NUR 4445 Module 1
- Concepts of 21st Century Maternity Nursing
21st century nursing is care of the childbearing woman and their families from preconception to 6 weeks postpartum
It includes education prior to conception and throughout pregnancy, delivery and postpartum
- What are the causes of health disparities in the US
Social Determinants of health
Biologic/Genetic Factors Health Behaviors
- Unconscious/implicit bias
associations or attitudes that reflexively alter our perceptions, thereby affecting behavior, interactions, and decision-making
- List methods and recommendations for combating implicit bias
Understand and respect the tremendous power of unconscious bias Deliberate Reflection
evaluate how your own experiences and identities influence your interactions Stereotyping Replacement
Recognizing a response is based on stereotype & consciously adjusting response Counter-stereotypic imaging 1 / 3
Answer
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Imagining the individual as the opposite of the stereo- type Actively Counter Stereotypes
Acknowledge and make a conscious decision to address the bias, Individuation
Seeing the person as an individual rather than a stereotype (e.g., learning about their personal history and the context that brought them to the facility)
Perspective taking
"Putting yourself in the other person's shoes"
Increasing opportunities for contact with individuals from different groups
Expanding one's network of friends and colleagues or attending events where people of other racial and ethnic groups, gender identities, sexual orientation, and other groups may be present
Partnership building
Reframing the interaction with the patient as one between collaborating equals, rather than between a high-status person and a low-status person
Do a "Teach Back." Teach Back is a method to confirm patient understanding of health care instructions that is associated with improved adherence, quality, and patient safety
- barriers to access of healthcare
Financial Issues 2 / 3
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Cultural Issues Gender Issues
- Financial Issues
Uninsured and underinsured Access to care Delay in seeking treatment Prevention care
Lack of accurate healthcare information
- Cultural Issues
Racism Lack of trust
Discrimination Language Values or Beliefs Gender Religious beliefs
- Gender Issues
LGBTQ face discrimination, uneducated healthcare providers, increased anxiety, depression, suicide, etc.
Feel stigmatized
Lack of STI information for Lesbian women
Gender of provider may be important to some women seeking reproductive care.
- How are statistics, research, and EBP interrelated?
Statistics project patient needs, aids in planning of resources, and helps guide research.Research evaluates the effectiveness of current practices,
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