OB Study Guide - test one (6).docx - 1 OB Study Guide Test One Contemporary Childbirth Legal Ethical Considerations Culturally Competent Care(4

OB Study Guide - test one (6).docx - 1 OB Study Guide Test...

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OB Study Guide: Test One Contemporary Childbirth, Legal & Ethical Considerations, Culturally Competent Care (4) Contemporary childbirth o Family centered care: emphasis on family involvement through the pregnancy, birth, and postpartum time. o Increasing number of choices about the childbirth experience: Place of birth - hospital, free standing center, home The primary caregiver - MD, midwife, or certified nurse midwife The use of a doula - special support/companion throughout the labor – increases breastfeeding success Birth related experience: methods of preparation (childbirth classes), use of anesthesia/analgesia, birthing position o Options in caregivers Professional nurse: RN Certified registered nurse: RNC – in a particular field of nursing by taking a national exam Nurse practitioner: NP – received specialized education in DNP or masters program Clinical nurse specialist: CNS – nurse with a masters degree who has knowledge in a specific clinical area Certified nurse midwife: educated in nursing and midwifery Nurse researcher: advanced doctoral degree (PhD) –assumes leadership in researching Legal and ethical considerations o Scope of practice – every nurse must function within, protects us because it’s broadly defined. Be sure to TEACH the patient, not diagnosis. o Standards of care – minimum criteria for competent and proficient nursing care. Protects the public and judges the quality of care given. (Usually from ANA) o Negligence – malpractice (placing baby in the wrong crib) o Patients rights Focuses on competency in 6 areas Patient centered care, teamwork/collaboration, EBP, quality improvement, safety, informatics Informed consent Legal concept designed to allow patients to make intelligent decisions regarding their own care. Pertains to any nursing, medical, or surgical intervention. Information must be clearly given, including risks, benefits, success rate, and consequences of not having the treatment. Nurses role to determine that the patient understands the information Privacy Right of a person to keep his/her person free from public criticism 1
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Only those responsible for the patient should assess them/discuss them Confidentiality Crucial for the development of trust All healthcare institutions that are reimbursed by Medicare/Medicaid, must give all individuals written information about their rights: advanced directives, living will, durable power of attorney Safety Major focus of education o Meet the challenge of preparing future nurses o Necessary to continually improve healthcare systems Culturally competent care o Culture develops from socially learned beliefs, lifestyles, values, patterns of behavior o United states = very diverse so the nurse needs to recognize their beliefs and values o Specific elements contributing to a value system Religion and social beliefs Presence and influence of the extended family and socialization within their ethnic group
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