Mcn Flashcards
Care of women during childbirth
Obstetrics Nursing
Obstetrics Nursing
derived from the Greek word _ (to keep watch)
Obstare
refers to the child
✓ came from the Greek word _ meaning child
Pediatrics
pais
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-
Maternal and Child Health Nursing
GOAL: _
Promotion and maintenance of optimal family health to ensure cycles of optimal childbearing and childrearing.
Maternal and Child Health Nursing
The scope of practice include:
• Preconception health care
• Care of women during three trimesters of pregnancy and the puerperium (the 6 weeks after childbirth, sometimes termed the fourth trimester of pregnancy)
• Care of infants during the perinatal period (the time span beginning at 20 weeks of pregnancy to 4 weeks after birth)
• Care of children from birth through late adolescent
• Care in a variety of hospital and home care settings
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-
Theories Related to MCN
- Mercer’s Maternal Role Attainment Theory
- Sister Callista Roy’s Adaptation Model of Nursing
- Dorotea Orem’s Self-care Deficit Nursing Theory
- Patricia Benner’s Theory
- Dorothy Johnson Behavioral System Models
- Imogene King Goal Attainment Theory
- Madeleine Leininger Transcultural Nursing Theory
- Florence Nightingale’s Environmental Theory
- Betty Neuman’s System Model
- Ida Jean Orlando Nursing Process
- Rosemarie Rizzo Parse: The Human becoming Theory
- Hildergard Peplau Interpersonal Relations Theory
- Martha Roger’s Unitary Human Beings 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.
Mercer’s Maternal Role Attainment Theory-
4 Stages of Acquisition
- Anticipatory
- Formal
- Informal
- Personal
Social and psychological adaptation to the maternal role. This includes learning expectations and can involve fantasizing about the role of the mother. Ex: A mother before the delivery date
ANTICIPATORY
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. Ex: A mother few hours after birth
FORMAL
Mother develops her own methods of mothering which are not conveyed by a social system. Ex: A mother exploring her own ways of changing the diaper of her newborn.
INFORMAL
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.
- SISTER CALLISTA ROY’S ADAPTATION MODEL OF NURSING
Examine the ability of the patient to perform self-care. Selfcare deficit is an inability to perform certain daily functions as a result of physical/mental impairment such as surgery, recovery or age-related mobility issues.
- Nurses play an important role when it comes to addressing self-care deficits through assessment and intervention. Suggests patients are better able to recover when they maintain some independence over their own self-care.
- DOROTHEA OREM’S SELF-CARE DEFICIT NURSING THEORY
Describes how nurses move from novice to expert
- PATRICIA BENNER’S THEORY-
- PATRICIA BENNER’S THEORY-
_: 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.
Stage 1 Novice
- PATRICIA BENNER’S THEORY-
_: 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.
Stage 2 Advanced Beginner
- PATRICIA BENNER’S THEORY-
_: These nurses lack the speed and flexibility of proficient nurses, but they have some mastery and can rely on advance planning and organizational skills
Stage 3 Competent
- PATRICIA BENNER’S THEORY-
_: At this level, nurses are capable to see situations as “wholes” rather than parts. _ nurses learn from experience what events typically occur and are able to modify plans in response to different events.
Stage 4 Proficient
- PATRICIA BENNER’S THEORY-
_: 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
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.
Dorothy Johnson Behavioral System Models
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.
Imogene King Goal Attainment Theory
The essence of nursing is care. To provide transcultural care, the nurse focuses on the study and analysis of different cultures with respect to caring behavior.
Madeleine Leininger Transcultural Nursing Theory
The role of the nurse is viewed as changing or structuring elements of the environment such as ventilation, temperature, odors, noise and light to put the client into the best opportunity for recovery.
Florence Nightingale’s Environmental Theory
A person is an open system that interacts with the environment; nursing is aimed at reducing stressors through primary, secondary and tertiary preventions.
System Model
Betty Neuman