chapter 1 21st century maternity nursing all elsevier items and derived items © 2014, 2010, 2006,...
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Integrative health care Complementary and alternative therapies Acupuncture Macrobiotics Herbal medicines Massage therapy Biofeedback Medication Yoga Chelation therapy Contemporary Issues and Trends (Cont.) 3 All Elsevier items and derived items © 2014, 2010, 2006, 2002, Mosby, Inc., an imprint of Elsevier Inc.TRANSCRIPT
Chapter 1
21st CenturyMaternity Nursing
All Elsevier items and derived items © 2014, 2010, 2006, 2002, Mosby, Inc., an imprint of Elsevier Inc.
Healthy People 2020 10-year national objectives 4 over arching goals 33 related to maternal, infant, and child health
United Nations Millennium Development Goals 8 goals to be achieved by 2015
Contemporary Issues and Trends
2All Elsevier items and derived items © 2014, 2010, 2006, 2002, Mosby, Inc., an imprint of Elsevier Inc.
Integrative health care Complementary and alternative therapies
• Acupuncture• Macrobiotics• Herbal medicines• Massage therapy• Biofeedback• Medication• Yoga• Chelation therapy
Contemporary Issues and Trends (Cont.)
3All Elsevier items and derived items © 2014, 2010, 2006, 2002, Mosby, Inc., an imprint of Elsevier Inc.
4All Elsevier items and derived items © 2014, 2010, 2006, 2002, Mosby, Inc., an imprint of Elsevier Inc.
Problems with U.S. health care delivery system Structure of the system Reducing medical errors High cost of health care Limited access to care Health care reform Health literacy
Contemporary Issues and Trends (Cont.)
5All Elsevier items and derived items © 2014, 2010, 2006, 2002, Mosby, Inc., an imprint of Elsevier Inc.
Trends in fertility and birth rate Maternal mortality Maternal morbidity
Obesity Regionalization of perinatal services High technology care Social media
Contemporary Issues and Trends (Cont.)
6All Elsevier items and derived items © 2014, 2010, 2006, 2002, Mosby, Inc., an imprint of Elsevier Inc.
Community based care Institution to ambulatory or home setting
Childbirth practices Prenatal care Family-centered care Midwives and doulas
International concerns Involving consumers
Contemporary Issues and Trends (Cont.)
7All Elsevier items and derived items © 2014, 2010, 2006, 2002, Mosby, Inc., an imprint of Elsevier Inc.
8All Elsevier items and derived items © 2014, 2010, 2006, 2002, Mosby, Inc., an imprint of Elsevier Inc.
Institute of Medicine assessment and transformation of the nursing profession Nurses should practice to the full extent of their
education and training Nurses should achieve higher levels of education Nurses should be full partners, with physicians and
other health care professionals Effective workforce planning and policy making
The Future of Nursing
9All Elsevier items and derived items © 2014, 2010, 2006, 2002, Mosby, Inc., an imprint of Elsevier Inc.
Evidence-based practice Association of Women’s Health, Obstetric and
Neonatal Nurses (AWHONN) Cochrane Pregnancy and Childbirth Database Joanna Briggs Institute A global perspective - World Health Organization
(WHO) Outcomes oriented practice
Trends in Nursing Practice
10All Elsevier items and derived items © 2014, 2010, 2006, 2002, Mosby, Inc., an imprint of Elsevier Inc.
11All Elsevier items and derived items © 2014, 2010, 2006, 2002, Mosby, Inc., an imprint of Elsevier Inc.
Standards of practice in perinatal nursing American Nurses Association (ANA) AWHONN American College of Nurse-Midwives (ACNM) National Association of Neonatal Nurses (NANN)
Standards of Practice and Legal Issues
12All Elsevier items and derived items © 2014, 2010, 2006, 2002, Mosby, Inc., an imprint of Elsevier Inc.
Risk management Minimizes the risk of injury The Joint Commission reporting of sentinel events
• Unexpected outcomes involving death or serious injury Failure to rescue
• Evaluation of quality indicators of nursing care relative to outcomes
Quality and safety education for nurses (QSEN)
Standards of Practice and Legal Issues (Cont.)
13All Elsevier items and derived items © 2014, 2010, 2006, 2002, Mosby, Inc., an imprint of Elsevier Inc.
SBAR Situation background assessment recommendation
technique is a framework for communication. TeamSTEPPS
Provides an evidence-base to improve communication and teamwork skills
Teamwork and Communication
14All Elsevier items and derived items © 2014, 2010, 2006, 2002, Mosby, Inc., an imprint of Elsevier Inc.
Reproductive technology Induced ovulation In vitro fertilization Multifetal pregnancy reduction Menopausal women A woman who is HIV positive Rights of the embryo Cloning
Ethical Issues in Perinatal Nursing
15All Elsevier items and derived items © 2014, 2010, 2006, 2002, Mosby, Inc., an imprint of Elsevier Inc.
Innovations and allocation of resources Intrauterine fetal surgery Fetoscopy Therapeutic insemination Genetic engineering Stem cell research Surgery for infertility Surrogate childbearing Treatment of very low–birth weight babies
Ethical Issues in Perinatal Nursing (Cont.)
16All Elsevier items and derived items © 2014, 2010, 2006, 2002, Mosby, Inc., an imprint of Elsevier Inc.
Ethical guidelines for nursing research Must protect rights of human subjects Ensure that subjects are fully informed and aware of
rights Analysis of risks and benefits to both mother and
fetus ANA ethical guidelines in conduct,
dissemination, and implementation of nursing research
Research in Perinatal Nursing
17All Elsevier items and derived items © 2014, 2010, 2006, 2002, Mosby, Inc., an imprint of Elsevier Inc.
Question 1
To assess a mother’s risk of having a low–birth weight (LBW) infant, the most important factor for the nurse to consider is:
a. African-American race.
b. cigarette smoking.
c. poor nutritional status.
d. limited maternal education.
18All Elsevier items and derived items © 2014, 2010, 2006, 2002, Mosby, Inc., an imprint of Elsevier Inc.