INTRODUCTION
Primary nursing care delivers comprehensive and individualized nursing care to patients through the primary nurse who has the authority and autonomy to plan and implement such care (Sellick, Russell, & Beckmann, 1983).
Continuous primary nursing care (CPNC), a new modality of primary care that is based on and goes beyond primary nursing care, was introduced to the practice of obstetric nursing in China in 2008 to improve the quality of care for pregnant women (Wan, Yin, Hou, & Ding, 2009).
CPNC provides comprehensive and continuous individualized nursing care by a primary nurse to pregnant women eight weeks before admission to the hospital, during the hospitalization period, and two weeks after discharge from the hospital
(Wan et al., 2009). The major difference between primary nursing care and CPNC is the length of time that nursing care is provided to the patient by the primary nurse.
In the primary nursing care approach, the primary nurse provides nursing care only during patients’ hospitalization without
covering such an extended period of time.
To our knowledge, the majority of hospitals in China, including hospitals in the city of Shanghai, practice traditional task-oriented nursing care in which different nurses provide different nursing care according to assigned tasks such as administering medications, nursing education, providing nursing care to newborn, and so on (Yang, 2004).
There are several major problems in task-centered nursing care, including fragmental interpersonal relationships between primary care providers and pregnant women, problems with communication between primary care providers and patients, lack of systematic care, and poor patient education on obstetric knowledge (Yang, 2004).
Task-centered nursing care is particularly ineffective against preventing pregnant women’s early postpartum health
problems such as urinary retention, breast pain, and problems with breastfeeding (He, 2008).
INTRODUCTIONPrimary nursing care delivers comprehensive and individualized nursing care to patients through the primary nurse who has the authority and autonomy to plan and implement such care (Sellick, Russell, & Beckmann, 1983).Continuous primary nursing care (CPNC), a new modality of primary care that is based on and goes beyond primary nursing care, was introduced to the practice of obstetric nursing in China in 2008 to improve the quality of care for pregnant women (Wan, Yin, Hou, & Ding, 2009).CPNC provides comprehensive and continuous individualized nursing care by a primary nurse to pregnant women eight weeks before admission to the hospital, during the hospitalization period, and two weeks after discharge from the hospital(Wan et al., 2009). The major difference between primary nursing care and CPNC is the length of time that nursing care is provided to the patient by the primary nurse. In the primary nursing care approach, the primary nurse provides nursing care only during patients’ hospitalization withoutcovering such an extended period of time.To our knowledge, the majority of hospitals in China, including hospitals in the city of Shanghai, practice traditional task-oriented nursing care in which different nurses provide different nursing care according to assigned tasks such as administering medications, nursing education, providing nursing care to newborn, and so on (Yang, 2004).There are several major problems in task-centered nursing care, including fragmental interpersonal relationships between primary care providers and pregnant women, problems with communication between primary care providers and patients, lack of systematic care, and poor patient education on obstetric knowledge (Yang, 2004). Task-centered nursing care is particularly ineffective against preventing pregnant women’s early postpartum healthproblems such as urinary retention, breast pain, and problems with breastfeeding (He, 2008).
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