Question

For each of the following QSEN competencies, write a list of nursing interventions for promoting fetal and maternal health related to each competency: Patient centered care, Teamwork and collaboration, Evidence-based practice, Quality improvement, Safety, Informatics?

Answer 1

NURSING INTERVENTIONS

Patient centered care

1) Create a safe patient experience

2) Encourage patient to engage in any physical activity

3) Advice to have proper meals at proper time

4) Educate the patient about how to prevent infection

5) Advice to avoid the use of alcohol, smoking and tobacco.

6) Provide positioning therapy

Team work and collaboration

1) Do some team building activity

2) Communicate openly and effectively with all team members

Evidence based practice

1) Avoid unnecessary induction of labour

2) Provide continuous labour support

3) Encourage the mother to walk and to take a warm bath

4) Allow the mother to choose any companion at the time of delivery

5) Allow freedom of movement for the labouring women

6) Encourage spontaneous pushing in nonsupine position

Quality improvement

1) Perform continuous fetal monitoring

2) Provide emotional support

3) Help to relieve pain by changing position frequently

4) Support clients decision regarding intervention

5) Perform a vaginal examination to evaluate effacement and dilation of labour

Safety and Informatics

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1) Inform patient on progress of her labour

2) When perineal bulging is noticeable, prepare for delivery

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