RESUMEN
Given the problems of access, retention, and relevant prenatal care content, supplements to existing programs for health-care delivery during pregnancy and after birth are necessary. This article describes a community-based approach to prenatal and postpartum care that has been developed to address these issues. Culturally sensitive strategies were created for use with Hawaiian, Filipino, and Japanese women living on the island of Hawaii. Six nursing care and community outreach interventions were used. Local public health nurses assisted in developing the program and are responsible for its coordination and implementation.
Asunto(s)
Etnicidad , Servicios de Salud Materna/organización & administración , Atención Posnatal/organización & administración , Atención Prenatal/organización & administración , Enfermería en Salud Pública/organización & administración , Participación de la Comunidad , Femenino , Hawaii , Accesibilidad a los Servicios de Salud , Necesidades y Demandas de Servicios de Salud , Servicios de Salud del Indígena/organización & administración , Humanos , Recién Nacido de Bajo Peso , Recién Nacido , Japón/etnología , Estilo de Vida , Filipinas/etnología , Proyectos Piloto , Desarrollo de Programa , Enfermería TransculturalRESUMEN
An adaptation process involving three cognitive themes provides the framework for community nursing model for prenatal care on the island of Hawaii. The themes are based on the cognitive adaptation model developed by Taylor (1983) and include search for meaning, sense of mastery, and self-esteem. Each theme is used to guide public health nurses and is identified during designated encounters between the nurse and woman throughout the duration of prenatal care. A focus on adaptation themes for each trimester of pregnancy expands on the medical model of prenatal care to highlight developmental processes of childbearing and broaden the scope of practice for public health nurses responsible for assessment and intervention in the community.