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Article Abstract

Aim: To obtain a quantitative description of mother-newborn presentations and to identify their nursing care requirements while in hospital.

Background: Recommendations on minimum staffing levels are broad based with implications that all new mothers and newborns are normal without complications. However, in a large tertiary centre, mother-newborn dyads do present with complications, suggesting variation in nursing care requirements.

Method: Two studies were conducted: (1) a cross-sectional retrospective, descriptive study; and (2) a convenience sampling survey professional nurses' expert opinions.

Results: A sample of 1224 mother and/or newborn presentations was retrospectively classified. Almost half of the patient presentations were classified as having complications. Nursing care ratios required for postpartum ranged from 1:1 to 9:1.

Conclusion: An objective classification system was obtained from nursing experts in caring for mother and newborn with variable needs, in a hospitalized setting.

Implications For Nursing Management: This comprehensive classification system can be used to objectively align nursing resources to mother/newborn care needs.

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http://dx.doi.org/10.1111/j.1365-2834.2007.00813.xDOI Listing

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