School of Nursing, Peking University, Beijing, China.
Department of Obstetrics and Gynecology, Peking University Third Hospital, Beijing, China.
J Nurs Manag. 2022 Mar;30(2):535-558. doi: 10.1111/jonm.13531. Epub 2022 Feb 6.
This review aims to demonstrate the current core competencies of the Chinese midwifery workforce and to summarize the influencing factors of core competencies.
Midwifery core competencies are crucial to providing high-quality maternal and newborn health care, but little is known about the overall status of the core competencies of the Chinese midwifery workforce.
A scoping review was conducted following the latest Joanna Briggs Institute (JBI) scoping review methodology and Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) checklist.
Forty-one studies were included in this review. Regarding core competency assessment tools, the Midwife Core Competency Scale was used most frequently among 16 identified tools. Generally, the core competencies of the Chinese midwifery workforce were at a moderate or high level, but the competencies in pre-pregnancy, public health care and integrative competence were relatively inadequate. The main factors influencing the core competencies of the midwifery workforce were their working years, educational level and training experience.
This review provides a comprehensive overview of the core competencies of the Chinese midwifery workforce at the national level. Future studies are encouraged to use objective instruments to reflect core competencies and explore the intervenable influencing factors of core competencies.
Core competency assessment tools can be used to select the qualified midwifery workforce. Targeted core competency enhancement programmes should be formulated based on the current core competencies level and the factors influencing core competencies.
本综述旨在展示当前中国助产士队伍的核心能力,并总结核心能力的影响因素。
助产士核心能力对于提供高质量的母婴健康护理至关重要,但对于中国助产士队伍的核心能力的整体状况知之甚少。
本研究遵循最新的乔安娜·布里格斯研究所(JBI)范围综述方法和系统评价和荟萃分析扩展的首选报告项目(PRISMA-ScR)清单进行了范围综述。
本综述共纳入 41 项研究。在核心能力评估工具方面,在确定的 16 种工具中,最常使用助产士核心能力量表。总体而言,中国助产士队伍的核心能力处于中等或高水平,但在孕前、公共卫生保健和综合能力方面相对不足。影响助产士队伍核心能力的主要因素是其工作年限、教育水平和培训经验。
本综述全面概述了全国层面中国助产士队伍的核心能力。鼓励未来的研究使用客观工具来反映核心能力,并探索可干预的核心能力影响因素。
核心能力评估工具可用于选择合格的助产士队伍。应根据当前的核心能力水平和影响核心能力的因素,制定有针对性的核心能力提升计划。