some faux legitimacy to his desire to keep deceiving patients by introducing himself as "Doctor Bill your coughnursecough anesthesiologist" in a clinical setting.

In either case anesthesiologists and (more importantly) patients continue to lose.

 

[Arch Guillotti]

Nothing to see here.