Improving clinician self-efficacy when caring for pregnant women admitted with cardiovascular diagnosis

Cardiovascular disease (CVD) is the leading cause of poor maternal outcomes in the United States (U.S.). Despite national initiatives to improve maternal morbidity and mortality, gaps remain in provider education regarding cardio-obstetric (cardio-OB) patients. Nurses and advanced practice providers (APPs) play a crucial role in delivering high-quality, evidence-based care; however, limited training in this specialty hinders confidence and preparedness. This study was designed to improve clinician self-efficacy in caring for hospitalized cardio-OB patients through the implementation of a cardio-OB education series and an evidence-based inpatient care pathway. Participants included inpatient nurses and APPs from cardiac and obstetric units. A quasi-experimental, pre-and-post intervention design was utilized to evaluate the impact of the study’s interventions. Self-efficacy, attitudes, behaviors, and perceived benefits of evidence-based practice (EBP) were measured using the I-SABE tool; descriptive statistics and comparative analyses were used to assess changes. Of the final participants, 44% demonstrated improved self-efficacy, particularly in their ability to retrieve and critically assess scientific literature. However, attitudes and behaviors toward EBP showed moderate gains, with 40% unchanged and 16% declining. Nurses exhibited greater improvements in self-efficacy compared to APPs particularly in critical assessment and staying updated with evidence-based guidelines. Despite the confidence increase, barriers to sustained EBP adoption persist. This study underscores the value of structured training in enhancing clinician confidence. Initiatives should prioritize simulation-based learning, peer-led mentorship, and continued education to enhance provider competency. Addressing systemic barriers to EBP implementation will help ensure long-term improvements in maternal cardiovascular health.