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Related Experiment Videos

Health care reform as an ongoing process

E K Ernst1

  • 1NACC Consulting Group, Perkiomenville, Pennsylvania.

Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN
|February 1, 1994
PubMed
Summary

Maternal and infant healthcare reform has evolved over 40 years, involving nurses in childbirth education, nurse-midwifery, and birth centers. These changes signify a major shift in healthcare delivery.

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Area of Science:

  • Maternal and infant health
  • Healthcare reform
  • Nursing practice

Background:

  • Maternal and infant healthcare has undergone significant transformation over the past four decades.
  • Nursing has played a pivotal role in initiating and facilitating these changes.
  • Parental involvement and control in childbirth experiences have increased.

Purpose of the Study:

  • To examine the evolution of maternal and infant healthcare reform.
  • To highlight the contributions of nurses in these reform movements.
  • To analyze the impact of these reforms on healthcare delivery.

Main Methods:

  • Historical review of maternal and infant healthcare reforms over the past 40 years.
  • Identification of key phases of reform involving nursing.
  • Analysis of the role of childbirth education, nurse-midwives, and birth centers.

Main Results:

  • Three distinct phases of reform involving nurses have been identified.
  • The childbirth education movement empowered parents.
  • Nurse-midwives gained acceptance as primary care providers, and freestanding birth centers emerged as holistic care environments.

Conclusions:

  • These reforms represent a paradigm shift in maternal and infant healthcare.
  • The evolution of care models aligns with current healthcare reform proposals.
  • Nursing's integral role in advancing patient-centered maternal and infant care is evident.

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