Maternal health nursing Nursing theories

Middle age Theories: Maternal health nursing Nursing theories



Maternal health nursing is a specialty care area that is both complex and unique. The role of parents in a child health and development cannot be emphasized adequately. Similar to other areas of nursing, research has been conducted in this specialty and much needed research data has been made available for advanced practice nurses and other healthcare providers to implement into practice as they seek to provide evidence-based care to patients in need.

Please make sure to use key terminology covered from your readings on this subject. Answer every each questions separated, and Be specific.

Case Study
Ms. Montayer is a 23-year-old woman who is 1 day post-partum after delivering a healthy baby girl. As the advanced practice nurse taking care of her you review her chart to find that she has a history of post-partum depression, her husband is on military active duty and is currently out of the country. In your conversations with the patient, you also learn that she has limited family and social support.


1.What are the similarities and differences in how the meta-paradigm of nursing is defined according to both the Maternal Role-Attainment Theory and the Parent-Child Interaction Model?

2.What are some factors that might affect maternal role identity?

3. What are some characteristics that might influence the parent-child relationship?

4.What role does the microsystem, mesosytem and macrosystem play in this scenario?

Masters, K. (2015) Nursing theories: A Framework for Professional Practice. 2nd edition. Burlington, Massachusetts. Jones&Bartlett Learning. Chapter 23 & 24.


Q 1

The role attainment theory in maternal care health is a process in which a mother becomes attached to her child and she enjoys everything she does to the child (Husmillo, 2013). The roles of the mother are affected by the social support that she gets, the experience of birth, health and the separation of a mother from the infant during delivery. The role attainment theory creates bonds at pregnancy, birth and at postpartum. According to this nursing theory, every mother has a unique feeling when embarking on the new roles of taking care of the baby. Such experiences are influenced by her socioeconomic status, age and her health status. The maternal role attainment theory deals with metaparadigm of nursing in all aspects. This nursing theory ensures that each patient, say a mother is treated differently based on her unique needs. Nursing practices should bear in mind that every expectant mother has unique needs, and this theory allows the adaptation of each need. Child delivery is not enough to create a bond between a mother and the baby. However, several other facets are required in order for a mother to achieve her maternal roles. For example, a mother who has delivered a baby but is not in a good health condition will affect the mother-child bonding. The maternal attainment theory in nursing metaparadigm is important in addressing the environment of nursing practices.

In the parent child interaction model metaparadigm, the issue of child, parent and environment have been stresses. This form of interaction provided the reflective nature of the environment of the child (Gurwitch et al., 2017). Since the mother child environment factors are interactive, any changes in one factor affect the other. According to this nursing theory, the cues of the child should be encouraged while the environment of the mother should be properly taken care of. The transmission of cues, early responses and appropriate interventions are core duties of both the parent and the child. The parent child interaction model creates reinforcement for the nursing professionals to enhance a positive mother-child interaction from the delivery time.

Similarity: the parent child model and the mother attainment nursing theories can all be tailored to meet the needs of the child as well as the mother.


Physical and mental changes-they create a mixture of feelings such as joy and fulfillment of being a mother. On the other hand, motherhood comes along with child burden and responsibilities through adjustment of activities. The stress burden can negatively affect the growth of the child due to a low child-mother interaction (Barkin & Wisner, 2013). Social support- the mother needs to have social support which in turn improves her esteem and abilities to take care of the child


Parental depression- when a mother is depressed, she might not be able to offer satisfactory care to the child, which in turn affects the level of their interaction (Asselmann et al., 2015). Socioeconomic status- when the mother cannot afford the basic materials required for taking care of the child, they might be unhappy, conditions which may make them fail to provide adequate care to the child.


The microsystem in postparturm care involves the immediate environment of the mother and child which affects the maternal roles. The macrosystem involves the existing prototypes that are found in a certain culture, society or political influence and have effects on the mother-child interaction. The mesosystem involves the nature of interaction which exists due to influences and interaction with environment.


Asselmann, E., Wittchen, H. U., Lieb, R., & Beesdo-Baum, K. (2015). The role of the mother–child relationship for anxiety disorders and depression: results from a prospective-longitudinal study in adolescents and their mothers. European child & adolescent psychiatry, 24(4), 451-461.

Barkin, J. L., & Wisner, K. L. (2013). The role of maternal self-care in new motherhood. Midwifery, 29(9), 1050-1055.

Gurwitch, R. H., Messer, E. P., & Funderburk, B. W. (2017). Parent-Child Interaction Therapy. In Evidence-Based Treatments for Trauma Related Disorders in Children and Adolescents (pp. 341-361). Springer International Publishing.

Husmillo, M. (2013). Maternal Role Attainment Theory. International Journal of Childbirth Education, 28(2).


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