Login Se connecter

Blog Archive

Blog Archive

Mother-Baby Model of Nursing Care

January 2016

Welcome to 2016!  I hope each of you had wonderful holiday and are headed into the new year with more plans and goals, especially for Baby-Friendly changes.  This week, I read a terrific article on putting the mother-baby model of nursing care into practice at one US facility.  This article is full of extremely helpful information, diagrams, quality improvement tools, use of the Iowa model of evidence-based practice to promote quality care, and the outcomes of instituting such a change.  I will provide you with the DOI, and you might want to check with your hospital or clinic to see if they have access to Nursing for Women's Health, a publication of AWHONN.

Author Vicki Brockman opens the article with, "Research has shown improved maternal and newborn health outcomes when women and newborns stay together from the moment of birth. Therefore, nursing practices have changed to support a family-centered environment. This article describes how our facility utilized change theory, models of evidence-based practice and quality improvement tools to transition from the traditional model of obstetric nursing to mother-baby couplet care, resulting in a positive family experience and improved clinical and financial outcomes, " (2015).

This facility averages 2400 births annually, with 20% of newborns admitted to the NICU, and had a separate newborn nursery as well as separate labor and postpartum units. Uninterrupted skin-to-skin care (SSC) did not occur immediately post-delivery, and rooming-in was optional. The decision was made to change this costly care model (financially, emotionally, staffing, and health related) to evidence-based and best practice couplet care with immediate and prolonged SSC, continuing throughout the mother's stay. Although this hospital was not seeking the BFHI designation, the change involved the same changes we see facilities undergo to meet the BFHI criteria for designation.

Change was started using the Iowa Model of Evidence-Based Practice to Improve Quality Care because it was developed (2001) to support the work of "interdisciplinary teams in researching, implementing and evaluating evidence-based practice." A full-page flow diagram is shown which details the triggers, priorities, team work, research, data collection, and dissemination of results. As well, details are provided on workflow, staff education, model application, and failure modes.

One of the more interesting outcomes from Brockman's project was the financial savings experienced by the facility, with a salary per patient day decreasing by 16%. Leaders also found extra space with the closing of the nursery, leading to conference and education areas. Brockman stated, "the primary costs of this project were staff salaries due to the extensive education required. Although it might be tempting to skimp on education, this would jeopardize success; it's essential that staff have the necessary time to attend both didactic offerings and unit bedside cross-training opportunities." Staff survey results revealed better bonding for mother and baby, fewer staff communication errors, better breastfeeding success, and a unity among the staff.

If you are trying to facilitate major changes in your own facility, I would encourage getting a copy of this article to assist in moving that change forward.



Kathy Parkes, MSN-Ed, RN, IBCLC, FILCA
Course Tutor, Step2 Education



Brockman, V.  (2015).  Implementing the mother-baby model of nursing care using models and quality improvement tools.  Nursing for Women's Health; 19(6): 490.  DOI:  10.1111/1751-486X.12245 



Remember me Login Se connecter Logging in...
Submit Sending... Sent! Clear
Submit Sending... Sent! Clear

This Privacy Policy describes how your personal information is collected, used, and shared when you visit or make a purchase from https://step2education.com (the "Site").


When you visit the Site, we automatically collect certain information about your device, including information about your web browser, IP address, time zone, and some of the cookies that are installed on your device. Additionally, as you browse the Site, we collect information about the individual web pages or products that you view, what websites or search terms referred you to the Site, and information about how you interact with the Site. We refer to this automatically-collected information as Device Information."

We collect Device Information using the following technologies:

  • "Cookies" are data files that are placed on your device or computer and often include an anonymous unique identifier. For more information about cookies, and how to disable cookies, visit http://www.allaboutcookies.org.
  • "Log files" track actions occurring on the Site, and collect data including your IP address, browser type, Internet service provider, referring/exit pages, and date/time stamps.
  • "Web beacons," "tags," and "pixels" are electronic files used to record information about how you browse the Site.

Additionally when you make a purchase or attempt to make a purchase through the Site, we collect certain information from you, including your name, billing address, shipping address, payment information (including credit card numbers), email address, and phone number. We refer to this information as "Order Information."

  • Users who are undertaking a course as part of a group or organization have certain data tracked as part of the service we provide to Clients and Facilitators. This includes information showing if you have logged in and when, dates of completion and what and when particular study topics, resources and assessments were viewed and completed. We refer to this information as "Student Access Information"

When we talk about "Personal Information" in this Privacy Policy, we are talking about Device Information, Order Information and Student Access Information.


We use the Order Information that we collect generally to fulfill any orders placed through the Site (including processing your payment information, arranging for shipping, and providing you with invoices and/or order confirmations). Additionally, we use this Order Information to:

  • Communicate with you;
  • Screen our orders for potential risk or fraud; and
  • When in line with the preferences you have shared with us, provide you with information or advertising relating to our products or services.

We use Student Access Information to provide accurate tracking to Users and Clients on completion and use of the courses, as well as for analysis on how to improve our services.

We use the Device Information that we collect to help us screen for potential risk and fraud (in particular, your IP address), and more generally to improve and optimize our Site (for example, by generating analytics about how our customers browse and interact with the Site, and to assess the success of our marketing and advertising campaigns).


We share your Personal Information with third parties to help us use your Personal Information, as described above. For example, with your employer who needs to verify your completion or progress of your studies. We also use Google Analytics to help us understand how our customers use the Site--you can read more about how Google uses your Personal Information here: https://www.google.com/intl/en/policies/privacy/. You can also opt-out of Google Analytics here: https://tools.google.com/dlpage/gaoptout.

Finally, we may also share your Personal Information to comply with applicable laws and regulations, to respond to a subpoena, search warrant or other lawful request for information we receive, or to otherwise protect our rights.


As described above, we use your Personal Information to provide you with targeted advertisements or marketing communications we believe may be of interest to you. For more information about how targeted advertising works, you can visit the Network Advertising Initiative's ("NAI") educational page at https://www.networkadvertising.org/understanding-online-advertising/how-does-it-work.

You can opt out of targeted advertising by:

Additionally, you can opt out of some of these services by visiting the Digital Advertising Alliance's opt-out portal at: http://optout.aboutads.info.


Please note that we do not alter our Site's data collection and use practices when we see a Do Not Track signal from your browser.


If you are a European resident, you have the right to access personal information we hold about you and to ask that your personal information be corrected, updated, or deleted. If you would like to exercise this right, please contact us through the contact information below.

Additionally, if you are a European resident we note that we are processing your information in order to fulfill contracts we might have with you (for example if you make an order through the Site), or otherwise to pursue our legitimate business interests listed above. Additionally, please note that your information will be transferred outside of Europe, including to Canada and the United States.


When you place an order through the Site, we will maintain your Order Information and Student Access Information for our records unless and until you ask us to delete this information. We are required to keep course completion records for at least 5 years in order to comply with certain accreditation requirements.


We may update this privacy policy from time to time in order to reflect, for example, changes to our practices or for other operational, legal or regulatory reasons.


For more information about our privacy practices, if you have questions, or if you would like to make a complaint, please contact us by e-mail at info@step2education.com or by mail using the details provided below:

5890 Monkland Avenue, #16, Montreal, QC, H4A 1G2, Canada

Last Updated: September 2018