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Introduction. Bill Identification and Summary
- H.R. 4387: Maternal health quality improvement Act of 2021
- Introduced in June 2021 by Robin Kelly
- Has 20 cosponsors with a 4% prognosis
- Seeks to amend the public health service Act
- Aims to improve obstetric care in rural areas
- Requires identification of social determinates of poor obstetric care
Bill Identification and Summary Continuation…
- Seeks to eliminate social determinates of poor obstetric care
- Poor obstetric care lead to maternal mortality (Kelly, 2021)
- Evidence-based practices and innovations improve obstetric care
- Aims to integrate services for pregnant and postpartum women
- Create maternal vaccine awareness
Impact of Bill on Nursing Practice Standard
- Compel nurses to assess the risks and communicate
- Provide technical assistance and implementation of safe obstetric care practices
- Require nurses to conduct adequate assessment of the state of obstetric care
- Promotes effective and timely communication of outcome assessment
- Offer collaborative leadership among other health care providers (Heinen et al., 2019)
- Training of nurses to ensure knowledge-based practices
Impact of Bill on Own Nursing Practice
- Give opportunities to healthcare professionals to offer collaborative efforts
- Enhances proactive nursing practice in offering data for situational assessment
- Proactive nursing practice offer data for situational assessment
- Eliminate inequality hence improves ethical practice
- Puts responsibility on nurses to implement evidence-based care
Communication Strategies
- Timely reports from secretary of health and human services
- Dissemination of best obstetric care practices
- Conducted by the secretary of health and human services
- Nurses and medical care providers to disseminate patients
- Communication seeks to create awareness
- Awareness areas include maternal vaccination and complications
- Seeking recommendation on whether program should continue
Community Impact of the Bill
- Improving obstetric care in racial and ethic minority populations (Kelly, 2021)
- Respect any bias that may affect provision of care
- Priority to communities with high rates of maternal mortality and morbidity
- The communities receive top priority in offering grants (Kelly, 2021)
- Improved maternal and infant health upon identification of obstacles to better service
- Identification of obstacles to better health will reduce health disparities
References
Heinen, M., Oostveen, C V., Peters, J., Vermeulen, H., & Huis, A. (2019). An integrative review of leadership competencies and attributes in advanced nursing practice. Journal of Advanced Nursing, 75(11), 2378-2392. Web.
Kelly, R. (2021). Maternal health quality improvement Act of 2021. Congress. Web.
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