Comparison of midwives’ self‐perceived essential competencies between low and high maternal mortality ratio provinces in China

Huang, Jing; Lu, Hong; Li, Jie; Zhou, Nan; Zang, Yu; Ren, Lihua

doi:10.1111/jocn.15514

Cited by 10 publications

(11 citation statements)

References 32 publications

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“…Given the inadequacy of midwifery degree education, the importance of midwifery in‐service training must be emphasized. We suggest that midwifery training programmes with different emphases should be developed depending on core competencies level (Huang et al, 2020) and sociodemographic factors (e.g., age, marital and childbearing status, and professional title). Additionally, competency‐oriented and evidence‐based midwifery trainings are needed so that the clinical practice skills of the midwifery workforce are based on sufficient and sound knowledge (Esan et al, 2019).…”

Section: Discussionmentioning

confidence: 99%

“…Age, marital and childbearing status, education level, professional title, clinical working years, professional depending on core competencies level (Huang et al, 2020) and sociodemographic factors (e.g., age, marital and childbearing status, and professional title). Additionally, competency-oriented and evidence-based midwifery trainings are needed so that the clinical practice skills of the midwifery workforce are based on sufficient and sound knowledge (Esan et al, 2019).…”

Section: Univariate Analysismentioning

confidence: 99%

“…(Tatum, 2021) Additionally, the Three‐child Policy is expected to continue to increase the proportion of childbearing women over the age of 35 and the incidence of pregnancy complications such as gestational hypertension, placenta previa and postpartum haemorrhage, all of which can severely impact pregnancy outcomes (Li et al, 2019; Zhang et al, 2018). Therefore, the increase in the number of elderly pregnant women and the occurrence of complex pregnancy complications also place higher requirements on the core competencies of the midwifery workforce (Huang et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

“…The dilemmas faced by the midwifery workforce itself, coupled with the challenges posed by family planning policy adjustment, urgently require China to build a high‐quality midwifery workforce to safeguard maternal and newborn health (Huang et al, 2020). However, the prerequisite for addressing all issues is to determine the overall status of the core competencies of the existing midwifery workforce.…”

Section: Introductionmentioning

confidence: 99%

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Core competencies of the midwifery workforce in China: A scoping review

Zhao

et al. 2022

J Nursing Management

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Aim: This review aims to demonstrate the current core competencies of the Chinese midwifery workforce and to summarize the influencing factors of core competencies.Background: Midwifery core competencies are crucial to providing high-quality maternal and newborn health care, but little is known about the overall status of the core competencies of the Chinese midwifery workforce.Evaluation: A scoping review was conducted following the latest Joanna Briggs Institute (JBI) scoping review methodology and Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) checklist.Key issues: Forty-one studies were included in this review. Regarding core competency assessment tools, the Midwife Core Competency Scale was used most frequently among 16 identified tools. Generally, the core competencies of the Chinese midwifery workforce were at a moderate or high level, but the competencies in prepregnancy, public health care and integrative competence were relatively inadequate.The main factors influencing the core competencies of the midwifery workforce were their working years, educational level and training experience. Conclusion:This review provides a comprehensive overview of the core competencies of the Chinese midwifery workforce at the national level. Future studies are encouraged to use objective instruments to reflect core competencies and explore the intervenable influencing factors of core competencies.Implications for Nursing Management: Core competency assessment tools can be used to select the qualified midwifery workforce. Targeted core competency enhancement programmes should be formulated based on the current core competencies level and the factors influencing core competencies.

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Section: Discussionmentioning

confidence: 99%

Section: Univariate Analysismentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Core competencies of the midwifery workforce in China: A scoping review

Zhao

et al. 2022

J Nursing Management

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“…Gaps in midwifery clinical practice have emerged due to varied midwifery education duration in the KRCHN, KRM, and BScN quali cations, grounded in ICM competencies. (35,48,49,51), support this nding that standardisation of midwifery education competencies and clinical practice would offer opportunities for specialisation, while enabling the regulator to contextualise the scope of practice for midwives. In addition,(62) asserts that harmonisation of midwifery programmes in East Africa is an effective tool in building a resilient midwifery workforce.…”

Section: Quali Cation Categoriesmentioning

confidence: 93%

Exploring midwifery competence and confidence based on midwives' experiences and stakeholders' insights in Kenya: A descriptive phenomenological approach

Tallam

Kaura

Mash

2022

Preprint

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Background Midwives who are educated and regulated to international standards can provide ninety percent of the needed essential care for women and newborns and reduce preventable maternal and child mortalities. However, inadequacies in midwifery care, especially in low- and middle-income countries, leads to lack of competence and confidence among midwives to achieve their potential. The study objective was to explore midwives’ experiences and stakeholder insights into midwives’ competence and confidence in the four International Confederation of Midwives (ICM) domains; general competence, pre-pregnancy and antenatal care, labour and childbirth, and ongoing care of the woman and the baby. Methods A descriptive phenomenological study was utilised to explore these experiences. Ten midwives were purposively selected from subcounty, county and tertiary referral hospitals. Further, stakeholders (nine County Chief Nursing Officers and one Chief Executive Officer from the tertiary hospital in Kenya) were included. Interview guide questions were developed following the findings of the midwives’ self-perceived competence and confidence. All interviews were recorded, translated, and transcribed verbatim. Thematic analysis was done using the Colaizzi framework. Atlas. ti 9 software was utilised to assist with the coding categorisation and creating the themes. Findings Four themes emerged from the analysis. They included qualification categories, clinical practice experience, clinical practice environment and the need to optimise midwifery. In addition, multidisciplinary support and standardisation of midwifery practice were identified as key to promote the confidence and competence of midwives. Conclusions Midwives had disparities in competence and confidence during clinical practice, based on their different qualifications. A supportive environment emerged as necessary in enabling appropriate clinical experience, confidence, and competence. Standardisation of midwifery qualification promotes competence, which promotes the confidence of midwives in the clinical environment.

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