Luyben Ans, Barger Mary, Avery Melissa, Bharj Kuldip Kaur, O'Connell Rhona, Fleming Valerie, Thompson Joyce, Sherratt Della
Department of Health Services Research, University of Liverpool, Waterhouse Blds, Block B, 1-5 Brownlow Street, Liverpool L69 3GL, England, UK; Centre for Midwifery, Maternal and Perinatal Health, Faculty of Health & Social Sciences, Bournemouth University, Bournemouth House, 19, Christchurch Road, Bournemouth, BU1 3LH, England, UK.
School of Nursing, University of San Diego, San Diego, CA, USA.
Women Birth. 2017 Jun;30(3):184-192. doi: 10.1016/j.wombi.2017.03.001. Epub 2017 May 10.
Midwifery education is the foundation for preparing competent midwives to provide a high standard of safe, evidence-based care for women and their newborns. Global competencies and standards for midwifery education have been defined as benchmarks for establishing quality midwifery education and practice worldwide. However, wide variations in type and nature of midwifery education programs exist.
To explore and discuss the opportunities and challenges of a global quality assurance process as a strategy to promote quality midwifery education.
Accreditation and recognition as two examples of quality assurance processes in education are discussed. A global recognition process, with its opportunities and challenges, is explored from the perspective of four illustrative case studies from Ireland, Kosovo, Latin America and Bangladesh. The discussion highlights that the establishment of a global recognition process may assist in promoting quality of midwifery education programs world-wide, but cannot take the place of formal national accreditation. In addition, a recognition process will not be feasible for many institutions without additional resources, such as financial support or competent evaluators. In order to achieve quality midwifery education through a global recognition process the authors present 5 Essential Challenges for Quality Midwifery Education.
Quality midwifery education is vital for establishing a competent workforce, and improving maternal and newborn health. Defining a global recognition process could be instrumental in moving toward this goal, but dealing with the identified challenges will be essential.
助产士教育是培养合格助产士的基础,以便为妇女及其新生儿提供高标准的安全、循证护理。全球助产士教育能力和标准已被确定为在全球范围内建立高质量助产士教育和实践的基准。然而,助产士教育项目的类型和性质存在很大差异。
探讨并讨论全球质量保证过程作为促进高质量助产士教育的策略所带来的机遇和挑战。
讨论了认证和认可作为教育质量保证过程的两个例子。从爱尔兰、科索沃、拉丁美洲和孟加拉国的四个实例研究的角度,探讨了全球认可过程及其机遇和挑战。讨论强调,建立全球认可过程可能有助于提高全球助产士教育项目的质量,但不能取代正式的国家认证。此外,对于许多没有额外资源(如财政支持或称职评估人员)的机构来说,认可过程是不可行的。为了通过全球认可过程实现高质量的助产士教育,作者提出了高质量助产士教育的5项基本挑战。
高质量的助产士教育对于建立一支称职的劳动力队伍以及改善孕产妇和新生儿健康至关重要。确定全球认可过程可能有助于朝着这一目标迈进,但应对已确定的挑战至关重要。