HYBRID EVENT: You can participate in person at Orlando, USA or Virtually from your home or work.

6th Edition of Nursing World Conference

October 27-29, 2022 | Orlando, USA

October 27 -29, 2022 | Orlando, Florida, USA
NWC 2022

Ashley Sapieja

Speaker at  Nursing World Conference 2022 - Ashley Sapieja
University of Missouri, United States
Title : Improving the knowledge and self-efficacy of registered nurses providing early pregnancy loss care in the emergency department


Approximately 900,000 visits to the emergency department (ED) are related to pregnancy complications or loss annually, accounting for 2.7% of visits, but a varying degree of competence and comfort exists among ED registered nurses (RNs) when caring for early pregnancy loss (EPL) and obstetric cases in general. Diagnosis of EPL is often shattering to patients, and EPL is linked to depression and anxiety that can last up to a year after the loss. Positive patient-provider interactions during care for EPL in the ED have been shown to reduce the risk of these complications, highlighting the importance of adequate bereavement training for ED staff. Individuals seeking EPL care deserve to have compassionate, thorough care no matter where they present. Their care team should be well-versed in the care they may need and the resources available to them. Although most emergency departments will see at least one patient presenting with a concern of pregnancy complications or loss per day, most patients report a negative experience and feelings of marginalization. This project aims to institute standardized education regarding early pregnancy loss in the ED to increase ED nurses’ knowledge and competence related to early pregnancy loss identification, management, and patient experience. Individuals who experienced EPL in the ED reported negative factors in their care, including environment of care, unclear language and education, and lack of emotional support for grieving and loss. With the intervention of education and clear policies regarding EPL, ED nurses will have the knowledge of pregnancy loss experiences and generalized self-efficacy to assist in the improvement of future patient care and positively impact patients’ recovery and transition to normalcy.


Ashley Sapieja obtained her BA from University of Wisconsin - Madison in 2016, and then completed her BSN at Edgewood College in 2018. She began working as a women and children’s RN and shortly transitioned to labor and delivery where she has worked for the past four years. In 2019, Ashley began her Doctor of Nurse Practice with a concentration in Women’s Health at the University of Missouri - Kansas City under the mentorship of Dr. Sherri Sellers. Ashley’s passion lies in creating improved health literacy, access, and equitability for patients everywhere.