ArticleBMJ open2021
Developing a midwifery service task list for Chinese midwives in the task-shifting context: a Delphi study.
Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 14 citations in OpenAlex.
- Assessing stakeholders' acceptability of implementing the midwifery continuity of care model in China: a convergent mixed-method study.BMC pregnancy and childbirth · 2026Article
- A concept analysis of the term midwifery intervention: A scoping review.European journal of midwifery · 2026Review
- Design of a public health emergency equipment modularized system for bioterrorism events in major public places based on scenario analysis, literature review, cluster analysis, and Delphi consultation.Frontiers in public health · 2025Review
- Article
- Developmental Strategy and Validation of the Midwifery Interventions Classification (MIC): A Delphi Study Protocol and Results from the Developmental Phase.Healthcare (Basel, Switzerland) · 2023Article
- Mediating role of perceived social support in the relationship between perceived stress and job burnout among midwives in the post-COVID-19 era.Nursing open · 2023Article
- Midwife empathy and its association with the childbirth experience: a cross-sectional study.BMC pregnancy and childbirth · 2022Article
- Core competencies for a biomedical laboratory scientist - a Delphi study.BMC medical education · 2022Article
- Establishing a Multidisciplinary Framework for an Emergency Food Supply System Using a Modified Delphi Approach.Foods (Basel, Switzerland) · 2022Article
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Authors and funding
7 authors at 3 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo develop and validate a midwifery-led task list in the task-shifting context.
designAn extensive literature review followed by a two-iterative Delphi survey.
settingTwenty university hospitals, three non-university hospitals and four university colleges from nine provincial regions of China.
participantsPurposive non-probability sampling of a national panel of experts in maternal healthcare, obstetrics, nursing and midwifery. Experts in the panel were asked to rate each midwifery service item regarding importance, feasibility and advancement on a 5-point scale, in order to determine those best suited for midwifery-led practice in China.
resultsTwo rounds of Delphi surveys were completed before consensus was achieved, with effective response rate ranging from 96.4% (27/28) to 100% (27/27), indicating a high positive coefficient of the experts. The authority coefficient of experts was 0.882, indicating the high reliability of this study. The Kendall harmony coefficient (W) in the two rounds of consultations was 0.196 (p<0.001) and 0.324 (p<0.001), respectively. A detailed, three-level midwifery-led task list was developed, including 3 domains of midwifery practice (first-level indicators), 13 types of task (second-level indicators) and 58 midwifery service items (third-level indicators). The 3 domains of midwifery practice involved the appropriate scope of practice for Chinese midwives, including antenatal care, intrapartum care and postnatal care. The 58 service items embraced core components of caring task in the Chinese midwifery profession.
conclusionThis study outlines the first midwifery-led task list that defines clearly the Chinese midwives' scope of practice. It will provide a foundational framework for future midwifery practice in China and abroad, and can be used to inform the design of midwifery-led task shifting interventions in various maternity settings.
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