Myers-Ciecko J A
Seattle Midwifery School, WA 98144, USA.
J Nurse Midwifery. 1999 Jul-Aug;44(4):384-93. doi: 10.1016/s0091-2182(99)00070-1.
This paper describes the re-emergence of direct-entry midwifery in the United States, and focuses specifically on the over 1,000 midwives nationwide who are licensed in the 16 states where direct-entry midwifery is legal and regulated, and/or certified by the North American Registry of Midwives; it does not focus on direct-entry midwives or nurse-midwives who are certified by the American College of Nurse-Midwives Certification Council, Inc. Professional developments of direct-entry midwives are highlighted, including the establishment of core competencies and articulation of values, the creation of a certification process, and development of education program accreditation. The current status of licensed midwives in Washington State, where state policies have supported the development of direct-entry midwifery and the integration of direct-entry midwives into managed care systems, is presented as one example of the evolution of professional direct-entry midwifery in this country. Additionally, recommendations from the UCSF Center for the Health Professions Taskforce on Midwifery, which address particular areas of concern for direct-entry midwives, are discussed.
本文描述了美国直接进入式助产的再度兴起，并特别关注全国1000多名在直接进入式助产合法且受监管的16个州获得执照，和/或由北美助产士登记处认证的助产士；本文不关注由美国助产士学院认证委员会认证的直接进入式助产士或助产护士。文中突出了直接进入式助产士的专业发展，包括核心能力的确立和价值观的阐述、认证流程的创建以及教育项目认证的发展。华盛顿州的执业助产士现状被作为本国专业直接进入式助产发展演变的一个例子呈现，该州政策支持直接进入式助产的发展，并将直接进入式助产士纳入管理式医疗系统。此外，还讨论了加州大学旧金山分校健康职业中心助产士特别工作组提出的建议，这些建议涉及直接进入式助产士特别关注的领域。
