NCM 107 1

Download as docx, pdf, or txt
Download as docx, pdf, or txt
You are on page 1of 5

Framework for Maternal and Child Health Nursing

A. Goals and Philosophies of Maternal And Child Health Nursing

The Primary Goal of MCHN:


- Promotion and maintenance of optimal family health to ensure cycles of optimal
childbearing and childrearing.

The Philosophy of MCHN:


- According to WHO, MCHN is family-centered. Nurses assessment should not only
focused on the individual client but for the members of the family as well. The nurses
should work with patients and their families rather than working to or for the patient
with their families.
- According to WHO, MCHN is community-centered. We all know that the basic unit
of the community is the family, thus, the health of family depends on and influences
the health of the community.
- According to WHO, MCHN is research-centered. Nursing research is very important
because it helps nurses improve their knowledge and clinical expertise in the care of
the clients to provide quality nursing care.
- According to WHO, MCHN is based on nursing theories and evidence-based
practice as well because this provides a foundation and basis for nursing function and
nursing care.
- MCHN uses a high degree of independent nursing functions because nurses required
and a responsible in teaching, educating, and counseling the client and their family.
- MCHN places importance on the promotion of health. Promoting of health is
important because this protects the health of the next generation and the rights of all
family members. Pregnancy and childhood diseases are stressful and can alter the life
of the family in both settle and extensive ways, thus, MCHN is a challenging role for
a nurse and it is a major factor in promoting high level of wellness in families.

B. Maternal and Child Health Goals and Standards

2 Main Overarching National Health Goals:


1. To increase quality and years of healthy life
2. To eliminate health disparities. Health disparity refers to the differences between
groups of people in terms of health insurance coverage, access to healthcare, use
of healthcare facilities and quality of care. Example: The issue on LGBT,
according to WHO, they should be included in the care content on counseling
with other areas such as evaluation of health sciences, literature, environmental
health, public health system, and global health. These health care goals are being
reviewed and revised every 10 years.

MCHN can be visualized through 4 phases of Health Care:


1. Health Promotion
 According to WHO, is the process of enabling people to increase control over and
to improve their health.
 Example: Educating clients to be aware of their health through teaching and role
modeling.
2. Health Maintenance
 a guiding principle in healthcare that gives emphasis on health promotion rather
than the management of symptoms and illness.
 Example: The management and intervention to maintain health when risk of
illness is present. Another, in the COVID-19 pandemic, in order to prevent us
from acquiring the disease, we do hand washing, social distancing, uses of hand
sanitizers and alcohol, and staying at home. In this manner, we just do not prevent
ourselves from acquiring the disease but we are also helping in the flattening the
curve of cases.
3. Health Restoration
 these are activities or interventions that will help clients to return to their health.
 Example: Prompt diagnosing and treating illness using interventions that will
help clients return to their wellness rapidly.
4. Health Rehabilitation
 It is a process of helping a person or patient who has suffered an illness or injury
restore lost skills and so regain maximum self-sufficiency.
 Example: Prevention of further complication from an illness such as diabetes
mellitus to chronic renal failure.

C. Theories Related to MCN


 Nursing theories are organized bodies of knowledge to define what nursing is,
what nurses do, and why they do it. It is important for it serves as a framework of
concepts and purposes intended to guide the practice of nursing at a concrete and
specific level.

1. Sister Callista Roy (Adaptation Model)


 SCR viewed the individual as a set of inter-related system whose trued to
maintain the balance between the various stimuli. According to her, she stresses
that an important role of the nurse is to help patients adapt to change caused by
illness or other stressors. The levels of the adaptation of an individual depend on
the degree of environmental change and the state of their coping ability.

2. Martha Rogers (Unitary Human Beings)


 She viewed nursing as a science and an art because it provides a way to view the
unitary human being who is integral with the universe.
 She stated that the purpose of nursing is to move the client toward optimal health
and help them to interact with the environment. In this theory, the nurses should
viewed the client as a whole and is constantly changing.
3. Dorothy Johnson (Behavioral System Model)
 She pioneered the BSM and upheld the fostering of efficient and effective
behavioral functioning in the patient to prevent illnesses.
 According to her, a person comprises subsystems that must remain in balance for
optimal functioning. Thus, any actual or potential threat to this system balance is
a nursing concern.

4. Dorothea Orem (Self-care theory)


 She states that nursing care is required if the client is unable to fulfill his
biological, psychological, developmental, or social needs.
 According to her, the ficus of nursing is on the individual. The clients are
assessed based on their ability to complete self-care.
 Care can be:
a. wholly compensatory, meaning the client has no role
b. Partly compensatory, meaning the client participate in care
c. Supportive-Educational, meaning the clients performs own care

5. Ida Jean Orlando (Nursing Process Theory)


 She emphasized the reciprocal relationship between patient and nurse and viewed
the professional and function of nursing as finding out and meeting the patient
immediate need for help.
 According to her, the focus of the nurse is interaction with the client and the
effectiveness of care depends on the clients behavior since the client is the one
that defines their own needs, and the nurses reaction to that behavior.

D. Roles and Responsibilities of a Maternal Child Nurse


1. They provide evidenced based assessments with emphasis on health promotion
and wellbeing.
2. They provide information, support, advice and appropriate referrals relating to
children and parents wellbeing. These includes, health, breastfeeding,
immunization, antenatal, or post-natal care.
3. Act as an advocate for children, parents, and the community.
4. Recognizes and facilitate the access to families of cultural and linguistic diverse
backgrounds.
5. Provide pre-natal care to pregnant women and health care to mothers and their
newborn infants.
6. Provide a focus on prevention, early detection and intervention pf the health and
well being concerns and their vulnerable infants, children, and their families.
7. They required in continuing education in order to stay up-to-date on the latest
innovations and new practices in the field.

Sustainable Development Goals (SDG)


 formerly known ad Millennium Development Goals (MDG)
 MDG are ambitious, agenda for reducing poverty and improving the lives of the
people that world leaders agreed on at the Millennium Summit on September
2000.
 MDG is a success because it eradicated poverty, improved maternal health, and
reduce child mortality, however, it failed because the successes of the goals not
experienced equally across the globe. So, to address this problem, they uplift the
MDG to SDG.
 SDG are collection of 17 global goals, designed to be a blueprint to achieve a
better and more sustainable future for all.
 The SDG was set in 2015 by the United Nations General Assembly and intended
to be achieved by the year 2030, as part of UN Resolution 70/1, the 2030 Agenda.

17 Sustainable Development Goals:


 No poverty
 Zero hunger
 Good health and well-being
 Quality education
 Gender equality
 Clean water and sanitation
 Affordable and clean energy
 Decent work and economic growth
 Industry, innovation m, and infrastructure
 Reduced inequalities
 Sustainable cities and communities
 Responsible consumption and production
 Climate action
 Life below water
 Life on land
 Peace, justice, and strong institutions
 Partnerships for the goals

Good health and well-being


 the goal related to MCHN
 it ensure healthy live and promote well-being for all ages. That is strategies for
meeting the SDG no.3 would be to reduce adolescents pregnancy which is
strongly gender equality. It provide better data for all women and girls and
achieve universal coverage of skilled birth attendance.
 Health target 3-1: Reduce maternal mortality. By 2030, reduce the global
maternal mortality ratio to less than 70 per 1000 live births
 Health target 3-2: End all preventable deaths under 5 years of age. By the 2030,
end preventable deaths of newborn and children under 5 years of age. Wherein,
all countries are aiming to reduce neonatal mortality at least as low as 12 per
1000 live births. Also, reduce under 5 mortality to at least as low ad 25 per 1000
live births.
 Health target 3-7: Universal access to sexual and reproductive care, family
planning, and education. By 2030, all nation should ensure universal access to
sexual and reproductive health care services. This includes family planning,
information and education, and integration of reproductive health into national
strategies and programs.

You might also like

pFad - Phonifier reborn

Pfad - The Proxy pFad of © 2024 Garber Painting. All rights reserved.

Note: This service is not intended for secure transactions such as banking, social media, email, or purchasing. Use at your own risk. We assume no liability whatsoever for broken pages.


Alternative Proxies:

Alternative Proxy

pFad Proxy

pFad v3 Proxy

pFad v4 Proxy