Key Benefits:
Article 21 of Law 44/2003, of 21 November, of management of the health professions and Article 7 of the Royal Decree 450/2005 of 22 April on Nursing specialties, respectively, the the procedure for approving the training programs of the health specialties in general and the nursing specialties in particular, in both cases providing for their publication in the Official Gazette of the State for general knowledge.
The National Commission for the Speciality of Obstetrician-Gynaecological Nursing (Matrona), has developed the training program of this specialty that has been ratified by the National Council of Specialties in Health Sciences, Advisory body of the Ministries of Health and Social Policy and Education in the field of specialised health training.
In addition, this training program has been studied, analyzed and reported by the Human Resources Commission of the National Health System, among others, the health counselors of the various communities. The Ministry of Education and the Autonomous University of the Ministry of Education.
In its virtue, in accordance with the provisions of Article 21 of Law 44/2003, of 21 November, and in Article 7 of Royal Decree 450/2005 of 22 April, previous reports of the Commission on Human Resources of the System National of Health and Ministry of Education, I have:
First. -Approve the training program of the Obstetrician-Gynecologic Nursing Specialty (Matrona), whose content is published as an annex to this Order.
Second. -This training program will apply to the residents of the Obstetrician-Gynecological Nursing Specialty (Matrona) who obtain a place in training in the Teaching Units of that specialty, starting with the Order SCO/2646/2008, of 15 September, for which the 2008 selective test is called, for access in 2009, to places of training of the Nursing specialties Obstetrician-Gyneco (Matrona) and Nursing of Mental Health.
Single transient disposition.
To residents who had started their training in the Obstetrician-Gynecological Nursing Speciality (Matrona) for having obtained a place in training in calls prior to the one mentioned in the second section of this Order, the previous programme of that specialty, drawn up on 7 February 2007, by the National Commission for the speciality, shall apply to them.
However, the guardian, with the verification of the corresponding Teaching Commission and the previous acceptance of the resident, may adapt the individual training plans to the new training programme, in so far as such adaptation is compatible with the general organisation of the unit in which the resident is being trained and with the specific situation of each of them.
Final disposition.
This Order shall enter into force on the day following that of its publication in the "Official State Gazette".
Madrid, May 6, 2009. -Minister of Health and Social Policy, Trinidad Jiménez García-Herrera.
ANNEX
Official Program of the Specialty of Gynecological Obstetric Nursing (Matrona)
1. Official name of the specialty
Obstetrician-Gynaecological Nursing (Matron).
Duration: 2 years.
Prior Training: Diplomacy/Graduate U. in Nursing.
2. Introduction
The matron is an internationally recognized professional in all healthcare systems in which it is considered an essential figure that has an impact on a social field as important as maternity and comprehensive care. during the life cycle of women in all phases: reproductive health, climate and sexuality.
The training of these professionals should be adapted to the evolution of scientific and technological knowledge and to the evolution of their field of action in the various health systems. In this respect, the importance they have acquired in the 1980s, the facets of prevention and promotion of health, has involved an extension of the scope of this specialist beyond its traditional activities in the Pregnancy, childbirth, and postpartum care, which have undoubtedly had an impact on the approach and characteristics of this program.
The strength of this profession is evident in its recognition, both by the World Health Organization, and by the European Union, in which Matrona is a regulated profession, with a specific competence profile and with minimum harmonised training in all Member States, by means of the forecasts contained in Section 6 of Chapter III of Directive 2005 /36/EC of 7 September of the European Parliament and of the Council, which this training programme more than meets the requirements. This Directive has been transposed into our legal order through Royal Decree 1837/2008 of 8 November, which incorporates into Spanish law Directive 2005 /36/EC of the European Parliament and of the Council of 7 of September 2005, and Council Directive 2006 /100/EC of 20 November 2006 on the recognition of professional qualifications and certain aspects of the exercise of the profession of lawyer (BOE of 20 November 2006). 2008).
Between the two training models provided for in Article 40 of Directive 2005/36, cited above (direct training or specialised post-graduate training), Spain opted in 1992 for a training of matron which is credited with an official title of specialist, which requires having previously obtained the degree of Diploma/Graduate degree in nursing and having been evaluated positively after having completed the program of the nursing specialty Obstetrician-Gynecine (Matrona) by the residence system.
The prior requirement of the degree of diploma/graduate in nursing determines that the professional who accesses this specialty already has a broad general training in nursing, which allows this program to focus on the Theoretical knowledge and clinical activities and practices more closely related to the specialty of Obstetrician-Gynecologic Nursing (Matrona) and with the demands that the current society requires of this professional.
The system of residence established for the training of midwives in 1992 and definitively consolidated for all specialties in health sciences by the forecasts contained in Chapter III of Title II of the Law 44/2003 of 21 November 2003 for the management of health professions, and their development provisions, has proved to be an appropriate procedure for midwives to acquire a multi-purpose professional profile during their training period, linked to both Primary and Specialized Care, through the implementation of teaching-care activities closely linked to the care practice and the ordinary activity of health centres and services, which has determined, as well, the active participation in teaching (along with resources from the university) of the midwives who provide services on the various devices that make up the teaching units in which they carry out, with excellent results, a fundamental role in the supervision, tutoring, evaluation and monitoring of residents over the course of the two years of the training programme.
finally, it is appropriate to make a terminological clarification concerning the use in this programme of the term "matron" which includes all persons, women and men, who are in possession of any of the diplomas or diplomas of matron that they enable in our country for the exercise of the profession, using the female gender to refer to these professionals. Similarly, when in this program the term "resident matron" is used, it refers to all the nurses who are performing the nursing specialty Obstetrician-Gynecology (Matrona).
3. Definition of the specialty. Scope of action and professional profile of the Matron linked to its professional skills
The midwife is the healthcare professional who, with a responsible scientific attitude and using the clinical and technological means appropriate to the development of science at every moment, provides comprehensive health care sexual, reproductive and maternal of the woman, in its preventive, promotion and health care and recovery aspects, including the same care for the mother, in the diagnosis, control and assistance of the pregnancy, delivery and normal puerperium and the care for the healthy newborn child, up to the 28th day of life.
The scope of the midwives includes Primary Care (which includes health, community, family and home) and the Specialized Care (which includes the hospital or other dependent devices of the ). At the same time, midwives can pursue their profession in the public, private, self-employed and self-employed sectors.
Midwives should have an active participation in women's care programs at all stages of life, sexual and reproductive health, and maternal and child health. In these programs, the midwife favors normality in the physiological process in the care of pregnancy, childbirth and puerperium, in addition to developing activities to promote and prevent sexual, reproductive and climate health, in consonance. with the demands of society and in the framework of global health policies such as the "Strategy of Normal Delivery" approved by the Interterritorial Council of the National Health System in November 2007.
The competence profile of the nurse specialist in Obstetrician-Gynaecological Nursing (Matrona), which is contained in this training program, has been adjusted to the guidelines derived from the International Confederation of Matrons, to the guidelines of the European Union contained in Article 55 of Royal Decree 1837/2008 of 8 November, which refers to professional activities which, as a minimum, must be carried out by midwives as well as the needs of the National System Health, the evolution of scientific knowledge and the demands of society Today, he calls for a much more involved professional in the preventive and health promotion aspects of women.
The competency profile derived from such a scheme determines that upon completion of their training program the midwife must be competent and consequently be able to:
a) Participate and, where appropriate, lead and energize maternal and child health programs, women's care, and sexual and reproductive health.
b) Pay attention to the mother-child binomial in the diagnosis, control and assistance during pregnancy, assisting with the appropriate clinical and technological means.
c) Pay attention to the mother-child binomial in the diagnosis, control and assistance during delivery, assisting with the appropriate clinical and technological means.
d) Pay attention to the mother-child binomial in the diagnosis, control and care during the puerperium, helping with the appropriate clinical and technological means.
e) Pay attention to the neonate aimed at encouraging adaptation processes and early detection of risk situations.
f) Detect the risk factors and health problems in the mother-child binomial during pregnancy, childbirth and puerperium, carrying out diagnostic, control, referral and follow-up activities, and, in necessary, take the necessary emergency measures.
g) Make adequate health education for women, family and community by identifying learning needs in relation to maternal and child health, sexual, reproductive and climate health, the different educational programmes related to the needs identified.
h) Conduct sexual affective advice and reproductive advice to women, youth and family.
i) Promote a positive experience and an attitude responsible for sexuality in the population and advise on contraception.
j) Conduct activities to promote, prevent and collaborate in the care and recovery activities of sexual, reproductive and climate health of women.
k) Detect genetic risk factors and gynecological problems in the woman, to derive, where appropriate, the competent professional.
l) Apply the principles of clinical reasoning, problem detection, decision making, action plan and care and evaluation, appropriate to the different clinical situations in the scope of the matron.
m) Establish effective communication with women, family and social groups.
n) Work and communicate effectively with the health team.
o) To exercise the profession of matron in an ethical manner based on the legislation in force and to assume the responsibility derived from its actions.
p) Advise on current legislation aimed at protecting the rights of women and their families.
q) Manage existing activities and resources in the area of maternal and child health care and sexual and reproductive health care.
r) Issue the required reports and effectively record the activities performed.
s) To carry out teaching activities aimed at the midwives themselves and other health professionals, at any of their levels.
t) Develop research activities aimed at the continuous improvement of the professional activity, and therefore the level of health of the woman and the newborn.
u) Conduct a clinical practice based on available scientific evidence.
v) Keep professional skills up to date.
w) Lead and develop the specialty through professional engagement.
The complexity of the functions attributed to the Matrona are part of the principles of interdisciplinarity and multidisciplinarity of the professional teams in health care that enshrines the Law 44/2003 of 21 November 2003 for the management of health professions.
4. General features and structure of the program
4.1 Legal Regime of Training.
4.1.1 The specialized healthcare training system of our country has set up the profession of matron as a nursing specialty and, as such, appears related in the Royal Decree 450/2005, of April 22 on Nursing specialties.
In this respect and as set out in Article 15 of Law 44/2003, of 21 November, of ordination of the health professions, the specialized training in Health Sciences, is a regulated and character formation The aim is to provide specialists with the knowledge, techniques, skills and attitudes of the relevant specialist at the same time as the progressive assumption by the person concerned of the inherent responsibility of the self-exercise of the same.
4.1.2 To obtain the title of the Nursing specialty Obstetrician-Gynecology (Matrona), the resident midwives will fulfill the training program in multi-professional teaching units of obstetrics and gynecology, accredited for the training of obstetrician-gynaecological (Matron) nursing specialists who meet the general accreditation requirements approved for the purpose, for a period of two years full time, which shall include, as provided for in the Article 54,1b) of Royal Decree 1837/2008 of 8 November (transposing the Directive) 2005 /36/EC), a minimum dedication to teaching-care activities of 3,600 hours.
4.1.3 Access to training, organization, supervision, evaluation and accreditation of multi-professional teachers of obstetrics and gynecology will be carried out in accordance with the provisions of Royal Decree 183/2008, of 8 of February, by which the specialties in Health Sciences are determined and classified, and certain aspects of specialized health training are developed.
4.1.4 The legal regime governing the employment relationship that unites the resident matron with the entity holding the teaching unit where it is being formed will be in line with the provisions of Royal Decree 1146/2006 of 6 October 2006. the special employment relationship of residence for the training of specialists in health sciences is regulated.
To these effects, the theoretical and clinical training of this program will be carried out during the working day, without prejudice to the hours that are provided in the concept of continued care and the personal hours of study. margin of that day.
4.2 General objective of the programme: Acquisition of competencies.
The general objective of this programme is that, at the end of the training period, the resident matron has acquired the professional skills listed in paragraph 3 above, through the development of the skills specific to those referred to in paragraph 7, carried out at the sites and linked to the activities referred to in paragraph 8 of this programme.
This practical-clinical training is the central axis of this program, since the residence system consists, fundamentally, in learning by doing so. Its content and characteristics shall be in accordance with paragraph 6 of this programme.
To this end, the acquisition of theoretical knowledge will be guaranteed through the devices provided for this purpose in the accreditation file of the teaching unit. Its content, duration and characteristics shall be in accordance with paragraph 5 of this programme.
4.3. Teaching methodology.
Educational techniques, both in-person and semi-face-to-face, will be used, with a teaching methodology that gives priority to tutoring active learning, the use of creative educational methods, weighting and coordination with clinical training, through an experiential learning that implies a working relationship between the resident and the entity that holds the teaching unit where it is being formed.
To encourage learning of knowledge, attitudes and skills will be used: expositive sessions, reading or video with discussion, bibliographic searches, group work, workshops, seminars, case resolution, project development, dramatised experiences, simulated experiences, clinical training, clinical sessions, portfolio, resident's book, participation in scientific events related to the specialty, etc.
For the acquisition of the competencies mentioned in this program, the training leaders will carry out teaching strategies that favor critical thinking and allow the integration of theoretical training with the clinical and research training to be carried out on the various devices that make up the teaching unit.
4.4 Evaluation.
The monitoring and qualification of the training process for the acquisition of professional skills during the period of residence will be carried out by continuous, annual and final training evaluation, as indicated by the Royal Decree 183/2008.
5. Theoretical knowledge
5.1 Teaching Methodology.
The teaching methodology used for the acquisition of theoretical knowledge will be described in section 4.3 of this program.
5.2. Duration and content.
The resident's dedication to the acquisition of theoretical knowledge will be 26% of the total duration of the training program, calculated on the effective annual day (without counting continuous attention) applicable to the residents of the teaching unit concerned.
The theoretical training required for clinical practice will cover the subjects developed in the Annex to this programme, according to the following headings:
Maternal and Newborn Nursing I.
Maternal and Newborn Nursing II.
Nursing of Women and the Family.
Education for Women's Health.
Administration of the Obstetrician-Gynecological Services (Matrona).
Research in Obstetrician-Gynaecological Nursing (Matrona).
Legislation and Deontology in Obstetrician-Gynaecological Nursing (Matrona).
Theoretical training may be taught, according to the own characteristics and resources of each teaching unit, in a shared way (with residents of other teaching units), uninterrupted in a specific period of the programme (b) training or in a split form over that period.
6. Clinical practice. Minimum activities and guards
6.1 Characteristics of clinical practice.
The purpose of the clinical training is to enable the resident midwife to carry out the activities of a caring nature during the training period, with the acquisition of theoretical knowledge, which is considered necessary for to acquire the professional skills mentioned in this programme, with a decreasing supervision.
For these purposes, during the first year of training such supervision shall be physically present, having a decreasing character during the second year of training, until, at the end of the training year, the degree of responsibility inherent in the autonomous exercise of the profession.
Between 60 %-70% of the clinical training will be carried out in specialized care, in a hospital where the maternal and child care program is carried out, and between 40 %-30% in primary and community care, where they develop Women's and/or sexual, reproductive and climate health care programs.
6.2 Internal rotations during the clinical practice period.
Resident midwives to acquire the expertise of this specialist will rotate through the clinical and community areas indicated:
6.2.1 Specialized Care: Hospital:
Obstetrician-gynecological Emergencies.
Delivery unit.
Pumps unit.
Risk obstetrics units: External consultations, hospitalization, and operating room.
Fetal physiopathology.
Neonatology unit (nests and intermediate care).
Gynecology unit: external queries.
6.2.2 Primary-community Care:
In health centers, home care and community care where the following maternal and child health programs and sub-programs are performed: sexual, reproductive, and climate health:
Reproductive Council.
Prenatal Control.
Education for maternity and parenthood.
Home and query puerPort.
Family planning and contraception.
Sexual-affective Council.
Attention to young people.
Preventive activities in sexual and reproductive health.
Early diagnosis of gynecological and breast cancer.
Menopausal/Climaterio. Women's health education program during the menopause and climate.
Gynecology.
Community-led educational activities in the field of maternal and child health and sexual and reproductive health: youth, schools, women's associations, and others.
6.2.3 Radiation protection training.
During this period, the training of the nurse resident in radiation protection will be carried out for the acquisition of basic knowledge in this field, which will be in accordance with the European Guide. 'Radiological protection 116', in the terms set out in Annex II to this programme. For these purposes, nurses in the training of the Nursing Specialty Obstetrician-Gynaecological (Matrona) will acquire the training in radiation protection provided for in the Joint Resolution of 21 April 2006, from the Directorates General de Public Health and Human Resources and Economic and Budgetary Services of the Ministry of Health and Consumer Affairs, by which it is agreed to incorporate in certain training programmes of specialties in Health Sciences training in protection radiological.
6.3 Minimum clinical learning activities.
At the end of the training period, the resident matron must have performed at least the following activities under appropriate supervision:
Interview and clothing of the medical history of reproductive health (obstetrician-gynecological) of 100 women.
Control and assistance of pregnant women involving at least 100 prenatal examinations.
Monitor and assist 40 pregnant women at risk.
Carry out a Maternal Education program in 2 women's groups.
Attend 100 parturients with appropriate clinical and technical means.
Attend a minimum of 80 normal deliveries.
Attend 40 parturients who present high risk factors.
Participate actively in the care of the instrumental delivery or cesarean section of 20 women.
Perform monitoring, care, and recognition of 100 puerperas.
Perform the supervision, care, and recognition of 100 healthy newborns.
Observation and care for at least 20 newborns who need special care (pre-term, post-term, low-weight, or health-related).
Take cervical and vaginal samples, for cytologies, fresh exams, crops, and other tests, in at least 150 women.
Advice and care for at least 40 women in gynecology.
Advice and care for at least 20 women in the climate.
Detection and counseling of 30 women who have sexually transmitted infections.
Advise on contraception and sexuality to 60 women including emergency contraception and voluntary termination of pregnancy.
Attend and advise 25 young people individually on sexuality and contraception.
Participate by taking responsibility for two group interventions of sexual and reproductive education aimed at women and youth in the community.
Participate actively in at least one climate program.
Make home visits to the newborn and puerpera.
The above activities are, by far, the objectives set for the practical and clinical teachings in Article 53.2 (a) in conjunction with Annex V. 5.5.5.1 B to Royal Decree 1837/2008 of 8 November 2009, for which Directive 2005 /36/EC is transposed into our legal order.
6.4 Services provided in continuous care.
The services provided in the concept of continuing care are of a formative nature, will be carried out during the two years of the training in the specialty and will be programmed subject to the regime of working day and rest establishes the current legislation.
The guards will be performed on any device of the teaching unit and will be planned taking into account the fulfillment of the objectives of the training program.
It is advisable to perform between two and four monthly guards.
7. Professional skills, broken down into specific competencies and criteria for acquisition
For the acquisition of the professional skills which have generally been mentioned in paragraph 3 of this programme, the training matron will have to develop in the course of his training period the specific skills which are linked to each of those, for which the various criteria for their acquisition have been determined, as provided for in the table below:
a) Participate and, where appropriate, lead and energize maternal and child health programs, women's care, sexual health, reproductive health, and climate.
|
Competence | Realization |
|---|---|
| Promote the physiological processes of maternal and child health, sexual, reproductive and climate health | Support women's informed preferences, decisions and choices in health child-child, sexual, reproductive and climate health. |
b) Pay attention to the mother-child binomial in the diagnosis, control and assistance during pregnancy, assisting with the appropriate clinical and technological means.
|
Competence | Realization |
|---|---|
| Diagnose and perform normal pregnancy control and follow up. | Captar pregnancy early. |
c) Pay attention to the mother-child binomial in the diagnosis, control and assistance during delivery, assisting with the appropriate clinical and technological means.
|
Competencies | Realization |
|---|---|
| Attend Women in the Delivery Process | Diagnose childbirth and its phases. |
|
Competencies | Realization |
|---|---|
|
| Detect health problems. |
|
Recognize and deliver care to the newborn and in case of need to perform immediate resuscitation. |
Immediately care for the newborn to facilitate adaptation to extra-uterine life. |
d) Pay attention to the mother-child binomial in the diagnosis, control and care during the puerperium, helping with the appropriate clinical and technological means.
|
Competencies | Realization |
|---|---|
| Attend and monitor the evolution of the mother and neonate during the puerperium. | Rate the physical and psychosocial status of the mother. |
e) Pay attention to the neonate aimed at encouraging adaptation processes and early detection of risk situations.
|
Competencies | Realization |
|---|---|
| Attend and monitor the evolution of the healthy neonate during the first month of life. | Perform an overall assessment of the neonate, including the different scanning techniques physical. |
f) Detect the risk factors and health problems in the mother-child binomial during pregnancy, childbirth and puerperium, carrying out diagnostic, control, referral and follow-up activities, and in the necessary, take the necessary emergency measures.
|
Competence | Realization |
|---|---|
| Pay attention to the woman who presents health problems in pregnancy, childbirth, and puerperium. | Carry out the necessary tests for early diagnosis of high risk pregnancy, delivery and puerperium. |
g) Make adequate health education for women, family and community, identifying learning needs in relation to maternal and child health, sexual health, reproductive health and the climate, carrying out the different educational programmes related to the needs identified.
|
Competence | Realization |
|---|---|
| Carry out health education programs in pregnancy, birth, and postpartum. | Identify health education needs at the individual, group and community level in the different groups. |
|
Competence | Realization |
|---|---|
|
| Perform programs aimed at women and their partner during pregnancy and postpartum, including preparation for birth, maternity, and parenting. |
h) Conduct sexual affective advice and reproductive advice to women, youth and family.
i) Promote a positive experience and an attitude responsible for sexuality in the population and advise on contraception.
|
Competence | Realization |
|---|---|
| Provide Education and Sexual-Sexual Advice. | Identify and capture the risk and/or most vulnerable population early. |
j) Collaborate in the realization of activities to promote, prevent, assist and recover the sexual and reproductive health of women.
k) Detect women risk factors and gynecological problems.
|
Competence | Realization |
|---|---|
| Carry out early detection activities for cervical cancer. | Identify and capture the risk population and/or the most vulnerable in the early stage. |
l) Apply the principles of clinical reasoning, problem detection, decision making, care and care plan and appropriate assessment to the different clinical situations in the scope of the midwife.
|
Competence | Realization |
|---|---|
| Apply the clinical reasoning in the care practice of the midwives. | Analyze and interpret the information obtained from the anamnesis. |
m) Establish effective communication with women, family and social groups.
|
Competence | Realization |
|---|---|
| Use strategies and skills that allow effective communication with the woman and the family. | Promoting a favorable environment that facilitates communication with women, family and/or groups. |
n) Communicate effectively with the health team especially with those with whom it shares scope.
|
Competence | Realization |
|---|---|
| Work as a team in the different areas of maternal and child care and sexual and reproductive health care. | Communicating effectively with the entire team multidisciplinary to intervene in the care of the population in matters of maternal and child health, sexual health, reproductive health and climaterio. |
o) To exercise the specialty of matron in an ethical way based on the legislation in force and assume the responsibility derived from its actions.
|
Competence | Realization |
|---|---|
| Develop a professional practice according to the current legislation. | Identify the legal aspects that govern the professional exercise and clinical practice of midwives. |
p) Advise on current legislation aimed at protecting the rights of women and their families.
|
Competence | Realization |
|---|---|
| Advise the woman about the existing legislation related to sexual and reproductive health. | Orienting women in the different legal procedures related to the scope of the specialty. |
q) Manage existing activities and resources in the area of maternal and child health care and sexual, reproductive and climate health care.
|
Competence | Realization |
|---|---|
| Participate in the organization of services and programs for maternal and child health, women's care and sexual, reproductive and climate health, both in primary and community care and in care specializa/hospital. | Identify healthcare models in Spain and the service portfolios that are offered to the citizenry. |
|
Competence | Realization |
|---|---|
| Participate in the Community Health Diagnosis in conjunction with the health team. | Participate in the coordination between the care levels: maternal hospital children/specialized care and programs of care for women/sexual health, reproductive and climate, in primary care/ Community. |
r) Issue the required reports and effectively record the activities performed.
|
Competence | Realization |
|---|---|
| Handle and elaborate the different systems of registration of obstetrician-gynecological and care units to women, sexual health, reproductive and climate. | Register and issue reports rigorously of all actions which are derived from the attention of women, neonates and family. |
s) and t) Develop teaching activities aimed at the midwives themselves and other health professionals, as well as research activities aimed at the continuous improvement of the professional activity, and therefore of the level of the health of the woman, the newborn and the family.
|
Competence | Realization |
|---|---|
| Fundamentar your clinical practice in the results obtained from scientific research and in the best available evidence. | Identify the bases and know the usefulness of the clinical practice based on evidence. |
| Generate scientific knowledge. | Identify the problems of research from his clinical practice. |
|
scientific knowledge. | Writing scientific work of their specialty. |
u) and v) Conduct a clinical practice based on available scientific evidence and keep professional competencies up to date.
|
Competence | Realization |
|---|---|
| Be responsible for updating the craft in an updated manner. | Detect your own learning needs. |
8. Specific competences, linked to activities and places of implementation
Resident midwives will acquire the specific competencies in the different health devices and programs through the development of care and educational activities that correspond to the content of the program. training.
|
diagnose and perform normal pregnancy monitoring and | |
|
care | Activities |
|---|---|
|
Query. | Perform prenatal controls. |
|
Hospital |
|
|---|---|
|
Obstetric Emergency Unit. | Attend parturients. |
| Recognize and deliver care to the newborn and in case of need to perform immediate | |
|
| |
|---|---|
|
Activities | Perform the assessment, recognition and care of the healthy newborn |
| Attend and monitor the evolution of the mother during the puerperium | |
| Hospital/Attention Primary | Activities |
|---|---|
| Pumps Unit. | Perform assessment and assistance by monitoring control and follow-up at the puerperium |
|
attention to the neonate aimed at encouraging adaptation processes and early detection of risk situations. Assist and monitor the evolution of the neonate during the first month of life | |
|
Hospital/Primary Care | Activities |
|---|---|
| Pumps unit. | Perform the supervision, care and recognition of healthy newborns. |
|
attention to pregnant woman with health problems during pregnancy | |
|
Primary /Hospital | Activities |
|---|---|
| Matron query. | Making assessment, care and care for pregnant women at risk |
|
attention to women with health problems during childbirth | |
| Hospital |
Activities |
|---|---|
|
Paritorious Unit. | Actively participate in instrumental or cesarean delivery. |
|
attention to women with health problems during puerperium | |
|
Hospital |
Activities |
|---|---|
|
Unit. | Perform assessment, assistance, control, follow-up, care, and recognition of puerperas. |
|
Hospital |
|
|---|---|
| Unit of neonates. | Valuation and care of newborns who need special care |
|
affective-sexual education and counseling. Provide affective-sexual, contraceptive, and risk-prevention care in young people | |
|
Care | Activities |
|---|---|
| Matron Query. | Carrying out sexual and reproductive education group interventions targeting women and youth in the community. |
|
Care | Activities |
|---|---|
| Matron Query. | Advising women's contraception to include emergency contraception and voluntary termination of pregnancy. |
| Perform Risk Behavior Prevention and STI Detection and Advice. Participate in and collaborate in the diagnosis and treatment of gynecological and sexually transmitted | |
|
Care/Hospital |
|
|---|---|
|
Matron Query. | Detection and counselling of women presenting STIs. |
|
out early cervical cancer screening activities. Collaborate in the detection of breast and gynecological cancer. Participate in and collaborate in caring for women with gynecological | ||
| Care/Hospital | Activities | |
|---|---|---|
| Matron query. | Interview and clothing of the women's reproductive health medical history. | |
|
Primary/Hospital | Activities |
|---|---|
| Matron Query. | Interview and clothing of the medical history of reproductive health. |
|
out health education programs in pregnancy, birth and postpartum | |
|
Activities | |
|---|---|
| Carrying out a Maternal Education program | |
|
Care | Activities |
|---|---|
|
Center. | To conduct group interventions of sexual and reproductive education aimed at women and youth in the community. |
|
existing activities and resources in the area of maternal and child health care and sexual and reproductive health care | |
|
Care /Hospital | Activities |
|---|---|
| All Units and Queries. |
Apply throughout training in all policy areas of the matron. |
|
Care /Hospital | Activities |
|---|---|
| All Units and Queries. | Develop a research project. |
| Primary Care /Hospital | Activities |
|---|---|
|
All Units and Queries | Apply throughout training in all fields of matron |
ANNEX I
TO THE GYNECOLOGICAL OBSTETRIC NURSING TRAINING PROGRAM (MIDWIVES)
Theoretical training
Maternal and Newborn Nursing I
The purpose of this study is to provide the midwife with the necessary knowledge about human reproduction, pregnant woman, delivery, normal puerperium and healthy newborn, who are able to to provide comprehensive care for the woman, the newborn, and the family during these normal processes.
1. Human reproduction:
Objective: Acquire knowledge about the biological process of women's reproduction and sexual cycle and their psychological and social implications.
Anatomy of female reproductive organs. Female genital apparatus. Internal genitals. External genitals. Irrigation. Lymphatic system. Innervation. Related pelvic organs. Bone pelvis. Anatomy of the breast.
Physiology of the female reproductive system. Female reproductive physiology. Steroid hormones. Ovarian cycle. Endometrial cycle. Menstrual cycle. Neurohormonal regulation.
Anatomy and physiology of the male reproductive system. Male genital apparatus. Glands, ducts, and support elements. Male reproductive physiology. Male sex hormones. Neurohormonal regulation.
Gametogenesis. Ovogenesis. Spermatogenesis.
2. Human prenatal development:
Goal: Understand the succession of transformations that the fertilized egg develops to give rise to the formation of a new being.
Fecundation, implantation, germination disc. Intrathubaric ovular progression. Implementation. Multiple gestation. Germination disc formation.
Embryonic period. Development of the embryo. Organogenesis.
Fetal period. Fetal development and maturation. Fetal physiology.
Development and structure of the placenta. Decide. Amniotic fluid. Amnios and corion. Placenta by term. Functions of the placenta. Placental hormones. Umbilical cord. Fetoplacental circulation.
3. Pregnancy:
Objectives: To know the bio-psycho-social aspects of pregnancy, to acquire the necessary skills to provide care to the pregnant woman and to show a positive attitude in relation to the needs of women in this period.
Acquire knowledge, attitudes, and skills needed to be able to lead Maternal Education programs.
Pre-Conceptional Query. Preventive activities.
Pregnancy. Pregnancy and anatomical-physiological modifications. Nomenclature. Duration of pregnancy.
Diagnosis of gestation. Biochemical tests. Ultrasound. Signs and symptoms.
Prenatal care. Program for the control of pregnancy. Obstetric history. Assessment of the state of health. Initial general scan. Obstetric exploration. Additional tests. Assessment of perinatal risk. Prenatal control protocols.
prenatal diagnosis. Non-invasive techniques. Invasive techniques. Counseling of the couple in prenatal diagnosis.
Fetal welfare assessment. Clinical methods. Biophysical monitoring. Ultrasound. Amnioscopy. Other techniques.
Health education to the pregnant woman. Healthy habits. Sexuality. Common discomfort during pregnancy. Warning signs. Promotion of breastfeeding. Birth plan.
Nutrition of the pregnant woman. Importance of nutrition in pregnancy. Assessment of the diet. Special situations. Dietary advice in gestation.
Factors that affect the development of pregnancy. Principles of teratogenesis. Alcohol. Tobacco. Drug addiction. Toxic substances. Radiation. Stress. Advice to the manager.
Drugs in gestation. Pharmacology in gestation. Mechanisms of action in the mother and the fetus. Use and management of drugs in pregnancy. Indications, pharmacological interaction and dosage.
Psychosocial aspects in pregnancy. Cultural and religious influences. The meaning and the impact of pregnancy on the couple and the family and social environment. Psychological changes in pregnancy. Affective link.
Maternity education programs. History. Objectives. Current trends. Theoretical and practical content. Physical exercises, pelvic floor exercises, and body static. Respiratory exercises. Relaxation exercises.
4. Childbirth:
Objectives: Understanding the processes of a normal birth and the different forms and areas in which it can be developed, from a physical, psychological and social point of view.
Provide the training midwife with the necessary knowledge to assess, plan and administer care for women and their child in the different phases of delivery, considering the whole from a comprehensive perspective, encouraging in each case the active participation of women and their partner when necessary.
Labor and delivery. Nomenclature. Physiology of uterine contraction. Uterine activity. Causes of the onset of labor.
Factors involved in childbirth. The fetus: fetal static; fetal head. Birth canal: soft channel and bone pelvis. Birth engine.
Starting delivery and periods of delivery. Start of labor. Delivery prodroms. Period of dilation. Eject period. Period of delivery.
Delivery mechanism in vertex presentation.
Care and care for women in childbirth. Assessment and care of women in admission. Birth diagnosis. The partogram. Care and care for women during dilation. Assessment of the evolution of childbirth. Care and care of the woman in the eject. Episiotomy and episiorraffia. Care and care of the woman in the delivery. Cord blood extraction and donation. Protocol for delivery assistance.
Fetal welfare assessment. Clinical control. Bioelectronic monitoring of the dilation period. Bioelectronic monitoring of the eject period. Biochemical monitoring.
The relief of pain in childbirth. Physiology of pain in childbirth. Perception of pain.
Attention to normal delivery. Birth plan. Biomechanics of childbirth (positions that favor the evolution of labor). Non-pharmacological pain relief techniques. Normal delivery assistance protocol.
Drugs in childbirth. Pharmacology in childbirth. Mechanisms of action in the mother and the fetus. Use and management of drugs at different stages of delivery. Indications, pharmacological interaction and dosage.
Analgesia and obstetric anesthesia. Nitrous oxide. Morphic. Local anesthetics. Anesthesia of pudendos. Peridural analgesia. General anesthesia.
Assistance and care for women in directed delivery. Induction of childbirth. Stimulation of childbirth. Care and care for women.
Psychological aspects of women during labor. Mother-child interaction. Family and professional support in childbirth.
Different alternatives in obstetric care. Hospital. Delivery centres. Delivery at home. Assessment of maternal and perinatal risk. Matron care.
5. Puerperio and lactation:
Objective: Understand the structural, functional and psychological changes that occur in women after childbirth to support the care of Matrona aimed at facilitating the adaptation of the new situation.
The puerperium. Physical adaptations and modifications to the puerperium. Care and care of the woman in the puerperium. Advice to discharge. Postpartum review.
Drugs in the puerperium and lactation. Pharmacology in the puerperium and lactation. Mechanisms of action in the mother and neonate. Use and management of drugs in the puerperium and lactation. Indications, pharmacological interaction and dosage.
Psychosocial adaptation of the puerpera. Psychological changes Valuation of the emotional state: detection of postpartum depression. Relationship of mother/father/newborn relationship. Family adaptation.
Dairy secretion. Physiology of the milk secretion. The inhibition of the milk secretion.
Breastfeeding. Practices in breastfeeding. Positions to breastfeed. Manual extraction of milk. Children's hospital initiative. Advantages of breastfeeding. Problems in breastfeeding. Special situations. Breastfeeding in neonates with health problems. Breastfeeding support groups.
Home care in the puerperium. Characteristics of home care. Home care of the mother and neonate in the puerperium.
postpartum programs. Health advice and education for mother-child binomial. Postpartum groups. Physical exercises in postpartum. Pelvic floor recovery.
6. Newborn:
Objective: Acquire knowledge necessary to provide care to the newborn, considering it as a member of a family unit.
Adaptation to Extracerine Life.
Assessment of the health status of the neonate. Test to Apgar. Physical exploration. Weight assessment and gestational age. Classification of newborns by weight and gestational age.
Immediate attention to the newborn. Immediate care for the newborn. Neonatal resuscitation: levels.
anatomical and physiological characteristics of the newborn. Thermal regulation. Devices: respiratory, circulatory, digestive and urinary. Importance of neurological assessment: reflexes, muscle tone and sensory aspects.
Attention to the newborn. General care: hygiene, temperature, umbilical cord care. Importance of asepsy measures in the newborn. History of the newborn. Physical exploration. Control of vital signs. Somatometric techniques. Mother/partner relationship and mother/child relationship.
Newborn's feed. Nutritional needs of the neonate. Types of breast-feeding. Artificial lactation. Concept. Feeding with milk formulas. Techniques of artificial lactation.
Advice to discharge. Importance of counselling to parents in the discharge of the newborn. Screening tests. Signs of health/disease. Vaccinations: calendar. Prevention of neonatal accidents. Healthy child tracking program.
Maternal and Newborn Nursing II
The purpose of this study is to provide the midwife with the necessary knowledge about the pathology in: human reproduction, pregnant woman, delivery, puerperium, and newborn, who will be able to train to provide comprehensive care to women, the newborn and the family during these processes.
7. Health problems during pregnancy:
Objectives: Knowing the bio-psycho-social aspects of pathological pregnancy. To acquire the skills necessary to provide assessment and care to the pregnant woman and to show a positive attitude towards the needs of women in this situation.
Risk gestation. Classification. Assessment of maternal and perinatal risk.
Hemorrhagic problems of gestation. Abortion. Ectopic pregnancy. Trophoblastic disease. Placenta previa. Early release of the placenta usually inserts. Obstetric conduct. Matron care.
hypertensive states in gestation. Classification. Chronic hypertension. Pregnancy-induced hypertension. Pre-eclampsia. Eclampsia. Hellp syndrome. Obstetric conduct. Matron care.
Diabetes and gestation. Classification. Protocol for screening and control of gestational diabetes. Obstetric conduct. Matron care.
Anemia in gestation. Obstetric conduct. Matron care.
Heart problems and gestation. Heart disease. Obstetric conduct. Matron care.
Varicose syndromes and gestation. Obstetric conduct. Matron care.
Endocrine problems and gestation. Obstetric conduct. Matron care.
Kidney problems and gestation. Obstetric conduct. Matron care.
Hyperemesis in gestation. Obstetric conduct. Matron care.
Digestive problems. Bucodentary alterations. Digestive disorders. Obstetric conduct. Matron care.
Respiratory problems and gestation. Obstetric conduct. Matron care.
Neurological problems and gestation. Obstetric conduct. Matron care.
Dermatological problems during pregnancy. Obstetric conduct. Matron care.
neoplastic problems in pregnancy. Cancer and gestation. Obstetric conduct. Matron care.
Infectious problems in pregnancy. Virus infections. Bacterial infections. Protozoa infections. Fungal infections. Obstetric conduct. Matron care.
AIDS and gestation. Obstetric conduct. Matron care.
Consumption of toxic substances and gestation. Obstetric conduct. Matron care.
Perinatal hemolytic disease. Perinatal isoimmunisation. Prophylaxis. ABO incompatibility. Obstetric conduct. Matron care.
Alterations of the placenta, fetal membranes, umbilical cord, and amniotic fluid. Obstetric conduct. Matron care.
Multiple gestation. Obstetric conduct. Matron care.
Threat of preterm birth. Obstetric conduct. Matron care.
Prolonged pregnancy. Obstetric conduct. Matron care.
Intrauterine growth delay. Types of CIR. Obstetric conduct. Matron care.
Psychological aspects of risk gestation. Emotional support to the pregnant midwife.
Mental health disorders during pregnancy. Matron care.
Fetal death prebirth. Obstetric conduct. Matron care.
Drugs in the health problems of pregnancy. Pharmacology in gestation. Mechanisms of action in the mother and the fetus. Use and management of drugs in the health problems of pregnancy. Indications, pharmacological interaction and dosage.
Genetic Council and prenatal diagnosis. Reproductive advice. Basic notions of genetics. Genetic diseases: Chromosomal anomalies. Monogenic diseases. Multifactorial anomalies. Prenatal identification of chromopathies. Biochemical markers. Ultrasound and ultrasound markers. Screening and prenatal diagnosis of infections producing birth defects. Prenatal diagnostic techniques. Basic techniques of karyotype determination and molecular biology.
8. Complications in labor and delivery:
Objectives: To distinguish anomalies, dystocias, risk factors, and maternal-fetal complications related to childbirth. Plan and administer care for women and children in physical, mental and social aspects.
Distoccal delivery. Dynamic dystoics. Obstetric conduct. Matron care.
Distoccal delivery. Mechanical distocias. Alterations of the maternal pelvis. Dystocia of the soft delivery channel. Pellet disproportion. Shoulder dystocia. Obstetric conduct. Matron care.
Alterations in fetal static. Birth in a podallic presentation. Delivery in flexed cephalic presentations. The transverse and oblique situation of the fetus. Rotation distocias. Obstetric conduct. Matron care.
Instrumentation and obstetric interventions. Forceps. Thierry's spatulas. Windy. Cesarean section Obstetric conduct. Matron care.
Trauma of childbirth. Uterine rupture. Tears of the cervix, vagina, vulva and perineum. Obstetric conduct. Matron care.
Premature rupture of membranes. Intrapartum fever. Obstetric conduct. Matron care.
Risk of loss of fetal welfare. Obstetric conduct. Matron care.
Preterm delivery. Obstetric conduct. Matron care.
Childbirth abnormalities. Changes in the detachment and expulsion of the placenta. Uterine inversion. Obstetric conduct. Matron care.
Bleeding from childbirth and puerperium. Bleeding from the lighting. Uterine atonia. Bleeding from the puerperium. Genital bruising. Obstetric coagulopathies. Obstetric conduct. Matron care.
Drugs in childbirth with complications. Pharmacology in childbirth. Mechanisms of action in the mother and the fetus. Use and management of drugs in childbirth with complications. Indications, pharmacological interaction and dosage.
Special situations of obstetric urgency. Cord procidence. Cord prolapse. Shoulder dystocia. Intrapartum bleeding. Previous vase. Abrupt placentae. Obstetric shock. Acute abdomen. Trauma and gestation. Uterine rupture. Bagging. Cardiopulmonary resuscitation. Obstetric conduct. Matron care.
9. Health problems in the puerperium:
Objective: To know the health changes of women that occur in the pathological puerperium in order to manage care and care by basing their actions on scientific principles.
puerperal fever. Puerperal infection. Mastitis. Urinary tract infection. Obstetric conduct. Matron care.
Thromboembolic disease. Obstetric conduct. Matron care.
Articular lesions of the pelvis. Dehiscences of scars. Obstetric conduct. Matron care.
Psychological alterations in the puerperium. Postpartum depression. Puerperal psychosis. Matron care.
The process of grieving in motherhood and in reproduction. Intervention and attitudes of the midwife.
Drugs in the puerperium with complications. Pharmacology in the puerperium and lactation. Mechanisms of action in the mother and newborn. Use and management of drugs in the puerperium with complications. Indications, pharmacological interaction and dosage.
10. The newborn with health problems:
Objective: To know the alterations presented by the RN that compromise the appropriate adaptation to the extra-uterine life to be able to administer specific care and care in the different situations.
High-risk newborn. Classification. Neonatal transport.
The newborn with neonatal infection. Features. More frequent problems. Care and care.
The premature newborn. Features. More frequent problems. High precocious. Kangaroo mothers. Care and care.
The low-weight newborn. Features. More frequent problems. Care and care.
The newborn with hyperbilirubinemia. Features. More frequent problems. Care and care.
The newborn with respiratory problems. Features. More frequent problems. Care and care.
The newborn with neurological problems. Features. More frequent problems. Care and care.
The newborn with kidney problems. Features. More frequent problems. Care and care.
The newborn with malformations. Information to parents about special care. Emotional support. Care and care.
Nursing of Women and the Family
This subject is intended to provide the midwife in training with the knowledge that enables her to provide nursing care to the untaxed woman in a health situation throughout her life cycle, promoting habits and healthy attitudes, as well as to assess the main gynaecological changes and their evolution, prognosis and treatment, which allows the application of matron care with an integral vision.
11. Women's reproductive health care:
Goal: Acquire knowledge, skills and attitudes to care for women and their partner throughout the reproductive cycle.
Women's Care and Sexual and Reproductive Health Programs. Comprehensive care for women and family. Educational and care activities.
Attention to the sexual and reproductive health of women. Medical history. Interview technique. Gynaecological exploration. Cytology and sampling. Complementary explorations. Breast scan.
Family planning and contraceptive advice. Contraception. Choice of contraceptive method. Matron care.
Natural methods. Classification. Advice, control and monitoring. Matron care.
Barrier methods. Classification. Advice, control and follow up on matron care.
Hormonal contraception. Advice, control and monitoring. Matron care.
Intrauterine Device. Advice, control and monitoring. Matron care.
Surgical methods. Advice, control and monitoring. Matron care.
Contraception in special situations. Emergency contraception. Puerperium, lactation, climaterio, HIV, others. Advice, control and monitoring. Matron care.
Voluntary termination of pregnancy. Methods of uterine evacuation. Advice, control and monitoring. Psychological aspects. Matron care.
Puberty and adolescence. Morphological and biological evolution. Psychological and social aspects. Information and sex education. Contraception. Pregnancy. Sexually transmitted infections. Youth programmes. Gynecological problems in puberty and adolescence. Matron care.
Climaterio and menopause. Chronology of the climaterio. Morphological and biological evolution. Psychological and social aspects. More frequent health problems. Measures that promote health. Pharmacological treatment. Non-pharmacological treatment. Menopause program. Matron care.
Drugs in the care of sexual and reproductive health. Pharmacology in relation to reproductive processes. Use and management of drugs. Indications, pharmacological interaction and dosage.
12. Care for women with reproductive health problems:
Goal: Acquire knowledge, skills and attitudes to care for women and their partner throughout the reproductive cycle.
Menstrual cycle alterations. Epidemiology. Classification. Etiology. Treatment. Matron care.
Infections of sexual transmission. Epidemiology. Treatment. Matron care.
Infectious processes in the reproductive system. Etiology. Classification. Treatment. Matron care.
Pelvic pain. Dysmenorrhea. Premenstrual syndrome, Endometriosis and others. Treatment. Matron care.
Infertility and sterility. Etiological classification. Complementary explorations. Assisted reproduction techniques. Psychological aspects. Matron care.
Malformations of the genital apparatus. Epidemiology and classification.
Benign alterations of the female genital apparatus. Matron care.
Alterations of the genital static. Uterine prolapse. Cystocele. Rectocelé. Matron care.
Urinary incontinence. Etiology. Classification. Risk factors. Prevention. Treatments. Matron care.
Benign breast disorders. Matron care.
Early diagnosis of breast and gynecological cancer. Early diagnosis and population screening programs. Detection of risk groups. Epidemiology of breast and gynecological cancer. Scans and diagnostic tests. Matron care.
Gynecological and breast cancer. Vulva cancer. Cervical cancer. Endometrial cancer. Uterine sarcoma. Ovarian cancer. Breast cancer. Psychological aspects. Matron care.
Drugs in sexual and reproductive health problems. Pharmacology in relation to reproductive processes. Use and management of drugs. Indications, pharmacological interaction and dosage.
Gynecological surgical interventions. Gynaecological surgery. Breast surgery. Matron care.
The gynecologic patient hospitalized. Preoperative care. Post-operative care. Attention to the gynecological patient with cancer problems. Matron care.
13. Epidemiology and demographics in reproductive health:
Objective: To know the theoretical foundations and applications of demography and epidemiology to Maternal and Women Nursing.
Epidemiology. Frequency of reproductive health problems. Prevalence and incidence of reproductive health problems.
Diagnostic tests in reproductive health processes. Sensitivity and specificity. Positive and negative predictive value.
Maternal and reproductive health demographics. Structure of the population. Population pyramids: interpretation. Demographic indices. More representative indices of the reproductive phenomenon. Migration factor: influence on the country's reproductive rates. Population policies.
Reproductive morbidity. Morbidity of obstetric origin. Contraceptive morbidity. Gynaecological morbidity. Proposals of the World Health Organization.
14. Sexuality:
Objective: Acquire knowledge about the somatic, emotional, intellectual and social elements of the human being for the development of responsible attitudes toward sexual behavior.
General concepts. Concept of sex and sexuality. Sexology: historical evolution. Sexual health. Sexological nomenclature. Obtaining the information in the medical history.
Socioanthropology of sexuality. Influence of culture on sexuality. Ends of sexuality. Cultural perspectives on sexuality. Myths and taboos. Female genital mutilation.
Components of sexuality. Biological components. Psychosocial components. Gender identification. Sexual roles. Sexual orientation. Affectivity and sexuality. Forms of expression.
Sexual Psychophysiology. Psychological stimuli and biological stimuli of sexual response. Physiology of sexual response. Female sexual response. Male sexual response. Patterns of sexual response pattern.
Sexuality in puberty and adolescence. Development of sexuality. Information and health education. Interventions in schools. Information and health education. Matron care.
Sexuality in the adult stage. Sexual attitudes and adjustment in relationships. Information and health education. Matron care.
Sexuality in pregnancy and in the puerperium. Factors that influence sexual response. Sexual conduct. Information and health education. Matron care.
Sexuality in the climate. Factors that influence sexual response. Sexual conduct. Information and health education. Matron care.
Sexual dysfunctions. Rankings. Main causes of sexual dysfunction. Possible therapies. Performance of the midwife.
Health problems and sexual behavior. Major problems that cause disorders in sexuality. Attention of the midwife.
Drugs, drugs and sexual behavior. Health information and education.
Sex education. Sex education programs. Action of the midwife in the different areas of sex education.
Sex and power. Gender roles in the media. Advertising. Pornography.
Approach to sexuality in clinical practice. Attitudes of professionals. Interview technique.
15. Socio-anthropological aspects in reproductive health:
Objective: To know the influence of anthropological, cultural and social factors on the reproductive health of women and the family.
Sociocultural Influences in Reproductive Health Care. Culture and society. Social and cultural significance of reproduction.
Gender perspective. Social and cultural significance of being a woman. Women and education. Woman and work. Violence against women.
Family and family forms. Traditional family structures. Evolving family structures. Single-parent families. Family functions. Family roles. Matron care.
Anthropology of motherhood. Sociocultural factors affecting maternity-parenthood. The new dimension of fatherhood and motherhood.
Woman and Immigration. Diversity. Multiculturalism. Migratory duel. Matron care in the different cultures.
16. History and evolution of the profession of matron:
Objective: To give to the midwife of knowledge about the history, development, evolution, theoretical framework and professional competences in Spain.
History and development of the profession of matron. Historical evolution of the profession. Development of the profession in Spain.
Professional theoretical framework of the specialty of Obstetric Nursing-Gynaecological (matron). Women, health, media and professional role. Professional skills of midwives. Relationship between midwives and women and their families. Relationships between midwives and other professionals.
Education for Women's Health
In this field, the Matron in Training will acquire knowledge of the interaction in the teaching and learning necessary to develop health programs aimed at the population in the field of the specialty.
Education for women's health. Objectives and tasks. Trends. Fields of action. Women as an agent of health education.
Individual health education and group health education. Advantages and disadvantages. Applications in women's health programs.
Adult learning. Theories and learning styles. Characteristics of adult learning.
Attitudes and behaviors in health. Health consequences. Factors that influence behavior. Obstacles to change in women's health habits.
The communicative process in education for women's health. Components of communication and types of communication. Determining factors in the communicative process. Communicative obstacles.
Teaching strategies. Different techniques applied to health education. Choice of technique.
Application of group dynamics in educational programs for women's health. Group driving: that is a group. The group as an educator. Group dynamics.
Gender perspective in health education programs. The gender construct as a determinant of health. Women's right to decide on their health.
Elaboration of a health education program for women. Objectives: elaboration and characteristics. Didactic guide to educational activities. Assessment: types of assessment.
Legislation and Ethics in Obstetrician-Gynecologic Nursing Matron
The purpose of this subject is that the training matron acquire knowledge of the current legislation for women and the newborn, as well as the legal problems and implications that may be presented in the exercise. professional of the midwife.
Rights of the woman and the newborn. Historical evolution of women's rights. Spanish Constitution. Institute of Women. Autonomous Women's Institutes. Women's equality plans. Resolutions of the World Women's Conferences. Legislation on the rights of the newborn.
Labor and maternity rights. Work and pregnancy. Dangerousness. Dismissal and pregnancy. Work and maternity. Maternity benefit. Breastfeeding. Permissions. Reduction of working hours. Excess.
Ethical aspects of the work of the midwife. Bioethical principles. Ethical decision-making models. Values, beliefs and attitudes. Code of ethics of the International Confederation of Matrons. Conscientious objection. Professional secrecy.
Legal responsibilities of the midwife. Civil and administrative liability. Criminal liability. Informed consent. Injury to the fetus.
Control and protection of professional practice. Specific functions of the Matron. Directives of the European Union. Professional schools. International Confederation of Matrons. Associations. Professional intrusive.
Birth. Civil Registry: birth certificate. Registration of the newborn. Delivery case.
Assisted reproduction. Artificial insemination. In vitro fertilisation and embryo transfer. Surrogacy. Genetic manipulation. Donation of stem cells. Current legislation.
Contraception and termination of pregnancy. Legal aspects of contraception. Legislation on voluntary termination of pregnancy.
Crimes against sexual freedom. Sexual assaults. Gender-based violence. Sexual abuse. Legislation in force. Reporting and reception centres.
Adoption and welcoming of a child. Channelling organisms. Requirements. The child in distress. Current legislation
Administration of the Obstetrician-Gynecological Services (Matrona)
The purpose of this subject is to have the training matron recognize the characteristics of the administrative cycle applied to obstetric and gynecological services, allowing it to develop attitudes and skills for the application of the administrative process.
Models of healthcare systems in Spain. Development of health systems. Public health system. Private healthcare system. Mixed health system. Portfolio of services in maternal and child health and sexual and reproductive health.
Analysis of the situation. Socio-demographic characteristics of the community. Geographical characteristics. Demographic information. Socio-economic information. Community health study: maternal and child health indicators. Reproductive health indicators. Qualitative information. Health resources available.
The Maternal-Child Hospital. Levels of hospital care. Obstetrics and Gynecology Service: care units. Neonatology Service: care units. Management of material resources. Study of human resources. Ratios in obstetrician-gynaecological units. Schedule of activities.
community-primary Care. Program of Attention to Women and Attention to Sexual and Reproductive Health. Elaboration of the health programs. Study of needs for the implementation of a program: physical, material and human resources. Compilation of ratios. Planning activities in the Women's Care and Sexual and Reproductive Health Care Program.
Elaboration of objectives. Health objectives. Risk reduction targets. Objectives of service and protection. Goals of the user's degree of satisfaction.
Log systems. Medical history. Specific records. Records of care and educational activities. Computerization of records.
Coordination between different levels of health care. Importance of coordination between the different levels.
Elaboration of care protocols. Methodology. Working groups. Care circuits.
Evaluation of processes and programs. Processing of memory. Evaluation of the activities. Evaluation of the process and results. Assessment of user satisfaction. Continuous improvement of quality in maternal and child care and sexual and reproductive health.
Access to the labor market. Making a curriculum vitae. The professional interview.
Research in Obstetrician-Gynecoological Nursing Matrona
The purpose of this subject is to provide the midwife with the necessary knowledge and tools to support her clinical practice in the best available evidence, as well as to generate new knowledge and disseminate it. in the field of the scientific community.
Research. Concept and types. Quantitative and qualitative research methodology. Sources of funding.
Structure and content of a research project. Background/Introduction. Objectives and assumptions. Methodology: design, study subjects, variables, data collection and data analysis. Limitations. Other sections: timetable, budget.
Problems, objectives, and hypotheses. Identification and definition of the research problem. Definition and formulation of objectives and assumptions.
Bibliographic review. Bibliographic databases and other sources of information.
Research designs. Types and characteristics of studies used in research. Different observational and experimental studies. Designs with qualitative methodology. Criteria for selecting the most appropriate design.
Study subjects. Definition and characteristics of study subjects. Selection criteria. Calculation of sample size. Types of sampling.
Collection of data. Study variables and data collection instruments/methods. Definition of the variables: criteria and scales of measurement. Methods and instruments for data collection.
Data Analysis. Descriptive and inferential statistics. Analysis of qualitative data. The tabulation and graphical representation. Hypothesis contrast. Interpretation of the data.
Communication of the results. Presentation of the results in research. Structure and content of an original article. The oral presentation of the work. Other forms of scientific communication.
Evidence-based clinical practice. Introduction and basic concepts. Stages of a systematic review. Sources of information and search strategy. Collection and synthesis of information. Critical analysis of scientific articles. Clinical practice guidelines: elaboration, structure and content.
Presentation of a proposal for a research project.
ANNEX II
The Gynecological Obstetric Nursing Program (Matrona)
Development of Section 6.2.3 of the Radiation Protection Training Program.
Residents must acquire, in accordance with current legislation, basic knowledge in radiation protection as provided for in the European Guide "Radiological Protection 116", in the following subjects:
a) Atomic structure, production and interaction of radiation.
b) Nuclear structure and radioactivity.
c) Radiological magnitudes and units
d) Physical characteristics of the X-ray equipment or radioactive sources.
e) Fundamentals of radiation detection.
f) Fundamentals of radiobiology. Biological effects of radiation.
g) Radiological protection. General principles.
h) Quality assurance and quality assurance.
(i) National legislation and European legislation applicable to the use of ionising radiation.
j) Operational radiological protection.
k) Specific radiation protection aspects of patients.
l) Specific radiological protection aspects of exposed workers.
The teaching of the above headings will focus on the actual risks of exposure to ionising radiation and its biological and clinical effects.
Training Duration:
The training contents of points (a), (b), (c), (d), (e), (f), (g), (h), (i), shall be provided during the first year of specialisation. Its duration shall be between six and ten hours, fractionable in modules, which shall be provided in accordance with the training plan to be determined.
The learning content of points (j), (k) and (l): they will be progressively imparted in each of the successive years of training and their duration will be between two and four hours, highlighting the practical aspects.
Place of realization:
The educational content of points (a), (b), (c), (d), (e), (f) (g), (h), (i), shall be provided by the members of a Service of Hospital Radiophysical/Radiological Protection/Medical Physics. The training contents of points (j), (k) and (l): are to be taught in a Health Institution with Hospital Physical Radio/Radiological Protection/Medical Physics, in coordination with the care units of that institution specifically related to ionising radiation.
Training effects:
The training in radiation protection in the period of residence mentioned above, is in line with the requirements of the legislation applicable during the training of specialists in health sciences, without, in any case, (a) training involves the acquisition of the second additional level in Radiological Protection, as referred to in Article 6.2 of Royal Decree 1976/1999 of 23 December 1999 laying down the criteria for quality in radiodiagnosis; Interventional procedures guided by fluoroscopy. (Order SCO/3276/2007 of 23 October 2007-BOE of 13 November 2007).
Organization of training:
When advised by the number of residents, specialties and services of Radiophysical/Radiological Protection/Medical Physics involved, the competent bodies in the field of specialized health training of the various The Autonomous Communities may adopt, in connection with the Teaching Commissions concerned, the necessary measures to coordinate their implementation with a view to the rational use of training resources.
