INTRODUCTIONPrimary nursing care de

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

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