Class notes
Health Promotion and Caring familles week 3-5
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- NRSG-7058
Weeks 3-5 notes for exam
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Week 3:Strength-Based Nursing
Development of nurse’s role
• Traditional role = Assistant to MDs
• Replacement = NPs ( Mac Master Model)
• Complimentary = Family
Strengths-Based Nursing (McGill Model)
What is SBN..?
- Philosophy to guide nursing
- The lens through which you see the world
- An approach guided by set values and beliefs
- reconnects nursing to its roots
- Deficits and strengths co-exist
- Family-centered care, empowerment and relational care
- Creating autonomy for patients
● Nightingale – Person- self-healer; Health and healing-restorative; Environment- physical,
emotional; Nursing- puts the patient in the best position for the environment (nature) to
act upon him
Diffrence b/w medical model vs SBN
• Disease oriented vs Holistic, Health- promoting experiences, Living with
• Fixing vs Possibilities & Opportunities
• Paternalistic vs Partnership
• Doing for vs Doing with
• Telling vs Learning from
• De- contextualized vs-
Contextualized
• “D” WORDS vs “C” WORDS
Definition for strengths
● Umbrella term that includes internal and external resources
● Not opposite of weakness
● strengths and weaknesses co-exist
SBN Care
● Strengths are capabilities that enable a person to cope with life challenges, deal with
uncertainties, and recover from insults
● Sources of power and energy
● Often interchanged with capabilities: assets, resources, competencies, skills, talents,
traits
● Can be biological, psychological and social
● Are subjective
,Values of strength-based nursing
- Health and healing
- Self-determination
- Person and environment
- Holism and embodiment
- Uniqueness
- Subjective reality and created meaning
Week 3:
Maternal Child
- Refers to the health of women preconception, during pregnancy, childbirth, and
postpartum period
- Primarily focused on reproductive health
Needs to consider race, class, geogrphy, sexual orentation
Comprehensive apporoach
- assisted human reproduction
- Reproductive technology
- Health and planning
Immigrant and reguree women
Reproductive Justice
● The complete physical, mental, spiritual, political, economic and social well-being of
women and girls
● Will be achieved when women and girls have economic, social and political power and
resources to make healthy decisions about their bodies, sexuality and reproduction for
themselves, families and communities in all areas of their lives
Issues reproductive rights
, ● The capability and freedom to reproduce if and when and how often
● Right to be informed of safe, affordable methods of fertlitly , regulation of ur choice and
health care services
● Regonizes jusitce for women’s reproductive health is connected to and affected by
conditions of their lives
Experience of mothering
- Can create health vulnerability re to increased workload, poverty, violence
- Women need social support, and access to the social determinants of health
- Educational interventions that impact mothering include: infant sleep, behavior
and safety issues including safe sleep, breast feeding support, partner
involvement/skills with infants, post-birth health
Indigenous and rural women
● Barriers to prenatal care
● Indigenous women have incidence of adolescent pregrancy and high and low birth
weight babies, preacancgy diabetes, poorer nutrition and highter rate of multiple briths
● Acces to care shaped by geography, local healthcare, maternity, loal healthcare,
maternity practice and polices, human health resoucess.
Indigenous birthing
- Traditionally an entire community supported women during pregnancy and birth
- A sense of “belonging through birth” was created
- Colonization and medical model have resulted in birth experiences that remove
Indigenous women from their community, isolating women without social support
- Move to educate midwives in Indigenous communities and to provide culturally safe
care in urban centers
Reproductive Mental Health
● Maternal depression affects 10%of mothers
● 50% go undiagnosed
● Perinatal depression impacts the infant- increased risk for PT and LBW babies
● Interferes with attachment /infant bonding
● Children experience deficiencies in cognitive, behavioral and social skills
● Upstream approach: ed and prevention; screening and diagnosis; treatment asnd self-
management; coping and support networks
Teen pregnancies
- Pregnant teens are at risk for complications: anemia, toxemia, eclampsia and
hypertension
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