Yin Yazhen, Li Jie, Lu Hong, Yao Jiasi, Hou Rui
School of Nursing, Peking University, Beijing, China.
Int J Nurs Sci. 2018 Jan 11;5(1):18-23. doi: 10.1016/j.ijnss.2017.12.010. eCollection 2018 Jan 10.
To identify the essential competencies for different grades of midwives in China.
A nationwide modified Delphi process was implemented to amend and screen the indicators. Thirty expert panellists including practitioners (nurse-midwives), clinical managers, academic educators and obstetricians completed a two-round Delphi study through an electronic survey that was supplemented by an expert panel meeting for discussion of comments and suggestions.
All panellists completed two rounds of Delphi study and at least 75% of them achieved a consensus on 224 items (1 = 0.150, 2 = 0.173). Seven domains were established, namely, 'Professional quality', 'Antenatal care', 'Intrapartum care', 'Postnatal care', 'Neonatal care', 'Gynaecological care', 'Public health care & Integrative competency'. Generalised maternal and neonatal knowledge and perinatal care skills were set for 'junior' midwives, pathological care for 'senior' ones and supervisory abilities and promotion of discipline for 'expert' ones.
This research developed three grades of essential competencies for midwives in China. The next step will be assessment in clinical settings for further response. The set was in line with the concepts of International Confederation of Midwives under the domestic context. This set could be adopted as a reference in developing normalised midwifery practice, education and certification.
确定中国不同级别助产士的核心胜任力。
实施全国范围的改良德尔菲法以修订和筛选指标。包括从业者（助产护士）、临床管理人员、学术教育工作者和产科医生在内的30名专家小组成员通过电子调查完成了两轮德尔菲研究，并辅以专家小组会议来讨论意见和建议。
所有专家小组成员均完成了两轮德尔菲研究，且至少75%的成员对224项内容达成了共识（1 = 0.150，2 = 0.173）。确定了七个领域，即“专业素质”、“产前护理”、“产时护理”、“产后护理”、“新生儿护理”、“妇科护理”、“公共卫生护理与综合能力”。为“初级”助产士设定了一般孕产妇和新生儿知识及围产期护理技能，为“高级”助产士设定了病理护理内容，为“专家级”助产士设定了监督能力和学科促进内容。
本研究制定了中国助产士三个级别的核心胜任力。下一步将在临床环境中进行评估以获得进一步反馈。该设定在国内背景下符合国际助产士联合会的理念。此设定可作为制定标准化助产实践、教育和认证的参考。
