The Midwifery Workforce: ACNM 2012 and AMCB 2013 Core Data

Fullerton, Judith T.; Sipe, Theresa Ann; Hastings‐Tolsma, Marie; McFarlin, Barbara L.; Schuiling, Kerri; Bright, Carrie D; Havens, Lori B; Krulewitch, Cara J.

doi:10.1111/jmwh.12405

Cited by 33 publications

(72 citation statements)

References 17 publications

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“…However, given that 89.5% of the midwives who chose to participate in the sample were white and non‐Latino, it is impossible to generalize these results to the midwifery cohort at large. The racial demographics of this study appear to mirror those of the ACNM membership …”

Section: Resultsmentioning

confidence: 75%

Midwifery Professional Stress and Its Sources: A Mixed‐Methods Study

Wright¹,

Matthai²,

Budhathoki³

2018

J Midwife Womens Health

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Introduction Professionally‐related stress among midwives has been demonstrated in a global context to have deleterious effects on their professional, physical, and psychological health. Despite global interest in the subject, there has been no study about professional stress in a cohort of US midwives. Methods A convergent parallel mixed‐methods design was used. The Job‐Related Tension Index (JRTI) survey was administered to a self‐selected sample of certified nurse‐midwives and certified midwives in clinical practice in the United States via email solicitation of the American College of Nurse‐Midwives’ membership. A single qualitative open‐ended question was also included in the survey. Results A total of 644 midwives participated in this study. The mean (SD) score on the JRTI across all midwife participants was 38.3 (9.65); the possible range of scores was 15 to 75. Midwives who were biologically older and/or had practiced longer and who had higher levels of education were shown to have higher levels of job‐related tension. Those who believed their stress levels had negatively affected patient care showed higher job‐related tension scores than those who did not. Call hours did not significantly affect tension scores in this study sample. Nearly all midwives in the cohort (97.1%) had experienced traumatic birth. Seven themes were identified after content analysis. These included the following: I'm SO tired, conflict with colleagues, selling your midwifery soul, leaving midwifery, non‐respectful maternity care, balancing work and personal life, and medicolegal fears. Discussion Systems should recognize and validate midwives’ levels of work‐related tension and develop specific interventions to help alleviate it. Because of the size and racial homogeneity of the sample, further studies are recommended to identify stress levels and their contributing factors in a larger, more diverse population of midwives. Qualitative themes should be more fully explored to identify specific contributors to midwifery stress.

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Section: Resultsmentioning

confidence: 75%

Midwifery Professional Stress and Its Sources: A Mixed‐Methods Study

Wright¹,

Matthai²,

Budhathoki³

2018

J Midwife Womens Health

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“…Finally, an important area for further research is to assess whether involvement in this program helps participants graduate or attain AMCB certification. In fact, AMCB has only recently started to collect racial data from candidates for the certification examination and CNMs/CMs . Future evaluations may be able to use these data to assess the effect of mentoring programs on success rates.…”

Section: Discussionmentioning

confidence: 99%

“…Of these 8000 members, ACNM has maintained a membership base of only 5% to 6% CNMs/CMs of color for the past 3 decades, despite interventions to increase its members of color . While not based on systematic or contemporaneous sampling, Table demonstrates the diversity gap in the health professions of nursing and midwifery and within ACNM . The nursing profession is included because of its relevance to the pipeline needed to increase diversity in nurse‐midwifery.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of a National E‐Mentoring Program for Ethnically Diverse Student Nurse‐Midwives and Student Midwives

Valentin‐Welch¹

2016

J Midwife Womens Health

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This study suggests that the online mentoring program for student midwives of color currently being offered should continue but with enhancements to improve the face-to-face mentoring experience, including the use of computer-based technology. Other program improvements are also recommended. To be truly effective, mentoring programs must meet the needs of mentors and mentees; future evaluations should clarify their potential as an important tool for increasing diversity.

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“…ACNM is in a position to learn whether changing demographics within midwifery are reflected in demographics of their membership. In 2012, 91.6% of ACNM members were white, whereas 77.9% of newly certified midwives in 2013 identified as white …”

Section: Members Of the Diversification And Inclusion Taskforcementioning

confidence: 99%

Organizational Change in Pursuit of Health Equity

Dau

2016

J Midwife Womens Health

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The Midwifery Workforce: ACNM 2012 and AMCB 2013 Core Data

Cited by 33 publications

References 17 publications

Midwifery Professional Stress and Its Sources: A Mixed‐Methods Study

Midwifery Professional Stress and Its Sources: A Mixed‐Methods Study

Evaluation of a National E‐Mentoring Program for Ethnically Diverse Student Nurse‐Midwives and Student Midwives

Organizational Change in Pursuit of Health Equity

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