women's care, a new model for maternity care - 2011 proposal
DESCRIPTION
This is a proposal for a local hospital/clinic (Allina) designed through the guidance of Suzanne Currie and Jerry Allan as part of the Human Factors and Usability class at the Minneapolis College of Art and Design, MCAD in the Spring of 2011. This is my take on Women's Care and how Allina can pioneer this huge shift in maternity care in the US.TRANSCRIPT
Team Mom (Heatherlee Nguyen) • Redesigning Women’s Care • Spring 2011
Women
’s
Ca
rePresently, there is a
huge shift in maternity care in the US.
Women Want More Options, a New Model for Women’s Care by Heatherlee Nguyen
Team Mom (Heatherlee Nguyen) • Redesigning Women’s Care • Spring 2011
Team Mom (Heatherlee Nguyen) • Redesigning Women’s Care • Spring 2011
Women Want More OptionsA New Model for Women’s Care
Proposed by: Heather Lee Nguyen
Team Mom (Heatherlee Nguyen) • Redesigning Women’s Care • Spring 2011
Women
’s
Ca
reMore than four million babies are born in the US each year, and the details of how, when, and where they arrive are always shifting.
-BabyCenter.com, 2009
Team Mom (Heatherlee Nguyen) • Redesigning Women’s Care • Spring 2011
Maternity Care in the US
Many expectant parents switch providers mid-pregnancy... but WHY?
Team Mom (Heatherlee Nguyen) • Redesigning Women’s Care • Spring 2011
Expectant Parents Survey(300+ responded)
Page 02
“I was told what would happen not asked”
“I felt like just a number”“It was an
uncomfortable, cold environment and
a long wait”
“No place for my kids to play”
“I didn’t feel I was getting
educatedabout my
body or birth”“They brushed off
my desired birth plan”
Team Mom (Heatherlee Nguyen) • Redesigning Women’s Care • Spring 2011 Page 02
“I was told what would happen not asked”
“They brushed off
my desired birth plan”
SERVICE SURROUNDINGS
SUPPORT
Page 03
What’s Important to Women?
Team Mom (Heatherlee Nguyen) • Redesigning Women’s Care • Spring 2011
PERSONAL RELATIONSHIPS
ENVIRONMENTALCOMFORT
SELF-EFFICACY
SUPPORT
Team Mom (Heatherlee Nguyen) • Redesigning Women’s Care • Spring 2011
PERSONAL RELATIONSHIPS *SERVICE*
Team Mom (Heatherlee Nguyen) • Redesigning Women’s Care • Spring 2011
“(The) provider knew me personally, not just (as) another patient.The relationship that developed
gave me confidence in their ability to do their job well.”
http://www.birthcenters.org/birth-center-faq/what-people-say.php
Team Mom (Heatherlee Nguyen) • Redesigning Women’s Care • Spring 2011
Two Separate Models of Care
Midwifery or“Humanistic” Techno-medical
Pre-historic 1920s - present
Team Mom (Heatherlee Nguyen) • Redesigning Women’s Care • Spring 2011
According to this model, the emotions of a woman have a very real impact on the well-being of the baby. The importance of
companionship and encouragement is emphasized.
“Only with trust, faith, and support can the woman allow the birth experience to enlighten and empower her.” - Claudia Lowe
Midwife means “with woman”
Team Mom (Heatherlee Nguyen) • Redesigning Women’s Care • Spring 2011
Self-Efficacy
*Self-efficacy is directly related to health behavior.
Self-efficacy pertains to a sense of control over one’s environment and behavior. According to Social Cognitive Theory (SCT; Bandura, 1997), a personal sense of control
facilitates a change of health behavior.
Team Mom (Heatherlee Nguyen) • Redesigning Women’s Care • Spring 2011
DIY (Do It Yourself)
WEIGH STATIONSURINE SAMPLESBELLY MEASURE
GIVES WOMAN CONTROL OVER HER BODY
SAVES TIME
MORE PERSONAL ATTENTION
Team Mom (Heatherlee Nguyen) • Redesigning Women’s Care • Spring 2011
Birth is not only about making babies. Birth is about making mothers - strong, competent,
capable mothers who trust themselves and know their inner strength.
- Barbara Katz Rothman
Team Mom (Heatherlee Nguyen) • Redesigning Women’s Care • Spring 2011
GIVE WOMEN/FAMILIESMORE OPTIONS - INFORM THEM AND THEN ALLOW
THEM TO CHOOSE
Paperwork is done digitally
Large wall of providers from both models of care shown
visually on screen, each witha sound bit about who they
are (education, personal interests, practice interests,
hobbies, etc.)
Multiple headphone stations
Kids’ interactive play area
Educational sound bits looped(digital/tactile library)
A
B
C
D
E
Team Mom (Heatherlee Nguyen) • Redesigning Women’s Care • Spring 2011
AB
C
D
E
Team Mom (Heatherlee Nguyen) • Redesigning Women’s Care • Spring 2011
EDUCATE PATIENTSAND ENABLE
HOME ACCESS
Team Mom (Heatherlee Nguyen) • Redesigning Women’s Care • Spring 2011
ENVIRONMENTAL COMFORT*LABOR/DELIVERY ROOMS*
Team Mom (Heatherlee Nguyen) • Redesigning Women’s Care • Spring 2011
Comfort plays a central role in our lives.
*
EACH WOMAN HAS THEIR OWN DEFINITION OF COMFORT
Team Mom (Heatherlee Nguyen) • Redesigning Women’s Care • Spring 2011
The midwifery model of care is female-centered. Within it, birth is something that women do - not something that happens to them. The
birthing woman is the central agent. The essential oneness of mind and body and the power of women is recognized.
The techno-medical model of care is a product of the industrial revolution. By the 1920’s the US and Canada had become the first societies to do away with midwifery, only to find out some decades
later that women still wanted midwives and to learn about the options available for them through their labor and birth.
Reworded from Ina May Gaskin (the nation’s leading midwife) Ina May’s Guide to Childbirth
Team Mom (Heatherlee Nguyen) • Redesigning Women’s Care • Spring 2011
WHO ARE WE SERVING?3 CORE PROFILES
Team Mom (Heatherlee Nguyen) • Redesigning Women’s Care • Spring 2011
Home Birth enthusiasts
Laura and Paul have had two home water births. They feel birth is a natural process, not a medical emergency. They feel most comfortable in a home-like setting. After moving to a different state they found out their insurance would not cover home births and that they would have to deliver in a hospital setting. What would their room look like?
FAMILY A
Team Mom (Heatherlee Nguyen) • Redesigning Women’s Care • Spring 2011
Birth Center enthusiasts
Gia and Christopher birthed their previous children in a free standing birth center. They enjoy a relaxing, soothing environment and feel most comfortable with multiple options in which to give birth. Their
preferred midwife has since transferred to a hospital. What would their room look like?
FAMILY B
Team Mom (Heatherlee Nguyen) • Redesigning Women’s Care • Spring 2011
Hospital Birth enthusiastsMegan and Jameson prefer hospital settings. They feel they are more clean and capable of handling tough situations.
They want to be near surgeons because of two previous C-sections. What would their room look like?
FAMILY C
Team Mom (Heatherlee Nguyen) • Redesigning Women’s Care • Spring 2011
Mothers have healthier births when relaxed andcomfortable, therefore
it is best to offer differentstyled L&D rooms.
FAMILY A: will get a “homey” environment
FAMILY B: will get a “spa-like” environment
FAMILY C: will get a “sterile” hospital setting
ALL ROOMS:balcony (view), birthing tubbirthing ball, ceiling rope,couches, library, bassinet
COMMON AREAS:kids area, family theater, full kitchen, sunny garden
all with easy access within a circular design.
Team Mom (Heatherlee Nguyen) • Redesigning Women’s Care • Spring 2011
SUPPORT CHANGE AND CHOICE IN BIRTHING POSITION
“If we wish to obtain an idea of the natural position we must look to the woman who is governed by instinct, not by prudery; and it is only among the savage races that we shall find her at the present day. In this
purely animal function instinct will guide the woman more correctly than the
varying customs of the times.” -George Engelmann, Labor Among Primitive Peoples
Team Mom (Heatherlee Nguyen) • Redesigning Women’s Care • Spring 2011
Pages 227-229 Ina May’s Guide to Childbirth
Team Mom (Heatherlee Nguyen) • Redesigning Women’s Care • Spring 2011
Pages 227-229 Ina May’s Guide to Childbirth
Moving Forward...
Your mission at Allina Hospitals and Clinics is to remain innovativeand continue being a leader in collaborative efforts of health care.
Now is the time to join in the conversation about reinventing Women’s Care.
Team Mom (Heatherlee Nguyen) • Redesigning Women’s Care • Spring 2011
Let’s work together to pioneer this huge shif t in women’s care.
THANK YOU!
[email protected] 612 - 715 - 6007