Then, caseload midwifery and homebirthing are critically analysed, including definitions of each, the effects of these models of care on women and the advantages and disadvantages of each for women and midwives according to midwifery research. There are many consequences of a woman's choice of model of care and it could be the subject of more midwifery research to discover why women choose a specific model of care and how they would evaluate the outcome of that decision. However, this assignment aims to give only a brief survey of the caseload midwifery and homebirth models of care. Pregnant women are faced with an overwhelming array of options for their pregnancy, birth and postnatal care. However, while there may be many options, how can a woman choose which one is appropriate for her?
In addition, a concept is a word or label used to explain a phenomenon or a group of phenomenon (Melies, 1991). In order to improve, manage and support woman during childbirth, midwives and obstetricians are required to understand the concept of labor pain. Current uses of the concept This concept analysis begins by exploring the meaning of the words “labor” and “pain” separately; then “labor pain” is explored as a whole concept. Meaning of “labor” In Latin, the word labor means "a troublesome effort or suffering." Parturition is another term for "labor."
Differences in Competencies Between BSN and ADN Nursing Education NRS-430V April 28, 2013 Differences in Competencies Between BSN and ADN Nursing Education The nursing profession continues to argue whether hospitals are safe hiring associate degree educated nurses to work side-by-side with baccalaureate prepared nurses. There are several differences in the education and training a nurse receives depending which program is pursued. There are three pathways to obtain the proper training and education to be eligible to have the opportunity to take the National Council Licensure Examination (NCLEX) exam to become a registered nurse. The NCLEX tests for minimal technical competence for safe entry into basic nursing practice. (http://www.aacn.nche.edu/media-relations/NursingWorkforce.pdf, n.d., p. 1) The first pathway, and least used these days, is the Diploma of Nursing.
I am Nurse Abraham. How would you like to be called? Great! Well I would like to ask you some questions, but before we get started, Can you tell me, what brings your to the hospital today?”This is an example of how a nurse should begin an interview with a patient. Effective interviewing skills are a part of the assessment in the nursing process.
In this case reflection being the expression of my expectations, perceptions and feelings of the experience represented by the evidence in this case scenario (Rodgers, 2002). Changing Childbirth, the report of the expert committee on maternity care (DoH, 1993), promotes a woman centred care philosophy that encourages the midwife to have a continuous and ongoing relationship with the women in her caseload. This facilitates the midwife in applying her professional autonomy in decision-making, in collaboration with the woman and other health care professionals, thus, ensuring that the client and her family are the main focus of her midwifery care (Page, 1997). The theories underpinning midwifery practice will be discussed in this assessment using literature and research to support the discussion. For me this scenario provided a unique experiential moment from which to learn hence I have chosen to highlight it here as my case scenario.
Obstetrical nurses identify themselves as advocates for laboring women (James, et al., 2003). But, Thorman, et al. (2006) in a Round Table Discussion of Perinatal Nurse Executives, states that, “much work is still needed to support appropriately assertive communication techniques when nurses have concerns about patient status”, to promote and ensure patient safety. My research interest is focused on identifying the barriers to assertiveness, or implementing the chain of command, when an obstetrical nurse is faced with clinical discord that threatens patient safety. This interest, sparked by quality assurance record reviews, led me down a path of communication factors and teamwork systems.
Home vs Hospital Birth Women should have the option of planning their impending birth at home, a midwife led unit or in an obstetric unit (National Collaborating Centre for Women’s and Children’s Health, 1998, 2006). The obstetric unit is seen as the predominant setting where births take place and sadly due to the current shortage of midwives it is the place where the woman is less likely to experience one-to-one care or the constant care of a midwife unless the birth takes place in a midwife-led unit or birth centre (Hatem et al., 2008). Even though a large proportion of women giving birth in the UK are reported to be healthy and experience a ‘normal’ physiological labour and birth there is still a substantial possibility that a large proportion of births that occur inside obstetric units experience some type of medical intervention during the labour process (NHS Information Centre, 2009). In 2007, According to a cohort study conducting by the BMJ (2011) approximately eight per cent of births happened outside of an obstetric unit with 2.8% occurring with the home, approximately 3% in alongside midwifery units and slightly under 2% for free standing midwifery units. In 2007 the ‘Department of Health’ pledged to make homebirth a viable option by 2009 in England.
Henry is due to have surgery in 3 month; this essay will explore the nurse’s role in Henrys care. This is a fictional scenario therefore no permission to use names during this essay is needed. If real people where being used then authorization and consent will have been gained or alias names would be used. In this essay there will be discussions on the roles and responsibilities of the nurse in relation to safeguarding vulnerable patients which will later be linked to Henry and his care. The nurse has a responsibility to find out if Henry is a vulnerable adult and if so what makes him vulnerable and what makes people in general vulnerable, including concerns that could arise from being vulnerable for example abuse.
Because the entrapment of the infant in the birth canal is an emergent situation, it’s imperative that the obstetric team is familiar with the actions/interventions required to achieve the best outcome for both mother and infant. This article will review risk factors for shoulder dystocia and nursing strategies for managing it. Continuing Nursing Education (CNE) Credit A total of 2 contact hours may be earned as CNE credit for reading “An Overview of Shoulder Dystocia: The Nurse’s Role” and for completing an online post-test and evaluation. To take the test and complete the evaluation, please visit http://JournalsCNE.awhonn.org. Certificates of completion will be issued on receipt of the completed evaluation form, application and processing fees.
Normality in childbirth is a ‘construct’ (Paige, 2004, p.105) defined by differing expectations of birth determined by the culture in which we live. Midwives in the United Kingdom specialize in normal birth and require the skills to recognise deviations from normality (Paige, 2004). Paige (2004) however questions what constitutes ‘normal’ as a rise in operative deliveries and increased use of interventions and epidural anaesthesia could define this as ‘normal’ within the current paridgm of childbirth. Breastfeeding is advocated as a means of reducing inequalities in health in both the short and longer terms (NICE, 2005) and the health benefits to both mother and baby are vast (UNICEF, 2004, Blincoe, 2005).