What are current policies like regarding who is allowed in the labor and delivery in the labor and delivery room?

What are current policies like regarding who is allowed in the labor and delivery in the labor and delivery room?

High-acuity Labor And Delivery Unit.

Read chapter 5 of the class textbook and review the attached PowerPoint presentation. Once done answer and/or develop the following answers;

1. Madge is an intake nurse at high-acuity labor and delivery unit. She is taking down information about a family’s birth plan and notice that the mother is accompanied by only another woman. Write three paragraphs on the following issues;

a. Include cultural assessment technique to explore the family composition without offending the woman present.

b. Discuss the potential challenges lesbian couples may have in childbearing.

c. What are current policies like regarding who is allowed in the labor and delivery in the labor and delivery room? How might these

look in the future?


This paper presents methods for identifying and analyzing associations among nursing care processes, patient attributes, and patient outcomes using unit-level and patient-level representations of care derived from computerized nurse documentation. The retrospective, descriptive analysis included documented nursing events for 900 Labor and Delivery patients at three hospitals over the 2-month period of January and February 2006. Two models were used to produce quantified measurements of nursing care received by each patient. The first model considered only the hourly census of nurses and patients. The second model considered the size of nurses’ patient loads as represented by computerized nurse-entered documentation. Significant relationships were identified between durations of labor and nursing care scores generated by the second model. In addition to the clinical associations identified, the study demonstrated an approach with global application for representing the amount of nursing care received at the individual patient level in analyses of patient outcomes.
Keywords: Nursing Informatics, Outcomes, Process Modeling, Quality of Care, Staffing
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Variation in patient outcomes is attributable to variation in individual patient attributes, variation in care processes and structures, and random variation. [1] Though patient attributes have the greatest impact on ultimate outcomes, [2] opportunity exists to improve patient outcomes through both refining and reducing variability in clinical care processes. By identifying aspects of care with the greatest effect on specific outcomes, clinicians could focus efforts on changes in care with the greatest clinical impact, even among patients at low risk of experiencing suboptimal outcomes. [3] The ever-increasing availability of structured and computerized healthcare documentation offers potential for identifying key factors affecting patient outcomes. The purpose of these analyses was to demonstrate methods whereby representations of the amount of nursing care received by individual patients could be derived from computerized nurse documentation. The resulting nursing care quantity measurements were then used in an analysis of relationships among nursing care, patient attributes, and patient outcomes.
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