Developing a Canadian midwifery research priority framework: a Delphi consensus study.

Area of Science:

• Midwifery Research
• Health Systems Research
• Evidence-Informed Practice

Background:

• Canadian midwifery has grown significantly but lacks coordinated research infrastructure.
• A unified research agenda is crucial for addressing clinical, population, and policy challenges.
• Advancing research capacity is essential for the midwifery profession's development.

Purpose of the Study:

• To identify national research priorities for Canadian midwifery.
• To develop a framework for advancing midwifery research capacity.
• To inform evidence-based policy and practice in Canadian midwifery.

Main Methods:

• Modified Delphi technique involving a scoping review, national survey, and focus groups.
• Inclusion of diverse stakeholders: midwives, researchers, service users, students, and policymakers.
• Mixed-methods analysis (qualitative and quantitative) to identify and rank research priorities.

Main Results:

• Three primary research priority areas identified: organizing models of care, optimizing reproductive care, and strengthening the profession.
• Key themes include improving access to care, expanding midwifery roles, and addressing systemic barriers.
• Facilitating factors such as collaboration, policy changes, and research capacity building were highlighted.

Conclusions:

• A coordinated national research agenda is vital for the growth and development of Canadian midwifery.
• Focusing on identified priorities and facilitators will enhance the quality and accessibility of midwifery services.
• The study's methodology and findings can guide global efforts to integrate midwifery care into health systems.