Midwifing the End of Life: Expanding the Scope of Modern Midwifery Practice to Reclaim Palliative Care

Hoover, Cheri Van; Holt, Lisa

doi:10.1111/jmwh.12454

Cited by 6 publications

(4 citation statements)

References 31 publications

(127 reference statements)

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“…• Expanded scope from providing skilled delivery care to include SRHR ranging from abortion, family planning, screening (diabetes and several forms of cancer), immunisations, palliative care, and public health and promotion [ 10 – 13 , 55 , 74 , 94 , 109 – 113 ]…”

Section: Resultsmentioning

confidence: 99%

A critical interpretive synthesis of the roles of midwives in health systems

Mattison¹,

Lavis

Wilson

et al. 2020

Health Res Policy Sys

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Background: Midwives' roles in sexual and reproductive health and rights continues to evolve. Understanding the profession's role and how midwives can be integrated into health systems is essential in creating evidenceinformed policies. Our objective was to develop a theoretical framework of how political system factors and health systems arrangements influence the roles of midwives within the health system. Methods: A critical interpretive synthesis was used to develop the theoretical framework. A range of electronic bibliographic databases (CINAHL, EMBASE, Global Health database, HealthSTAR, Health Systems Evidence, MEDLINE and Web of Science) was searched through to 14 May 2020 as were policy and health systems-related and midwifery organisation websites. A coding structure was created to guide the data extraction. Results: A total of 4533 unique documents were retrieved through electronic searches, of which 4132 were excluded using explicit criteria, leaving 401 potentially relevant records, in addition to the 29 records that were purposively sampled through grey literature. A total of 100 documents were included in the critical interpretive synthesis. The resulting theoretical framework identified the range of political and health system components that can work together to facilitate the integration of midwifery into health systems or act as barriers that restrict the roles of the profession. Conclusions: Any changes to the roles of midwives in health systems need to take into account the political system where decisions about their integration will be made as well as the nature of the health system in which they are being integrated. The theoretical framework, which can be thought of as a heuristic, identifies the core contextual factors that governments can use to best leverage their position when working to improve sexual and reproductive health and rights.

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Section: Resultsmentioning

confidence: 99%

A critical interpretive synthesis of the roles of midwives in health systems

Mattison¹,

Lavis

Wilson

et al. 2020

Health Res Policy Sys

View full text Add to dashboard Cite

show abstract

“…Alleviation of suffering through the competent, compassionate management of perinatal grief and loss during and after stillbirth aligns with the ACNM Core Competencies for Basic Midwifery Practice. 29 This simulation also addresses the current educational focus on trauma-informed care. This replicable educational intervention may be used by midwifery programs to meet midwifery core competency requirements in perinatal palliative care and provide students with self-care skills.…”

Section: Discussionmentioning

confidence: 99%

Curricular Quality Improvement in Midwifery: Simulating Unexpected Perinatal Loss

Vogels-Broeke

Tilley

Feldman

et al. 2023

J Midwife Womens Health

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IntroductionCaring for families experiencing perinatal loss is a fundamental component of midwifery practice, but little attention is paid to perinatal palliative care in midwifery curricula. Lack of educational preparation and self‐care resources negatively impacts midwifery students and health care teams caring for families experiencing stillbirth.ProcessA private, urban university conducted a curricular quality improvement project to integrate perinatal palliative care into the midwifery curriculum using a high‐fidelity, branching simulation pedagogy. Simulation objectives were developed from curricular gap analyses and the Core Competencies for Basic Midwifery Practice. Development of the Unexpected Perinatal Loss Simulation was guided by the International Nursing Association for Clinical Simulation and Learning Outcomes and Objectives and Design Standards. The Unexpected Perinatal Loss Simulation was revised based on qualitative data from student focus groups and expert content validation.OutcomesQualitative data yielded 4 key domains: presimulation, simulation skills, prior experience/personal reflections, and recommendations. Simulation procedures and scenario content were revised, after which 8 expert clinicians in the fields of midwifery, palliative care, and psychiatry validated the scenario content using the Lynn method. Two items did not meet the content validity index (CVI) threshold of 0.78, necessitating review by stakeholders; however, the overall scenario CVI threshold was met (0.82).DiscussionThrough this project, faculty integrated perinatal palliative care into the midwifery program using a novel approach of high‐fidelity, branching simulation, structured debriefing, and an introductory self‐care skills workshop. Potential clinical impact includes skillful perinatal palliative care with effective communication skills to mitigate how families experience and remember a traumatic loss and facilitate the grieving process. Students voiced insights into how they would process loss and seek support to mitigate their own grief as future midwives.

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“…Midwifery practice has continued to expand to include surgical first assist in obstetrics; evaluation and management of pelvic pain; and provision of palliative care, abortion, and alternative healing . Expanded midwifery practice reflects the recent broad‐based support for advanced practice registered nurses, as delineated in the Institute of Medicine's 2010 report .…”

Section: Introductionmentioning

confidence: 99%

Expanded Practice in Midwifery: Designing, Implementing, and Maintaining Programs

DeJoy

Holley

Friedman

et al. 2019

J Midwife Womens Health

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Advances in health care science and delivery, coupled with patient need for access to care, have driven expanded practice in midwifery for decades. The process for development and implementation of expanded practices for midwives and midwifery practices is described. Important components include assessment of need, identifying stakeholders and supporters, development of a program proposal, obtaining privileges, developing training programs, and conducting ongoing quality management and program evaluation. Examples of expanded practice in midwifery are presented.

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Midwifing the End of Life: Expanding the Scope of Modern Midwifery Practice to Reclaim Palliative Care

Cited by 6 publications

References 31 publications

A critical interpretive synthesis of the roles of midwives in health systems

A critical interpretive synthesis of the roles of midwives in health systems

Curricular Quality Improvement in Midwifery: Simulating Unexpected Perinatal Loss

Expanded Practice in Midwifery: Designing, Implementing, and Maintaining Programs

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