Mcn Framework PDF

NCM 107A - MATERNAL AND CHILD HEALTH NURSING MCN FRAMEWORK Serves as an advocate to protect Obstetrics the rights of all family members, Care of women during chi...

NCM 107A - MATERNAL AND CHILD HEALTH NURSING MCN FRAMEWORK Serves as an advocate to protect Obstetrics the rights of all family members, Care of women during childbirth, including the fetus. from the Greek word “obstare” Demonstrates a high degree of meaning “to keep watch.” independent nursing functions Pediatrics because teaching and counseling From the Greek word “pais” meaning are major interventions. “child.” Promotes health and disease prevention because this protects Note: Although the field of nursing typically the health of the next generation. divides its concerns, the full scope of An important resource for families nursing practice in this area is not two during childbearing and childrearing. separate entities but rather a continuum; Respects personal, cultural, and hence, maternal and child health nursing. spiritual attitudes and beliefs as these so strongly influence the - Its primary goal is the promotion and meaning and impact of childbearing maintenance of optima primary and childrearing. health to ensure cycles of Encourages developmental childbearing and childrearing. stimulation during both health and illness so children can reach their GOALS OF MATERNAL & CHILD HEALTH ultimate capacity in adult life. NURSING CARE Assesses families for strengths as ❖ Necessarily broad because the well as specific needs or scope of practice (range of services challenges. & care that may be provided by a Encourages family bonding thru nurse based on state requirements) roaming-in and family visiting in is so broad. maternal and child health care settings. MCN RANGE OF PRACTICE - DOH - “Unang Yakap” where Preconceptual Health Care the baby is in the mother’s Care of women during the 3 chest for 45 mins to promote trimesters of pregnancy and bonding and room-in to puerperium (6 weeks after birth, develop the sucking reflex of sometimes known as “4th trimester”) the baby. Care of the infants during the perinatal period (6 weeks before Encourages early hospital conception to 6 weeks after birth) discharge to reunite families ASAP Care of children from birth to to create a seamless, helpful adolescence transition process. Care in the settings as varied as the Encourages families to reach out birthing room, PICU, and the home. to their community so the family can develop wealth to support PHILOSOPHY OF MCN people they can call on in times of Family centered: must include both family crisis. family and individual data assessment. STANDARDS OF MCHN PRACTICE Community centered: health of Division of Maternal-Child Health families influences the health of the Nursing Practice of the American communities. Nurses Association in collaboration Evidence based: the means with the society of Pediatric Nurses - whereby critical knowledge occurs maternal and child health The Association of Women’s Health, A MATERNAL AND CHILD HEALTH Obstetric, and Neonatal Nurses NURSE… (AWHONN) - women and newborn Considers the family as a whole & as partner care in planning, STANDARDS OF CARE implementing, and evaluating the ❖ Optimum health potentials - effectiveness of care.1 achieved within the framework of family-centered care and nursing 1 Prepared by: Ancheta and Manzano process. 1  NCM 107A - MATERNAL AND CHILD HEALTH NURSING Standard I: Assessment Standard V: Ethics Pt health data The nurse's assessment, actions, and Standard II: Diagnosis recommendations, on behalf Analyses assessment data in of the children & families are determining diagnoses. determined in an ethical manner. Standard III: Outcome Identification Standards VI: Collaboration Identifies expected outcomes The nurses collaborate with individualized to the child and the child, family, and other families. health care providers in providing patient care. Standard IV: Planning Develops a plan of care that Standard VII: Research prescribes interventions to The nurse contributes to obtain expected outcomes. nursing & pediatric health care through the use of Standard V: Implementation research methods & findings. Implements interventions identified in the plan of care. Standard VIII: Resource Utilization The nurse considers factors Standard VI: Evaluation related to safety, Evaluates child's and family's effectiveness, & cost in progress toward attainment planning & delivering patient of outcomes. care. STANDARDS OF PROFESSIONAL FRAMEWORK FOR MCHN CARE PERFORMANCE - MCHN can be visualized in a framework in which nurses, Standard I: Quality of Care using process, nursing The nurse systematically theory, & evidence-based evaluates the quality & practice, care for families effectiveness of pediatric during childbearing and nursing practice. childrearing years. Standard II: Performance Health Promotion Appraisal Family planning, teaching The nurse evaluates his or safe sex practice, and the her own nursing practice in importance of immunization. relation to professional practice standards and Health Maintenance - Maintain relevant statues & health when risk of illness is present. regulations. Encourage prenatal care, importance of safeguarding Standard III: Education homes by childproofing The nurse acquires and against poisoning. maintains the current knowledge and competency Health Restoration - caring during in pediatric nursing practice. complications. Care of the child during Standard IV: Collegiality illness, care of the woman The nurse interacts and during pregnancy contributes to the complications. professional development of peers, colleagues, and other Health Rehabilitation - prevention health care providers. Encourage continuous therapies and medications. 2  NCM 107A - MATERNAL AND CHILD HEALTH NURSING NURSING PROCESS NATIONAL HEALTH GOALS Organized series of steps UNIVERSAL HEALTH CARE Problem solving based on the (KALUSUGAN PANGKALAHATAN) scientific method AO 2010-0036 (DOH 2010). ○ Assessing Ensures the achievement of the ○ Nursing Diagnosis health system goals of: ○ Planning ○ Better health outcomes, ○ Organizing ○ Sustained health financing ○ Evaluating care ○ Responsive health system by ensuring that all Filipinos, EVIDENCE-BASED PRACTICE especially the disadvantaged Use of current best evidence in group, have equitable access making decisions about the care of to affordable health care patients Evidence can be a combination of: THREE STRATEGIC THRUSTS TO ○ Research ATTAIN UHC GOAL ○ Clinical expertise Financial risk protection - National ○ Patient preferences Health Insurance Program (NHIP) enrollment and benefit delivery THE WORTH OF EVIDENCE IS RANKED Improved access to quality hospitals ACCORDING TO: and health care facilities Attainment of the health-related Level I Millennium Development Goals ○ At least one properly designed randomized 8 Millennium Development Goals for controlled trial 2015 Level II ○ Well-designed controlled 1. Eradicate extreme hunger and trials without randomization poverty ○ Well-designed cohort or 2. Achieve universal primary education case-control analytic studies 3. Promote gender equality and ○ Multiple time series with or empower women without an intervention 4. Reduce Child Mortality Level III 5. Improve Maternal Health ○ Respected authorities, 6. Combat HIV/AIDS, malaria and clinical experience, other diseases descriptive studies, or reports 7. Ensure environmental sustainability of expert committees 8. Develop a global partnership for ○ Helps move all health care development actions to a more solid and safer scientific base. 17 SUSTAINABLE DEVELOPMENT GOALS (2030) NURSING RESEARCH The controlled investigation of 1. No Poverty problems that have implications for: 2. Zero Hunger ○ Nursing practice 3. Good Health and Well-being ○ Evidence for practice 4. Quality Education ○ Justification for implementing 5. Gender Equality activities for outcome 6. Clean Water and Sanitation achievement 7. Affordable and Clean Energy Resulting in improved and 8. Decent work and Economic growth cost-effective patient care. 9. Industry, Innovation and Infrastructure 10. Reduced Inequalities NURSING THEORY 11. Sustainable Cities and Communities Nursing theorists offer helpful ways 12. Responsible Consumption & Production to view clients so that nursing 13. Climate Action activities can best meet client needs 14. Lie below Water Nurses appreciate the significant 15. Life on Land effect on a family of a child's illness 16. Peace, Justice and Strong Institution or of the introduction of a new 17. Partnership for the Goals member. 3  NCM 107A - MATERNAL AND CHILD HEALTH NURSING MEASURING MATERNAL AND CHILD IMR levels of 60-150/1,000 live HEALTH births are commonly seen in poor population 1. Crude Birth Rate (CBR) ≥ 200/1,000 live births is indicative of Measures how fast people are very severe environmental added to the population through conditions births. Useful measure of population. IMR = (Deaths under 1 year of age in a Affected by the fertility, marriage calendar year/ Number of live births in pattern, and practices of the place, the same year) x 1,000 sex, and age composition of a population, and birth registration 5. Neonatal Mortality Rate (NMR) Deaths of infants less than 28 days High fertility rate = ≥ 45/1,000 old are due mainly to prenatal or Low fertility rate = ≤ 20/1,000 genetic factors CBR = (# of registered life births in a NMR = (# of deaths among those under year/ Midyear population) x 1,000 28 days of age in a calendar year/ Number of live births in the same year) 2. General Fertility Rate (GFR) x 1,000 More specific rate than CBR The women in the reproductive age 6. Post Neonatal Mortality Rate (PMR) groups (15-44 years) Deaths among infants 28 days to less than 1 year of age in a calendar High fertility rate = GFR of 200/1,000 year. Low fertility rate = GFR of 60/1,000 Influenced by environmental and nutritional factors as well as GFR = (# of registered live births in a infection. year/ Midyear population of women 15-44 years of age) x 1,000 PNR = (Number of deaths among those 28 days to less than 1 year of age 3. Maternal Mortality Rate (MMR) in a calendar year/ Number of live births Number of deaths of a female due to in the same year) x 1,000 pregnancy and childbirth Measures obstetric risk and is ROLES AND RESPONSIBILITIES OF affected by maternal health MATERNAL AND CHILD NURSE practices, diagnostic ascertainment, and completeness of registration of 1. Health Care Provider births. 2. Health Educator 3. Counselor MMR = (# of deaths due to pregnancy, 4. Researcher delivery, puerperium in a calendar year/ 5. Manager of Care Number of life births in the same year) x 100,000 ADVANCED-PRACTICE ROLES OF MCN NURSES 4. Infant Mortality Rate (IMR) Number of deaths of infants under 1. Clinic Nurse Specialist one year of age in a calendar year 2. Case Manager per one thousand live births in the 3. Women's Health Nurse Practitioner same period. 4. Family Nurse Practitioner Risk of dying within the first year of 5. Neonatal Nurse Practitioner life. 6. Pediatric Nurse Practitioner Good index of the level of health in a community because infants are very sensitive to adverse environmental conditions. High IMR means low levels of health standards that may be secondary to poor maternal health and child health care. 4