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Informing the development midwifery standards for practice: A literature review for policy development
Cate Nagle1, Susan McDonald2, Jane Morrow3
1James Cook University, Centre for Nursing and Midwifery Research, 1 James Cook Drive, Townsville, Queensland 4814 Australia; Townsville Hospital and Health Service, 100 Angus Smith Drive, Douglas QLD 4814 Australia.
This review synthesizes literature to define the broad scope of midwifery practice, extending beyond clinical care to roles in management, education, and policy. It informs evidence-based practice standards for Australian midwives.
Area of Science:
- Midwifery Studies
- Healthcare Policy
- Professional Standards
Background:
- Limited literature exists on midwifery competency and practice standards.
- A critical appraisal of existing literature is needed to inform Australian midwifery standards.
Purpose of the Study:
- To synthesize literature on the role and scope of midwifery practice.
- To inform the evidence-based development of practice standards for all midwives in Australia.
Main Methods:
- A structured scoping review of CINAHL Complete, MEDLINE Complete, and Cochrane Libraries (2006-2016).
- Searches included online and grey literature, with no restriction on study design.
Main Results:
- Twenty-eight papers were identified from 1648 screened.
- Key aspects of midwifery practice include woman-centered care, collaborative practice, clinical skills, and cultural competence.
- Midwifery roles encompass clinical and non-clinical settings, including management, education, and policy development.
Conclusions:
- Midwifery practice extends beyond direct clinical care to any role utilizing midwifery skills and knowledge.
- This review defines midwifery practice to guide the development of contemporary standards for Australian midwives.
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