护理学博士学位与助产士执业准入：一项分析

The DNP and entry into midwifery practice: an analysis.

作者信息

Avery Melissa D, Howe Carol

机构信息

University of Minnesota, 5-160 Weaver Densford Hall, 308 Harvard St. SE, Minneapolis, MN 55455, USA.

出版信息

J Midwifery Womens Health. 2007 Jan-Feb;52(1):14-22. doi: 10.1016/j.jmwh.2006.10.003.

DOI:10.1016/j.jmwh.2006.10.003

PMID:17207746

Abstract

The American Association of Colleges of Nursing recently published a policy statement calling for the requirement of the Doctor of Nursing Practice for entry into practice as an Advanced Practice Nurse by the year 2015. Certified nurse-midwives, defined as those educated in both nursing and midwifery, are commonly included in the definition of Advanced Practice Nurses, along with nurse practitioners, nurse anesthetists, and clinical nurse specialists. This paper explores issues related to the practice doctorate as an entry requirement for midwifery practice in the United States. The results of a brief survey of midwifery students indicate mixed interest in a clinical doctorate. At the present time, evidence points to the fact that current education requirements produce safe, knowledgeable, competent midwives. Because data are lacking regarding the potential impact of the proposed Doctor of Nursing Practice on the cost of education to both the institution and the student, on the applicant pool, and on the health care system, the Directors of Midwifery Education endorse a statement affirming support for multiple routes of midwifery education based on the ACNM Core Competencies, and does not endorse a mandatory requirement for the clinical doctorate for entry into practice at this time.

摘要

美国护理学院协会最近发表了一项政策声明，呼吁到2015年要求护理学实践博士学位作为高级实践护士进入实践领域的条件。认证护士助产士，即那些接受过护理和助产双重教育的人员，通常与执业护士、麻醉护士和临床护理专家一同被纳入高级实践护士的定义范畴。本文探讨了与实践博士学位作为美国助产实践准入要求相关的问题。一项针对助产专业学生的简短调查结果显示，他们对临床博士学位的兴趣不一。目前，有证据表明当前的教育要求能够培养出安全、知识渊博且胜任工作的助产士。由于缺乏关于拟议的护理学实践博士学位对机构和学生的教育成本、申请人群体以及医疗保健系统的潜在影响的数据，助产教育主任们认可一项声明，即基于美国助产士协会核心能力，支持助产教育的多种途径，且目前不认可将临床博士学位作为进入实践领域的强制要求。