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Nurses Play Vital Role in Forming Relationship Between Addicted Mother and Infant

Nurses Play Vital Role in Forming Relationship Between Addicted Mother and Infant

Leading nursing journal explores highly vulnerable population in need of nursing care

Washington, D.C., April 2, 2009 ­ The number of infants affected by maternal drug and alcohol use is on the rise. Currently, 18 percent of pregnant women are reporting tobacco use, 9.8 percent are reporting alcohol use and 4 percent are reporting illicit drug use during pregnancy, according to the Substance Abuse and Mental Health Services Administration. A new article in the March/April issue of the Journal of Obstetric, Gynecologic and Neonatal Nursing (JOGNN), published by the Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN), concludes that nurses need to enter a relationship with addicted mothers without bias to influence these mothers to form an early bond with their infant.

“Introducing a Caring/Rational Framework for Building Relationships With Addicted Mothers,”
by Jennifer Morton, MS, MPH, RN, and Shelley Cohen Konrad, PhD, LCSW, cites the Caring Rational Framework (CRF) as the cornerstone for building trust with and giving quality care to addicted mothers. The CRF is an integrative framework developed by the authors that requires nurses to be committed to communication and collaboration while understanding different cultures.

According to the article, if the relationship between an addicted woman and her health care professional is strained, the woman is four times less likely to receive the adequate preventive and ongoing health care she needs. Addicted mothers often enter the nurse/patient relationship with a feeling of distrust due to negative experiences with past health care providers. As a result, nurses often are viewed as judgmental by addicted mothers, causing them to be unreceptive to needed health care.

“All patients, regardless of their lifestyle, deserve the same quality of nursing care,” says AWHONN Executive Director Karen Peddicord, RNC, PhD. “Although addicted mothers pose great challenges to traditional nursing care, it is still important that nurses help these mothers bond with their infants from pregnancy onward to promote a healthy mother/infant relationship.” The CRF offers guidance to nurses on how to develop relationships with addicted mothers that can endure both the trials of substance abuse and the rigors of new parenthood, according to the article. The model advises nurses to work with compassion while remaining cognizant of the needs of addicted mothers in a health care setting. The CRF promotes a team model due to the difficulty of working with addicted mothers.

The article concludes that improvements in health care curriculum focused on addicted mothers and infants are needed for both nursing students and nursing professionals.

About JOGNN
The Journal of Obstetric, Gynecologic and Neonatal Nursing (JOGNN) is the bimonthly peer-reviewed journal of the Association of Women’s Health, Obstetric and Neonatal Nurses.

About AWHONN
The Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN) is the foremost nursing authority that advances the health care of women and newborns through advocacy, research and the creation of high quality, evidence-based standards of care.

AWHONN’s 23,000 members worldwide are clinicians, educators and executives who serve as patient care advocates focusing on the needs of women and infants.

A leader in professional development, AWHONN is the first and only association to be awarded the designation Premier Provider by the American Nurses Credentialing Center for innovation and excellence in Continuing Nursing Education.

In 2009 AWHONN celebrates its 40th anniversary of promoting the health of women and newborns. Founded in 1969 as the Nurses Association of the American College of Obstetrics and Gynecology, the association became a separate nonprofit organization called the Association of Women's Health and Neonatal Nurses in 1993. For more information, please visit us at http://www.awhonn.org

For more information or interviews, contact:
Kristin Mellon for AWHONN
202-296-2002
mailto:klm@ecius.netklm@ecius.net