...Guideline Title Training Needs Analysis (TNA) and Training Plan: For Staff Caring for Women and the Newborn Moira Hodgson, Midwife Manager/Training Lead Dr. Stephen Sturgiss January 2010 Updated June 2011 to incorporate Newcastle Birthing Centre Staff requirements January 2013 Author Clinical Director Approval Effective from Review Next review 1 1. Introduction The training and development of staff is pivotal to the Trust and Directorate’s overall vision and objectives for maternity services in regard to the delivery of safe, effective and quality client care. It is also important that learning and development resources are targeted appropriately to ensure their efficacy whilst reflecting both service priorities and governance requirements. 2. Purpose and scope The Directorate is committed to ensuring a highly motivated and highly skilled workforce that can serve the women, babies and families in our care both safely and effectively. The unit has adopted a systematic approach to training for all relevant staff groups who provide care. This training needs analysis (TNA) and training plan outlines the minimum training needs of all relevant staff groups within the Directorate and provides details of the comprehensive programme of educational sessions. The TNA focuses on the service specific training requirements considered to be mandatory by the Directorate to meet policy and CNST requirements. Trust wide mandatory training requirements are identified...
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...Running head: CULTURALLY SENSITIVE NURSING CARE Culturally Sensitive Nursing care In Maternity For Japanese Patients March 28, 2012 Abstract Nurses need to be culturally congruent in order to offer culturally, competent care to their clients. To be able to care for Japanese women, during the prepartum, intrapartum, postpartum phases and for her newborn infant, it is necessary to have knowledge and continued education of the patient and her family’s culture and customs. The US Census Bureau accounts that approximately 1.3 million individuals of Japanese descent reside in the United State (US census bureau 2009). In the Japanese culture, the main focus for men is to support their family financially; therefore it is the woman’s job to care for their household. During the pregnancy and postpartum period, Japanese women will benefit from the care, support and education given by their nurse. Culturally Sensitive Nursing care in Maternity for Japanese Patients The nurse’s cultural knowledge and understanding of the patient’s religion, customs, beliefs, and nutritional preference, are crucial tools for successful communication. Teaching and implication of nursing intervention are also very important during: prenatal, postnatal and motherhood stages during her hospital stay and in the community setting. Japanese are taught the English language from the age of six; therefore...
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...CHAPTER I INTRODUCTION A. Background of the study According to Jordan, childbearing is universally treated as a life crisis event. In most societies birth and the immediate post partum period are considered a time of vulnerability for mother and child. It is a time of ritual danger for the entire family. Most societies tend to have certain sets of practices and beliefs in childbirth. Practices and beliefs of each society have common goals namely, the maintenance of well-being and preservation of life of a new mother and her newborn. Confinement is the period after the birth and is perceived as a critical condition for a mother. At this period, women are considered to be in a weakened state due to the loss of blood during the delivery of the baby. Because a woman is weak, she is susceptible to all sorts of all illnesses and diseases. Therefore, there are a number of cultural practices which must be observed in order to gain strength and to avoid illness.[i] The puerperium is a time of great change which spans a period of transition from the pinnacle of experience of birth to the assumption of the joys and responsibilities of family life. Well-integrated post-natal care has an important role to play in assisting this transition and launching the family in their new life together. The puerperium is a period of 6 weeks which begins as soon as the placenta has been expelled. During this time a number of physiological and psychological changes take place: ...
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...helps when the mother is recovering or affected by post-partum depressive disorders. It gives the mother an opportunity to get back to daily work and not worry about searching for an appropriate childcare center at the moment. Fathers should have the experience and joy of feeding, crying, clothing, bathing and soothing their children. It can give the mother time to her and the ability to take care of her personal needs, while giving fathers the chance to give a helping hand around the house. It is not a fact that dad’s only care for their job. Their intention towards paternity leaves shows their heartiest concern and strong bonding of family so it is very important for a strong family relationship and for the sake of child betterment attention given by father gives him courage and confidence in the early growing age. The growing minds of child flourishes and brighten with a special value and qualitative time given by father. Thesis Statement: Paternity leaves of fathers a highly significant for both, a woman and newly born child Parental leave for fathers must be specified because it gives fathers a wonderful experience to bond with their children, gives mothers a chance to heal after having a baby, and helps the new father feel extra involved in nurturing their child. Maternity leave refers to the period of time that a new mother takes off from work following the birth of her baby. Maternity leave is usually created form a variety of benefits...
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...annually (Abramson), the cost of maternity and newborn care exceeds any other hospital expense – and those costs are rising (Truven Analytics). With budget cuts necessitating review of Tricare benefits and payments for medical services of all kinds for beneficiaries, it would seem counterintuitive to suggest that a way for Tricare to save money on maternity and newborn care would be to cover a new service. However, research shows that the cost savings associated with doula support during labor and delivery are significant...
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...begins before conception with proper nutrition and a healthy life style and continues with appropriate prenatal care, the prevention of complications when possible, and the early and effective treatment of complications. The ideal result is a pregnancy at term, without unnecessary interventions, the delivery of a healthy infant, and a healthy post partum period in a positive environment that supports the physical and emotional needs of the woman, infant and family. Working for the survival of mothers is a human rights imperative. It also has enormous socio-economic ramifications-and is a crucial international priority. Both the international conference on Population and Development and Millennium Development Goals call for a 75 percent reduction in maternal mortality between 1990 and 2015. This three prolonged strategy is key to the accomplishment of the goal: -All women have access to contraception to avoid unintended pregnancies. -All pregnant women have access to skilled care at the time of birth. -All those with complications have timely access to quality emergency obstetric care. In countries such as China, Cuba, Egypt, Honduras, Jamaica, Malaysia, Sri Lanka, Thailand and Tunisia, significantly declines in maternal mortality have occurred as more women have gained access to family planning and skilled birth attendance with backup emergency obstetric care. Many of...
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...with the baby while giving mothers some time to heal and rest from having the baby. Fathers being on paternity leave also helps when the mothers is recovering or suffering from postpartum depression. It gives the mother a chance to return to work and not worry about finding or paying for child care at the moment. Fathers should have the experience the joy of feeding, bathing, clothing, crying and soothing their children. It can give the mother time to herself and the ability to take care of her personal needs, while giving fathers the chance to give a helping hand around the house. It helps when mothers are recovering or suffering from post-partum depression. Sometimes taking care of a new born can be very overwhelming and it would be nice to have help with that. Being able to take a break or even go out with friends so you can be able to enjoy some time to yourself. This can make a huge difference to a mother with a newborn. It shows that fathers are very aware of the hardship that comes along with raising a new born or children and maintaining a healthy life. Childcare can be very expensive for a new born or, so while the mothers return to work the father can take their leave and take care of the children. It also can be hard trying to find the right childcare provider. Like me some people just don’t believe in putting their children in childcare centers until they are at least six months to one year of age. So I do believe that paternity leave for fathers should be given because...
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... 3 / 31 /13 | GESTATIONAL AGE: 39 weeks | G: 3 | T: 3 | P: 0 | A: 0 | L: 3 | PERTINENT HEALTH HISTORY | CHIEF COMPLAINT:(reason for admission in pt’s words)Patient stated “My water broke and I began having contractions”. She also felt as if her blood pressure was “high”. ADMISSION VE: / / | HISTORY OF PRESENT ILLNESS:(significant events/complications in labor/hospital stay):Client’s blood pressure was 140/90 upon admission. | PRENATAL CARE: * Maternal and fetal vitals (includes FHR). * Fetal baseline: 130s * Variability (marked) * Fetal movement * BPP score of 8 * Prenatal labs * DTR’s ( 2+) | YEAR | TYPE of DEL | GEST AGE | F/M | BIRTH COMPLICATIONS | NB STATUS | 1.2004 | NSVD | 40 w | F | None | Living | 2.2008 | NSVD | 38 w | M | None | Living | 3.2013 | NSVD | 39 w | F | None | Living | 4. | | | | | | 5. | | | | | | OB/GYN/MEDICAL/SURGICAL/SOCIAL HISTORY: * Former smoker (Cigarettes) * Gravida 3 Para 3 * Post-partum depression (No meds during pregnancy) * Fibroid x 2 * PIH | MATERNAL LABS | Blood Type/Rh: O - | HgB/HCT:10.0 / 31.6 | WBC/Platelets:8.4 / 286 | GCT: 100 | GBS: Neg | HIV: Neg | Hep B: Neg | Rubella: Need vaccine | RPR/STS: Neg | Gonorrhea: Neg | Chlamydia: Neg | Other: | SUMMARY OF LABOR AND BIRTH | Labor OnsetDate: 3/25/13Time: 5: 30 amFull DilationDate: 3/25/13Time: 9:50 | Spontaneous Labor Labor InductionStim/AugmentationIndication: Cervidil...
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...Access to Care Project Lane Community College William Bennett Scott Dawson Shana Perkins Assigned scenario: Summer is a 15 year old sophomore at South Eugene High School. She is 5 months pregnant. She lives at home with her parents in a home near the corner of Potter Street and 21st Avenue. Summer and her boyfriend would like to keep the baby. Summer’s boyfriend Jake is talking about moving into Summer’s parents’ house but Summer’s parents are not so sure that they want Jake living with them. a. What prenatal resources are available to Summer? b. How much will prenatal care cost? c. Is it likely that Summer’s prenatal care and the baby’s medical care be covered by her parents’ standard medical insurance policy? What criteria, if any need to be met? d. What post-partum resources are available to facilitate Jake’ & Summer’s parenting skills? e. Summer would like to transfer to Churchill High School to participate in their child care program. What bus route will Summer need to take to get from her parents’ home to Churchill High School? NOTE* Our group identified local medical coverage networks including Peacehealth, Oregon Medical Group (OMG) and Private Payer. We chose to gather data from OMG and assumed the insurance coverage of the parents covers services on an approved provider list limiting her to the OMG network. Questions: Community resources available to teen parents are numerous and qualification is based on availability...
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...NursingBangalore. | 3. | COURSE OF THE STUDY AND SUBJECT | I year M.Sc nursingObstetrics and Gynecology of Nursing | 4. | DATE OF ADMISSION | 20th April – 2007 | 5. | TITLE OF THE STUDY | A study to assess the Effectiveness Of Self Instructional Module on knowledge of primigravida mothers regarding postnatal care during the early postpartum period in selected maternity hospitals, Bangalore. | 6. BRIEF RESUME OF THE INTENDED WORK 6.1 INTRODUCTION The wealth of the nation is its healthy population. The mother contribution in creating a healthy population is beyond explanation, so mother should be kept physically, emotionally and socially healthy. The processes of pregnancy and birth challenge the woman’s psychological and physiologic coping mechanisms. It is during the puerperium period that the woman must return to the non pregnant state. The pueperium is a period of 6 weeks which begins as soon as the placenta is expelled. The pueperium can be divided into three categories: the immediate postpartum period, which covers the first 24 hours; the early postpartum period or 1st week; and late postpartum period, which refer to 2 to 6 week. 1 The care which mothers and babies require during the puerperium should be based upon three main principles:...
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...Introduction A rapidly increasing population in the United States is nothing new. There is nothing special about how often people are getting married and starting families. However, what is gaining popularity is how these families are able to care for one another. More often in today’s society, mothers, and sometimes fathers, are given greater opportunities to care for the newest editions of their families. Companies in the past 34 years have been required to grant new mothers time off, under the Pregnancy Discrimination Act, to recover from the stressful time of being pregnant, going through the process of giving birth, and of course, to take care of their newborn baby. Also, the Family Medical Leave Act of 1993 touches base on the fact that pregnant women are to be given time off – 12 weeks at least – of unpaid leave. The Pregnancy Discrimination Act of 1978, gives pregnant women the same rights as others with "medical conditions". This law applies to companies employing 15 or more people. It says: • Your employer cannot fire you because you are pregnant. • Your employer cannot force you to take mandatory maternity leave. • You must be granted the same health, disability, and sickness-leave benefits as any other employee who has a medical condition. • You must be given modified tasks; alternate assignments, disability leave, or leave without pay (depending on company policy). • You are allowed to work as long as you can perform your job. • You are guaranteed job security...
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...event I have had in Obstetrics it will analyze major theory assumptions related to person, health, nursing and environment in the context of this caring moment, along with a personal reflection of this caring moment. Born in West Virginia theorist Jean Watson has had a very distinguished career, as a nurse educator and researcher in the area of “human caring and loss” (Nursing Theories, 2012, p.1). Beginning her education with a BSN from University of Colorado in 1964, she then acquired her MS from there in 1966 and her PhD in 1973. She has traveled and studied extensively around the world and in the mid 1970’s began putting pen to paper. In 1988, after creating a guide for nurses “published her theory in nursing human science and human care.” (Nursing Theories, 2012, p.1) Watson’s theory of human caring has grown for the last 30 years. As per Alligood (2010, p. 36) three factors make her theory distinctive. First is when the nurse and patient have a caring moment, and create an experience in each other’s life. Second it distinguishes the magnitude of the mind body-spirit while not impeding the wholeness of the person. Third it clearly recognizes many ways of knowing, this includes empirical, aesthetic, ethical, and personal. Watson’s feeling is that if a person’s mind, body and soul are not in harmony then illness can occur. The nurse patient relationship is the factor that enables progress toward health to occur. The nurse and patient will bring...
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...Health Division (SCL/SPH) TECHNICAL NOTE Quality Improvement of Health Care in Belize: Focusing on Results Ian Mac Arthur Jennifer Nelson Martha Woodye No. IDB-TN-661 May 2014 Quality Improvement of Health Care in Belize: Focusing on Results Ian Mac Arthur Jennifer Nelson Martha Woodye Inter-American Development Bank 2014 Cataloging-in-Publication data provided by the Inter-American Development Bank Felipe Herrera Library Mac Arthur, Ian. Quality improvement of health care in Belize: focusing on results / Ian Mac Arthur, Jennifer Nelson, Martha Woodye. p. cm. — (IDB Technical Note ; 661) Includes bibliographic references. 1. Health services administration—Belize. 2. Public health administration—Belize. I. Nelson, Jennifer. II. Woodye, Martha. III. Inter-American Development Bank. Social Protection and Health Division. IV. Title. V. Series. IDB-TN-661 http://www.iadb.org The opinions expressed in this publication are those of the authors and do not necessarily reflect the views of the Inter-American Development Bank, its Board of Directors, or the countries they represent. The unauthorized commercial use of Bank documents is prohibited and may be punishable under the Bank's policies and/or applicable laws. Copyright © 2014 Inter-American Development Bank. All rights reserved; may be freely reproduced for any non-commercial purpose. Ian Mac Arthur, ianm@iadb.org Quality Improvement of Health Care in Belize: Focusing on Results Abstract Belize is participating in...
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...DOH Breastfeeding TSEK Program 2011 – PRECEDE-PROCEED Analysis Introduction and Program Rationale The protection, promotion, and support of breastfeeding rank among the most effective interventions to improve child’s survival. According to the World Health Organization (WHO), it is estimated that high coverage of optimal breastfeeding practices could avert 13% of the 10.6 million yearly deaths of children five years old and below. Everyday, as many as 4,000 infants and young children die worldwide because they are not breastfed. According to United Nations Children’s Fund (UNICEF), it is because their mothers are not empowered with adequate knowledge about breast-feeding and do not receive enough motivation and support (UNICEF, 1994). Babies, their mothers, their families, their community, their environment, even the economy of the country in which they live, all benefit from breast-feeding (ibid). Realizing the great advantages of breast-feeding and the changing patterns of breast-feeding practice worldwide, the World Health Organization, 1981, recommended that all infants should be “exclusively breastfed for 4 to 6 months of age”(Kaunang, 1999). Moreover, UNICEF(1994) has advocated breast-feeding as one of the strategies for “ Child Survival” and exclusive breast-feeding as a best protective way for infants against infection and malnutrition. Nowadays, promotion of breast-feeding through Family Planning and MCH Programs is increasingly considered to be a public...
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...POSTPARTUM DEPRESSION: LITERATURE REVIEW OF RISK FACTORS AND INTERVENTIONS Donna E. Stewart, MD, FRCPC E. Robertson, M.Phil, PhD Cindy-Lee Dennis, RN, PhD Sherry L. Grace, MA, PhD Tamara Wallington, MA, MD, FRCPC ©University Health Network Women’s Health Program 2003 Prepared for: Toronto Public Health October 2003 Women’s Health Program Financial assistance by Health Canada Toronto Public Health Advisory Committee: Jan Fordham, Manager, Planning & Policy – Family Health Juanita Hogg-Devine, Family Health Manager Tobie Mathew, Health Promotion Consultant – Early Child Development Project Karen Wade, Clinical Nurse Specialist, Planning & Policy – Family Health Mary Lou Walker, Family Health Manager Karen Whitworth, Mental Health Manager Copyright: Copyright of this document is owned by University Health Network Women’s Health Program. The document has been reproduced for purposes of disseminating information to health and social service providers, as well as for teaching purposes. Citation: The following citation should be used when referring to the entire document. Specific chapter citations are noted at the beginning of each chapter. Stewart, D.E., Robertson, E., Dennis, C-L., Grace, S.L., & Wallington, T. (2003). Postpartum depression: Literature review of risk factors and interventions. POSTPARTUM DEPRESSION: LITERATURE REVIEW OF RISK FACTORS AND INTERVENTIONS Table of Contents EXECUTIVE SUMMARY 2 OVERALL METHODOLOGICAL FRAMEWORK 5 CHAPTER 1: RISK FACTORS FOR...
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