Maternal & Child Nursing (Intro) Flashcards
Care of women during childbirth
Obstetrics Nursing
derived from the Greek word Obstare (to keep watch)
Obstetrics Nursing
refers to the child
Pediatrics
came from the Greek word pais meaning child
Pediatrics
Involves the care of woman and family throughout pregnancy and child birth and the health promotion and illness care of women, children and families
Maternal and Child Health Nursing
Framework for Maternal and Child Health Nursing Care
- Nursing process
- Nursing theory
- Quality & Safety Education for Nurses (QSEN)
scientific form of solving problem, serve basis for assessing, making a nursing diagnosis, planning, implementing and evaluating care
Nursing process
are designed to offer helpful ways to view patients so nursing activities can be created to best meet patient needs
Nursing theory
Serve as a framework for nurses to provide appropriate health care interventions for nontraditional mothers in order for them to develop a strong maternal identity
Maternal Role Attainment Theory (Ramona T. Mercer)
4 stages of Acquisition
- Anticipatory
- Formal
- Informal
- Personal
Stage of acquisition where it is the social and psychological adaptation to the maternal role. This includes learning expectations and can involve fantasizing about the role of the mother.
Anticipatory
Stage of acquisition where it is the assumption of the maternal role at birth. In this stage, behaviors are guided by others in the mother’s social system or network, and relying on the advice of others in making decisions
Formal
Stage of acquisition where the mother develops her own methods of mothering which are not conveyed by a social system
Informal
Stage of acquisition where it is the joy of motherhood. The mother finds harmony, confidence, and competence in the maternal role. In some cases, she may find herself ready for or looking forward to another child.
Personal
Stresses the importance of a nurse/patient to adapt to change cause by illness and other stressors. A person is holistic adaptive system in constant interaction with external and internal environment. The main task of the human system is to maintain integrity in the face of environmental stimuli. The goal is to foster successful adaptation.
ADAPTATION MODEL OF NURSING (SISTER CALLISTA ROY)
Examine the ability of the patient to perform self-care.
SELF-CARE DEFICIT THEORY (DOROTHEA OREM)
Describes how nurses move from novice to expert
PATRICIA BENNER’S THEORY (FROM NOVICE TO EXPERT)
This would be a nursing student in his or her first year of clinical education; behavior in the clinical setting is very limited and inflexible. have a very limited ability to predict what might happen in a particular patient situation. (From Novice to Expert)
Stage 1: Novice
Those are the new grads in their first jobs; nurses have had more experiences that enable them to recognize recurrent, meaningful components of a situation. They have the knowledge and the know-how but not enough in-depth experience. (From Novice to Expert)
Stage 2: Advanced Beginner
These nurses lack the speed and flexibility of proficient nurses, but they have some mastery and can rely on advance planning and organizational skills (From Novice to Expert)
Stage 3: Competent
At this level, nurses are capable to see situations as “wholes” rather than parts. Proficient nurses learn from experience what events typically occur and are able to modify plans in response to different events. (From Novice to Expert)
Stage 4: Proficient
Nurses who are able to recognize demands and resources in situations and attain their goals. These nurses know what needs to be done. They no longer rely solely on rules to guide their actions under certain situations (From Novice to Expert)
Stage 5: Expert
A person comprises subsystems that must remain in balance for optimal functioning. Any actual or potential threat to this system balance is a nursing concern.
Behavioral Systems Model (Dorothy Johnson)
Nursing is a process of action, reaction, interaction and transaction; needs are identified based on client’s social system, perceptions, and health; the role of the nurse is to help the client achieve goal attainment.
Goal Attainment Theory (Imogene King)