Framework for Maternal

and Child Health Nursing

(GLOBAL)
Geraldine S. Ridad, MAN, RN September 6/7, 2023
College of Nursing
Tibanga, Iligan City

geraldine.ridad@g.msuiit.edu.ph https://www.facebook.com/geraldine.ridad.2
 LEARNING OUTCOME
At the end of the unit, the student:
• Writes a reflective journal on how a nursing
student can exhibit the core values of the
institute and apply the framework for
Maternal and Child Health Nursing in
becoming a competent Nurse and improving
the health of the nation as a whole.

A Framework for Maternal and Child Health Nursing (GLOBAL) Ridad, 2022 | Page no. 1
 Primary Goal of Maternal and Child Health Nursing
• The promotion and maintenance of optimal family health
to ensure cycles of optimal childbearing and childrearing.

Copyright © 2018 Wolters Kluwer · All Rights Reserved

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 Maternal and Child Health Nursing Practice Throughout the
Childbearing‒Childrearing Continuum
vProvision of PRECONCEPTION health care
vProvision of NURSING CARE OF WOMEN throughout
pregnancy, birth, and postpartum period
vProvision of NURSING CARE OF CHILDREN from birth through
adolescence
vProvision of NURSING CARE TO FAMILIES in all settings

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 Philosophy of Maternal and Child Health Nursing
vIncludes the following concepts:
o Family-centered
o Community-centered
o Evidence-based

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 Framework for Maternal and Child Health Nursing Care
#1
vPhases of health care
o Health promotion
o Health maintenance
o Health restoration
o Health rehabilitation

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 Framework for Maternal and Child Health Nursing Care
#2
vThe steps of the nursing process
o Assessment
o Nursing diagnosis
o Planning
o Implementation
o Evaluation

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 Nursing Theories Related to Maternal and Child Nursing
vCallista Royà help pts adapt to change caused by
illness or other stressors
vDorothea Oremà to check pt’s selfcare abilities
vPatricia Bennerà ability of the nurse to give
interprofessional care

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 Quality & Safety Education for Nurses (QSEN)
vPatient-Centered Care
vTeamwork & Collaboration
vEvidence-Based Practice
vQuality Improvement
vSafety
vInformatics

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 Legal Considerations Specific to Maternal–Child
Nursing Practice
vInformed consent related to fetal well-being
vInformed consent and legal guardianship for
procedures performed on children
vLength of time between healthcare incident and
child’s ability to bring lawsuit
vIdentifying and reporting suspected child abuse
vConcepts of “wrongful birth,” “wrongful life,” and
“wrongful conception”
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 Ethical Considerations of Maternal–Child Nursing Practice
v Conception issues, especially those related to in vitro fertilization, embryo
transfer, ownership of frozen oocytes or sperm, and surrogate
motherhood
v Pregnancy termination
v Fetal rights versus rights of the mother
v Stem cell research
v Resuscitation (and length of its continuation)
v Number of procedures or degree of pain a child should be asked to endure
to achieve a degree of better health
v Balance between modern technology and quality of life
v Difficulty maintaining confidentiality of records when there are multiple
caregivers
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 Alternative Healthcare Practices Commonly Used

vAcupuncture
vHomeopathy
vTherapeutic touch
vChiropractic care
vHerbalism

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 Statistics Related to the Measurement of Maternal
and Child Health #1
vBirth rate
vFertility rate
vFetal death rate
vNeonatal death rate
vPerinatal death rate

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 Statistics Related to the Measurement of Maternal
and Child Health #2
vMaternal mortality rate
vInfant mortality rate
vChildhood mortality rate
vChildhood morbidity rate

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 Trends Impacting Maternal and Child Health Nursing
vFamilies contain fewer members.
vThe number of single parents is increasing.
vNinety percent of women work outside the home; many are the
primary wage earner.
vThe number of homeless women and children is increasing.
vFamilies are becoming more mobile.
vFamilies are more informed.
vChild and intimate partner violence is increasing.
vBalancing quality and cost containment in health care is an
increasing initiative.
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 Group Activity #1: Search Report (Global and Local)
Group 1- Current birth rate and fertility rate
Group 2- Current Infant, Child and Maternal Mortality
Rate and causes
Group 3- Current Infant, Child and Maternal
morbidity rate
ü Group Presentation (10-15 minutes): (1) Description, (2) Recent
rates, and (3) Implications of the results of the search report/
current rates.
ü Tool: Rubric for Group Report and Presentation
ü Due: Next Meeting (follow guidelines posted)

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