Family-Centered and Community-Based Maternal and Pediatric Nursing Chapter 2: Family-Centered and Community-Based Maternal and Pediatric Nursing

The Family as a Social Unit Basic social unit Provides for survival and teaches the knowledge, customs, values and beliefs of the family’s culture Family function Physical sustenance Emotional support Intellectual stimulation Socialization Spirituality

The Family as a Social Unit (cont.) Family structure Nuclear family Extended family Single-parent family Communal family Gay or lesbian family Stepfamily and blended family Cohabitation family Adoptive family

Question Tell whether the following statement is true or false. In a gay or lesbian family, complex issues are often faced. Perhaps that is why research has shown that being a member of this type of family socially harms a child.

Answer False Rationale: Although gay and lesbian families often face complex issues, including discrimination, studies of such families show that membership in this type of family does not harm children.

The Family as a Social Unit (cont.) Factors that influence childbearing and child rearing Family size Sibling order and gender Parental behavior Divorce Culture

Health Care Shift: From Hospital to Community Sophisticated health care costs strained funding Emergence of community-based health care Emphasis on wellness and preventative health care Bears direct influence on normal and at-risk maternity care Positive factor in children’s care

Health Care Shift: From Hospital to Community (cont.) Community-based nursing Focus wellness and prevention Goals are to help people and families meet their health care needs Primary prevention Secondary prevention Tertiary prevention

The Health Care Shift: From Hospital to Community (cont.) Community care setting for the maternity client Prenatal and postpartum home health care Settings for birth Home Birthing centers Hospitals

Health Care Shift: From Hospital to Community (cont.) Community care settings for the child Outpatient settings Home health care Schools and camps Community centers and parishes Residential programs

Health Care Shift: From Hospital to Community (cont.) Skills of the community-based nurse Nursing process Communication Education Case management Client advocacy

Health Care Shift: From Hospital to Community (cont.) Challenge of community-based nursing Aspects of community based nursing Issues facing pregnant women, children, and families Poverty Lack of information Questionable decisions about priorities Ineffective coping skills

Question The Community Health Nurse uses a different set of skills than those used by an institution-based nurse. Which skill, used by the community health nurse, is a process which ensures that a client’s health and service needs are met? a. Client advocacy b. Nursing process c. Prioritization d. Case management

Answer d. Case management Rationale: Case management, a systematic process that ensures that a client’s multiple health and service needs are met, may be a formal or an informal process.