Date Available


Year of Publication


Degree Name

Doctor of Nursing Practice

Committee Chair

Dr. Julianne Ossege

Clinical Mentor

Dr. Angela Grubbs

Committee Member

Dr. Elizabeth Tovar



Background: Unintended pregnancies account for over half of all pregnancies in the United States. Unintended pregnancies can lead to abortion, socioeconomic difficulties, medical complications, psychological issues, and political issues. Unintended pregnancies are potentially harmful to both the mother and the baby. Healthy People 2030 listed reducing the number of unintended pregnancies as one of their family planning objectives.

Purpose: The purpose of this DNP project was to evaluate providers’ knowledge, attitudes, and intentions toward assessing pregnancy desires in women of childbearing age. Methods: The study was a one-group pre/post intervention design. The data was gathered via a convivence sample through the Kentucky Association of Nurse Practitioners and Midwives listserv. The evaluation occurred through a survey before and after a two-and-a-half-minute educational module on The One Key Question initiative

Results: There were statistically significant changes in participants’ (N=69) attitudes about unplanned pregnancy after the educational module. There was also significant change in participants’ attitude on providing preconception care after the educational module. There was significant change after the online educational module in participants intention to provide preconception care. The knowledge of the One Key Question screening tool also increased from nine participants knowing what the OKQ was to sixty participants.

Discussion: The training module was highly effective in increasing providers’ knowledge of the One Key Question and provides an opportunity for advancing in primary care screening of preconception care. This can ultimately decrease the number of unintended pregnancies.