what are some SDH
- housing, income, employment, education, health services, aboriginal status
what is cultural awareness
- realizing other cultures exist and have different languages, traditions, and behaviours than your own
what is cultural competence
- willingness to learn other cultures have different views to health
what is cultural safety
- caring for someone in another culture and reflecting on your own cultural identity on your clinical practice
what is family centred maternity and newborn care (FCMNC)
- multidimensional, dynamic process of providing safe/individualized care
- recognizes importance of family support
what are 4 things related to the passenger that may impact the process and progress of labour
Size, presentation, position, and the number of passengers.
what can be done as the nurse to help support the psyche of the labouring women?
- Provide continuous labour support (presence, comfort measures),
- decrease her fear by explaining everything,
- and ensure informed consent for every assessment/intervention with the intention of minimizing feelings of powerlessness.
what are the lamaze 6 healthy birth practices that promote, protect, and support normal birth
- Labour begins on its own,
- freedom of movement,
- continuous labour support (CLS),
- limit routine interventions
- spontaneous pushing in second stage
- no separation of mother and infant.
latent labour
- uterine activity with effacement and dilation until 4-6cm
active labour
- regular patterned contractions at 4-6cms
admission and triage process step 1
- document on section 1&2 of the record
(date/time, accompanying person, reason for coming, GTPAL, gestational age, and EDD)
stage 2 of admission process determines urgency of care by:
- contractions (strength, frequency, duration)
- status of membranes
- bleeding
- fetal movement
- ID history
- any risk factors
knowing the profession
- knowledge of your scope of practice and competencies
knowing the self
- awareness of your own level of nursing experience, strengths, limitations, confidence, values, and attitudes
knowing the case
- knowledge of pregnancy, labour and birth, and what you have learned
knowing the patient
- reflect knowledge of who you are acting for (GA, when labour started, risk factors)
knowing the person
- understanding the individual persons experience, wishes, SDH
cues
- are the observations, statements from patients, lab and assessment data
judgement is
- making sense of what you are seeing (what could be happening, what supports this evidence, what more info is needed
your decision
- what interventions should be implemented or the plan of care
evaluation
- did the decision achieve the intended outcome?
macro context
- health care system,
- BCCNM standard
- health professional act
- SOGC guideleines
Meso context
- culture of the unit
- staffing levels
- relationship with collegues
- precesne of support
micro context
- patient condition
- nurse/patient relationship
- your own level of experience with the case
