Medicaid member perspectives on innovation in prenatal care delivery: A call to action from pregnant people using unscheduled care

Healthcare ◽  
2020 ◽  
Vol 8 (4) ◽  
pp. 100456
Author(s):  
Eloho E. Akpovi ◽  
Tamala Carter ◽  
Shreya Kangovi ◽  
Sindhu K. Srinivas ◽  
Judith A. Bernstein ◽  
...  
Keyword(s):  
Prenatal Care ◽  
Care Delivery ◽  
Call To Action ◽  
Unscheduled Care

scholarly journals Linking the Unitary Paradigm to Policy through a Synthesis of Caring Science and Integrative Nursing

2017 ◽  
Vol 30 (3) ◽  
pp. 262-268 ◽  
Author(s):  
Mary S. Koithan ◽  
Mary Jo Kreitzer ◽  
Jean Watson
Keyword(s):  
Patient Care ◽  
Healthcare System ◽  
Care Delivery ◽  
Healthcare Policy ◽  
Patient Centered ◽  
Nursing Knowledge ◽  
Call To Action ◽  
Caring Science ◽  
Patient Care Delivery

The principles of integrative nursing and caring science align with the unitary paradigm in a way that can inform and shape nursing knowledge, patient care delivery across populations and settings, and new healthcare policy. The proposed policies may transform the healthcare system in a way that supports nursing praxis and honors the discipline’s unitary paradigm. This call to action provides a distinct and hopeful vision of a healthcare system that is accessible, equitable, safe, patient-centered, and affordable. In these challenging times, it is the unitary paradigm and nursing wisdom that offer a clear path forward.

scholarly journals The expression of vulnerability through infant mortality in the municipality of Embu

2008 ◽  
Vol 126 (5) ◽  
pp. 262-268 ◽  
Author(s):  
Renato Nabas Ventura ◽  
Rosana Fiorini Puccini ◽  
Nilza Nunes da Silva ◽  
Edina Mariko Koga da Silva ◽  
Eleonora Menicucci de Oliveira
Keyword(s):  
Infant Mortality ◽  
Prenatal Care ◽  
Care Delivery ◽  
Healthcare Access ◽  
Secondary Data ◽  
Healthcare Services ◽  
Primary Data ◽  
Access To Health Services ◽  
One Year

CONTEXT AND OBJECTIVE: Infant mortality expresses a set of living, working and healthcare access conditions and opens up possibilities for adopting interventions to expand equity in healthcare. This study aimed to investigate vulnerability and the consequent differences in access to health services and occurrences of deaths among infants under one year of age in the municipality of Embu. DESIGN AND SETTING: This was a descriptive study in the municipality of Embu. METHODS: Primary data were collected through interviews with the families of children living in the municipality of Embu who died in the years 1996 and 1997 before reaching one year of age. Secondary data were obtained from death certificates. The variables collected related to living conditions, income, occupation, prenatal care, delivery and the healthcare provided for children. These data were compared with the results obtained from a study carried out in 1996. RESULTS: Statistically significant differences were found with regard to income, working without a formal employment contract and access to private health plans among the families of the children who died. There were also differences in access to and quality of prenatal care, frequency of low birth weight and neonatal intercurrences. CONCLUSIONS: The employment/unemployment situation was decisive in determining the degree of family stability and vulnerability to the occurrence of infant deaths, in addition to the conditions of access to and quality of healthcare services.

First principles

2016 ◽  
Keyword(s):  
First Principles ◽  
Infection Prevention ◽  
Ethical Issues ◽  
Care Delivery ◽  
Advanced Practice ◽  
Unscheduled Care ◽  
Major Incidents ◽  
Difficult Situations ◽  
Care History ◽  
Legal And Ethical Issues

This chapter provides an overview of basic nursing practice as it relates to emergency nursing, including: teamwork, health promotion, injury prevention, infection prevention, dealing with patients with learning disabilities, models of unscheduled care, delivery, triage, documentation, the handover of care, history taking, advanced practice, early warning scores, major incidents and terrorism, legal and ethical issues, and dealing with difficult situations.

scholarly journals Association between the absence of colostrum feeding and symptoms of intestinal obstruction or neonatal necrotizing enterocolitis

2016 ◽  
Vol 44 (1) ◽  
pp. 7
Author(s):  
Hananto Wiryo ◽  
M. Hakimi ◽  
A. Samik Wahab ◽  
Pitono Soeparto
Keyword(s):  
Cohort Study ◽  
Prenatal Care ◽  
Intestinal Obstruction ◽  
Necrotizing Enterocolitis ◽  
Care Delivery ◽  
T Test ◽  
Longitudinal Cohort Study ◽  
Colostrum Feeding ◽  
Neonatal Necrotizing Enterocolitis ◽  
The Relationship

Objective To assess the relationship between withholding colos-trum and symptoms of intestinal obstruction (SIO) or neonatal ne-crotizing enterocolitis (NNEC).Methods This was a longitudinal cohort study in four subdistrictsin West Lombok involving mothers and live newborns. Motherswere interviewed about prenatal care, delivery process, and prac-tice of colostrum feedings. Neonates were followed everyday for28 days by field assistants for signs of intestinal obstruction orNNEC. We used X 2 test to analyze the association between theabsence of colostrum feeding and the occurence of SIO and stu-dent t test to compare the average of colostrum feeding betweenthe SIO and the non-SIO group.Results 3420 live newborns between 1993-1994 were observed.1900 mothers gave colostrum while 1520 did not. The incidence ofSIO was 1.8%. There was a significant association between theabsence of colostrum feeding and the occurence of the SIO (RR1.816; 95%CI 1.08-3.06; p=0.028). No infants with NNEC weregiven colostrum.Conclusion The absence of colostrum feeding is an importantrisk factor for the occurence of SIO and NNEC in neonates

scholarly journals Impact of Psychosocial Risk Factors on Prenatal Care Delivery: A National Provider Survey

2014 ◽  
Vol 18 (10) ◽  
pp. 2362-2370 ◽  
Author(s):  
Elizabeth E. Krans ◽  
Nicholas M. Moloci ◽  
Michelle T. Housey ◽  
Matthew M. Davis
Keyword(s):  
Risk Factors ◽  
Prenatal Care ◽  
Care Delivery ◽  
Psychosocial Risk Factors ◽  
Psychosocial Risk ◽  
Provider Survey

scholarly journals Breast-feeding in South Korea: factors influencing its initiation and duration

2008 ◽  
Vol 11 (3) ◽  
pp. 225-229 ◽  
Author(s):  
Woojin Chung ◽  
Hanjoong Kim ◽  
Chung-Mo Nam
Keyword(s):  
Prenatal Care ◽  
South Korea ◽  
Breast Feeding ◽  
Cox Regression ◽  
Health Workers ◽  
Care Delivery ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Feeding Duration ◽  
Factors Influencing

AbstractObjectiveTo investigate factors influencing the practices of partial breast-feeding (PBF) and exclusive breast-feeding (EBF).DesignA national, cross-sectional survey was conducted among married women aged 15–49 years from May to August 2003.SettingSouth Korea.SubjectsA total of 865 mothers answered questions regarding the feeding practices of their youngest baby, born between January 2001 and May 2003.ResultsThe initiation rates of PBF and EBF were 81% and 63%, respectively. However, the median durations of PBF and EBF were very short: 12 and 8 weeks, respectively. According to stepwise logistic and Cox regression analyses, the more prenatal care women received, the more likely they were to initiate PBF and EBF but the less likely to continue EBF. Delivery by Caesarean section decreased the initiation of PBF and EBF. The mother’s education level and employment status before marriage, the amount of prenatal care, delivery method and baby’s status at birth affected breast-feeding initiation, whereas the amount of prenatal care influenced breast-feeding duration.ConclusionTo promote breast-feeding, education and campaigning on the importance of continued breast-feeding should be provided to the general public, particularly to health workers in maternity units.

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