141 results on '"Nurse Midwives trends"'
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2. Discourses and critiques of breastfeeding and their implications for midwives and health professionals.
- Author
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Smyth D and Hyde A
- Subjects
- Breast Feeding trends, Female, Health Personnel trends, Humans, Nurse Midwives trends, Breast Feeding methods, Health Personnel psychology, Nurse Midwives psychology
- Abstract
This article is a discussion of the recently emerging critique of pro-breastfeeding discourses in academic literature, and what this means for midwives and other professionals who find themselves promoting breastfeeding because of professional expectations or indeed workplace policies. Various strands in the debate are explored, starting with dominant and familiar 'evidence' and descriptions of breastfeeding and breastmilk that are carried through to international policies that advocate breast over formula feeding. We then consider evidence predominantly from social science literature that has found some women's experiences of infant feeding to be at variance with the dominant pro-breastfeeding ideology. We argue that midwives and others delivering maternity care are the means to deliver the policy aspirations contained in the World Health Organization (WHO, 2018) Baby Friendly Hospital Initiative document that makes selective positive claims about breastfeeding without adequately considering its potential drawbacks. We conclude that although the benefits of breastfeeding tend to be exaggerated in promotional material, on balance the weight of evidence still favours breast over formula feeding. We challenge the charge that breastfeeding jeopardises women's financial position by arguing that it is not breastfeeding per se that impacts negatively on women's economic prospects, but rather the way in which society is socially organised., (© 2020 John Wiley & Sons Ltd.)
- Published
- 2020
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3. Project 20: Midwives' insight into continuity of care models for women with social risk factors: what works, for whom, in what circumstances, and how.
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Rayment-Jones H, Silverio SA, Harris J, Harden A, and Sandall J
- Subjects
- Adult, Continuity of Patient Care trends, Female, Focus Groups methods, Humans, London, Middle Aged, Nurse Midwives trends, Qualitative Research, Risk Factors, Trust psychology, Continuity of Patient Care standards, Nurse Midwives psychology, Social Support
- Abstract
Introduction: Continuity of care models are known to improve clinical outcomes for women and their babies, but it is not understood how. A realist synthesis of how women with social risk factors experience UK maternity care reported mechanisms thought to improve clinical outcomes and experiences. As part of a broader programme of work to test those theories and fill gaps in the literature base we conducted focus groups with midwives working within continuity of care models of care for women with social factors that put them at a higher chance of having poor birth outcomes. These risk factors can include poverty and social isolation, asylum or refugee status, domestic abuse, mental illness, learning difficulties, and substance abuse problems., Objective: To explore the insights of midwives working in continuity models of care for women with social risk factors in order to understand the resources they provide, and how the model of care can improve women's outcomes., Design: Realist methodology was used to gain a deeper understanding of how women react to specific resources that the models of care offer and how these resources are thought to lead to particular outcomes for women. Twelve midwives participated, six from a continuity of care model implemented in a community setting serving an area of deprivation in London, and six from a continuity of care model for women with social risk factors, based within a large teaching hospital in London., Findings: Three main themes were identified: 'Perceptions of the model of care, 'Tailoring the service to meet women's needs', 'Going above and beyond'. Each theme is broken down into three subthemes to reveal specific resources or mechanisms which midwives felt might have an impact on women's outcomes, and how women with different social risk factors respond to these mechanisms., Conclusions/implications for Practice: Overall the midwives in both models of care felt the service was beneficial to women and had a positive impact on their outcomes. It was thought the trusting relationships they had built with women enabled midwives to guide women through a fragmented, unfamiliar system and respond to their individual physical, emotional, and social needs, whilst ensuring follow-up of appointments and test results. Midwives felt that for these women the impact of a trusting relationship affected how much information women disclosed, allowing for enhanced, needs led, holistic care. Interesting mechanisms were identified when discussing women who had social care involvement with midwives revealing techniques they used to advocate for women and help them to regain trust in the system and demonstrate their parenting abilities. Differences in how each team provided care and its impact on women's outcomes were considered with the midwives in the community-based model reporting how their location enabled them to help women integrate into their local community and make use of specialist services. The study demonstrates the complexity of these models of care, with midwives using innovative and compassionate ways of working to meet the multifaceted needs of this population., Competing Interests: Declaration of Competing Interest None declared., (Copyright © 2020. Published by Elsevier Ltd.)
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- 2020
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4. Trusting My Instincts to Protect Mothers.
- Author
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Doherty ME
- Subjects
- Female, Humans, Instinct, Nurse Midwives standards, Nurse Midwives trends, Nurse-Patient Relations, Pregnancy, Mothers, Nurse Midwives psychology, Trust psychology
- Abstract
A nurse-midwife describes how she had to trust her instincts when she suspected a woman was in danger., (Copyright © 2020. Published by Elsevier Inc.)
- Published
- 2020
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5. A Survey of Midwives' Attitudes Toward Men in Midwifery.
- Author
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Bly KC, Ellis SA, Ritter RJ, and Kantrowitz-Gordon I
- Subjects
- Attitude to Health, Female, Humans, Male, Maternal Health Services supply & distribution, Midwifery education, Nurse Midwives education, Nurses, Male education, Pregnancy, Prejudice, Qualitative Research, Social Values, United States, Attitude of Health Personnel, Midwifery trends, Nurse Midwives trends, Nurses, Male trends
- Abstract
Introduction: The midwifery profession in the United States demonstrates a significant lack of diversity. The critical need to address the lack of racial and ethnic diversity in the midwifery workforce is well recognized; little attention, however, has been given to gender diversity. This study focused on gender diversity within midwifery, specifically with regard to men who are midwives. Nearly 99% of midwives in the United States are women. No research has previously explored the attitudes of the predominantly female midwifery workforce toward its male members., Methods: An invitation to an internet survey was sent to the American College of Nurse-Midwives (ACNM) membership. Quantitative and open-ended questions assessed attitudes toward and experiences with male midwives, whether members thought men belong in the profession, whether gender impacts quality of care, if ACNM should facilitate gender diversification, and whether exposure to male midwives impacts attitudes toward gender diversification. Data analysis of qualitative responses used a qualitative description methodology to identify common themes., Results: Six thousand, nine hundred sixty-five surveys were distributed, and 864 participants completed the survey. Respondents reported beliefs that men belong in midwifery (71.4%), that gender does not affect quality of care (74%), and that ACNM should support gender diversity (72%). Respondents' perspectives revealed 3 dichotomous themes pertaining to the core nature of midwifery and how men fit within the profession: 1) inclusion versus exclusion, 2) empowerment versus protection, and 3) sharing with versus taking from. Often, the same respondent expressed both aspects of the dichotomy simultaneously., Discussion: This study contributes new information about midwives' attitudes and beliefs toward gender diversity in midwifery in the United States. The values of professionalism, tradition, feminism, protection, and diversification inform participant responses. Findings support efforts toward gender diversification and have implications for implementation in education and practice., (© 2020 by the American College of Nurse-Midwives.)
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- 2020
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6. Knowledge of US Midwifery Credentials Among Members of the American College of Nurse-Midwives.
- Author
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Jefferson K, MacKenzie RK, Hackley B, and Perlman D
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- Adult, Certification legislation & jurisprudence, Credentialing legislation & jurisprudence, Health Care Reform, Humans, Midwifery legislation & jurisprudence, Nurse Midwives legislation & jurisprudence, Nurse's Role, Practice Patterns, Nurses' legislation & jurisprudence, Societies, Nursing trends, United States, Certification trends, Credentialing trends, Midwifery trends, Nurse Midwives trends, Practice Patterns, Nurses' trends
- Abstract
Introduction: Three midwifery credentials are granted in the United States: certified nurse-midwife (CNM), certified midwife (CM), and certified professional midwife (CPM). Confusion about US midwifery credentials may restrict growth of the midwifery profession. This survey assessed American College of Nurse-Midwives (ACNM) members' knowledge of US midwifery credentials., Methods: ACNM members (N = 7551) were surveyed via email in 2017. The survey asked respondents to report demographic information and to identify correct statements about the education, certification, and scope of practice of CNMs, CMs, and CPMs. Responses to 17 items about all midwives certified in the United States, a 5-item subset specific to CNMs/CMs, and one item related to location of midwifery practice by credential were analyzed., Results: Nearly a quarter of the membership (22.1%) responded to the survey. Higher scores on the survey indicated greater identification of correct statements about the education, certification, scope, and location of practice of CNMs, CMs, and CPMs. Significant differences in scores were found among ACNM members based on their level of education, degree of professional involvement in midwifery, and prior practice as a nurse. ACNM members with higher scores on the survey held a doctorate, worked in Region I, and had greater professional leadership involvement in midwifery organizations. Participants with less nursing experience prior to their midwifery education also scored significantly higher on the survey., Discussion: Although two-thirds of respondents correctly answered items on the preparation, credentialing, and scope of practice of CNMs, CMs, and CPMs, a significant minority had gaps in knowledge. Results of this survey suggest the need for outreach about US midwifery credentials. Future research to replicate and expand upon this survey may benefit the profession of midwifery in the United States., (© 2019 by the American College of Nurse-Midwives.)
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- 2020
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7. Looking toward 2030: Strengthening midwifery education through regional partnerships.
- Author
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Srisaeng P and Upvall MJ
- Subjects
- Adult, Female, Forecasting, Humans, Laos, Pregnancy, Thailand, Capacity Building, Curriculum, Education, Medical organization & administration, Education, Medical trends, International Cooperation, Midwifery education, Nurse Midwives education, Nurse Midwives trends
- Abstract
Aims: The purpose of this paper is to describe the impact of a regional capacity-building project between Thailand and Laos that supports the United Nation's sustainable development goal 3 through midwifery education., Design: Discussion paper based on an exemplar., Data Sources: The International Confederation of Midwifery's standards of midwifery education and World Health Organization midwifery educator core competencies provided the framework for capacity-building of Lao midwifery educators., Implications for Nursing: Knowledge gained from this 2-year project (October 2015-November 2017) increased the teaching confidence of midwifery educators while linking international standards and competencies to curriculum revision. In addition, capacity-building projects based on a needs assessment and implementation from regional partners may result in policy changes at the local and national level., Conclusion: Partnerships are essential to meeting the sustainable development goals. These regional partnerships may be highly effective in creating sustainable capacity-building projects., Impact: Maternal mortality and preventing deaths of children under 5 years old continues to be a challenge across the globe despite progress made in recent years. Progress toward sustainable development goal 3, requires efforts addressed in sustainable development goal17, partnership. Laos has one of the highest maternal mortality rates in Southeast Asia. A project to increase capacity of midwifery educators demonstrated the benefit of regional partnerships in Laos to have an impact on sustainable development goal 3 ultimately improving maternal outcomes throughout the country. Partnerships especially those between countries in the same region, are crucial to the success of meeting the sustainable development goals., (© 2019 John Wiley & Sons Ltd.)
- Published
- 2020
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8. 2020: The Year of the Nurse and the Midwife.
- Author
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Hooper VD
- Subjects
- Humans, Anniversaries and Special Events, Nurse Midwives trends, Nurses trends
- Published
- 2020
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9. Motivators and challenges to research recruitment - A qualitative study with midwives.
- Author
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Daly D, Hannon S, and Brady V
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- Adult, Female, Humans, Interviews as Topic methods, Ireland, Nurse Midwives trends, Qualitative Research, Research standards, Research trends, Young Adult, Motivation, Nurse Midwives psychology, Patient Selection, Research Subjects
- Abstract
Objective: To explore midwives' experiences of recruiting participants to research studies conducted by other researchers., Design: An inductive qualitative study., Methods: Individual face-to-face or telephone interviews using a semi-structured interview guide. Interviews were analysed thematically., Settings: One large urban maternity hospital in Ireland., Participants: A purposive sample of 19 midwives FINDINGS: Three co-dependent themes emerged: intrinsic motivations, extrinsic motivations and challenges. Intrinsic motivations included midwives' personal beliefs about the value of research in general, its potential to improve practice, and their perceptions of how robust a particular study was and how it might impact on an individual woman and her baby. This included an inherent desire to shield some women, those who were perceived to have ongoing health issues or be anticipating a sub-optimal pregnancy outcome, from being offered study information. Extrinsic motivations related to the complexity of a research study and a specific researcher's characteristics. Challenges to offering potential participants research study information and, therefore, to successful recruitment included time constraints, workload and the volume of research being conducted simultaneously., Key Conclusions: Participants navigated the two, sometimes competing, worlds of clinical practice and clinical research. Set in the context of workload and the volume of research being conducted simultaneously, midwives' perceptions of a study's robustness, clarity, its potential impact on individual women and ability to improve practice governed their motivation to offer information on research studies to potential participants., Implications for Practice: Inviting clinicians to assess the study information may improve its clarity and create opportunities to discuss the potential value and recruitment bias. Researchers should be available to address clinicians' questions about particular research studies. At an organisational level, a system for managing the volume of research activity is required., (Copyright © 2019 Elsevier Ltd. All rights reserved.)
- Published
- 2019
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10. `It makes sense and it works': Maternity care providers' perspectives on the feasibility of a group antenatal care model (Pregnancy Circles).
- Author
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Hunter L, Da Motta G, McCourt C, Wiseman O, Rayment J, Haora P, Wiggins M, and Harden A
- Subjects
- Feasibility Studies, Female, Humans, Maternal Health Services trends, Nurse Midwives trends, Pregnancy, Prenatal Care standards, State Medicine organization & administration, United Kingdom, Group Processes, Maternal Health Services standards, Nurse Midwives psychology, Perception, Prenatal Care methods
- Abstract
Aim: To test the feasibility of introducing a group antenatal care initiative (Pregnancy Circles) in an area with high levels of social deprivation and cultural diversity by exploring the views and experiences of midwives and other maternity care providers in the locality before and after the implementation of a test run of the group model., Design: (i) Pre-implementation semi-structured interviews with local stakeholders. (ii) Post-implementation informal and semi-structured interviews and a reflective workshop with facilitating midwives, and semi-structured interviews with maternity managers and commissioners. Data were organised around three core themes of organisational readiness, the acceptability of the model, and its impact on midwifery practice, and analyzed thematically., Setting: A large inner-city National Health Service Trust in the United Kingdom., Participants: Sixteen stakeholders were interviewed prior to, and ten after, the group model was implemented. Feedback was also obtained from a further nine midwives and one student midwife who facilitated the Pregnancy Circles., Intervention: Four Pregnancy Circles in community settings. Women with pregnancies of similar gestation were brought together for antenatal care incorporating information sharing and peer support. Women undertook their own blood pressure and urine checks, and had brief individual midwifery checks in the group space., Findings: Dissatisfaction with current practice fuelled organisational readiness and the intervention was both possible and acceptable in the host setting. A perceived lack of privacy in a group setting, the ramifications of devolving blood pressure and urine checks to women, and the involvement of partners in sessions were identified as sticking points. Facilitating midwives need to be adequately supported and trained in group facilitation. Midwives derived accomplishment and job satisfaction from working in this way, and considered that it empowered women and enhanced care., Key Conclusions: Participants reported widespread dissatisfaction with current care provision. Pregnancy Circles were experienced as a safe environment in which to provide care, and one that enabled midwives to build meaningful relationships with women., Implications for Practice: Pre-registration education inadequately prepared midwives for group care. Addressing sticking points and securing management support for Pregnancy Circles is vital to sustain participation in this model of care., (Copyright © 2018 Elsevier Ltd. All rights reserved.)
- Published
- 2018
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11. A student midwife's perspective from South Africa.
- Author
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Steyn A
- Subjects
- Education, Nursing, Baccalaureate methods, Evidence-Based Nursing education, Evidence-Based Nursing methods, Humans, Nurse Midwives education, Nurse Midwives trends, South Africa, Education, Nursing, Baccalaureate standards, Nurse Midwives psychology, Perception, Students, Nursing psychology
- Published
- 2018
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12. Antidepressants during pregnancy: Guideline adherence and current practice amongst Dutch gynaecologists and midwives.
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Molenaar NM, Brouwer ME, Duvekot JJ, Burger H, Knijff EM, Hoogendijk WJ, Bockting CLH, de Wolf GS, and Lambregtse-van den Berg MP
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- Adult, Cross-Sectional Studies, Female, Guideline Adherence standards, Guideline Adherence trends, Gynecology methods, Humans, Logistic Models, Male, Middle Aged, Netherlands, Nurse Midwives trends, Physicians trends, Pregnancy, Prenatal Care methods, Surveys and Questionnaires, Workforce, Antidepressive Agents therapeutic use, Nurse Midwives standards, Physicians standards, Practice Patterns, Physicians' standards
- Abstract
Background and Objectives: prescription rates of antidepressants during pregnancy range from 2-3% in The Netherlands to 6.2% in the USA. Inconclusive evidence about harms and benefits of antidepressants during pregnancy leads to variation in advice given by gynaecologists and midwives. The objective was to investigate familiarity with, and adherence to the Dutch multidisciplinary guideline on Selective Serotonin Reuptake Inhibitor (SSRI) use during pregnancy by gynaecologists and midwives in the Netherlands., Methods: an online survey was developed and send to Dutch gynaecologists and midwives. The survey consisted mainly of multiple-choice questions addressing guideline familiarity and current practice of the respondent. Also, caregiver characteristics associated with guideline adherence were investigated., Findings: a total of 178 gynaecologists and 139 midwives responded. Overall familiarity with the Dutch guideline was 92.7%. However, current practice and advice given to patients by caregivers differed substantially, both between gynaecologists and midwives as well as within both professions. Overall guideline adherence was 13.9%. Multivariable logistic regression showed that solely caregiver profession was associated with guideline adherence, with gynaecologists having a higher adherence rate (OR 2.10, 95%CI 1.02-4.33) than midwives., Key Conclusion: although reported familiarity with the guideline is high, adherence to the guideline is low, possibly resulting in advice to patients that is inconsistent with guidelines and unwanted variation in current practice., Implications for Practice: further implementation of the recommendations as given in the guideline should be stimulated. Additional research is needed to examine how gynaecologists and midwives can be facilitated to follow the recommendations of the clinical guideline on SSRI use during pregnancy., (Copyright © 2018 Elsevier Ltd. All rights reserved.)
- Published
- 2018
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13. Nurse and midwifery prescribing in Ireland: A scope-of-practice development for worldwide consideration.
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Wilson DM, Murphy J, Nam MA, Fahy A, and Tella S
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- Humans, Ireland, Nurse Midwives legislation & jurisprudence, Nurse Midwives trends, Nurse's Role, Nurses legislation & jurisprudence, Nurses trends, Drug Prescriptions nursing, Nursing Care methods
- Abstract
For 10 years, select Irish nurses and midwives who pass a rigorous 6 month theory and practical program can prescribe medications and other medicinal products. Given the need for timely, accessible, and affordable health-care services in all countries, this nursing/midwifery education and practice development is worthy of examination. Irish nurse/midwife prescribing occurred following long-term deliberative nursing profession advocacy, nursing education planning, nursing administration and practice planning, interdisciplinary health-care team support and complementary efforts, and government action. A review of documents, research, and other articles was undertaken to examine this development process and report evaluative information for consideration by other countries seeking to improve their health-care systems. Nurse/midwife prescribing was accomplished successfully in Ireland, with the steps taken there to initiate and establish nurse/midwife prescribing of value internationally., (© 2018 John Wiley & Sons Australia, Ltd.)
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- 2018
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14. Role development in midwifery education: A place for simulation.
- Author
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Ruyak SL, Migliaccio L, Levi A, and Patel S
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- Curriculum, Faculty, Nursing education, Faculty, Nursing trends, Humans, Interprofessional Relations, New Mexico, Nurse Midwives education, Simulation Training methods, Workforce, Education, Nursing methods, Nurse Midwives trends, Nurse's Role psychology, Simulation Training standards
- Abstract
Objective: simulation-based learning is increasingly seen as an effective strategy to develop student nurse-midwives into effective healthcare team members. A gap exists concerning the use of simulation to promote role transition/development of the student midwife. The purpose of this paper is to describe an evolving simulation curriculum aimed at role development of the student midwife as well as technical skills training., Setting: the University of New Mexico, College of Nursing and the Interprofessional Healthcare Simulation Center., Participants: this program involves students enrolled in the Masters in Nursing Program, Midwifery Concentration and students enrolled in the pre-licensure Bachelor of Science in Nursing program., Findings: simulation allows for an opportunity to focus on communication skills with other team members, practicing the importance of clear delegation of responsibilities in high-stress situations., Conclusions: the value of practicing the necessary communication skills, as well as the opportunity to engage in simulated delegation of tasks, is an important aspect of midwifery role development., (Copyright © 2018 Elsevier Ltd. All rights reserved.)
- Published
- 2018
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15. The use of midwife-led primary antenatal care by obese women in The Netherlands: An explorative cohort study.
- Author
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Daemers DOA, van Limbeek EBM, Budé LM, Wijnen HAA, Nieuwenhuijze MJ, and de Vries RG
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- Adult, Body Mass Index, Cohort Studies, Female, Humans, Linear Models, Maternal Health Services, Netherlands, Nurse Midwives standards, Obesity nursing, Practice Patterns, Nurses' trends, Pregnancy, Time Factors, Workforce, Nurse Midwives trends, Obesity diet therapy, Patient Satisfaction, Pregnant Women psychology, Prenatal Care methods
- Abstract
Objective: to study the effect of body mass index (BMI) on the use of antenatal care by women in midwife-led care., Design: an explorative cohort study., Setting: 11 Dutch midwife-led practices., Participants: a cohort of 4421 women, registered in the Midwifery Case Registration System (VeCaS), who received antenatal care in midwife-led practices in the Netherlands and gave birth between October 2012 and October 2014., Findings: the mean start of initiation of care was at 9.3 (SD 4.6) weeks of pregnancy. Multiple linear regression showed that with an increasing BMI initiation of care was significantly earlier but BMI only predicted 0.2% (R
2 ) of the variance in initiation of care. The mean number of face-to- face antenatal visits in midwife-led care was 11.8 (SD 3.8) and linear regression showed that with increasing BMI the number of antenatal visits increased. BMI predicted 0.1% of the variance in number of antenatal visits. The mean number of antenatal contacts by phone was 2.2 (SD 2.6). Multiple linear regression showed an increased number of contacts by phone for BMI categories 'underweight' and 'obese class I'. BMI categories predicted 1% of the variance in number of contacts by phone., Key Conclusions: BMI was not a relevant predictor of variance in initiation of care and number of antenatal visits. Obese pregnant women in midwife-led practices do not delay or avoid antenatal care., Implications for Practice: Taking care of pregnant women with a high BMI does not significantly add to the workload of primary care midwives. Further research is needed to more fully understand the primary maternal health services given to obese women., (Copyright © 2016 Elsevier Ltd. All rights reserved.)- Published
- 2017
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16. 30 Years and Still Going Strong.
- Author
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Tritten J
- Subjects
- Humans, Leadership, Nurse Midwives trends, United States, Anniversaries and Special Events, Maternal Health Services trends, Midwifery trends, Periodicals as Topic trends
- Published
- 2016
17. The Evolving Role of Midwives as Laborists.
- Author
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DeJoy SA, Sankey HZ, Dickerson AE, Psaltis A, Galli A, and Burkman RT
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- Faculty, Medical, Female, Humans, Massachusetts, Patient Care Team, Pregnancy, Workforce, Labor, Obstetric, Midwifery trends, Nurse Midwives trends, Nurse Practitioners, Obstetrics education, Practice Patterns, Nurses' trends, Professional Role
- Abstract
This article examines the history and present state of the midwife as laborist. The role of the midwife and obstetrician laborist/hospitalist is rapidly evolving due to the need to improve patient safety and provide direct care due to reduced resident work hours, as well as practice demands experienced by community providers and other factors. Models under development are customized to meet the needs of different communities and hospitals. Midwives are playing a prominent role in many laborist/hospitalist practices as the first-line hospital provider or as part of a team with physicians. Some models incorporate certified nurse-midwives/certified midwives as faculty to residents and medical students. The midwifery laborist/hospitalist practices at Baystate Medical Center in Springfield, Massachusetts, are presented as an example of how midwives are functioning as laborists. Essential components of a successful midwife laborist program include interdisciplinary planning, delineation of problems the model should solve, establishment of program metrics, clear practice guidelines and role definitions, and a plan for sustained funding. This article is part of a special series of articles that address midwifery innovations in clinical practice, education, interprofessional collaboration, health policy, and global health., (© 2015 by the American College of Nurse-Midwives.)
- Published
- 2015
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18. Retrospective Review of Nurse-Midwifery Care at a Large University Health System.
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Roosevelt L, Motino Bailey J, and Kane Low L
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- Adult, Evidence-Based Nursing methods, Evidence-Based Nursing trends, Female, Humans, Nursing Process statistics & numerical data, Nursing Process trends, Outcome and Process Assessment, Health Care, Pregnancy, Pregnancy Outcome epidemiology, Retrospective Studies, United States epidemiology, Maternal-Child Health Services statistics & numerical data, Maternal-Child Health Services trends, Neonatal Nursing methods, Neonatal Nursing statistics & numerical data, Nurse Midwives trends, Perinatal Care methods, Perinatal Care statistics & numerical data, Perinatal Care trends
- Abstract
The purpose of the study is to characterize practice trends, outcomes, and changes over time of a full-scope midwifery service over the past 30 years from 1983 to 2013. The types of clients served and the evolution of the services provided and resulting outcomes are described as an exemplar of the changing nature of providing midwifery services in a tertiary care hospital setting. The overall data reveal that despite small increases in intervention practices, such as epidurals, inductions, and cesarean births, midwives have a commitment to providing safe, evidenced-based, woman-centered care within a collaborative practice model at a tertiary care center. The role of midwives as leaders in supporting physiologic birth in this setting and encouraging opportunities for interprofessional education and collaborative is demonstrated.
- Published
- 2015
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19. Regulation of Certified Nurse-Midwife Scope of Practice: Change in the Professional Practice Index, 2000 to 2015.
- Author
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Beal MW, Batzli ME, and Hoyt A
- Subjects
- Consensus, Drug Prescriptions, Female, Humans, Nurse Midwives legislation & jurisprudence, Practice Patterns, Nurses' legislation & jurisprudence, Pregnancy, Professional Practice legislation & jurisprudence, Professional Role, State Government, United States, Certification, Government Regulation, Health Care Reform legislation & jurisprudence, Midwifery legislation & jurisprudence, Nurse Midwives trends, Practice Patterns, Nurses' trends, Professional Practice trends
- Abstract
Introduction: Certified nurse-midwives (CNMs) across the United States are educated in the same core competencies, yet scope of practice varies with state regulation. The Health Resources and Services Administration (HRSA) funded studies published in 1994 and 2004 on the professional practice environment of CNMs, nurse practitioners, and physician assistants, and developed the Certified Nurse-Midwife Professional Practice Index (CNMPPI), a 100-point scoring system of state regulation focusing on 3 domains: legal status, reimbursement, and prescriptive authority. The purpose of this study was to examine changes to CNM regulation between 2000 and 2015 by updating scores to the CNMPPI., Methods: Individual state CNMPPI scores from 2000 were updated for every year through 2015 by reviewing data published in the American College of Nurse-Midwives (ACNM) quarterly publication Quickening, the annual advanced practice registered nurse legislative updates in the journal Nurse Practitioner, and the ACNM State Legislative and Regulatory Guidance., Results: Mean state scores increased 18%, from 69.7 in 2000 to 79.8 in 2015, and variation between state scores fell. Increases were seen in all 3 domains, with the greatest increase in the domain of prescriptive authority and the smallest in the legal domain. Individual state CNMPPI scores tend to be correlated with scores of adjacent states., Discussion: The CNMPPI can be used to document changes in practice authority of CNMs. The increase in state CNMPPI scores and decrease in variance across states can be interpreted as indicating growth of professional authority and increasing consensus regarding the CNM role. The scoring system needs to be updated to reflect the current health systems environment and to include certified midwives and other midwives meeting the International Confederation of Midwives definition of a midwife. Applications of the CNMPPI to future research are discussed., (© 2015 by the American College of Nurse-Midwives.)
- Published
- 2015
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20. Trends in Midwifery Use in Manitoba.
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Thiessen K, Heaman M, Mignone J, Martens P, and Robinson K
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- Adult, Female, Humans, Manitoba, Parity, Pregnancy, Young Adult, Nurse Midwives statistics & numerical data, Nurse Midwives trends
- Abstract
Objective: To describe the trends in numbers of midwives and midwifery-attended births and the characteristics of women who used midwifery health care services in Manitoba from 2001-2002 to 2009-2010., Methods: We conducted a quantitative descriptive analysis using population-based, de-identified administrative data from the Population Health Research Data Repository at the Manitoba Centre for Health Policy in Winnipeg, Manitoba to study the use of midwifery care. Trends in the numbers of practising and non-practising midwives were based on data from the College of Midwives of Manitoba registries and its annual reports., Results: There were 132,123 births in Manitoba during this time frame. Of those births, 6326 (4.8%) were midwife-attended births. There was modest growth in the overall proportion of midwife-attended births and in the number of midwives over the 10-year time period. The number of midwife-attended hospital births increased from 308 to 612 between 2001-2002 and 2009-2010, while the number of home births increased from 97 to 127. Most women who received midwifery care were in the 20- to 34-year age group and were multiparous., Conclusion: The volume and distribution of midwifery services in Manitoba has slowly increased. The proportion of births attended by midwives continues to fall short of the goals set by the original human resource strategy, which projected that by 2005, 14% of births would be attended by midwives. Further research is needed to analyze the factors that have influenced the growth and sustainability of the midwifery profession in this province.
- Published
- 2015
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21. Mix of Maternity Care Providers in Canada.
- Author
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Guliani H
- Subjects
- Adolescent, Adult, Canada, Choice Behavior, Female, Geography, Health Care Surveys, Health Personnel classification, Humans, Logistic Models, Maternal Age, Maternal Health Services classification, Nurse Midwives statistics & numerical data, Nurse Midwives trends, Obstetrics trends, Physicians, Family statistics & numerical data, Physicians, Family trends, Pregnancy, Risk Factors, Socioeconomic Factors, Workforce, Young Adult, Health Personnel trends, Maternal Health Services trends, Pregnancy Complications
- Abstract
Objective: To identify the factors influencing women's choice of maternity care providers in Canada., Method: Using the Maternity Experience Survey and a multinomial logit model, this paper examined the influence of various socio-economic and demographic factors on the mix of maternity care providers, while controlling for maternal risk profiles. Additionally, provinces were interacted with maternal age to assess the extent to which regional variations in mix of maternity care providers is influenced by pregnant women's needs., Results: Besides maternal risk factors, province of prenatal care and the place of residence were found to be statistically significant determinants of choice of maternity care providers. Analysis involving interaction terms indicated wide regional variations in the mix of providers by maternal age., Conclusions: The results suggest a wide provincial variation in the mix of maternity care providers. New provincial government initiatives are needed to enhance the supply and capacity of care providers., (Copyright © 2015 Longwoods Publishing.)
- Published
- 2015
22. NMC seeks midwives and nurses for fitness panels.
- Subjects
- Humans, United Kingdom, Clinical Competence standards, Judgment, Nurse Midwives trends, Nurses trends
- Published
- 2015
- Full Text
- View/download PDF
23. Australian primary maternity units: past, present and future.
- Author
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Monk AR, Tracy S, Foureur M, and Barclay L
- Subjects
- Australia, Female, Health Policy, History, 19th Century, History, 20th Century, Humans, Interpersonal Relations, Maternal Health Services history, Maternal Health Services trends, Nurse Midwives history, Nurse Midwives trends, Pregnancy, Midwifery history, Midwifery trends, Nurse's Role history, Professional Autonomy
- Abstract
Primary maternity units are commonly those run by midwives who provide care to women with low-risk pregnancies with no obstetric, anaesthetic, laboratory or paediatric support available on-site. In some other countries, primary level maternity units play an important role in offering equitable and accessible maternity care to women with low-risk pregnancies, particularly in rural and remote areas. However there are very few primary maternity units in Australia, largely due to the fact that over the past 200 years, the concept of safety has become inherently linked with the immediate on-site availability of specialist medical support. The purpose if this paper is to explore the various drivers and barriers to the sustainability of primary maternity units in Australia. It firstly looks at the historical antecedents that shaped primary level maternity services in Australia, from the time of colonisation to now. During this period the space and management of childbirth moved from home and midwifery-led settings to obstetric-led hospitals. Following on from this an analysis of recent political events shows how Australian government policy both supports and undermines the potential of primary maternity units. It is important that researchers, clinicians and policy makers understand the past in order to manage the challenges facing the development and maintenance of midwifery-led maternity services, in particular primary maternity units, in Australia today., (Copyright © 2013 Australian College of Midwives. All rights reserved.)
- Published
- 2013
- Full Text
- View/download PDF
24. Student midwives are our future.
- Author
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Page L
- Subjects
- Clinical Competence, Education, Nursing, Baccalaureate organization & administration, Humans, Nurse Midwives education, Nurse Midwives trends, Prognosis, Social Support, Students, Nursing statistics & numerical data, United Kingdom, Workforce, Education, Nursing, Baccalaureate trends, Maternal Health Services, Midwifery education, Midwifery trends
- Published
- 2012
25. Thirty years of global outreach by the American College of Nurse-Midwives.
- Author
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Kennedy HP, Stalls S, Kaplan LK, Grenier L, and Fujioka A
- Subjects
- Community Health Services organization & administration, Developing Countries, Female, Humans, Infant Mortality trends, Infant, Newborn, Male, Maternal Mortality trends, Midwifery trends, Nurse Midwives education, Pregnancy, Global Health, Maternal-Child Health Centers organization & administration, Nurse Midwives trends
- Abstract
The mission of the American College of Nurse-Midwives (ACNM) is to promote the health and well-being of women and newborns within their families and communities through development and support of the profession of midwifery. The United Nations Millennium Development Goals 4 and 5 are to reduce infant and child mortality and improve maternal health through universal access to reproductive and reduction of maternal mortality. Significant, multilevel efforts are needed to achieve these goals. Over the last three decades, ACNM has mentored several generations of midwives in more than 30 countries who have contributed talent and commitment to making the world a safer place for women and children. We have developed invaluable institutional knowledge of the components required to build a profession of competent and qualified healthcare providers of maternal and infant care. The major focal areas of our Department of Global Outreach include (1) development and implementation of in-service training systems, (2) integrated preservice education, (3) strengthening of midwifery and other healthcare professions, and (4) community education and mobilization. ACNM's approach emphasizes partnership and capacity building with both individuals and organizations to strengthen the locus of control and ownership of projects within the host country, incorporating evidence-based best practices with flexibility and creativity. The future relies on upcoming generations to creatively work with multiple disciplines and across nations to solve the complex issues endangering women and families worldwide, especially mothers and infants.
- Published
- 2012
- Full Text
- View/download PDF
26. Trends in midwife-attended births in the United States, 1989-2009.
- Author
-
Declercq E
- Subjects
- Female, Humans, Pregnancy, Racial Groups, United States ethnology, Live Birth ethnology, Midwifery trends, Natural Childbirth, Nurse Midwives trends
- Abstract
Introduction: Data on attendance at birth by midwives in the United States have been available on the national level since 1989. Rates of certified nurse-midwife (CNM)-attended births more than doubled between 1989 (3.3% of all births) and 2002 (7.7%) and have remained steady since. This article examines trends in midwife-attended births from 1989 to 2009., Methods: The data in this report are based on records gathered as part of the US National Standard Certificate of Live Birth from a public use Web site, Vital Stats (http://www.cdc.gov/nchs/VitalStats.htm), that allows users to create and download specialized tables., Results: Between 2007 and 2009, the proportion of all births attended by CNMs increased by 4% from 7.3% of all births to 7.6% and a total of 313,516. This represents a decline in total births attended by CNMs from 2008 but a higher proportion of all births because total US births dropped at a faster rate. The proportion of vaginal births attended by CNMs reached an all-time high of 11.4% in 2009. There were strong regional patterns to the distribution of CNM-attended births. Births attended by "other midwives" rose to 21,787 or 0.5% of all US births, and the total proportion of all births attended by midwives reached an all-time high of 8.1%. The race/ethnicity of mothers attended by CNMs has shifted over the years. In 1990, CNMs attended a disproportionately high number of births to non-white mothers, whereas in 2009, the profile of CNM births mirrors the national distribution in race/ethnicity., Discussion: Midwife-attended births in the United States are increasing. The geographic patterns in the distribution of midwife-attended births warrant further study., (© 2012 by the American College of Nurse-Midwives.)
- Published
- 2012
- Full Text
- View/download PDF
27. Toward developing a training pathway for fertility nurses: report of the 2010 training and educational survey.
- Author
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Peddie VL, Denton J, and Barnett V
- Subjects
- Advanced Practice Nursing economics, Advanced Practice Nursing education, Advanced Practice Nursing trends, Education, Nursing, Continuing economics, Education, Nursing, Diploma Programs economics, Education, Nursing, Graduate economics, Humans, Infertility therapy, Internet, Needs Assessment, Nurse Midwives education, Nurse Midwives trends, Nurse's Role, Professional Competence, Reproductive Health education, Surveys and Questionnaires, United Nations, Workforce, Workplace, Education, Nursing economics, Education, Nursing trends, Fertility, Infertility nursing
- Abstract
Fertility nursing and its role extension has increasingly been referred to as 'specialist' or 'advanced nursing practice'. Nevertheless, Government initiatives have prompted a review of 'Advanced Nursing Practice' and the Nursing & Midwifery Council (NMC) has taken steps to address the disparity of roles, job titles, training and competence of nurse practitioners, concluding that advanced nursing practice should be subject to revalidation in the same way as professional registration. Fertility nurses form an integral part of the multidisciplinary team. Yet no formal or nationally recognised framework or training pathway exists. In this paper, we present the findings of a recent online survey of training and educational needs of fertility nurses; its aim being to work toward developing a national training pathway. Our findings identify the relationship between fertility nurse competencies, advanced nursing practice and medical sub-specialist training, at the same time, highlighting the difference in accessibility, funding and levels of training, as well as assessment and expertise within clinical practice. We conclude that it is essential to protect role extension through regonised Higher Educational Institution (HEI) accreditation, by appropriate, role-focussed training. Notwithstanding a national review, the diverse list of job titles also needs to be addressed adequately to encompass and respect role extension.
- Published
- 2011
- Full Text
- View/download PDF
28. Nurse practitioners, certified nurse midwives, and physician assistants in physician offices.
- Author
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Park M, Cherry D, and Decker SL
- Subjects
- Adult, Age Factors, Health Care Surveys, Humans, Medicaid economics, Medicaid legislation & jurisprudence, Medicaid statistics & numerical data, Medicare economics, Medicare legislation & jurisprudence, Medicare statistics & numerical data, Middle Aged, Nurse Midwives trends, Nurse Practitioners trends, Patient Protection and Affordable Care Act, Physician Assistants trends, Population Dynamics, Practice Management, Medical economics, Primary Health Care economics, Primary Health Care organization & administration, United States, Workforce, Ambulatory Care economics, Ambulatory Care trends, Nurse Midwives supply & distribution, Nurse Practitioners supply & distribution, Physician Assistants supply & distribution, Practice Management, Medical organization & administration
- Abstract
The expansion of health insurance coverage through health care reform, along with the aging of the population, are expected to strain the capacity for providing health care. Projections of the future physician workforce predict declines in the supply of physicians and decreasing physician work hours for primary care. An expansion of care delivered by nurse practitioners (NPs), certified nurse midwives (CNMs), and physician assistants (PAs) is often cited as a solution to the predicted surge in demand for health care services and calls for an examination of current reliance on these providers. Using a nationally based physician survey, we have described the employment of NPs, CNMs, and PAs among office-based physicians by selected physician and practice characteristics., (All material appearing in this report is in the public domain and may be reproduced or copied without permission; citation as to source, however, is appreciated.)
- Published
- 2011
29. The campaigns for men to become midwives in the 1970s.
- Author
-
Pittman E and Fitzgerald L
- Subjects
- Attitude to Health, Australia, Female, History, 20th Century, History, 21st Century, Humans, Male, Midwifery legislation & jurisprudence, Midwifery trends, Nurse Midwives legislation & jurisprudence, Nurse Midwives trends, Nurses, Male legislation & jurisprudence, Nurses, Male trends, Prejudice, Midwifery history, Nurse Midwives history, Nurses, Male history
- Abstract
The oral testimony of forty men entering nursing (1950-2000) and twenty men entering midwifery (1970-2000) in Australia is littered with descriptions of gender discrimination. Men identify many of the barriers they encountered entering a female dominated profession. The Nurses' Registration Act in the States of Victoria (1958) and Tasmania (1952) explicitly stated no male could be registered as a midwife and this paper focuses on the personal accounts of three men (1974-1976) to change this legal impediment. In twenty-first century Australia the percentage of male midwives, like many countries around the world, remains very small, and depending on the state or territory of Australia is between 1 to 2.7 percent.
- Published
- 2011
- Full Text
- View/download PDF
30. Toward unification of the midwifery profession: looking back to guide us now.
- Author
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Barroso R
- Subjects
- Home Childbirth trends, Hospitalization trends, Humans, Midwifery organization & administration, Midwifery standards, Nurse Midwives education, Nurse Midwives organization & administration, United States, Midwifery trends, Nurse Midwives standards, Nurse Midwives trends
- Published
- 2010
- Full Text
- View/download PDF
31. Obstetric triage: models and trends in resident education by midwives.
- Author
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Angelini DJ, Stevens E, MacDonald A, Wiener S, and Wieczorek B
- Subjects
- Consultants, Hospitals trends, Humans, Internship and Residency trends, Nurse Midwives trends, Nurse's Role, Obstetrics organization & administration, Obstetrics trends, Physician-Nurse Relations, United States, Internship and Residency organization & administration, Models, Educational, Models, Organizational, Nurse Midwives organization & administration, Obstetrics education, Triage
- Abstract
Four models of resident education in obstetric triage with midwifery faculty consultants are presented. Common trends in the structure and function of these models are reviewed. The four models represent diverse settings where midwives serve as clinical teachers primarily for first-year obstetric residents and residents from other subspecialties. Each model supports a growing number of midwives working in the triage setting, functioning as both teacher and consultant for new residents. This expanded midwifery teaching role extends beyond labor assessment to include a wide range of common obstetric and gynecologic conditions in the triage setting. Additional advantages include the ability of the midwife to bill for triage services and to provide a safety net to decrease medical errors which, in a busy triage unit, occur most often during patient transfers.
- Published
- 2009
- Full Text
- View/download PDF
32. Midwifery and medical education: a decade of changes.
- Author
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Angelini DJ
- Subjects
- Education, Medical methods, Humans, Interdisciplinary Communication, Education, Medical trends, Nurse Midwives trends, Nurse's Role
- Published
- 2009
- Full Text
- View/download PDF
33. Births attended by certified nurse-midwives in the United States reach an all-time high: trends from 1989 to 2006.
- Author
-
Declercq E
- Subjects
- Female, Humans, Nurse Midwives statistics & numerical data, Pregnancy, United States, Midwifery trends, Nurse Midwives trends
- Published
- 2009
- Full Text
- View/download PDF
34. Rekindling of nurse-midwifery in Brazil: public policy and childbirth trends.
- Author
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Carr M and Riesco ML
- Subjects
- Adult, Brazil epidemiology, Female, Humans, Infant Welfare legislation & jurisprudence, Infant, Newborn, Maternal Health Services legislation & jurisprudence, Maternal Health Services organization & administration, Maternal Welfare legislation & jurisprudence, Midwifery legislation & jurisprudence, Midwifery organization & administration, Models, Organizational, Nurse Midwives legislation & jurisprudence, Nurse Midwives organization & administration, Nurse's Role, Nursing Evaluation Research, Pregnancy, Quality Assurance, Health Care, Total Quality Management, Health Policy, Infant Welfare trends, Maternal Health Services trends, Maternal Welfare trends, Midwifery trends, Nurse Midwives trends
- Abstract
In the last decade, nurse-midwifery in Brazil has experienced many changes both professionally and politically. In the 1990s, Brazil's Ministry of Health generated policies to improve childbirth services. Included in these policy initiatives was legislation for the reimbursement of nurse-midwifery services and a substantial increase in financing of nurse-midwifery schools throughout the country. It was during this period that the Brazilian National Nurse-Midwifery Organization was formed to provide professional leadership and an alternative model of childbirth care. The future is hopeful, but the nurse-midwifery profession will need collective determination to succeed in changing practices and improving services to women and families.
- Published
- 2007
- Full Text
- View/download PDF
35. Steering the future of midwifery.
- Author
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Ratnaike D
- Subjects
- Forecasting, Humans, Job Description, Nurse Midwives trends, Prenatal Care trends, United Kingdom, Maternal Health Services trends, Midwifery trends, Nurse's Role, Professional Autonomy
- Published
- 2007
36. Where now for midwives?
- Author
-
Davis K
- Subjects
- Education, Nursing organization & administration, Humans, Maternal Health Services trends, Midwifery trends, Nurse Midwives trends, Professional Competence, Societies, Nursing organization & administration, United Kingdom, Job Description, Maternal Health Services organization & administration, Midwifery organization & administration, Nurse Midwives organization & administration, Nurse's Role
- Published
- 2006
37. The profession of midwifery in the United States: Looking back and looking forward.
- Author
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King TL and Barger MK
- Subjects
- Female, History, 20th Century, Humans, Infant, Newborn, Male, Midwifery education, Midwifery history, Nurse Midwives education, Pregnancy, United States, Midwifery trends, Nurse Midwives trends, Societies, Nursing history
- Published
- 2005
- Full Text
- View/download PDF
38. Report on: Complicity and compassion: the first international conference on nursing and midwifery in the Third Reich, 10-11 June 2004, Limerick, Republic of Ireland.
- Author
-
Shields L
- Subjects
- Europe, Germany, History, 20th Century, Humans, Ireland, National Socialism history, Nurse's Role, Empathy, Ethics, Nursing history, Midwifery history, Midwifery trends, Moral Obligations, Nurse Midwives history, Nurse Midwives trends, Nursing Staff history, Nursing Staff trends
- Published
- 2005
- Full Text
- View/download PDF
39. Nurse-midwifery: yesterday, today, and tomorrow.
- Subjects
- Certification, Education, Forecasting, Humans, United States, Nurse Midwives education, Nurse Midwives trends
- Published
- 2005
- Full Text
- View/download PDF
40. Factors influencing cessation of pregnancy care in Oregon.
- Author
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Smits AK, Clark EC, Nichols M, and Saultz JW
- Subjects
- Cross-Sectional Studies, Family Practice economics, Family Practice trends, Female, Health Care Surveys, Health Services Accessibility economics, Humans, Insurance, Liability, Insurance, Physician Services, Male, Nurse Midwives economics, Nurse Midwives trends, Obstetrics economics, Obstetrics trends, Oregon, Practice Patterns, Physicians' economics, Delivery, Obstetric statistics & numerical data, Family Practice statistics & numerical data, Health Services Accessibility statistics & numerical data, Nurse Midwives statistics & numerical data, Obstetrics statistics & numerical data, Practice Patterns, Physicians' statistics & numerical data
- Abstract
Background and Objectives: Anecdotal evidence suggests that many providers who previously delivered babies are no longer doing so, both in Oregon and nationally. This study determined the proportion of pregnancy care providers who have stopped or are planning to stop providing this care in Oregon and identified the important factors influencing such practice changes., Methods: We mailed a survey in October and November 2002 to all obstetrician-gynecologists, family physicians, general practitioners, and certified nurse midwives practicing in Oregon. The survey inquired about whether they currently perform deliveries. If they did not do so, or if they did so but planned to stop, further questions were asked about reasons for not providing this care., Results: A total of 2,158 surveys were mailed; 1,232 were returned (58% adjusted response rate), and 1,069 had sufficient information to be included in our analysis. Of respondents, 511 (47.8%) currently perform deliveries. Of these, 157 (30.7%) indicated that they planned to stop doing so in 1 to 5 years, with cost of professional liability insurance (59%) and fear of lawsuits (43%) most frequently cited as major reasons. A total of 367 (34%) respondents had previously stopped performing deliveries. Providers who stopped providing this care since 1999 were significantly more likely to cite cost of medical liability insurance and low reimbursement as major reasons, compared to providers who stopped earlier., Conclusions: Our study suggests that as many as half of clinicians who previously performed or currently perform deliveries in Oregon are planning to stop or have already stopped providing this service, raising concern about access to pregnancy care services for women in the state.
- Published
- 2004
41. Decisions by nurses in acute care to undertake expanded practice roles.
- Author
-
Rushforth H and McDonald H
- Subjects
- Career Choice, Decision Making, Humans, Nurse Midwives standards, Nurse Midwives statistics & numerical data, Professional Competence, Specialties, Nursing standards, Specialties, Nursing statistics & numerical data, Surveys and Questionnaires, United Kingdom, Acute Disease nursing, Attitude of Health Personnel, Nurse Midwives trends, Specialties, Nursing trends
- Abstract
Since 1992, expanded practice has been an important issue in the career progression of the qualified nurse. Its contemporary relevance in the early years of the 21st century is underpinned by recent and ongoing national initiatives to blur the boundaries between healthcare providers, and to regulate practice at a higher level. This article reports the findings of a survey and in-depth, semi-structured interviews conducted with nurses from across the UK, which explores their views and experiences in terms of decisions regarding whether or not to undertake expanded practice roles. Insights are gained in a variety of domains of expanded practice including preparation for the role, competency verification, perceptions of accountability and liability, effects on patient care, role refusal and utilization of evidence to underpin expanded practice. These reported views and experiences have important implications for current practice and future research.
- Published
- 2004
- Full Text
- View/download PDF
42. Modernisation board annual report.
- Author
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O'Sullivan S
- Subjects
- Annual Reports as Topic, Humans, Maternal Health Services trends, Midwifery trends, National Health Programs, Nurse Midwives trends, Quality Assurance, Health Care, Social Change, Specialty Boards, United Kingdom, Maternal Health Services standards, Midwifery standards, Nurse Midwives standards, Nurse's Role
- Published
- 2003
43. Workforce group calls for rethink about future maternity services.
- Subjects
- Health Services Needs and Demand trends, Humans, Maternal Welfare, United Kingdom, Workforce, Maternal Health Services trends, Midwifery trends, Nurse Midwives supply & distribution, Nurse Midwives trends
- Published
- 2003
44. Challenges and opportunities for nurse-midwives.
- Author
-
Roberts J
- Subjects
- Humans, Nurse Midwives organization & administration, Public Relations, Research, United States, Nurse Midwives education, Nurse Midwives trends
- Abstract
This article reviews the major indicators of the growth in nurse-midwifery practice and education over the past 10 years. The major issues the profession has addressed are identified, as well as future challenges and opportunities. These challenges and opportunities are identified within the major dimensions of nurse-midwifery, that is, in practice, education, research, and within the public sector. The two major issues facing nurse-midwives are legislative initiatives related to the practice of nurse-midwives, such as reimbursement, and the mixed societal image of midwifery as a contemporary, cost-effective practice versus a peripheral activity by "old fashioned," informally educated individuals. The professional organization of nurse-midwives, the American College of Nurse-Midwives (ACNM), is addressing these issues through interdisciplinary and interorganizational legislative and marketing initiatives.
- Published
- 2001
- Full Text
- View/download PDF
45. To be a midwife in this millennium.
- Author
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van Olphen Fehr J
- Subjects
- Female, Humans, Midwifery trends, Pregnancy, Nurse Midwives trends
- Published
- 2001
- Full Text
- View/download PDF
46. Midwives in the United States.
- Author
-
Gaskin IM
- Subjects
- Female, Humans, Philosophy, Nursing, Pregnancy, United States, Attitude of Health Personnel, Negativism, Nurse Midwives psychology, Nurse Midwives trends
- Published
- 2000
47. Evidence-based practice: a new name for an old concept?
- Author
-
Hawkins JW
- Subjects
- Benchmarking, Humans, Nurse Midwives standards, Nurse Midwives trends, Nurse's Role, Public Health Nursing standards, Public Health Nursing trends, Evidence-Based Medicine, Models, Nursing, Nurse Practitioners standards, Nurse Practitioners trends, Nursing Research standards, Nursing Research trends, Practice Guidelines as Topic standards
- Published
- 2000
48. Adding up 30 years of childbirth advocacy: how far have we come?
- Author
-
Young D
- Subjects
- Female, Forecasting, Humans, Pregnancy, United States, Cesarean Section trends, Home Childbirth trends, Maternal Health Services trends, Natural Childbirth trends, Nurse Midwives trends, Patient Advocacy
- Published
- 2000
- Full Text
- View/download PDF
49. The midwife 2010. Exploring the impact of genetics on the future of midwifery.
- Author
-
McGregor S and Kirk M
- Subjects
- Attitude to Health, Choice Behavior, Female, Forecasting, Health Knowledge, Attitudes, Practice, Humans, Pregnancy, Genetic Testing trends, Genetics, Medical trends, Midwifery trends, Nurse Midwives trends
- Published
- 2000
50. I have a dream...
- Author
-
Rosser J
- Subjects
- Forecasting, Humans, Job Satisfaction, Nurse Midwives psychology, State Medicine trends, United Kingdom, Maternal Health Services trends, Nurse Midwives trends
- Published
- 1999
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