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Core competency-based education, certification, and practice: the nurse-midwifery model

D R Williams1, M A Kelley

  • 1American College of Nurse-Midwives, Washington, DC, USA.

Advanced Practice Nursing Quarterly
|January 6, 1999
PubMed
Summary

Certified nurse-midwives (CNMs) are licensed nationwide and have prescribing authority in most states. Recent updates include bachelor's degree requirements and national standards for direct entry midwives.

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Area of Science:

  • Healthcare
  • Nursing
  • Midwifery

Background:

  • The American College of Nurse-Midwives (ACNM) established national standards for nurse-midwifery over 20 years ago.
  • Nurse-midwifery has a history of over 70 years in the United States.
  • Certified nurse-midwives (CNMs) are licensed in all 50 states and DC, with prescribing privileges in 45 states and DC.

Purpose of the Study:

  • To outline the evolution and current status of nurse-midwifery standards in the US.
  • To highlight recent advancements in nurse-midwifery education, certification, and practice.

Main Methods:

  • Review of historical data and ACNM standard-setting activities.
  • Analysis of current licensing and prescribing privileges for CNMs.
  • Examination of recent updates to educational and certification requirements.

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Main Results:

  • CNMs are recognized and licensed across the US, with broad prescribing authority.
  • National standards have been updated, including a bachelor's degree as the minimum academic requirement.
  • New standards address continuing competency, direct entry midwives, and certificate time limits.

Conclusions:

  • Nurse-midwifery practice in the US is well-established with national standards.
  • Ongoing standard-setting ensures continued competency and professional development for nurse-midwives and direct entry midwives.