Prescriptive authority for nurse-midwives. A historical review.

Area of Science:

• Healthcare Policy
• Nursing Practice
• Professional Autonomy

Background:

• The nursing profession, particularly nurse-midwifery, has historically contended with limitations on practice scope.
• Professional autonomy is a key driver for advancements in patient care and provider roles.

Observation:

• Nurse-midwives have actively pursued the legal authority to prescribe drugs, devices, and treatments.
• This pursuit is central to their ongoing struggle for greater professional autonomy.

Findings:

• Historical analysis reveals significant barriers hindering nurse-midwives' practice authority.
• Challenges also stem from the interpretation and application of federal and state statutes governing prescribing.

Implications:

• Overcoming these barriers is crucial for expanding nurse-midwifery services and improving healthcare access.
• Clarifying legislative language and implementation is essential for empowering nurse-midwives.