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Developing a midwifery service task list for Chinese midwives in the task-shifting context: a Delphi study
Chunyi Gu1,2,3, Helena Lindgren4, Xiaojiao Wang1
1Department of Nursing, Obstetrics and Gynecology Hospital of Fudan University, Shanghai, China.
BMJ Open
|July 16, 2021
Summary
A new midwifery-led task list was developed to define the scope of practice for midwives in China. This framework supports task shifting in maternity care settings, improving maternal healthcare services.
Area of Science:
- Maternal Healthcare
- Midwifery Practice
- Task Shifting Interventions
Background:
- Task shifting is crucial for optimizing maternal healthcare delivery.
- Defining clear scopes of practice enhances midwifery roles.
Purpose of the Study:
- To develop and validate a comprehensive midwifery-led task list.
- To establish the scope of practice for midwives within a task-shifting context in China.
Main Methods:
- Extensive literature review and a two-iterative Delphi survey.
- National panel of maternal healthcare, obstetrics, nursing, and midwifery experts.
- Experts rated service items on importance, feasibility, and advancement using a 5-point scale.
Main Results:
- A three-level task list was developed, comprising 3 domains, 13 task types, and 58 service items.
- Domains included antenatal, intrapartum, and postnatal care.
- High expert consensus (96.4%-100% response rate) and reliability (authority coefficient 0.882) were achieved.
Conclusions:
- This study presents the first midwifery-led task list for Chinese midwives.
- The list clearly defines the scope of practice, serving as a foundational framework.
- It can inform the design of midwifery-led task shifting interventions globally.
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