Maternal and Child Health Nursing Framework

Maternal and Child Health Nursing Framework

• Focuses on the care of women during pregnancy and childbirth, as well as the care of children from birth to adolescence.
• Rooted in the two branches of medicine: Obstetrics and Pediatrics.
• Emphasizes the continuum of care, encompassing the entire cycle of childbearing, from preconception to postpartum.
• Core goal: Promote and maintain optimal health of mothers and children to ensure healthy childbearing and childrearing cycles.

Goals of Maternal and Child Health Nursing Care

• Broad scope of practice: This includes the range of services and care that a nurse is authorized to provide, based on their state and the unique needs of the patients.
• Advocacy for the protection of the rights of all family members, including the fetus.
• Demonstration of high levels of independent nursing functions.
• Major interventions include teaching, counseling, and health promotion to prevent diseases.
• Respect for individuals' personal, cultural, and spiritual beliefs.
• Encouragement of developmental stimulation for children during health and illness to achieve their full potential.
• Assessment of families for both strengths and needs to provide tailored care.
• Promotion of family bonding through interventions like rooming-in and family visiting.
• Encourages early hospital discharge to reunite families and facilitate a smooth transition process.
• Reach out to families to address their post-discharge needs and provide continuous support.

MCN Range of Practice

• Preconception health care: Focuses on preparing couples for a healthy pregnancy.
• Care during pregnancy: Includes all three trimesters and the puerperium (6 weeks after birth).
• Perinatal care: Encompasses the period from 6 weeks before conception to 6 weeks after birth.
• Infant and child care: Includes care for children from birth to adolescence.

Standards of Professional Performance

• Standard I: Quality of Care: Emphasizes continuous evaluation of the quality and effectiveness of pediatric nursing practice.
• Standard II: Performance Appraisal: Self-reflection and evaluation of practice against professional standards and regulations.
• Standard III: Education: Ongoing learning to maintain up-to-date knowledge and skills in pediatric nursing practice.
• Standard IV: Collegiality: Active collaboration and professional development with peers, colleagues, and other healthcare providers.
• Standard V: Implementation: Putting the planned interventions into action according to the individual needs of the child and family.
• Standard VI: Evaluation: Assessing progress towards achieving the set outcomes for the child and family.
• Standard VI: Collaboration: Working closely with the child, family, and other healthcare professionals to provide the best possible care.
• Standard VII: Research: Contributing to the advancement of nursing and pediatric healthcare through research and evidence-based practice.
• Standard VIII: Resource Utilization: Considering safety, effectiveness, and cost-effectiveness when planning and delivering patient care.

Framework for MCHN Care

• Emphasizes the use of process, nursing theory, and evidence-based practice to provide holistic care for families during the childbearing and childrearing years.

Health Promotion

• Family planning: Encourages informed choices and responsible use of family planning methods.
• Safe sex practice: Education on safe sex practices and the importance of preventing sexually transmitted infections.
• Immunization: Emphasizes the importance of vaccinations for children to prevent preventable diseases.

Health Maintenance

• Prenatal care: Encourages regular prenatal visits to monitor the health of the mother and fetus.
• Childproofing: Promoting safe homes and practicing measures to prevent accidents and injuries in children.

Health Restoration

• Care during pregnancy complications: Provides care for mothers who experience complications during pregnancy.
• Care for children during illness: Offers specialized care for children with various illnesses.

Health Rehabilitation

• Continuous therapies and medications: Provides long-term support and management for children requiring ongoing therapies or medications.

Nursing Process

• Organized series of steps for problem-solving based on the scientific method.
• Includes:
  • Assessment: Identifying and analyzing the health needs of the patient.
  • Nursing diagnosis: Formulating specific nursing diagnoses based on the assessment.
  • Planning: Develop a care plan with achievable goals.
  • Intervention: Implement interventions based on the plan.
  • Evaluation: Assess the effectiveness of the interventions and adjust the plan as needed.

Evidence-Based Practice

• Utilizes the best available evidence to make informed decisions about patient care.
• Combines:
  • Research findings: Using relevant, high-quality research to make informed decisions.
  • Clinical expertise: Combining research knowledge with the nurse's own experience and knowledge.
  • Patient preferences: Incorporating the patient's values and perspectives into the decision-making process.

Ranking of Evidence Worth

• Level I: Strongest evidence based on properly designed randomized controlled trials.
• Level II: Evidence from well-designed controlled trials without randomization, cohort studies, or case-control studies; multiple time series with or without interventions.
• Level III: Evidence from respected authorities, clinical practice guidelines, and consensus panels.

National Health Goals

• Universal Health Care (Kalusugan Pangkalahatan): Aims to ensure all Filipinos have equitable access to affordable healthcare.
• Three Strategic Thrusts:
  • Financial risk protection: National Health Insurance Program (NHIP) for equitable access to services.
  • Improved access to quality hospitals and healthcare facilities: Ensuring adequate infrastructure and resources.
  • Attainment of health-related Millennium Development Goals: Advancing towards achieving global health targets

Millennium Development Goals for 2015:

• 1. Eradicate extreme hunger and poverty: Working towards eliminating severe poverty and hunger worldwide.
• 2. Achieve universal primary education: Ensuring all children have access to quality primary education.
• 3. Promote gender equality and empower women: Advancing gender equality and empowering women for progress.
• 4. Reduce Child Mortality: Working towards reducing under-five mortality rates globally.
• 5. Improve Maternal Health: Aiming to reduce maternal mortality rates and improve maternal health.
• **6. ** [Missing objective]: The text provided lacks the sixth objective.

Explore the essential elements of maternal and child health nursing, emphasizing care from pregnancy to adolescence. This framework highlights the importance of advocacy, health promotion, and the continuum of care to ensure optimal health outcomes for mothers and children. Understand the broad scope of practice and key interventions in this field.