Chapter 1 – 21st Century Maternity Nursing
Maternity Care, Women’s Health Care, Roles of nurses in Wom
Women’s
en’s Heal
Health
th Care & Significa
Significant
nt advances in care.
Preterm: un
under
der 37 weeks
Term: 37-4
37-400 weeks.
Women’s health Disparities: Efforts to reduce health disparities*
• HRSA Health Disparities Collaboratives
• Institute for Healthcare Improvement (IHI)
• The National Institutes of Health
• National Institute of Nursing Research
• Centers for Disease Control and Prevention (CDC)
• U.S. Department of Health and Human Services
• Progress report on eliminating health disparities released in 2015
There are some health disparities. Organizations, work together as a team to help with delivery, and overall improve
maternal health. Health of the mother. Is the environment to be delivered in a good environment? Joint commission
has control to inspect hospitals.
Contemporary Issues and Trends*
• Healthy People 2020 Goals*
o 33 of these goals are directly related to maternal, infant and child health.
o Examples include:
▪ Reduce the rate of fetal/fetus and infant deaths
▪ Reduce the rate of maternal mortality
▪ Reduce preterm births
▪ Reduce caesarean births among low-risk women
• Interprofessional Education (IPE)
o Client care will improve when health professionals work together.
o Teamwork and communication are key aspects of IPE
o Situation, background, assessment, recommendation (SBAR)
o Team STEPPS
▪ Developed by the Department of Defense and the Agency for Healthcare Research and
Quality
• The interprofessional collaborative practice competencies include:
o Values/ethics for interprofessional practice
o Roles/responsibilities
o Interprofessional communication
o Teams and teamwork
• Problems with the U.S. health care system
o Structure of the health care delivery system
o Reducing medical errors
o High cost of health care
o Limited access to care
o Health Care Reform: ACA adopted into law, 2010
o Accountable care organizations (ACOs)
o Health Literacy
, -Millennium development goals
-Integrative health care
-Interpersonal education
-Problems with the US health care system
• The future of nursing
Standards of practice and legal issues in delivery of care*
What is Standard of Care?
• The level of practice that a reasonably prudent nurse would provide in the same or similar
circumstances
Standards defined by several organizations:
• ANA
• AWHONN
• ACNM
• NANN
Risk management
o System of checks and balances to minimize
risk for injury
Sentinel events
o Any event that is not due to underlying conditions or natural courses of a patient’s condition that
affects a patient, resulting in death, permanent harm, or severe temporary harm (TJC, 2015)
Failure to rescue
o Failure to recognize or act on early signs of distress
Quality and Safety Education for Nurses (QSEN)
Ethical issues in perinatal nursing and women’s health care*
• Reproductive technology
• Allocation of resources
• Older-age pregnancies
• Third-party payers
• Induced ovulation and in vitro fertilization
• Multifetal pregnancy reduction
• Intrauterine fetal surgery
• Treatment of very low-birth-weight infants
Ethical guidelines for nursing research
o Must protect rights of human subjects
o Ensure that subjects are fully informed and aware of rights
o Be sensitive to ethical issues in perinatal research
• Analysis of benefits and risks
• ANA ethical guidelines in conduct, dissemination, and implementation of nursing research
Maternity Care, Women’s Health Care, Roles of nurses in Wom
Women’s
en’s Heal
Health
th Care & Significa
Significant
nt advances in care.
Preterm: un
under
der 37 weeks
Term: 37-4
37-400 weeks.
Women’s health Disparities: Efforts to reduce health disparities*
• HRSA Health Disparities Collaboratives
• Institute for Healthcare Improvement (IHI)
• The National Institutes of Health
• National Institute of Nursing Research
• Centers for Disease Control and Prevention (CDC)
• U.S. Department of Health and Human Services
• Progress report on eliminating health disparities released in 2015
There are some health disparities. Organizations, work together as a team to help with delivery, and overall improve
maternal health. Health of the mother. Is the environment to be delivered in a good environment? Joint commission
has control to inspect hospitals.
Contemporary Issues and Trends*
• Healthy People 2020 Goals*
o 33 of these goals are directly related to maternal, infant and child health.
o Examples include:
▪ Reduce the rate of fetal/fetus and infant deaths
▪ Reduce the rate of maternal mortality
▪ Reduce preterm births
▪ Reduce caesarean births among low-risk women
• Interprofessional Education (IPE)
o Client care will improve when health professionals work together.
o Teamwork and communication are key aspects of IPE
o Situation, background, assessment, recommendation (SBAR)
o Team STEPPS
▪ Developed by the Department of Defense and the Agency for Healthcare Research and
Quality
• The interprofessional collaborative practice competencies include:
o Values/ethics for interprofessional practice
o Roles/responsibilities
o Interprofessional communication
o Teams and teamwork
• Problems with the U.S. health care system
o Structure of the health care delivery system
o Reducing medical errors
o High cost of health care
o Limited access to care
o Health Care Reform: ACA adopted into law, 2010
o Accountable care organizations (ACOs)
o Health Literacy
, -Millennium development goals
-Integrative health care
-Interpersonal education
-Problems with the US health care system
• The future of nursing
Standards of practice and legal issues in delivery of care*
What is Standard of Care?
• The level of practice that a reasonably prudent nurse would provide in the same or similar
circumstances
Standards defined by several organizations:
• ANA
• AWHONN
• ACNM
• NANN
Risk management
o System of checks and balances to minimize
risk for injury
Sentinel events
o Any event that is not due to underlying conditions or natural courses of a patient’s condition that
affects a patient, resulting in death, permanent harm, or severe temporary harm (TJC, 2015)
Failure to rescue
o Failure to recognize or act on early signs of distress
Quality and Safety Education for Nurses (QSEN)
Ethical issues in perinatal nursing and women’s health care*
• Reproductive technology
• Allocation of resources
• Older-age pregnancies
• Third-party payers
• Induced ovulation and in vitro fertilization
• Multifetal pregnancy reduction
• Intrauterine fetal surgery
• Treatment of very low-birth-weight infants
Ethical guidelines for nursing research
o Must protect rights of human subjects
o Ensure that subjects are fully informed and aware of rights
o Be sensitive to ethical issues in perinatal research
• Analysis of benefits and risks
• ANA ethical guidelines in conduct, dissemination, and implementation of nursing research
