Framework (2).pdf

COLLEGE OF NURSING AND MIDWIFERY FRAMEWORK FOR MATERNAL AND CHILD HEALTH NURSING INTRODUCTION Major concerns of the nursing practice are the care for the mother and child o It consists of the prenatal, antenatal, and postnatal care of the mother...

COLLEGE OF NURSING AND MIDWIFERY FRAMEWORK FOR MATERNAL AND CHILD HEALTH NURSING INTRODUCTION Major concerns of the nursing practice are the care for the mother and child o It consists of the prenatal, antenatal, and postnatal care of the mother. Primary goal of maternal and child nursing care o Promotion and maintenance of health The health care provider should ensure that every pregnant mother must maintain good health and knows the art of childcare and raise healthy child. o It starts from the time before the child is born until they reach adolescent stage The entire patient’s family, the culture, socio- economic status and others must be taken into consideration Care for ideally every child should: o live in grows up in a family with love and belongingness, safety and security and receive sufficient nutrition. GOAL Primary goal of the maternal and child health nursing care can be stated simply as: o The promotion and maintenance of optimal family health to ensure cycles of optimal childbearing and childrearing. PHILOSOPHY OF MATERNAL AND CHILD HEALTH NURSING Family-centered Community-centered Research-centered o The means were by critical knowledge increases. o Both nursing theory and evidence-based practice provide a foundation for nursing care Personal, cultural, and religious attitudes and beliefs influence the meaning of illness and its impact on the family. A maternal and child health nurse serves as an advocate to protect the rights of all family members including the fetus. Maternal and child health nursing includes a high degree of independent nursing functions Promoting of health is an important nursing role o This protects the health of the next generation 1|Page (+63) 967-552-1178 [email protected] Burgos Avenue, Cabanatuan City  COLLEGE OF NURSING AND MIDWIFERY Maternal and child health nursing is a challenging role for a nurse and is a major factor in promoting high level wellness in families. FOUR PHASES OF HEALTH CARE Health Promotion o Educating clients to be aware of good health through teaching and role modeling ▪ Teaching women the importance of rubella immunization before pregnancy ▪ Teaching children the importance of safer sex practices Health Maintenance o Intervening to maintain health when risk of illness is present ▪ Encouraging women to come for prenatal care ▪ Teaching parents the importance of safeguarding their home by child proofing it against poisoning Health Restoration o Promptly diagnosing and treating illness using interventions that will return client to wellness moves rapidly ▪ caring for a woman during a complication of pregnancy or a child during an acute illness Health Rehabilitation o Preventing further complications from an illness o Bringing an ill client back to an optimal state of wellness or helping a client to accept inevitable death ▪ Encouraging a woman with gestational trophoblastic disease to continue therapy or a child with a renal transplant to continue to take necessary medications. STANDARDS OF CARE - (American Nurses Association/Society of Pediatric Nurses Standards of Care and Professional Performance) - Comprehensive nursing care focuses on helping children and their families and communities achieve their optimum health potentials. - This is best achieved within the framework of family-centered care and the nursing process, including primary, secondary, and tertiary care coordinated across health care and community settings. Standard I: Assessment ○Nurses collect patient health data. Subjective Cues - coming from the patient 2|Page (+63) 967-552-1178 [email protected] Burgos Avenue, Cabanatuan City  COLLEGE OF NURSING AND MIDWIFERY Objective - what HCPs can observe in which the patient is manifesting Standard II: Diagnosis ○ Nurse analyzes the assessment data in determining diagnoses Standard III: Outcome identification ○ Nurse identifies expected outcomes individualized to the child and the family. Standard IV: Planning Nurses develop a plan of care that prescribes interventions to obtain expected outcomes. Standard V: Implementation ○ A nurse implements the interventions identified in the plan of care. Standard VI: Evaluation ○ A nurse evaluates the child’s and family’s progress toward attainment of outcomes. STANDARDS OF PROFESSIONAL PERFORMANCE - (Association of Women’s Health, Obstetric, and Neonatal Nurses Standards and Guidelines) Standard I: Quality of Care ○ a nurse systematically evaluates the quality and effectiveness of pediatric nursing practice. Standard II: Performance Appraisal ○ a nurse evaluates his or her own nursing practice in relation to professional practice standards and relevant statutes and regulations. Standard III: Education ○ a nurse acquires and maintains current knowledge and competency in pediatric nursing practice. Standard IV: Collegiality ○ nurse interacts with and contributes to the professional development of peers, colleagues, and other health care providers. ○ COOPERATE AND CONTRIBUTE In-service coordinators Standard V: Ethics ○ a nurse's assessment, actions, and recommendations on behalf of children and their families are determined in an ethical manner. ○ Examples: (Refresher) Autonomy Beneficence Non-maleficence Respect for human rights 3|Page (+63) 967-552-1178 [email protected] Burgos Avenue, Cabanatuan City  COLLEGE OF NURSING AND MIDWIFERY Solidarity Acceptance of Ambiguity in Medicine Informed Consent Standard VI: Collaboration ○ a nurse collaborates with the child, family, and other health care providers in providing client care. Standard VII: Research ○ a nurse uses research findings in practice. Standard VIII: Resource Utilization ○ a nurse considers factors related to safety, effectiveness, and cost in planning and delivering patient care. Warm compress Must have doctor's order -- no longer an independent role of a nurse Must not be put in a bottle - might break Standard IX: Practice Environment ○ a nurse contributes to the environment of care delivery within the practice settings. Standard X: Accountability ○ a nurse is professionally and legally accountable for his/her practice. The professional registered nurse may delegate to and supervise qualified personnel who provide patient care. NURSING THEORIES Dorothy Johnson o A person comprises subsystems that must remain in balance for optimal functioning Imogene King o Nursing is a process of action, reactions, interaction, and transaction o Role of nurse is to help client achieve goal attainment Madeleine Leininger o The essence of nursing care. o To provide transcultural care Florence Nightingale o The role of the nurse viewed as changing or structuring elements of the environment such as ventilation, temperature, odors, noise, and light Betty Neuman o A person is an open system that interacts with environment 4|Page (+63) 967-552-1178 [email protected] Burgos Avenue, Cabanatuan City  COLLEGE OF NURSING AND MIDWIFERY Dorothea Orem o The focus of nursing is on the individual; clients are assessed in terms of ability to complete care Hildegard Peplau o The promotion of health is viewed as the forward movement of personality: accomplished through interpersonal process that includes: ▪ Orientation ▪ Identification ▪ Exploitation Resolution ROLES FOR NURSES IN MATERNAL AND CHILD HEALTH Clinical Nurse Specialist o Prepared at the master’s degree ▪ Also a researcher, trainer of quality nursing care Case manager o Graduate-level who supervises a group of patients from the time they enter a health care o Supervises the patient from admission to discharge Women’s health nurse practitioner o A nurse with advanced study in the promotion of health and prevention of illness in women Family Nurse Practitioner o Advanced practice role that provides health care not only to women but to total families ▪ at home and in the health centers Neonatal Nurse Practitioner o An advanced practice role for nurses who are skilled in the care of newborn— both ill and well Nurse-Midwife o An individual educated in two disciplines of nursing and midwifery and licensed according to requirements 5|Page (+63) 967-552-1178 [email protected] Burgos Avenue, Cabanatuan City  COLLEGE OF NURSING AND MIDWIFERY WHO’s 17 SUSTAINABLE DEVELOPMENT GOALS 1. No poverty 2. Zero hunger 3. Good health and well-being 4. Quality education 5. Gender equality 6. Clean water and sanitation 7. Affordable and clean energy 8. Decent work and economic growth 9. Industry, innovation, and infrastructure 10. Reducing inequalities 11. Sustainable cities and communities 12. Responsible consumption and production 13. Climate action 14. Life below water 15. Life on land 16. Peace, justice and strong institutions 17. Partnerships for the goals Prepared By: Aleli Anne S. de Lara, RN 6|Page (+63) 967-552-1178 [email protected] Burgos Avenue, Cabanatuan City