Lesson 1 – Framework for Maternal and Child Health

Nursing
MCN 1 Lec │BSN 201 - Prelims│ VINFT
I. Goals and Philosophies of 1. Health promotion
Maternal and Child Health 2. Health maintenance
Nursing 3. Health restoration
- Obstetrics 4. Health rehabilitation
o or the care of women during
childbirth, is derived from the NURSING PROCESS
Greek word obstare, which
means “to keep watch.” - Nursing care, at its best, is designed
- Pediatrics and implemented in a thorough
o is a word derived from the manner, using an organized series
Greek word pais, meaning of steps, to ensure quality and
“child” consistency of care (Carpenito,
- The care of childbearing and 2007).
childrearing families is a major - A form of problem solving based
focus of nursing practice. on the scientific method, serves as
- Healthy children = Healthy adults the basis for assessing, making a
- As children grow, families need nursing diagnosis, planning,
continued health supervision and organizing, and evaluating care.
support. - A basis of nursing care.
- The nurse’s role in all these phases - These also serve to accentuate the
focuses on promoting healthy increasingly important role of the
growth and development of the nurse as a coordinator of client
child and family in both health and care and member of a
illness (Nearns, 2009). collaborative team.
- Maternal and Child Health Nursing
EVIDENCE-BASED PRACTICE
is a continuum practice.
- The primary goal of maternal and - Evidence-based practice is the
child health nursing care can be conscientious, explicit, and
stated simply as the promotion and judicious use of current best
maintenance of optimal family evidence in making decisions
health to ensure cycles of optimal about the care of patients
childbearing and childrearing. (Foxcroft & Cole, 2009).
- Combination of research, clinical
FRAMEWORK FOR MATERNAL AND CHILD
expertise, and patient preferences
HEALTH NURSING CARE
when all three combine in decision
- Maternal and child health nursing making.
can be visualized within a
Evidence-based practice ranking:
framework in which nurses, using
nursing process, nursing theories , - Level I: Evidence obtained from at
nursing research, and evidence- least one properly designed
based practice, care for families randomized controlled trial.
during childbearing and - Level II: Evidence obtained from
childrearing years through four well-designed controlled trials
phases of health care: without randomization,
welldesigned cohort or case-
No part of this material may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other
electronic or mechanical methods without the prior permission of the owner, except for personal academic use. This is based on the textbook: ____
 Lesson 1 – Framework for Maternal and Child Health
Nursing
MCN 1 Lec │BSN 201 - Prelims│ VINFT
control analytic studies, or multiple health nursing have occurred as
time series with or without an health promotion, or keeping
intervention. Evidence obtained parents and children well, has
from dramatic results in become a greater priority.
uncontrolled trials might also be - With health promotion as a major
regarded as this type of evidence. nursing goal, teaching, counseling,
- Level III: Opinions of respected supporting, and advocacy are also
authorities, based on clinical common roles (Vonderheid et al.,
experience, descriptive studies, or 2007).
reports of expert committees (U.S.
Preventive Services Task Force, 4 PHASES OF HEALTHCARE
2005)
1. Health promotion
Evidence-based practice provides solid, o Educating clients to be
safer and scientific-based healthcare aware of good health
actions. through teaching and role
modeling.
NURSING RESEARCH 2. Health maintenance
o Intervening to maintain
- The controlled investigation of health, when risk of illness is
problems that have implications for present.
nursing practice, provides 3. Health restoration
evidence for practice and o Promptly diagnosing and
justification for implementing treating illness using
activities for outcome interventions that will return
achievement, ultimately resulting in client to wellness most
improved and cost-effective rapidly.
patient care. 4. Health rehabilitation
- Ongoing research to substantiate o Preventing further
current actions as well as to complications from an illness;
provide guidelines for future bringing an ill client back to
actions. an optimal state of wellness
or helping a client to accept
NURSING THEORY
inevitable death.
- Concentration of a discipline’s - The goals of maternal and child
knowledge flows from a base of health nursing care are necessarily
established theory. broad because the scope or range
- Nursing theorists offer helpful ways of practice includes:
to view clients so that nursing 1. Preconceptual health care
activities can best meet client 2. Care of women during three
needs trimesters of pregnancy and the
- Another issue most nursing theorists puerperium (the 6 weeks after
address is how nurses should be childbirth, sometimes termed
viewed or what the goals of nursing the fourth trimester of
care should be. Extensive changes pregnancy)
in the scope of maternal and child
No part of this material may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other
electronic or mechanical methods without the prior permission of the owner, except for personal academic use. This is based on the textbook: ____
 Lesson 1 – Framework for Maternal and Child Health
Nursing
MCN 1 Lec │BSN 201 - Prelims│ VINFT
3. Care of infants during the roles because these protect the
perinatal period (6 weeks before health of the next generation
conception to 6 weeks after - Maternal and child health nurses
birth) serve as important resources for
4. Care of children from birth families during childbearing and
through adolescence childrearing as these can be
5. Care in settings as varied as the extremely stressful times in a life
birthing room, the pediatric cycle.
intensive care unit, and the - Personal, cultural, and religious
home attitudes and beliefs influence the
- In all settings and types of care, meaning and impact of
keeping the family at the center of childbearing and childrearing on
care or considering the family as families.
the primary unit of care is an - Circumstances such as illness or
essential goal. This is because the pregnancy are meaningful only in
level of a family’s functioning the context of a total life.
affects the health status of its - Maternal and child health nursing is
members. (Vonderheid, Norr, & a challenging role for nurses and a
Handler, 2007) major factor in keeping families
well and optimally functioning.
PHILOSOPHY OF MATERNAL AND CHILD
NURSING

- Maternal and child health nursing is

family centered; assessment must
include both family and individual
assessment data.
- Maternal and child health nursing is
community centered; the health of
families depends on and influences
the health of communities
- Maternal and child health nursing is
evidence based, because this is
the means whereby critical
knowledge increases.
- 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,
because teaching and counseling
are major interventions.
- Promoting health and disease
prevention are important nursing
No part of this material may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other
electronic or mechanical methods without the prior permission of the owner, except for personal academic use. This is based on the textbook: ____