Fullerton Judith, Sipe Theresa Ann, Hastings-Tolsma Marie, McFarlin Barbara L, Schuiling Kerri, Bright Carrie D, Havens Lori B, Krulewitch Cara J
J Midwifery Womens Health. 2015 Nov-Dec;60(6):751-61. doi: 10.1111/jmwh.12405.
Core data are crucial for detailing an accurate profile of the midwifery workforce in the United States. The American College of Nurse-Midwives (ACNM) and the American Midwifery Certification Board, Inc. (AMCB), at the request and with support from the US Health Resources and Services Administration (HRSA), are engaged in a collaborative effort to develop a data collection strategy (the Midwifery MasterFile) that will reflect demographic and practice characteristics of certified nurse-midwives (CNMs) and certified midwives (CMs) in the United States.
Two independent datasets, one collected by ACNM in 2012 and one by AMCB in 2013, were examined to determine key workforce information. ACNM data were collected from the online Core Data Survey sent to ACNM members. AMCB data were extracted from information submitted online by applicants seeking initial certification in 2013 and applicants seeking to recertify following 5 years of initial certification.
The ACNM 2012 survey was partially or fully completed by 36% (n = 2185) of ACNM members (N = 6072). AMCB respondents included 100% of new certificants (N = 539) and those applying for recertification in 2013 (n = 1323) of the total 11,682 certificants in the AMCB database. These two datasets demonstrate that midwives remain largely white, female, and older in age, with most engaged in clinical midwifery while employed primarily by hospitals and medical centers. Differences were reported between the ACNM membership and AMCB certification datasets in the numbers of midwives holding other certifications, working full-time, attending births, and providing newborn care.
The new collaboration among HRSA, ACNM, and AMCB, represented as the Midwifery MasterFile, provides the opportunity to clearly profile CNMs/CMs, distinct from advanced practice registered nurses, in government reports about the health care workforce. This information is central to identifying and marketing the role and contribution of CNMs/CMs in the provision of primary and reproductive health care services.
核心数据对于详细描绘美国助产士劳动力的准确概况至关重要。应美国卫生资源与服务管理局（HRSA）的要求并在其支持下，美国护士助产士学院（ACNM）和美国助产士认证委员会（AMCB）正在共同努力制定一项数据收集策略（助产士主文件），该策略将反映美国认证护士助产士（CNM）和认证助产士（CM）的人口统计学和执业特征。
对两个独立的数据集进行了审查，以确定关键的劳动力信息，其中一个数据集由ACNM在2012年收集，另一个由AMCB在2013年收集。ACNM的数据是从发送给ACNM成员的在线核心数据调查中收集的。AMCB的数据是从2013年寻求初始认证的申请人以及在初始认证5年后寻求重新认证的申请人在线提交的信息中提取的。
ACNM 2012年的调查有36%（n = 2185）的ACNM成员（N = 6072）部分或全部完成。AMCB的受访者包括100%的新认证者（N = 539）以及AMCB数据库中11,682名认证者中2013年申请重新认证的人员（n = 1323）。这两个数据集表明，助产士在很大程度上仍然以白人、女性和年龄较大者为主，大多数从事临床助产工作，主要受雇于医院和医疗中心。在持有其他认证、全职工作、接生和提供新生儿护理的助产士数量方面，ACNM成员数据集和AMCB认证数据集之间存在差异。
HRSA、ACNM和AMCB之间新的合作，即助产士主文件，为在政府关于医疗保健劳动力的报告中清晰描绘CNM/CM（有别于高级实践注册护士）提供了机会。这些信息对于识别和宣传CNM/CM在提供初级和生殖保健服务中的作用及贡献至关重要。
