Evidence-Based Practice
Use of research or controlled
investigation of a problem in
conjunction with clinical expertise as
a foundation for action
Nursing Research
Controlled investigation of problems
that have implications for nursing
practice
Justification for implementing activities
for outcomes
Results in improved and cost-effective
patient care
Nursing Theories
How nurses view clients
Goals of nursing care
Activities of nursing care
Today
6.9 per 1,000
Measurements of Maternal
and Child Health
Birth rate
Fertility rate
Fetal death rate
Neonatal death rate
Perinatal death rate
Measurements of Maternal
and Child Health
Maternal mortality rate
Infant mortality rate
Childhood mortality rate
Childhood morbidity rate
Trends in Health
Care Environment
Cost Containment
Delegation
Right task for the situation
Right person to complete the task
Right communication concerning what is to
be done
Right evaluation that the task was
completed
Trends in Health
Care Environment
Alternative settings and styles
Home
Hospitals
Birthing centers
Trends in Health
Care Environment
Including the family in health care
Increased number of intensive care units
Regionalization of intensive care
Increased reliance on comprehensive
care settings
Increased use of alternative treatment
modalities
Trends in Health
Care Environment
Increased reliance on home care
Increased use of technology
Health care concerns and attitudes
Increasing concern regarding health
care costs
Increasing emphasis on preventive
care
Trends in Health
Care Environment
Increasing emphasis on familycentered care
Increasing concern for quality of life
Increasing awareness of the
individuality of clients
Empowerment of health care
consumers
Legal Considerations
Protection of the rights of clients
Accountability for nursing care
Identifying and reporting suspected
child abuse
Scope of practice
Documentation
Ethical Considerations
Conception issues
Abortion
Fetal rights
Resuscitation
Ethical Considerations
Procedures
Quality of life
Research