Quality Improvement in the Ordering Practices of TPN in the Neonate

Preconception health care focuses on the health of the female from menses through menopause. When a woman is attentive to addressing possible chronic health concerns, knowledgeable about her medications, and up-to-date on her immunizations; understands her genetic risk factors; and refrains from alcohol and illicit drug use, she is empowered to promote her own health and the health outcomes of her future children. In general, college students are not aware that preconception health is important long before they consider having children. College students are comfortable retrieving health information from the Internet, but they are sometimes unaware that they are using information from unreliable web sites. It is important for Brigham Young University-Idaho (BYU-I) students to realize that preconception health applies to them now, whether they are single, married, or planning on bearing children within their lifetime. The objectives of this project focus on developing preconception health information appropriate for female BYU-I students, developing the women's health portion of the BYU-I student health center web site, providing preconception health information as the first entry, and teaching other providers to easily make entries on the site in the future. Developing appropriate preconception health information for female BYU-I students was achieved through feedback from experts in the field (my content expert and my project chair.) Content was refined and updated through this process. Evaluation of the website was then done. Prior to evaluation of the usability of the website, IRB exempt approval was obtained from the University of Utah and BYU-I. A direct email was sent to 102 students in 2 religion courses. A respondent sample of 63 students was achieved (62% response rate, 65% female, 35% male, 32% married, 68% single.) The highest ratings were in acceptability (98%), trustworthiness (98%), active trust (98%), and efficiency (97%). The lowest rating was in e-loyalty (63%) meaning that the user would recommend the site to others, which is expected because the web site user target is female women, and 35% of respondents were male. Free response from students included suggestions to increase contrast of colors, increase size of fonts, and changing the order of the information, for which changes were made. A teaching episode was conducted among a group of providers at BYU-I consisting of physicians, nurse practitioners, physician's assistants, and a registered nurse. A power point was reviewed about the process of collaborating with information technology, developing content, approval process, and the evaluation process of added web site content. Templates were shared that the providers may utilize. IRB exempt approval was obtained from the University of Utah and BYU-I for the questionnaire administered at the conclusion of the teaching presentation. One hundred percent of providers found the presentation understandable and helpful. In the free text response of the questionnaire, providers gave positive feedback regarding the resources presented and the value of the presentation