Assignment: Health Policy in midwifery

Assignment: Health Policy in midwifery

Assignment: Health Policy in midwifery

Review the websites of your professional organizations and identify any health policy issues related to APRNs (or the patients they serve) that need to be changed or addressed in your state.

Come prepared to discuss the following questions:

What does the term “midwife” mean to you? What do you think it means to the public where you live?

How are nurse-midwives licensed in your state (as a midwife or APRN)? What is your opinion on this and why? Name one situation it may make sense to introduce yourself as an APRN and a situation where you would introduce yourself as a midwife?

Does the definition of nurse-midwifery practice in the state regulations match the definition from the ACNM?

Be familiar with the standing documents of ACNM and key position statements such as the joint statement, collaborative management, and the culture of safety.

Is the scope of practice for nurse-midwives in your state to the full extent of their education and training, or does it require a formal written supervisory or collaborative agreement with physicians? What is your opinion about state requirements for written agreements with physicians?

What is the difference between certification and licensure? What are the benefits of certification to you and your clients?

Does your state have birth center regulations? If so, is accreditation required? What are the pros and cons of accreditation?

Do CNMs in the hospitals collaborate with community birth midwives in your area? What can CNMs do to strengthen and improve the safety of transfers from home or birth center to the hospital when transfer is needed?

What legislative issues is your state’s Affiliate of ACNM working on?

Is your state nurses’ association working on any legislative issues that might impact nurse-midwives (or patients served) in your state?

Have you identified any ways you might be able to support the legislative agenda of your state’s ACNM Affiliate or the Nurse’s Association?

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Health Policy in Midwifery
The term midwife according to me means a professional who has been trained to assist clients, families, and communities with their birthing journey. The professional provides care during the preconception, antenatal, intra-partum, and post-partum period to these clients. The meaning of a midwife to the public where I live is a professional that assists people during deliveries. My state licenses nurse-midwives as midwives based to ensure specialized roles from the other specialties in nursing. One situation I would introduce myself as a midwife is when working with community members or public who do not understand the meaning of an APRN. I would introduce myself as an APRN when working with colleagues such as other nurses in the clinical setting.
The definition of nurse-midwifery practice in the state regulations matches with the definitions from the ACNM. The definition considers the roles of a nurse-midwife to include consultation, collaboration, and referral of cases to ensure optimum outcomes for clients and their families. It also focuses on standards that align with those of the ACNM. Licensed midwives work as independent practitioners in the state of New York. However, they should have a collaborative relationship with a licensed physician who is certified as an obstetrician-gynecologist by the national certifying body (Buck, 2021). In my view, the state requirements for written agreements with physicians are appropriate to ensure continuity of care safety in midwifery practice.
Certification documents the legal skills that one has acquired in midwifery education and practice while licensure is a legal document that one needs to work as a midwife. Certification assures my clients safety, quality, efficiency, and professional care. It also enables me to work legally as a midwife serving different populations. The state of New York has birth center regulations and requires accreditation. Accreditation ensures the birth center meets the set standards. However, it may be cost intensive for birth center owners. CNMs in the hospital collaborate with community birth midwives to ensure care continuity in my area. CNMs can ensure the ready availability of transport and active referral systems to strengthen safety of transfers from home or birth center to hospital when transfers are needed. One of the legislative issues that ACNM is working on in my state is separating midwifery from nursing practice. The state nurses’ association is working on legislative issues that will enhance patient experiences in midwifery birth centers. I will support the legislative agenda of my state’s ACNM affiliate and nurse’s association by being actively involved in activities such as research and empowering the public on issues that affect them.

References
Buck, M. (2021). An Update on the Consensus Model for APRN Regulation: More Than a Decade of Progress. Journal of Nursing Regulation, 12(2), 23–33. https://doi.org/10.1016/S2155-8256(21)00053-3