Division of Midwifery and Community Health, Department of Obstetrics and Gynecology, Baystate Medical Center, Springfield, Massachusetts.
Midwifery Education Program, Division of Midwifery and Community Health, Department of Obstetrics and Gynecology, Baystate Medical Center, Springfield, Massachusetts.
J Midwifery Womens Health. 2019 Sep;64(5):559-566. doi: 10.1111/jmwh.13015. Epub 2019 Jul 19.
Advances in health care science and delivery, coupled with patient need for access to care, have driven expanded practice in midwifery for decades. The process for development and implementation of expanded practices for midwives and midwifery practices is described. Important components include assessment of need, identifying stakeholders and supporters, development of a program proposal, obtaining privileges, developing training programs, and conducting ongoing quality management and program evaluation. Examples of expanded practice in midwifery are presented.
医疗保健科学和服务的进步，加上患者对获得医疗服务的需求，推动了几十年间助产士实践的扩展。本文介绍了为助产士和助产实践制定和实施扩展实践的过程。重要的组成部分包括需求评估、确定利益相关者和支持者、制定项目提案、获得特权、开发培训计划以及进行持续的质量管理和项目评估。本文还介绍了助产实践的扩展示例。
