Standards of Care for High-Risk Prenatal Clients: The Community Nurse Case Management Approach

Authors

  • Barbara Mawn Ph.D., R.N., M.S.,

    Corresponding author
    1. Barbara Mawn is a pediatric nurse HIV researcher at Children's Hospital, Boston, MA. Joan Bradley is a nursing consultant for the Families FIRST program and clinical instructor of community health nursing at University of New Mexico.
      *Address correspondence to Barbara Mawn, 9 Phoenix Road, Auburn, MA 01501.
    Search for more papers by this author
  • Joan Bradley R.N., M.S.

    1. Barbara Mawn is a pediatric nurse HIV researcher at Children's Hospital, Boston, MA. Joan Bradley is a nursing consultant for the Families FIRST program and clinical instructor of community health nursing at University of New Mexico.
    Search for more papers by this author

*Address correspondence to Barbara Mawn, 9 Phoenix Road, Auburn, MA 01501.

Abstract

Abstract The New Mexico Families FIRST project seeks to reduce maternal and infant morbidity and mortality through a nursing case management approach. The responsibilities of this community nurse include outreach, education, and care coordination of Medicaid-eligible high-risk pregnant women and their children. The standards of care for these families are derived from a screening tool that identifies medical, demographic, environmental, and psychosocial risks. Although evaluation of the nurse role and the tools used to identify and care for these women and children has not been completed, sharing the developmental stages of the process should facilitate similar endeavors.

Ancillary