Impact of Nursing in a Professional Environment

Being a midwife refers to a profession where the midwife would work in partnership with the women throughout her pregnancy, labour and the postpartum period. Not only is being a midwife women-centred, however, their role also includes ensuring the partner and family members are prepared and aware of the process. Within a women’s health, the midwife should focus on health, family planning, nutrition, domestic and other health issues as the main priority is the

For hundred of years, women have wrestled with their womanhood, bodies, and what it means to be a woman in our society. Being a woman comes with a wonderful and empowering responsibility--giving birth. What sets us aside from other countries is that the process and expectations of giving birth has changed in our society; coming from midwifery, as it has always been since the early times, to hospitals where it is now expected to give birth at. Midwifery was a common practice in delivering babies in

The author is a nurse in a level two trauma facility in a community of approximately fifty thousand people in Oregon. The community is a college-town surrounded by a large agricultural area. There is a minimal ethnic diversity within the community. The diversity present occurs mainly from internationally students and faculty from the college. There is a growing population of women who desire low interventional births in the community. The author has worked on the labor and delivery unit of the hospital for the last 14 years. The hospital is the only one in the area to offer trial of labor services to women who have previously undergone a cesarean section. The unit on average experiences around 1000 deliveries annually.

Although nurse midwives do complete the task of aiding in the delivery of newborns, “they also provide health care and wellness care to women, which may include family planning, gynecological checkups, and prenatal care” (nurse.org). Nurse midwives also assist along with physicians during c-sectional births. Certified Nurse Midwives or CNMs are advanced nurse practitioners; however, nurse midwives must earn an advanced degree, a special certification, and training in order to practice midwife duties. CNMs offer similar care to that of an OB/GYN doctor; therefore they make different financial earnings. “Nursing Economics, found that when midwives work in collaboration with physicians, the birth is less likely to end in a C-section” (nurse.org). If less c- sections are performed in hospitals, it could help lower the medical costs due to paying for medication during the labor and delivery, of a natural vaginal birth. To illustrate, nurse midwives should be more prevalent in hospitals, in order to lower the financial status of medical

As an adult student I have learned to appreciate the peaceful, yet exhilarating moment when my mind engages with an author 's thoughts on a page. To say the least, Born in the USA has been life changing. I treasured the information it provided, the optimism for my choice in profession, and the desire to push our current birthing environments further towards a safe and respectful place. To begin with, I am disheartened by the purposeful rebellion doctors in America possess toward Midwives and informed birth. I have experienced their contempt firsthand and it just strengthens my stance on maternal rights. Page 19 of “Born in the USA” states, “The Reciprocal Natural Childbirth Index” exemplifying the patronizing attitude toward self-education. If the leaders of the American healthcare system are not encouraging education, then what hope is there for anyone to make knowledgeable choices? As Marsden Wagner said, “I also learned much about the profession, including the fact that in every other highly industrialized country, midwives are highly valued health care professionals.” This makes me wonder what are we gaining stifling midwifery care?

The first piece of literature analyzed was a scholarly article titled, “Nurse Midwife and Scientist: Stuck in the Middle” by Aleeca F. Bell, published in 2007. Bell has a Ph. D, is a Registered Nurse and a Certified Nurse Midwife at the University of Chicago, Illinois. Bell’s ethos is established by her many degrees, her teaching of nursing classes, her many publications and academic awards, and her experiences at the Alivio Medical Center and the Will

In order to make desired changes in the nursing profession, a two-year program was launched by Robert Wood Johnson Foundation and the Institute of Medicine (IOM) in order to achieve better changes in the access based issues and changed needed in nursing profession. A committee was appointed by the Institute of Medicine for the check and production of the report in relation to the initiative. The report was released in 2010 which had recommendations for the changes needed in the nursing profession desiring an improvement in the healthcare profession. This paper will highlight the impact that the given recommendations can have on the nursing practice, nursing education and leadership of the nurses in healthcare profession.

The United States still has one of the highest infant mortality rates as reported by CIA World Fact Book “United States 6.06 per 1,000” (Field Listing, 2008 p.1), as compared to other high income countries who employ midwives as mainstream for low-risk pregnant women. Research shows that midwife-attended births have fewer interventions, lower c-section rates, and offer more personal care for pregnant women. The problem with the current form of obstetrical care in the United States is the uncritical acceptance of an unscientific method: the routine use of interventionist obstetrics for healthy women with normal pregnancies in contrast to a midwifery model of care for pregnant women. Should the medical

Midwives assist women with a majority of their reproductive needs, and midwifery is becoming more prominent in the United States. Midwives provide a variety of cares in a variety of settings. They assist women with individualized and evidence-based care; similar to nurses. Obstetric nurses and midwives preform a lot of the same skills for a pregnant or postpartum woman. It is important for nurses to recognize and respect midwifery because it is the woman’s right to choose her provider and plan of care. Obstetric nurses will possibly have to work with a midwife and support them in the hospital setting. Midwives are educated and have a scope of practice that can easily overlap with nursing practice, so

A professional nurse is one who puts the needs and importance of patient care above all others. While striving for professionalism, nurses need compassion, patience, empathy, strong moral and ethics, accountability and the commitment to always act in the best interest of their patients. Nurses are held accountable for providing quality, safe, and effective nursing care (Hood, 2014). A professional nurse has the responsibility to continually improve and implement nursing standards while maintaining integrity by involving themselves in various tasks. Regular involvement in reading professional literature and sharing of evidence- based research with other healthcare personal helps increase knowledge and skills. This nursing ability can be used to encourage the actions of others in the healthcare team resulting in improved patient care. Nurses should encourage each other to become involved in hospital committees, provide an environment to encourage the discussions of ethical dilemmas, promote professional growth of nurses to voice their concerns and share viewpoints to address issues. “A professional nurse should expect to commit to a life of continuous learning growth and development”. (Hood, 2014, pp. 29). Nurses choose this profession to help others. As professional nurses we must maintain our ethics, values, characteristics, and commitment to drive our profession forward (CCN, 2015). Nurses must be autonomous, accountable, and be able to delegate to unlicensed assistive personnel. Being autonomous as a nurse means having control over their practice (Hood, 2014). It allows a nurse to take risks while being held accountable for ones’ actions (Hood, 2014).

An individual's attitude towards his health influences his capacity to maintain an optimum level of health, prevent illness or recover from a disease. Understanding patient's attitude towards his condition is the key to establishing an effective health-related program for health promotion, disease prevention and disease management. Hence, different health behavior theories have emerged. All of these are designed to help the patient and his family to facilitate learning, adjustment and behavior change to improve his quality of life. ( Butts & Rich, 2011)

Out of the many theories,only some have been mentioned below which are cognitive and non

MD Marden Wagner said, “In every country where I have seen real progress in maternity care, it was woman’s groups working together with midwives that made the difference.” The Marriam Webster dictionary defines midwifery as “The art or act of assisting at childbirth”. The definition is a spot-on explanation. Midwifery is not very broad; it’s pinpointed as a specific job with detailed instructions that only deal with pregnancies. Many will argue to say that midwives only work with women who are having “normal-pregnancies”.(Goer, 2002). Normal pregnancies include a healthy mother and fetus, with no complications. “Approximately 10% - 30% of pregnant women will experience Bacterial Vaginosis (BV) during their pregnancy. An ectopic pregnancy happens in 1 out of 60 pregnancies. About 1% of all pregnant women will experience placental abruption, and most can be successfully treated depending on what type of separation occurs.” (Pregnancy Complications). Everyone is different, they handle pain in different ways, they have diverse fingerprints, they all have their own unique genetic material; evidently all pregnant women will experience each pregnancy they have differently from themselves and from other women. Many people will argue about the authenticity of a Certified Nurse Midwife’s education however, in reality “Certified Nurse-Midwives (CNM) are registered nurses, with a minimum of a

The purpose of this paper is to explore the relationship between the role of the labor and delivery nurse to the “maternal role attainment - becoming a mother” model. The model (MRA) was proposed by nursing theorist Ramona T. Mercer in 1991 to guide nurses in implementing the nursing process while providing care to the non-traditional mother. Revised in 1995 to “Becoming a Mother”, this model soon proved useful for nurses to access, concentrate on, and attend to the needs of all new mothers. New mothers experience various stressors such as an ill infant, their own health, financial strains, and postpartum depression. This model is evidenced- based and incorporates the four global nursing concepts into it. The importance of this model is the provisions it makes for mother-infant bonding that affects the health and development of individuals and families throughout the lifespan (Role Attainment, 2005). For the professional nurse in labor and delivery, the model has significant use aiding the impact that labor and delivery nurses have on new mothers perceiving and attaining their maternal role.

Basic needs must be met before the client aspires to higher levels of self-actualization. These modifying components are suggested to indirectly affect health behaviors; however, cognitive-perceptual factors are the “primary motivating mechanisms for acquisition and maintenance of health promoting behaviors.