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Counting Midwives Providing Clinical Care in Nevada.

Jennifer Vanderlaan1, Janice Enriquez1, Melva Thompson-Robinson1

  • 1University of Nevada, Las Vegas School of Nursing, Las Vegas, Nevada, USA.

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|March 6, 2025
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Only 55% of licensed nurse-midwives in Nevada practice full-time within the state. This highlights potential overestimation of active providers on licensee lists.

Keywords:
health workforcelicensurenurse‐midwives

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Area of Science:

  • Healthcare Workforce Analysis
  • Maternal Health Services
  • Nursing Professional Studies

Background:

  • Accurate data on healthcare provider numbers is crucial for service planning.
  • Nurse-midwife workforce statistics are essential for understanding maternal care access.
  • Nevada's specific challenges in healthcare access may be influenced by provider distribution.

Purpose of the Study:

  • To determine the number of nurse-midwives primarily practicing in Nevada.
  • To assess the accuracy of existing state licensure and national provider databases.
  • To inform healthcare workforce planning and maternal care accessibility initiatives.

Main Methods:

  • A cross-sectional study was conducted in Nevada in May 2024.
  • Two distinct midwife datasets were compared for agreement.
  • Criteria for primary practice included an active Nevada license and a Nevada practice site in the National Provider Identifier file.

Main Results:

  • Only 55% of nurse-midwives holding active Nevada licenses practice full-time within the state.
  • A significant discrepancy exists between licensed and actively practicing nurse-midwives in Nevada.
  • Licensee lists may not accurately reflect the current, in-state provider workforce.

Conclusions:

  • State nurse-midwife licensee lists may overestimate the number of full-time practicing providers.
  • Nevada and other states should explore strategies to accurately track practicing midwives.
  • Nurse license compacts, telehealth registration, and hub-and-spoke models could clarify the role of out-of-state providers.