Factors that Influence Midwives to Serve as Preceptors: An American College of Nurse‐Midwives Survey

Germano, Elaine; Schorn, Mavis N.; Phillippi, Julia C.; Schuiling, Kerri

doi:10.1111/jmwh.12175

Cited by 26 publications

(53 citation statements)

References 20 publications

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“…For those who taught student nurse-midwives, it occupied less than a quarter of their time with compensation received by fewer than half. Lack of payment was not identified as a barrier to precepting nurse-midwifery students, consistent with other research (Germano, Schorn, Phillippi, & Schuiling, 2014).…”

Section: Aim 1 Nature and Scope Of The Practice Environmentsupporting

confidence: 89%

Trends in Practice Patterns and Perspectives of Colorado Certified Nurse-Midwives

Hastings‐Tolsma

Tanner

Hensley

et al. 2015

Policy, Politics, & Nursing Practice

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Healthcare resources are stretched perilously thin and the demand for primary healthcare services has never been greater. Despite this demand for service, relatively little is known about the practice environment of primary healthcare providers, particularly certified nurse-midwives (CNMs), where workforce surveys frequently include these specialists within the broader nurse practitioner category. A distinct professional discipline, nurse-midwives are one type of primary care provider recommended to enhance access to services. The objective of this study was to understand the nature of the nurse-midwifery practice environment in the state of Colorado. Online survey of Colorado CNMs (N = 328) found little ethnic/racial diversity and an aging workforce, with most providing care in an urban, hospital/medical center environment. Several key legislative issues were identified though respondents felt ill prepared to engage in legislative change. Overall, CNMs were optimistic about the future of midwifery and were largely satisfied with their practice.

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Section: Aim 1 Nature and Scope Of The Practice Environmentsupporting

confidence: 89%

Trends in Practice Patterns and Perspectives of Colorado Certified Nurse-Midwives

Hastings‐Tolsma

Tanner

Hensley

et al. 2015

Policy, Politics, & Nursing Practice

View full text Add to dashboard Cite

show abstract

“…Between 2000 and 2014, US nurse‐midwifery education programs increased the number of new graduates by 25%, reaching a total of 583 new CNMs and CMs graduating in 2014 . Despite this progress, the growth of midwifery education programs has not kept pace with the increasing number of qualified applicants, with the most significant limiting factors being the availability of clinical preceptors and training sites . In 2014, ACNM estimates that there were 1600 qualified applications for 1096 spaces, with 88.5% of the unfilled spaces occurring in the 19 programs that only accepted registered nurse (RN) applicants .…”

Section: Introductionmentioning

confidence: 99%

The Effect of Prior Work Experiences on the Preparation and Employment of Early‐Career Midwives

Woeber¹,

Sibley²

2018

J Midwife Womens Health

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Introduction Strategic recruitment, preparation, distribution, and retention of US midwives requires a solid body of knowledge about midwives’ education and workforce experiences. Although half of US midwifery education programs currently require or prefer prior registered nurse (RN) employment, data are lacking about whether and how these criteria influence efforts to scale up the workforce to meet reproductive care workforce shortages and maldistributions. Methods This cross‐sectional research used an online survey, developed using the framework of Social Cognitive Career Theory. Early‐career midwives were contacted through the American College of Nurse‐Midwives electronic mailing list and social media during the fall of 2016. Statistical analysis allowed for linkage of data related to the following constructs: personal characteristics, prior RN employment, educational experiences, employment situations, career perceptions, and future plans. Results All participants (N = 244) were certified nurse‐midwives. Compared with those without prior RN employment, midwives with prior RN employment were more likely to enroll part‐time in distance programs and complete single majors or degrees. During enrollment, the 2 groups experienced the same degree of mentorship and cultural support and were similarly likely to attend 30 births and to pass the certification examination on first attempt. In the workforce, those with prior RN employment were 6 years older and more likely to work full‐time. The 2 groups demonstrated no significant differences in their career perspectives or future career plans. Discussion Despite anecdotal concerns about training midwives who lack RN work experience, an individual without prior RN employment offers the workforce an employee who completes midwifery education at a younger age, may be educated more quickly, and is more likely to have earned a dual major or degree. Those with prior RN employment are more likely to work full‐time. Both groups may offer benefits to education and the workforce.

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“…Many preceptors desire students with this experience in order to maintain their level of clinical productivity, even in the office setting. Germano et al identified decreased productivity as one of 4 major barriers to precepting midwifery students and found that an inexperienced student can prevent a preceptor from seeing a full caseload . Several strategies exist to facilitate the preceptor‐student relationship and support preceptor productivity, including the concept of quality learning experiences over quantity.…”

Section: Strategies For Midwifery Educationmentioning

confidence: 99%

“…Several strategies exist to facilitate the preceptor‐student relationship and support preceptor productivity, including the concept of quality learning experiences over quantity. Preceptors can select clinical experiences for students that enhance the students’ level of learning while maintaining productivity in their practices . A variation on this idea allows a student and preceptor to see separate clients simultaneously.…”

Section: Strategies For Midwifery Educationmentioning

confidence: 99%

“…When a midwifery student lacks related nursing experience, he or she can be seen as resource intense, requiring additional faculty and preceptor time to obtain the meaningful midwifery clinical experiences that are needed to incorporate clinical competency into bedside care. Some report that preceptors regard students without a nursing background as less prepared, and some faculty note that finding preceptors willing to teach midwifery students without related nursing experience is a challenge . Despite this, students with and without labor and delivery nursing experience can develop confidence in midwifery practice .…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Labor and Delivery Nursing Experience: A Prerequisite for Midwifery Education?

Stec¹,

Arbour²

2018

J Midwife Womens Health

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Factors that Influence Midwives to Serve as Preceptors: An American College of Nurse‐Midwives Survey

Cited by 26 publications

References 20 publications

Trends in Practice Patterns and Perspectives of Colorado Certified Nurse-Midwives

Trends in Practice Patterns and Perspectives of Colorado Certified Nurse-Midwives

The Effect of Prior Work Experiences on the Preparation and Employment of Early‐Career Midwives

Labor and Delivery Nursing Experience: A Prerequisite for Midwifery Education?

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