chapter 001
TRANSCRIPT
Mosby items and derived items © 2007, 2004 by Mosby, Inc., an affiliate of Elsevier Inc. Slide 1
Chapter 1Chapter 1
Contemporary Maternity Nursing and Contemporary Maternity Nursing and Women’s Health CareWomen’s Health Care
Mosby items and derived items © 2007, 2004 by Mosby, Inc., an affiliate of Elsevier Inc. Slide 2
Contemporary Issues and TrendsContemporary Issues and Trends
Problems with U.S. health care systemProblems with U.S. health care system High costHigh cost Limited accessLimited access Status of nursingStatus of nursing Integrative health careIntegrative health care Childbirth practicesChildbirth practices
Mosby items and derived items © 2007, 2004 by Mosby, Inc., an affiliate of Elsevier Inc. Slide 3
Contemporary Issues and TrendsContemporary Issues and Trends
Certified nurse-midwivesCertified nurse-midwives Family leaveFamily leave International concernsInternational concerns Health of womenHealth of women
Mosby items and derived items © 2007, 2004 by Mosby, Inc., an affiliate of Elsevier Inc. Slide 4
Contemporary Issues and TrendsContemporary Issues and Trends
Healthy People 2010Healthy People 2010 Goals Goals Trends in fertility and birth rateTrends in fertility and birth rate Number of low-birth-weight infantsNumber of low-birth-weight infants Infant mortality in the U.S.Infant mortality in the U.S. International infant mortality trendsInternational infant mortality trends Maternal mortality trendsMaternal mortality trends
Mosby items and derived items © 2007, 2004 by Mosby, Inc., an affiliate of Elsevier Inc. Slide 5
Contemporary Issues and TrendsContemporary Issues and Trends
Involving consumers and promoting self-careInvolving consumers and promoting self-care Efforts to reduce health disparitiesEfforts to reduce health disparities Health literacyHealth literacy Emphasis on high-technology careEmphasis on high-technology care Community-based careCommunity-based care Increase in high risk pregnanciesIncrease in high risk pregnancies
Mosby items and derived items © 2007, 2004 by Mosby, Inc., an affiliate of Elsevier Inc. Slide 6
Trends in Nursing PracticeTrends in Nursing Practice
Nursing Interventions Classification (NIC)Nursing Interventions Classification (NIC) Evidence-based practiceEvidence-based practice
Cochrane Pregnancy & Childbirth DatabaseCochrane Pregnancy & Childbirth Database Joanna Briggs InstituteJoanna Briggs Institute Outcomes-oriented practiceOutcomes-oriented practice Global perspectiveGlobal perspective Millennium development goalsMillennium development goals
Mosby items and derived items © 2007, 2004 by Mosby, Inc., an affiliate of Elsevier Inc. Slide 7
Standards of Practice Standards of Practice and Legal Issuesand Legal Issues
StandardsStandards ANAANA AWHONNAWHONN ACNMACNM NANNNANN
Mosby items and derived items © 2007, 2004 by Mosby, Inc., an affiliate of Elsevier Inc. Slide 8
Standards of Practice Standards of Practice and Legal Issuesand Legal Issues
Risk managementRisk management System of checks & balances to minimizeSystem of checks & balances to minimize
risk for injuryrisk for injury Sentinel eventsSentinel events Failure to rescueFailure to rescue
Mosby items and derived items © 2007, 2004 by Mosby, Inc., an affiliate of Elsevier Inc. Slide 9
Ethical Issues in Perinatal NursingEthical Issues in Perinatal Nursingand Women’s Health Care and Women’s Health Care
Reproductive technologyReproductive technology Scarce resourcesScarce resources Older age pregnanciesOlder age pregnancies Third-party payersThird-party payers Induced ovulation and in vitro fertilizationInduced ovulation and in vitro fertilization Multifetal pregnancy reductionMultifetal pregnancy reduction
Mosby items and derived items © 2007, 2004 by Mosby, Inc., an affiliate of Elsevier Inc. Slide 10
Ethical Issues in Perinatal NursingEthical Issues in Perinatal Nursingand Women’s Health Care and Women’s Health Care
Innovations and ethicsInnovations and ethics Intrauterine fetal surgeryIntrauterine fetal surgery FetoscopyFetoscopy Therapeutic inseminationTherapeutic insemination Genetic engineeringGenetic engineering Stem cell researchStem cell research Surgery for infertilitySurgery for infertility ““Test tube” babiesTest tube” babies Treatment of very low-birth-weight (VLBW) infantsTreatment of very low-birth-weight (VLBW) infants
Mosby items and derived items © 2007, 2004 by Mosby, Inc., an affiliate of Elsevier Inc. Slide 11
Research in Perinatal NursingResearch in Perinatal Nursingand Women’s Health Careand Women’s Health Care
Guidelines for ethical nursing researchGuidelines for ethical nursing research Must protect rights of human subjectsMust protect rights of human subjects Ensure that subjects are fully informed and aware Ensure that subjects are fully informed and aware
of rightsof rights Be sensitive to ethical issues in perinatal researchBe sensitive to ethical issues in perinatal research
Analysis of benefits and risksAnalysis of benefits and risks ANA ethical guidelines in conduct, dissemination, ANA ethical guidelines in conduct, dissemination,
and implementation of nursing researchand implementation of nursing research
Mosby items and derived items © 2007, 2004 by Mosby, Inc., an affiliate of Elsevier Inc. Slide 12
Key Points Key Points
Maternity nursing focuses on women and Maternity nursing focuses on women and their infants and families during the their infants and families during the childbearing cyclechildbearing cycle
Women’s health nursing focuses on the Women’s health nursing focuses on the special physical, psychologic, and social special physical, psychologic, and social needs of women throughout their life spansneeds of women throughout their life spans
Nurses caring for women can play an active Nurses caring for women can play an active role in shaping health care systemsrole in shaping health care systems
Mosby items and derived items © 2007, 2004 by Mosby, Inc., an affiliate of Elsevier Inc. Slide 13
Key Points Key Points
Childbirth practices have become more Childbirth practices have become more focused on the family and alternativesfocused on the family and alternatives
Home care cost-effective alternative site Home care cost-effective alternative site Healthy People 2010Healthy People 2010 sets goals for maternal sets goals for maternal
and infant healthand infant health Variety of factors, including race, aging, and Variety of factors, including race, aging, and
violence, affect women’s healthviolence, affect women’s health
Mosby items and derived items © 2007, 2004 by Mosby, Inc., an affiliate of Elsevier Inc. Slide 14
Key Points Key Points
Canada ranks 24Canada ranks 24thth and the U.S. ranks 27 and the U.S. ranks 27thth among industrialized nations in infant among industrialized nations in infant mortality ratesmortality rates
Evidence-based practice and outcomes Evidence-based practice and outcomes orientation emphasizedorientation emphasized
Mosby items and derived items © 2007, 2004 by Mosby, Inc., an affiliate of Elsevier Inc. Slide 15
Key Points Key Points
Ethical concerns have multiplied with Ethical concerns have multiplied with increased use of technology and scientific increased use of technology and scientific advancesadvances
Research plays vital role in establishing Research plays vital role in establishing scientific base for carescientific base for care
Integrative medicine: body, mind, spiritIntegrative medicine: body, mind, spirit Risk management and sentinel events can Risk management and sentinel events can
improve quality of careimprove quality of care