Centre for Nursing and Midwifery Research, James Cook University, Queensland 4814, Australia.
Centre for Nursing and Midwifery Research, James Cook University, Queensland 4814, Australia; Townsville Institute of Health Research and Innovation, Townsville Hospital and Health Service, 100 Angus Smith Drive, Douglas, Queensland 4814, Australia.
Women Birth. 2023 Jul;36(4):334-340. doi: 10.1016/j.wombi.2022.12.001. Epub 2023 Jan 9.
Little is known about the breadth of midwifery scope within Australia, and few midwives work to their full scope of practice.
Midwives in Australia are educated and professionally accountable to work in partnership with childbearing women and their families, yet they are currently hindered from practicing within their full scope of practice by contextual influences.
To perform a scoping review of the literature to map out the role and scope of contemporary midwifery practice in Australia To identify any key issues that impact upon working within the full scope of midwifery practice in the Australian context METHODS: A scoping review of the literature guided by the Arksey and O'Malley's five-stage methodological framework, and the 'best fit' framework synthesis using the Nursing and Midwifery Board of Australia's Midwifery Standards for Practice.
Key themes that emerged from the review included Partnership with women; The professional role of the midwife; and Contextual influences upon midwifery practice.
Tensions were identified between the midwifery scope of practice associated with optimal outcomes for women and babies supported by current evidence and the actual role and scope of most midwives employed in models of care in the current Australian public healthcare system.
There is a mismatch between the operational parameters for midwifery practice in Australia and the evidence-based models of continuity of midwifery carer that are associated with optimal outcomes for childbearing women and babies and the midwives themselves.
我们对澳大利亚助产士的工作范围知之甚少，而且很少有助产士能充分发挥其专业水平。
澳大利亚的助产士接受过教育，并在专业上负责与产妇及其家庭合作，但由于受到环境影响，他们目前无法充分发挥自己的实践能力。
对文献进行范围综述，以描绘澳大利亚当代助产实践的角色和范围，确定在澳大利亚背景下影响充分发挥助产实践能力的任何关键问题。
根据 Arksey 和 O'Malley 的五阶段方法框架和澳大利亚护理和助产委员会的助产实践标准进行文献范围综述，使用“最佳拟合”框架综合方法。
从综述中出现的主要主题包括：与妇女的合作；助产士的专业角色；以及对助产实践的环境影响。
在当前证据支持的妇女和婴儿最佳结果相关的助产实践范围与当前澳大利亚公共医疗保健系统中实际护理模式中大多数助产士的实际角色和范围之间，存在紧张关系。
澳大利亚的助产实践操作参数与连续性助产士护理的循证模式不匹配，而连续性助产士护理与母婴最佳结果以及助产士自身有关。
