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The evolving practice of nurse-midwifery

V R Lops1, L Dixon, L P Hunter

  • 1University of California, San Diego, USA.

Advanced Practice Nursing Quarterly
|July 1, 1995
PubMed
Summary

Certified nurse-midwives (CNMs) provide essential healthcare in diverse settings. Despite proven effectiveness, CNMs face practice barriers hindering accessible women’s healthcare.

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Area of Science:

  • Nursing
  • Midwifery
  • Healthcare Policy

Background:

  • Nurses are increasingly taking on advanced healthcare roles.
  • Certified Nurse-Midwives (CNMs) exemplify this trend, practicing in various settings.
  • The evolution of the CNM role has been a lengthy and challenging process.

Observation:

  • CNMs demonstrate unquestioned efficacy, safety, and cost-effectiveness in patient care.
  • Despite their proven value, CNMs encounter persistent obstacles in their practice.
  • These impediments include challenges in obtaining hospital privileges and prescriptive authority.

Findings:

  • The efficacy, safety, and cost-effectiveness of CNM care are well-established.
  • Significant barriers to full CNM practice remain.
  • Obstacles such as hospital admitting privileges and prescriptive authority limit their scope.

Implications:

  • Overcoming practice impediments is crucial for CNMs.
  • Addressing these challenges will enhance the accessibility of nurse-midwifery services.
  • Ensuring accessible care is vital for women's health outcomes.

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