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Maternal Health Nursing

Definition of Nursing

In the Maternal Role-Attainment Theory, Ramona Mercer fails to give a clear definition of the nursing meta-paradigm. However, the theory goes further to argue that nursing is “a science that emerges from the turbulent transition from adolescence to adulthood” (Thomas & Zimmer-Gembeck, 2012, p. 256). The scientific approach is therefore used to diagnose and treat parents (men and women) responding differently to the challenges of postpartum period, childbirth, and pregnancy (Sheperis, Sheperis, Monceaux, Davis, & Lopez, 2015).

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This definition appears to match with that of the Parent-Child Interaction model. Kathryn Barnard’s Parent-Child Interaction model defines nursing as “the treatment and diagnosis of human responses to health problems” (Urquiza & Timmer, 2012, p. 149). The only difference is that Ramona Mercer’s Maternal Role- Attainment Theory goes a step further to focus on the health needs of both men and women. Barnard, on the other hand, views nursing as a broad practice that is aimed at addressing health problems.

Maternal Role Identity

Maternal role identity is a term described in Ramona Mercer’s model. The concept refers to a new state whereby an individual (or mother) experiences a sense of confidence, harmony, and competence in how she executes the role (Husmillo, 2013). After examining the presented case, it is notable that several factors are capable of affecting maternal role identity. To begin with, Ms. Montayer does not get the required family support. Maternal role identity is attained when there is adequate support from different family members. Social support is another barrier capable of affecting Ms. Montayer’s maternal role identity (Krishna, 2014).

Montayer’s husband is absence thereby affecting her health goals. The client also has a history of post-partum depression. The advanced practice nurse (APN) caring for her should use evidence-based strategies to address these factors.

Factors Influencing the Parent-Child Relationship

Ms. Montayer is in need of adequate maternal health support. Barnard’s model indicates that parent-child relationships are usually influenced by the surrounding environment. The two parties also influence one another. In order to offer evidence-based services, nurses should alter these characteristics in order to develop a new system. The case identifies various characteristics that might influence the child-parent relationship (Sheperis et al., 2015).

For instance, Ms. Montayer’s wellbeing will definitely affect the relationship. Her history of depression might also influence the relationship. The surrounding environment is another factor that can influence the parent-child relationship (Urquiza & Timmer, 2012). The major attributes of the environment include the society, family members, and friends. The APN should consider “the best initiatives to alter these characteristics in an attempt to meet the needs of the mesosystem” (Henriques, Botelho, & Catarino, 2015, p. 49).

Role of the Microsystem, Mesosystem, and Macrosystem

The presented case outlines various aspects of the macrosystem, mesosystem, and microsystem that can influence the child-parent development process. The microsystem can affect the relationship and influence the child’s development. Some of the players in the microsystem include the mother, father, and other family members. The mesosystem is presented by the wider society. It is agreeable that Ms. Montayer does not receive the required social support.

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The surrounding neighborhood might also affect the child-parent relationship. Finally, the family is guided by specific cultural values, laws, and beliefs. However, the macrosystem might not have significant influences after childbirth. Culturally competent healthcare workers should therefore use their skills in order to support Ms. Montayer’s needs. These measures will ensure evidence-based maternal support is available to the client and eventually meet the family’s goals.


Henriques, C., Botelho, M., & Catarino, H. (2015). Transition to the maternal role in women with addiction problems to psychoactive substances: Conceptual map. International Journal of Nursing, 2(2), 47-52.

Husmillo, M., (2013). Maternal role attainment theory. International Journal of Childbirth Education, 18(2), 46-48.

Krishna, R. (2014). Maternal role attainment theory. NNJ, 3(4), 15-17.

Sheperis, C., Sheperis, D., Monceaux, A., Davis, R., & Lopez, B. (2015). Parent-child interaction therapy for children with special needs. The Professional Counselor, 5(2), 248-260.

Thomas, R., & Zimmer-Gembeck, M. (2012). Parent-child interaction therapy: An evidence-based treatment for child maltreatment. Child Maltreatment, 17(1), 253-266.

Urquiza, J., & Timmer, S. (2012). Parent-child interaction therapy: Enhancing parent-child relationships. Psychosocial Intervention, 21(1), 145-156.

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