NUR 194

• Maternal and child health nursing


  Framework for and concepts of unitive and procreative health
• Primary goal of maternal and child health nursing

  • Promotion and maintenance of optimal family health to ensure cycles of optimal childbearing and childrearing
• Maternal and Child Health Nursing Practice Throughout the Childbearing-Childrearing Continuum

  • Provision of preconception healthcare
  • Provision of nursing care of women throughout pregnancy, birth, and postpartum period
  • Provision of nursing care of children from birth through adolescence
  • Provision of nursing care to families in all settings
• Philosophy of Maternal and Child Health Nursing


  • Family-centered
  • Community-centered
  • Evidence-based
• Global Health Goals


  • Millennium Development Goals
  • Sustainable Development Goals
• Millennium Development Goals


  Eight goals set by the United Nations in 2000 to eradicate poverty, hunger, illiteracy and disease, expiring in 2015
• Sustainable Development Goals


  A collection of 17 global goals set by the United Nations General Assembly in 2015 for the year 2030, building on the Millennium Development Goals
• In total, 5 million people from across 88 countries in all the world's regions took part in the consultation, and shared their vision for the world in 2030
• The Sustainable Development Goals aim to transform our world and to improve people's lives and prosperity on a healthy planet
• Nursing theories related to maternal and child health nursing

  • Callista Roy's Adaptation Theory
  • Dorothea Orem's Self-Care Theory
  • Patricia Benner's Novice-Expert Model
• Callista Roy's Adaptation Theory

  Nurse's role is to help patients adapt to change caused by illnesses or other stressors
• Dorothea Orem's Self-Care Theory


  Involves examining the patient's ability for self-care
• Patricia Benner's Novice-Expert Model

  Describes nurse's move from novice to expert
• Roles and responsibilities of a Maternal-Child nurse

  • Provider of health care education
  • Nurse educator
  • Nurse researcher
  • Collaborator of care
  • Provider of health care
• Six Competencies Necessary for Quality Care


  • Patient-Centered Care
  • Teamwork & Collaboration
  • Evidence-Based Practice
  • Quality Improvement
  • Safety
  • Informatics
• Legal Considerations of Maternal-Child Practice

  Nurses are legally responsible for protecting the rights of their patients, including confidentiality, and are accountable for the quality of their individual nursing care and that of other healthcare team members
• Ethical Considerations of Practice

  Nurses should provide factual, complete information, supportive listening and helping them in clarifying their values without imposing their own
• Family


  A group of people related by blood, marriage, or adoption living together
• Family


  Two or more people who live in the same household (usually), share a common emotional bond, and perform certain interrelated social tasks
• Influence of Family on Its Members

  • Provides long-lasting emotional ties
  • Provides a depth of support
  • Determines how members relate to people
  • Influences what moral values members follow
  • Molds the members' basic perspectives on the present and future
• Family Nursing


  Nursing care that considers the family, not the individual
• Family Theory


  A set of perspectives from the family's point of view that helps address important issues of childbearing and childrearing families
• Basic Family Types


  • Family of orientation
  • Family of procreation
• Recognized Family Structures


  • Childfree or childless family
  • Cohabitation family
  • Nuclear family
  • Extended (multigenerational) family
  • Single-parent family
  • Blended family/Remarriage/Reconstituted Family
  • Dyad Family
  • Binuclear family
  • Communal Family
  • Gay or Lesbian LGBT Families
  • Foster Family
  • Adoptive
  • Polygamous Family
• Five Universal Characteristics of a Family

  • Small social system
  • Performs certain basic functions
  • Has structure
  • Has its own cultural values and roles
  • Moves through stages in the life cycle
• Eight Family Tasks


  • Physical Maintenance
  • Socialization of Family Members
  • Allocation of Resources
  • Maintenance of Order
  • Division of Labor
  • Reproduction, Recruitment and Release of Family Members
  • Placement of Members into the Larger Society
  • Maintenance of Motivation and Morale
• Characteristics of A Healthy Family

  • Members interact with each other repeatedly in many contexts
  • Encouraged to grow and develop as individuals and members of the family
  • Enhanced and fulfilled by maintaining contacts with a wide range of community groups and organizations
  • Make efforts to master their lives by becoming members of groups, finding information and options, and making decisions
• Family Life Cycles


  • Marriage
  • The Early Child-bearing Family
  • The Family with a Pre-school Child
  • The Family with a School-age Child
  • The Family with an Adolescent
  • The Launching Stage Family
  • The Family of Middle Years
  • The Family in Retirement or Old Age
• Boomerang Generation


  Young adults who return home to live with their family after college or a failed relationship until they can afford their own apartment or form a new relationship
• Sandwich Family


  A family that is squeezed into taking care of both aging parents and a returning young adult
• Empty Nest Syndrome


  A feeling of boredom or grief and loneliness parents may feel when their children leave home for the first time, such as to live on their own or to form families of their own
• Genogram


  A diagram that details family structure, provides info about the family's history and the roles of various family members over time, usually through several generations; provides a basis for discussion and analysis of family interaction
• Ecomap


  A diagram to document the fit of a family in their community, including family and community relationships
• Family APGAR


  A screening tool of the family environment, where a Family APGAR form is administered to each family member and their scores are compared
• Original Family APGAR Items

  • I am satisfied that I can turn to my family for help when something is troubling me
  • I am satisfied with the way my family talks over things with me and shares problems with me
  • I am satisfied that my family accepts and supports my wishes to take on new activities and directions
  • I am satisfied with the way my family expresses affection and responds to my emotions, such as anger, sorrow, or love
  • I am satisfied with the way my family and I share time together
• Revised Family APGAR Items

  • When something is bothering me, I can ask my family for help
  • I like the way my family talks over things and shares problems with me
  • I like how my family lets me try new things I want to do
  • I like what my family does when I feel mad, happy, or loving
  • I like how my family and I share time together