ROLE AND SCOPE OF MIDWIFERY PRACTICE.pptx

Ggghh

1. ROLE AND SCOPE OF MIDWIFERY PRACTICE : PRESENTED BY: Ms. Sweta K. Gaude M.Sc.(N) 1 st year SDM INS

2. In general the role of nurse can be expressed as: Provides necessary supervision, care & advices to women in pregnancy, labor & postnatal period. Promotes women’s sexual or reproductive health & child health. Facilitates & carries out the audits of maternal & neonatal care. Carries out evidence based research & further implement it to clinical practice. Disseminates information to women & families about safe abortion, contractive & spacing etc. Role Of Midwifery

3. Extended Role: A perinatal nurse today may function as: a nurturer, educator, Physical care provider Critical thinker Support person Counselor Case manager Research Expanded Role: Nurse, Nurse practitioner, Nurse midwives Certified nurse-midwives Certified midwives

4. The basic role of midwife originally was that assisting in delivery process but now scope has wider applications and there are many role of midwife. SCOPE OF MIDWIFERY

5. Midwife has to work as a team members in an obstetric department & has to cooperate with a team members i.e obstetrician, Gynecologist & Neonatalogist etc. 2) Participating In Special Investigation: Midwife has an opportunity or right to participate in special investigation like ultrasonography, Amneocentesis , Corionus villi samping (CVS), Non-stress Test (NST), Contraction Stress Test (CST). 1) Member Of Obstetric Team

6. Midwife As a Counsellor : Midwife has scope to utilize her knowledge & opportunity to coucil the mother & her family members in clariyfing dought & solving problems or giving suggestion. 4) Midwife As a Teacher: Midwife has an opportunity at education sector & can guide students by implementing her knowledge at both site i.e. classroom teaching as well as clinical teaching E.g : Demonstration of assessment of antenatal mother.

7. Specialized Duties Of Midwife: She carries some of specialized duties like providing assistance in treatment and diagnosis e.g. ART. Scope Of Supportive Role: Midwife provide support to family members during pregnancy, Labor and peuperium . She makes professional relationship with team members as well as with her sub-ordinates & make sure that she is best caretaker & beast guide.

8. 7) Multisectorial Approach: She maintains good relationship with other approaches to the people at the time of any National Health Programmes like RCH programmes, Anemia prophylaxis programme & also motivate people to participate, voluntarily in these programme to achieve the Goal. 8) Midwife As Researcher: Midwife has opportunity/scope in carrying out many scope related to her department so that her findings can be utilized for further information. E.g. Sitz bath for episiotomy patient. Application of cabbage leaves inhibits the milk production.

9. Midwife As Administrator: If a midwife gets chance to bean administrator. She can putforth & accept the duties of administration. Administration at institution & at clinical sector could be done. Independent Midwife Practitioner: Midwife has scope to become an independent midwife practitioner to make diagnoses as well as decisions that are based on knowledge, skills and experience. She also recognises deviations from normal and provide treatment for those deviations.

10. As professionals, nurses are both ethically and legally accountable for their nursing care. Care of the pregnant women and their newborn requires specialized knowledge, communication and team work among other health care workers. Ethical issues and concerns have multiplied with the increased use of technology and scientific advancement. LEGAL AND ETHICAL ISSUES

11. Standard 1-Quality of Care: The nurse systematically evaluates the quality and effectiveness of nursing practice. Standard 2- Performance Appraisal: The nurse evaluates his or her own nursing practice in relation to professional practice standards and relevant statutes and regulations. Standard 3- Education: The nurse acquires and maintains current knowledge in nursing practice. Standard 4- Collegiality: The nurse contributes to the professional development of peers, colleagues and others. An example Of Nursing Practice Standards Related To Maternal And Newborn Care:

12. Standards 5- Ethics: The nurse’s decisions and actions on behalf of patients are determined in an ethical manner. Standard 6- Collaboration: The nurse collaborates with patient, significant others, & health care providers in providing patient care. Standard 7- Research: The nurse uses research findings in practice. Standard 8- Resource Utilization: The nurse considers factors related to safety, effectiveness, and cost in planning and delivering patient care.

13. Standard 9- Practice Environment: The nurse contributes to the environment of delivery care within the practice setting. Standard 10- Accountability: The nurse is professionally and legally accountable for her or his practice. The professional registered nurse may delegate to and supervise qualified personnel who provide patient care. (Adapted from association of Women’s Health, Obstetric and Neonatal Nurses (2003).

14. Standards of care are based on a legal model rather than on ethics. Law is based primarily on a rights model that establishes rules of conduct to define relationships among individuals. ETHICAL COMPONENTS OF CARE STANDARDS

15. Ethics involve determining the best course of action, what is morally right and reasonable, in a given situation. Ethical issues have become more complex with advanced technology, which allow the family more options. Complex ethical questions are related to maternal versus fetal rights. Widely varying standards of viability, abortion, mandated contraception, use of fetal tissue for research, length of time resuscitation should be continued, cord blood banking & the use & protection of genetic information. ETHICAL ISSUSE IN MATERNA-NEW BORN NURSING

16. Nurses are legally responsible and accountable for the quality of nursing care they give. They may also be held accountable for care given by other members of the health care team. Accurate assessment data & careful documentation are essential in protecting the nurse & justfying a course of action. Crucial areas of concern are establishing who may give consent for health care, providing care for the fetus, & caring for clients not of legal age. Nurses are legally responsible for reporting the following; PROFESSIONAL LIABILITY ISSUES IN MATERNAL-NEW BORN NURSING:

17. Suspected cases of child abuse. Inappropriate or incomplete care provided by other health care workers. Professionals impaired by substance abuse. Malpractice claims against both physicians and nurses have escalated during the past few years. Perinatal nursing is the area in which most lawsuits occur. The most common problems occuring at birth or slowly after are prematurity, low birth weight, congenital anomalies, respiratory distress syndrome, etc. These are the tragic movements for the parents, & they may look for someone to blame.

18. To avoid malpractice claims, nurses are expected to provide care within the context of nurse practice acts, & policies developed by the agency which they practice. 3) Documentation is essential for protecting the nurse & justifying her actions.

19. Nurse-midwifery exists for the good of women & their families. Nurse-midwives upload the belief that childbearing & maturation are normal life processes. Decisions regarding nurse-midwifery care require client participation in an ongoing negotiation process in order to develop a safe plan of care. Nurse-midwives share professional information with their clients that leads to informed participation & consent. Nurse-midwives practice competently. They consult & refer when indicated by their professional scope of practice &/or personal limitations. CODE OF ETHICS:

20. Nurse-midwives provide care without discrimination based on race, religion, life-style, sexual orientation, socio-economic status or nature of health problem. Nurse-midwives maintain confidentiality except when there is a clear, serious & immediate danger or when mandated by law. Nurse-midwives take appropriate action to protect clients from harm when endangered by incompetent or unethical practices. Nurses midwives interact respectfully with the people with whom they work & practice.

21. Nurse-midwives participate in developing & improving the care of women & families through supporting the profession of nurse-midwifery, research, & the education of nurse-midwifery students & nurse-midwives. Nurse-midwives promote community, state, & national efforts such as public education & legislation, to ensure access to quality care & to meet the health needs of women & their families.

22. THANK YOU