Health care managers’ perspectives on new nursing and midwifery roles: perceived impact on patient care and cost effectiveness

Abstract

Issues relating to effective implementation and the need for further research into the efficacy and effectives of such initiatives is required.

Developing competence and confidence in midwifery-focus groups with Swedish midwives

“…That is an important finding, considering that many midwives have left the profession in recent years. 39,40 Midwives need to be able to develop meaningful relationships with childbearing women. A midwife stays in the profession because of feeling supported and valued by colleagues, managers and women.…”

Domains of practice and Advanced Practice Nursing in Australia

“…() assert that the ad hoc introduction of APN roles is a major barrier to their optimal utilization. Jamieson and Williams () propose that role development has happened with insufficient agreement about the scope of practice while a number of authors identify poor organizational support and lines of accountability for new roles (Read et al ., ; Bryant‐Lukosius et al ., ; McKenna et al ., ). Throughout this literature a lack of planning and performance evaluation is noted.…”

“…Bryant‐Lukosius et al . () note that in the absence of clearly defined goals, APN roles become shaped by the nurses themselves, colleagues, managers and other stakeholders causing a wide variation in job content and potential isolation (McKenna et al ., ).…”

What is a nurse? Is there an international consensus?

“…Many studies have raised serious concerns over the range of problems associated with uncontrolled skill mix and scope of practice developments (e.g. Adams et al 2000;Ayre et al 2007;Bach et al 2008;Harmer 2010;McKenna et al 2009;Spilsbury & Meyer 2001). Without clear, consistent and consensually agreed definitions on what different categories of nurse and their responsibilities and required qualifications their job are, it is almost impossible to compare or generalize individual study findings.…”