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Advanced midwifery practice: An evolutionary concept analysis.

Régine Goemaes1, Dimitri Beeckman1, Joline Goossens1

  • 1University Centre for Nursing & Midwifery, Department of Public Health, Faculty of Medicine and Health Sciences, Ghent University, U.Z. 5K3, De Pintelaan 185, B-9000 Ghent, Belgium.

Midwifery
|October 9, 2016
PubMed
Summary

Advanced midwifery practice (AMP) lacks a clear international definition. Key attributes include autonomy, leadership, expertise, and research skills, with a consensus on master's level preparation for AMPs.

Keywords:
Advanced practice nursingadvanced midwife practitionercertified nurse midwifeconcept analysismidwifery

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Area of Science:

  • Midwifery Studies
  • Healthcare Professional Development
  • Nursing and Allied Health

Background:

  • The concept of advanced midwifery practice is not well-defined internationally.
  • A clear understanding of advanced midwifery practice is crucial for professional advancement and legitimacy.
  • This study addresses the need for conceptual clarity in advanced midwifery practice.

Purpose of the Study:

  • To clarify the concept of advanced midwifery practice.
  • To identify the core components and attributes of advanced midwifery practice.
  • To establish a foundational understanding for the development of advanced midwifery roles.

Main Methods:

  • Utilized Rodgers' evolutionary method of concept analysis.
  • Conducted a comprehensive review of international literature on advanced midwifery practice.
  • Analyzed attributes, references, related terms, antecedents, and consequences of advanced midwifery practice.

Main Results:

  • An international consensus definition for advanced midwifery practice is currently absent.
  • Identified four key attributes of advanced midwife practitioners (AMPs): autonomy, leadership, expertise, and research skills.
  • Consensus exists on the necessity of master's level preparation for AMPs, who possess diverse roles and scopes of practice.

Conclusions:

  • Findings indicate significant variation in the development, titles, roles, and practice scope of AMPs.
  • Research on the clinical and strategic outcomes of care provided by AMPs supports their further implementation.
  • A clear conceptualization of advanced midwifery practice is essential for overcoming implementation barriers and advancing the profession.