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

Li, Yuxuan; Lu, Hong; Zhao, Youjian; Ren, Lihua; Cao, Linlin; Pang, Dong; Wang, Aihua

doi:10.1111/jonm.13531

Cited by 14 publications

(9 citation statements)

References 20 publications

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“…It is because midwives need the skills, knowledge, and attitudes to provide quality care [ 63 ]. A recent review stated that factors influencing the MCH competencies of the midwifery workforce were their educational level (diploma, bachelor, and master degrees), working years, and more education and training experiences [ 64 ]. Nonetheless, the midwives’ MCH competencies supporting the MCOC (e.g., cases in detecting the risk of complication and its treatment management in pregnancy, childbirth-related complications, neonatal resuscitation, and management of postpartum hemorrhage) are still inadequate [ 27 , 65 ] because not all midwives meet the cases in their experience in the field [ 66 ].…”

Section: Discussionmentioning

confidence: 99%

Midwifery Continuity of Care in Indonesia: Initiation of Mobile Health Development Integrating Midwives’ Competency and Service Needs

Susanti

Ali

Hernawan

et al. 2022

IJERPH

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Midwives’ competence in providing continuity of care using mobile health (mHealth) applications is limited in developing countries. This study identified and explored midwives’ competency and service needs to develop mHealth in Midwifery Continuity of Care (MCOC) education and training. It used an explanatory sequential mixed method, and was conducted from August to December 2021. A cross-sectional approach was used to find the characteristics and competency scope of 373 midwives in West Java, and continued with a qualitative design through a Focus Group Discussion (FGD) of 13 midwives. Descriptive data analysis (frequency, mean, deviation standard) and qualitative data analysis (coding, sub-themes, and theme) were conducted. In terms of the x midwives who participated in this study, more than half were aged £ 35 years (58.98%), with a working period > 10 years (56.30%), had diploma degrees (71.12%), and used smartphones on average 1–12 h/day (78.28%). Most midwives needed to develop competency in the MCOC scope, including its early detection of the risk factor of complications and treatment management. They were concerned about the purposes, benefits, and design of mHealth. In summary, midwives’ competency indicators for early detection are more needed in MCOC using mHealth. Further research is required to evaluate midwives’ competence in MCOC using mHealth.

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Section: Discussionmentioning

confidence: 99%

Midwifery Continuity of Care in Indonesia: Initiation of Mobile Health Development Integrating Midwives’ Competency and Service Needs

Susanti

Ali

Hernawan

et al. 2022

IJERPH

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“…Core competency12 13 is a comprehensive ability that nurses must possess in clinical skills. It includes professional knowledge, attitudes, values, judgement and personal traits 14. Core competency is the fundamental assurance for improving nursing service levels and ensuring patient safety 15.…”

Section: Introductionmentioning

confidence: 99%

Relationship among core competency, self-efficacy and transition shock in Chinese newly graduated nurses: a cross-sectional study

Tong,

Wang,

Tong

et al. 2024

BMJ Open

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ObjectivesTo investigate how core competency and self-efficacy of newly graduated nurses affect their experience of transition shock, and to determine the relationship between these factors.DesignA cross-sectional study.Methods262 newly graduated nurses participated in a cross-sectional study by using demographic data, the transition shock scale, the competency inventory for registered nurses scale and the self-efficacy scale.ResultsAmong newly graduated nurses, the score of transition shock was 77.641±24.140, the score of core competency was 125 (109.5, 163.5) and the score of self-efficacy was 2.5 (2,3), all of which were at a moderate level. The core competency and self-efficacy of the newly graduated nurses had a negative impact on the transition shock (β=−0.151, p=0.026; β=−0.379, p<0.001). Additionally, self-efficacy played a mediating role in the relationship between core competency and transition shock, with a mediating effect accounting for 57.34% of the total effect.ConclusionsThe transition shock of newly graduated nurses was at a moderate level, with the highest level of transition shock occurring within the first year of employment. Self-efficacy plays a mediating role in the relationship between core competency and transition shock. Nursing managers should create standardised training for newly graduated nurses within the first year of employment to reduce their transition shock. This will help improve newly graduated nurses’ core competency, enhance self-efficacy and support the graduates. This will alleviate the impact of transition shock on newly graduated nurses, helping them transition smoothly and successfully.

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“…Identifying the definition of nursing competencies is the foundation of the conceptualization and development of advanced practice nursing roles [ 5 , 6 ]. Nursing competency is a mastery of knowledge, clinical, interpersonal and technical skills, which is the basis for good performance in the clinical environment [ 7 ]. In 1996, Hamric had put forward core competencies for advanced practice nurses(APNs), which included seven domains that took clinical practice, nursing research, health coaching and education, collaboration, ethical decision making, and leadership into consideration [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

Developing a core competency framework for advanced practice nursing in mainland China: a sequential exploratory study

Guo

Zhu

2023

BMC Nurs

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Background Advanced Practice Nursing (APN) have been highly valued and an integral part of the health care system. Development and establishment of new APN roles is a complex process that has resulted from a wide variety of reasons, key component is a lack of a competency map delineation and role evaluation. Currently, however, competence framework has not been compared at an international level. In mainland China, APN have been introduced in some organizations but their competency domains have not yet been clearly defined, this study aimed to identify the core competencies for advanced practice nursing. Methods This study was performed in two phases: first, in-depth and semi-structured individual interviews with 46 participants from key stakeholders were carried out followed by a qualitative content analysis, then an item pool of core competencies was constructed by extracting data from the first phase and the results from previous studies, scales and documents; second, a Delphi technique was conducted with the participation of 28 experts from 7 areas of China to form the final core competency framework for advanced practice nursing. Results Through the qualitative phase, the core competency framework with six domains and 70 items emerged and then entered into the Delphi phase. Twenty-eight of 30 experts finished 2 rounds of Delphi approaches. The final core competencies for advanced practice nursing consisted of six domains with 61 items, including direct clinical nursing practice, research and evidence-based nursing practice, professional development, organization and management, mentoring and consultation, and ethical/legal practice. Conclusion This core competency framework consisted of six domains with 61 items can be used in competency-based education to cultivate advanced practice nurses as well as competency level assessment.

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

Cited by 14 publications

References 20 publications

Midwifery Continuity of Care in Indonesia: Initiation of Mobile Health Development Integrating Midwives’ Competency and Service Needs

Midwifery Continuity of Care in Indonesia: Initiation of Mobile Health Development Integrating Midwives’ Competency and Service Needs

Relationship among core competency, self-efficacy and transition shock in Chinese newly graduated nurses: a cross-sectional study

Developing a core competency framework for advanced practice nursing in mainland China: a sequential exploratory study

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