First Advisor

Alma Jackson


Rueckert-Hartman College for Health Professions

Degree Name

Doctor of Nursing Practice

Document Type

Thesis - Open Access

Number of Pages

68 pages


Objective: Process improvement project idea was examined due to the need to fulfill a requirement within a grant. One measure needed for the grant was a pregnancy intention screening question (PISQ) asked of women during their visits. There currently was no formal PISQ. The primary outcomes for this project are to measure effects of the addition of a PISQ on the provision of contraceptive counseling and/or contraceptive methods. Methods: The staff and providers were provided education of the workflow and documentation of the PISQ and the diagnosis codes for contraception counseling and methods. Data was collected three months prior to the education and three months following. Results: The Friedman test indicated that the means score between the pre-and post-interventions was different and that difference was statistically significant (x2 = 14.619, p = .012). The mean score of patients who had a documented PISQ in the pre-intervention timeframe was 23 and the post-intervention timeframe was 168.33. The increase of the mean supports the change in the number of patients with documented answers of the PISQ. The total percentage of patients in the pre-intervention timeframe who received contraception counseling was 6.11% and in the post-intervention timeframe was 5.26%. This was a -13.91% change in patients receiving contraception counseling pre vs post intervention. Conclusion: Implications to practice would include more studies looking at the use of a PISQ. Consider looking at how this question is received by patients and staff’s comfort in asking. Consider for practice is not the contraceptive outcomes of a patient but that the PISQ may start a conversation between patient and provider that may not have been discussed without the question.

Date of Award

Spring 2021

Location (Creation)

Denver, Colorado