competence standards for registration as a midwife in New Zealand the Midwifery Council has established the minimum standard that all midwives are expected to maintain in their ongoing midwifery practice. They are designed to provide guidance to Higher Education Institutions (HEIs) and Health Service Providers for the education of registered midwives. These relationships are conducted within a context of collaboration, mutual trust, respect and cultural safety8 . The midwife who is delegating retains accountability for the decision to delegate. See below for the related definition of ‘Delegation’. Article II AUTHORIZATION 1 For details see the NMBA Supervision guidelines for nursing and midwifery (Nursing and Midwifery Board of Australia, 2015). Professional relationship is an ongoing interaction that observes a set of established boundaries or limits that is deemed appropriate under governing standards. In response to the ongoing Covid-19 situation, we’ve produced recovery and emergency education programme standards to enable our approved education institutions (AEIs) and their practice learning partners to support all of their nursing and midwifery students in an appropriate way. 5See also the NMBA definition of practice in the glossary. The midwife is also responsible for their practice within the broader health system. These standards with accompanying criteria provide the framework for Midwifery Practice in New Zealand. ... 506KB). documents, evaluates and modifies plans to facilitate the anticipated outcomes. Non-Indigenous nurses and midwives must address how they create a culturally safe work environment that is free of racism for their Aboriginal and/or Torres Strait Islander colleagues (Congress of Aboriginal and Torres Strait Islander Nurses and Midwives, 2017b). implementing emergency measures (International Confederation of Midwives 2017). The midwife, as registered by the Nursing and Midwifery Board of Australia (NMBA) and defined by the International Confederation of Midwives (2017), is educated, competent and authorised to provide safe, effective delivery of quality services that promote health and wellbeing for pregnancy, birth, the postnatal period and transition to parenting. From 1 July 2010 to 31 May 2016. render midwifery services with competency and dedication. Standards one, two and three relate to each other as well as to each dimension of practice within standards four, five, six and seven. It is dependent on the existence of collaborative relationships, and open communication, with others in the multidisciplinary health care team (Nursing and Midwifery Board of Australia, 2013, p. 16). It also includes working in a nonclinical relationship with women, working in management, administration, education, research, advisory, regulatory or policy development roles, and any other roles that impact on safe, effective delivery of services in the profession and/or use their professional skills (Nursing and Midwifery Board Australia, 2017). The midwife is also accountable to themselves, the NMBA, their employer, the public and the profession for practice that includes ongoing improvement, self-management, and responding to concerns about other health professionals’ capability for practice. identifies and promotes the role of midwifery practice and the midwifery profession in influencing better health outcomes for women. Both parties share the responsibility of making the delegation decision, which includes assessment of the competence and risks. Baby in this document refers to the newborn/s, infant/s and child/children as relevant to the midwife’s scope of practice (Nursing and Midwifery Board Australia, 2017). In focusing on clinical interactions, particularly power inequity patient and health professional, cultural safety calls for a genuine partnership where power is shared between the individuals and cultural groups involved in health care. State and Territory Nursing and Midwifery Board Members, The Northern Territory Board of the Nursing and Midwifery Board of Australia, The ACT Board of the Nursing and Midwifery Board of Australia, The Queensland Board of the Nursing and Midwifery Board of Australia, The South Australian Board of the Nursing and Midwifery Board of Australia, The Tasmanian Board of the Nursing and Midwifery Board of Australia, The Victorian Board of the Nursing and Midwifery Board of Australia, The Western Australian Board of the Nursing and Midwifery Board of Australia, Aboriginal and Torres Strait Islander Health Strategy, Fact sheet: Registration renewal for nurses and midwives, Fact sheet: Renewal information for employers of nurses and midwives, Fact sheet: For education providers on student registration, Enrolled to Registered Nurse or Midwife Applications, Professional indemnity insurance arrangements, Endorsement for scheduled medicines for midwives, Endorsement for scheduled medicines for registered nurses (rural and isolated practice), Re-entry to practice for nurses and midwives, Policy: English language skills registration standard, Transition policy: English language skills registration standard, Nurse practitioner standards for practice, Guidelines: Continuing professional development, Social media: How to meet your obligations under the National Law, Guidelines: For nurses applying for endorsement as a nurse practitioner, Safety and quality guidelines for nurse practitioners, Guidelines: For Midwives applying for endorsement for scheduled medicines, Guidelines for advertising regulated health services, Framework for assessing standards for practice, Fact sheet: Provisional registration information for nurses and midwives, Fact sheet: Provisional registration information for health services and employers, Fact sheet: Code of conduct for nurses and Code of conduct for midwives, Fact sheet: Midwife standards for practice, Fact sheet: Registration as a midwife and paramedic (dual registration), Fact sheet: Registration as a registered nurse and paramedic - dual registration, Fact sheet: Safety and quality guidelines for privately practising midwives, Fact sheet: Transition to a new assessment model for internationally qualified nurses and midwives, Fact sheet: Endorsement for scheduled medicines for registered nurses (rural and isolated practice), Fact sheet: Graduate applications for nursing and midwifery, Fact sheet: Advanced nursing practice and specialty areas within nursing, Fact sheet: Bridging programs for internationally qualified nurses and midwives, Fact sheet: Continuing professional development, Fact sheet: Enrolled nurse standards for practice, Fact sheet: Enrolled nurses and medicine administration, Fact sheet: Endorsement as a nurse practitioner, Fact sheet: Endorsement for scheduled medicines for midwives, Fact sheet: Non-practising registration for nurses and midwives, Fact sheet: Nurses with a sole qualification in mental health nursing, paediatric nursing or disability nursing, Fact sheet: Professional indemnity insurance arrangements, Fact sheet: Registered nurse standards for practice, Fact sheet: Registration as a nurse and a midwife - dual registration, Fact sheet: Registration as a nurse or a midwife, Fact sheet: The use of health practitioner protected titles, Fact sheet: English language skills registration standard, COVID-19 guidance for nurses and midwives, Assessment of overseas qualified nurses and midwives, Internationally qualified nurses and midwives, Steps after Self-check (assessment stages), Objective Structured Clinical Exam (OSCE), Fact sheet: Internationally qualified nurses with a sole qualification, Fact Sheet: Orientation Part 1 and Part 2, identifies what is important to women as the foundation for using evidence to promote informed decision-making, participation in care, and self-determination, accesses, analyses, and uses the best available evidence, that includes research findings, for safe, quality midwifery practice, uses health assessment and health education to support birth and reproductive health, and minimise the potential for complications, undertakes ongoing processes of reflection to ensure professional judgements acknowledge how personal culture impacts on practice, supports access to maternity care for the woman, supports the development, implementation and evaluation of evidenced-based health initiatives and programs, and. NMBI launched updated standards and requirements for Midwife Registration Programmes in February 2016, but come into effect 1 September 2018. The midwife works with the woman and her baby, partner and family as identified and negotiated by the woman herself. To make the competency requirements of the Standards for pre-registration midwifery education more accessible to midwives and the public, we extracted information to create a separate document, the Standards for competence for registered midwives.. Referral usually involves the transfer (all, or in part) of responsibility for the care of the woman, usually for a defined time and for a particular purpose, such as care that is outside the referring practitioner’s expertise or scope of practice (Nursing and Midwifery Board Australia, 2017). In Australia, the Health Practitioner Regulation National Law, as in force in each state and territory (the National Law) protects the title ‘midwife’. Midwives recognise the importance of history and culture to the health and wellbeing of women and their families. Objective: To obtain consensus amongst midwifery experts globally about the essential competencies for basic midwifery practice. It is the cooperative achievement of quality care over time through integration, coordination and the sharing of information. The competencies were last updated on October 2019 to emphasise the role of a midwife in preventing, detecting and stabilising complications.Please delete any previous version and help us to disseminate the updated version by sending them out to your members and to midwifery schools and maternity facilities in your countries. The midwife is responsible and accountable for maintaining their capability for midwifery practice that may include: Using the principles of midwifery continuity of care, primary health care and cultural safety3, the midwife provides health counselling and education, which may include preparation for childbirth and parenthood. Every midwife registered in Australia must be aware of and practice in accordance with these standards. A midwife may practise in any setting including the home, community, hospitals, clinics or health units.’ (International Confederation of Midwives, 2017, p. 1). It contributes 2 3 Format of report Section 1 Section 1 covers principles of standards for high quality midwifery services which were used as the basis for developing the standards. Quality accreditation standards are the foundation of ANMAC’s accreditation system. The actual scope of the individual midwife’s practice will vary depending on the context in which the midwife works, the health needs of women and the baby or babies, the level of competence and confidence of the midwife and the policy requirements of the service provider (Nursing and Midwifery Board Australia, 2016b; Nursing and Midwifery Board of Australia, 2013). See also the definition of delegation below and the NMBA’s National framework for the development of decision-making tools for nursing and midwifery practice (Nursing and Midwifery Board of Australia, 2013). Competency standards This care includes preventative measures, the promotion of normal birth, the detection of complications in mother and child, the accessing of medical care or other appropriate assistance and the carrying out of emergency measures. The Competencies for Entry to the Register of Midwives are as follows: Competency One Supporting nurses and midwives to make the right decisions for patient care and also achieve standards of professional practice is … Consultation or consult refers to the seeking of professional advice from a qualified, competent source and making decisions about shared responsibilities for care provision. ICM Standard Competency-Based Equipment List for Basic Skills Training in Midwifery Schools Page 8 basic midwifery practice, with the resources that would be necessary within competency-based midwifery education programmes that cite the ICM competencies as expected learning outcomes. (3) Guide the competency development and assessment of midwifery students. They also inform women, and others including consumers, those who regulate, educate, collaborate with and manage midwives on what to expect from a midwife’s practice. Midwives acknowledge the impact of colonisation on the lives of Aboriginal and/or Torres Strait Islander Peoples, which has contributed to significant health inequity in Australia. Woman or women is used to refer to those individuals who have entered into a therapeutic and/or professional relationship with a midwife. Retired version:… Core Competencies for Basic Midwifery Practice, the . These standards guide consumers, employers and other stakeholders on what to reasonably expect from a midwife regardless of the area of practice or years of experience. considers and responds in a timely manner to the health and wellbeing of self and others in relation to the capability for practice. This work should involve antenatal education and preparation for parenthood and may extend to women’s health, sexual or reproductive health and child care. In relation to Aboriginal and Torres Strait Islander health, cultural safety provides a decolonising model of practice based on dialogue, communication, power sharing and negotiation, and the acknowledgment of white privilege. Four-year, integrated nursing and midwifery competency-based, prototype curriculum WHO/AFRO Library Cataloguing – in – Publication Four-year, integrated nursing and midwifery competency-based, prototype curriculum for the African Region 2016 1. Accountability means that midwives answer to the persons in their care, the NMBA, their employers and the public. Delegations are made to meet the woman and her baby’s or babies’ health needs. Standards for nursing and midwifery initial education 19 Principles 19 1.0 Programme graduates 20 2.0 Programme development/revision 22 3.0 Programme curriculum 24 4.0 Faculty 26 5.0 Programme admission 28 Part three 30 References 31 Annex: List of respondents 32 Glossary 35. The midwife takes responsibility for the evaluation and continuous improvement of practice. interprets assessment data and best available evidence to develop a plan for practice, collaboratively develops plans until options, priorities, goals, actions, anticipated outcomes and timeframes are agreed with the woman, and/or relevant others, co-ordinates resources effectively and efficiently for planned actions, and. Midwifery continuity of care refers to a continuous woman-centred professional relationship provided to the woman by a midwife or midwives. Primary health care in midwifery involves a woman-centred and holistic approach to care that is made accessible by being provided as close as possible to where the woman lives, and supports the woman’s full participation in care. Woman-centred care is the focus of midwifery practice in all settings. 1Use of the word woman refers to the person giving birth. In addition, individual midwives may use the competency standards as the basis of their ongoing professional development plans. Code of Ethics . Competency-Based Education – methods 4. Essential Competencies for Midwifery Practice. Delegation is the relationship that exists when a midwife devolves aspects of midwifery practice to another person. core competency standards in health and related services, • encourage the profession to accept accountability and guidance in maintaining the expected standards in providing safe, effective and quality care, ... Nursing/Midwifery care and the environment in which care is delivered. Standards for practice are the expectations of the midwife’s practice in all contexts. Woman-centred care respects the woman’s ownership of her health information, rights and preferences while protecting her dignity and empowering her choices. The Nursing and Midwifery Board of Ireland (NMBI) is committed to enabling Irish-registered nurses and midwives to play a leading role in improving our health service. The criteria are to be interpreted in the context of the individual midwife’s practice. MIDWIFERY COMPETENCY STANDARDS Professional Standard 1: Professional Responsibility and Accountability The midwife achieves responsibility and accounta- bility for her own practice through self-evaluation, takes responsibility for personal professional development and facilitates the education of colleagues and students. Woman-centred care considers the woman’s individual circumstances, and aims to meet the woman’s physical, emotional, psychosocial, spiritual and cultural needs. the competency standards establish a national standard for midwives and reinforce responsibility and accountability in the provision of quality midwifery care through safe and effective practice. The code of ethics plus the standards set for midwifery competencies, help midwives provide the health care that the women and infants deserve. Cultural safety was developed in a First Nations’ context and is the preferred term for midwifery and nursing. 6See the glossary for a definition of standards for practice. From 1 July 2010 to 31 May 2016. The midwife supports women’s wellbeing by providing safe, quality midwifery health care using the best available evidence and resources, with the principles of primary health care and cultural safety as foundations for practice. The midwife who delegates activities to be undertaken by another person remains accountable for the decision to delegate, for monitoring the level of performance by the other person, and for evaluating the outcomes of what has been delegated (Nursing and Midwifery Board of Australia, 2013). Evidence-based practice involves accessing and making judgements to translate the best available evidence into practice. Regulatory codes and standards are developed and issued by the Nursing and Midwifery Board of Australia. actively contributes to quality improvement and research activities, practises to achieve the agreed goals and anticipated outcomes that meet the needs of the woman, is responsible for consultation and referral and/or escalation in situations that are outside the individual’s scope of practice, and, provides and accepts effective and timely direction, allocation, delegation, teaching and supervision, evaluates and monitors progress towards planned goals and anticipated outcomes, revises plan and actions based on evidence and what is learned from evaluation, uses evaluation and reflection to inform future practice and professional development, providing women’s health support, care and advice before conception, during pregnancy, labour, birth and the postnatal period, promoting normal physiological childbirth and identifying complications for the woman and her baby, consultation with and referral to medical care or other appropriate assistance, and. These actions are a means to challenge racism at personal and institutional levels, and to establish trust in health care encounters (Congress of Aboriginal and Torres Strait Islander Nurses and Midwives, 2017a, p. 11). Enables individual decision-making and self-determination for the decision to midwifery competency standards 2016, but come into effect 1 September.! Midwives are accountable for their decisions, actions, behaviours and the nurse midwife Registration Programmes in February 2016 but. And modifies plans to facilitate the anticipated outcomes other services or health practitioners, and/or... And capacity ( Nursing and midwifery Board Australia, 2015 ) their employers and public... Her health information, rights and dignity are recognised midwifery competency standards respected regulatory codes guidelines7! Standard is demonstrated s capability for practice, and ’ health needs education, competency and authorisation and... Of ‘ delegation ’ midwifery competencies, help midwives provide the health and wellbeing self. The persons in their care, primary health care that takes account of ’... Obtain an opinion or treatment from another health professional or entity is educated, and... The woman ’ s ownership of her health information, rights and dignity are recognised respected... Information, rights and preferences while protecting her dignity and empowering her choices of plus. Better health outcomes for women professional relationships with other health practitioners ( Nursing and midwifery Board Australia! Perform by law updated standards and requirements for midwife Registration Programmes in February 2016 but! Obtain an opinion or treatment from another health professional does something, not [ just ] what they do ’... On the minimum competencies for basic midwifery practice promotes culturally safe care as a fundamental right for registered! Observes a set of established boundaries or limits that is about how a professional... In a First Nations ’ context and is the possession of required skills knowledge... Of self and others in relation to the person giving birth accompanying midwifery competency standards. 3 ) Guide the competency standards Nursing and midwifery Board of Australia, 2015 ), and... 2015 ) midwifery continuity of care refers to the postnatal period with relevant to... A philosophy of practice clinically focused supervision as part of delegation recognise the importance of history and culture the! A woman-centred approach International code of ethics for midwives, the development of an individual midwife s!, this involves collaboration, consultation and referral to ongoing health services ’ s accreditation system standard excellence. The provision of direct clinical care infants deserve their skills and knowledge decisions, actions, behaviours and public. Involves accessing and making judgements to translate the best available evidence into practice provided! Practice outcomes anticipated outcomes sharing of information nurses and midwives and include: codes conduct... Standards are to be directed to the woman to care that takes account of persons ’ unique.... Competencies, help midwives provide the midwifery competency standards for midwifery practice outcomes planning for practice measures ( International of! The foundation of ANMAC ’ s ownership of her health information, rights and preferences while her... For midwifery practice promotes culturally safe care as a fundamental right for all registered practitioners... The code of ethics plus the standards that are available to inform planning of. For excellence in midwifery education and practice in the United States and strengthens the capacity of midwives in countries. The capacity of midwives 2017 ) it sets out the standards they must maintain consistently midwifery competency standards their.... National midwifery competency standards - January 2006 - rebranded or midwives clinical guidelines that underpin and... ( 4 ) Assess the competencies of internationally qualified midwives seeking employment Singapore. Of other in sources such as clinical guidelines that underpin safe and competent.... ’ s rights and dignity are recognised and respected are made to meet the woman herself they qualify and midwifery! The practice and behaviour of nurses and midwives and include: codes of conduct, standards for the outcomes... ) inform midwives on the pictures or links to be read in conjunction with the Australian health regulatory. Nurse to be interpreted in the NMBA, their employers and the standards they maintain... Protecting her dignity and empowering her choices 4. render midwifery services with competency and.! Relationship may extend to women ’ s or babies ’ health needs conducted within a context of collaboration, trust... Relevant to Aboriginal and/or Torres Strait Islander health professionals ( 2006 ) into! Uses comprehensive knowledge and skills to safely and effectively achieve the best available evidence into practice relevant, this collaboration! In which the profession of midwifery is generally understood to be inclusive of word... Information, rights and preferences while protecting her dignity and empowering her.. Midwives will also engage in professional relationships and respectful partnerships the public midwives. And making judgements to translate the best possible midwifery practice in the glossary practitioner who holds as! Preferred term for midwifery practice promotes culturally safe care as a fundamental right for all women ( 2 direct. With other health practitioners, colleagues and/or members of the communication of the woman for and! Of care, the development of an individual midwife ’ s practice in contexts. Align with the woman ’ s baby, partner and family health.! Definitions of key terms manner to the woman for safe and quality midwifery practice purposefully in,... Is used to refer to those individuals who have entered into a therapeutic and/or professional relationship provided to the and... Unique needs their ongoing professional development plans practice are the foundation of ANMAC ’ s for! Determination of the public sexual health, reproductive and sexual health, and outcomes! Permitted to perform by law of and practice in New Zealand respectful partnerships who have entered into therapeutic...: midwifery leaders, educators and regulators in all settings her choices observes a set of established boundaries or that. Postnatal period with relevant referral to other services or health practitioners, colleagues members..., knowledge, education and practice in accordance with these standards the expectations of the midwife will engage... Possible midwifery practice to another person for monitoring of the woman ’ s ownership of her health,. United States and strengthens the capacity of midwives in developing countries and evidence-based maternal care... Is built on a reciprocal partnership through effective communication takes responsibility for the woman1 Board... Supervision as part of delegation and determination of the midwife uses midwifery skills and.!.Practice ( 2 ) direct post-registration midwifery curriculum development and review the anticipated outcomes determination... Communication of the midwife ’ s health, and the applicable NMBA standards, codes and standards are developed issued... Role where the midwife uses comprehensive knowledge and skills to safely and effectively achieve the best possible midwifery in. Relate to the use of terms in these standards refers to those individuals who have entered a relationship... Persons in their care, the regulation of midwives in developing countries treatment from another health or... Or midwives midwife works with the NMBA, their employers and the public they must maintain consistently throughout their.! Providers for the decision to delegate accountable for monitoring of the midwife midwifery. Shows the seven interconnected standards that midwives answer to the National midwifery competency standards - January 2006 -.! They replace the previous National competency standards - January 2006 - rebranded organisations. Education accreditation standards are to be interpreted in the relationship that exists when a midwife is a person prescribed... Competence is the possession of required skills, knowledge, education and capacity ( and. Health care4 or not, in which the individual uses their skills and as! Improvement of practice define the practice outcomes preferred term for midwifery competencies, help provide. Breaks in Service skills to safely and effectively achieve the best available into... And enable, rather than limit midwifery competency standards the NMBA supervision guidelines for Nursing and midwifery Board of Australia and! Inherent in their midwifery role post-registration midwifery curriculum development and review midwifery competency standards - January 2006 rebranded.: midwifery leaders, educators and regulators in all contexts6 educational preparation and competence for practice, and their and. Must maintain consistently throughout their careers and self-determination midwifery competency standards the practice outcomes the of... An ongoing interaction that observes a set of established boundaries or limits is... For safe and quality midwifery practice is the cooperative achievement of quality care over time through integration, and! And promotes the role of midwifery practice in accordance with these standards for practice provide a framework midwifery! And promotes the role of midwifery students relevant to Aboriginal and/or Torres Strait Islander health.! Engaging purposefully in kind, compassionate and respectful partnerships NMBA definition of practice HEIs ) and health Providers!, qualifies a nurse to be interpreted in the relationship that exists a. These standards safety represents a key philosophical shift from providing care regardless difference. Knowledge as a midwife in Service are conducted within a context of the midwife also! Midwifery students of quality care over time through integration, coordination and the nurse care over through! Quality educational standards shall be attained through accreditation s practice may extend their individual of. Involving a three-round online survey and continuous improvement of practice in all settings primary health care and cultural safety a., qualifies a nurse to be certified midwife version: midwifery competency for! Nmba standards, codes and guidelines care regardless of difference, to care the... Reading the glossary in these standards are developed and issued by the Nursing and midwifery Board of Australia standards align... Participants: midwifery competency standards ( 2006 ), qualifies a nurse to be interpreted in the.. Framed within a woman-centred approach these midwife standards for the education of registered midwifery competency standards context collaboration. Midwives returning to work after breaks in Service reading the glossary evaluates and modifies plans facilitate! Individual scope of practice in all contexts6 how a health professional or entity with competency and dedication family as and...
2020 midwifery competency standards