Advanced midwifery practice: A scoping review.
Advanced midwifery practice
Midwifery
Scope of practice
Scoping review
Journal
Women and birth : journal of the Australian College of Midwives
ISSN: 1878-1799
Titre abrégé: Women Birth
Pays: Netherlands
ID NLM: 101266131
Informations de publication
Date de publication:
14 Oct 2023
14 Oct 2023
Historique:
received:
26
07
2023
revised:
04
10
2023
accepted:
05
10
2023
medline:
17
10
2023
pubmed:
17
10
2023
entrez:
16
10
2023
Statut:
aheadofprint
Résumé
There is no international standard for advanced midwifery scope of practice. Globally, there is variance in how scope of midwifery practice is determined and regulated, with no consensus on extended or advanced scope. This can lead to under-utilised staff potential, un-met consumer need, and loss of professional skill. The aim of this scoping review was to synthesise and map what is reported in the international literature on the advanced scope of midwifery practice. A systematic scoping review methodology was adopted utilising Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR). A full search was conducted of databases including MEDLINE, CINAHL, Scopus, Google. Publications from 2019 to August 2022 that met criteria were included. Reported skills were mapped to the International Confederation of Midwives (ICM) competencies of pre-conception, antenatal, labour and birth, postnatal plus globally identified areas for midwifery investment. 28 articles met inclusion criteria. Reported skills included abortion care (n = 6), prescribing (n = 7), ultrasound (n = 2), advanced practice skills (n = 7), midwifery-led skills, primary health, post-graduate education, HIV/AIDS testing, advocacy, and acupressure (all n = 1). This review presents a synopsis of publications describing what has been defined as advanced midwifery scope of practice in international contexts. Establishing evidence of midwives working to the peak of professional scope is important to continue to develop professional capacity and support contemporary practice, regulation, governance, and policy while improving consumer access to equitable care. Findings aid service development, provision, and professional planning.
Sections du résumé
PROBLEM
OBJECTIVE
There is no international standard for advanced midwifery scope of practice.
BACKGROUND
BACKGROUND
Globally, there is variance in how scope of midwifery practice is determined and regulated, with no consensus on extended or advanced scope. This can lead to under-utilised staff potential, un-met consumer need, and loss of professional skill.
AIMS
OBJECTIVE
The aim of this scoping review was to synthesise and map what is reported in the international literature on the advanced scope of midwifery practice.
METHODS
METHODS
A systematic scoping review methodology was adopted utilising Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR). A full search was conducted of databases including MEDLINE, CINAHL, Scopus, Google. Publications from 2019 to August 2022 that met criteria were included. Reported skills were mapped to the International Confederation of Midwives (ICM) competencies of pre-conception, antenatal, labour and birth, postnatal plus globally identified areas for midwifery investment.
FINDINGS
RESULTS
28 articles met inclusion criteria. Reported skills included abortion care (n = 6), prescribing (n = 7), ultrasound (n = 2), advanced practice skills (n = 7), midwifery-led skills, primary health, post-graduate education, HIV/AIDS testing, advocacy, and acupressure (all n = 1).
DISCUSSION
CONCLUSIONS
This review presents a synopsis of publications describing what has been defined as advanced midwifery scope of practice in international contexts.
CONCLUSION
CONCLUSIONS
Establishing evidence of midwives working to the peak of professional scope is important to continue to develop professional capacity and support contemporary practice, regulation, governance, and policy while improving consumer access to equitable care. Findings aid service development, provision, and professional planning.
Identifiants
pubmed: 37845089
pii: S1871-5192(23)00294-9
doi: 10.1016/j.wombi.2023.10.001
pii:
doi:
Types de publication
Journal Article
Review
Langues
eng
Informations de copyright
Copyright © 2023 The Authors. Published by Elsevier Ltd.. All rights reserved.