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Developing a career and competency framework for midwives in China.

Congyu Lou1, Yanping Tian1, Zhangqin Han1

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A new midwifery framework in China defines competencies and career paths, addressing the lack of independent regulation. This comprehensive model enhances professional advancement for midwives.

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MidwiferyProfessional competenceProfessional developmentScope of practiceShared decision-makingStandards

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Area of Science:

  • Healthcare policy and professional development
  • Midwifery practice and regulation
  • Human resource management in healthcare

Background:

  • Midwifery in China lacks independent regulation, hindering professional growth.
  • Current nursing framework integration limits midwifery's autonomy.
  • Need for a distinct professional identity and advancement structure for midwives.

Purpose of the Study:

  • To establish a comprehensive framework for midwifery in China.
  • Define core competencies, scope of practice, and career pathways.
  • Support independent professional development for midwives.

Main Methods:

  • Mixed-methods approach integrating literature review and expert discussions.
  • Two rounds of national electronic Delphi consultations for framework refinement.
  • Satisfaction survey to assess the framework's suitability and impact.

Main Results:

  • Framework finalized with high expert consensus (authority coefficient 0.93).
  • Defined 12 core concepts, scope of practice, and 262 competency items.
  • Midwives rated the framework highly for professionalism, comprehensiveness, and feasibility.

Conclusions:

  • Developed a robust midwifery career and competency framework for China.
  • Framework demonstrates strong professionalism, feasibility, and practical necessity.
  • Supports the advancement of midwifery as an independent profession.