Evidence map›Paper›PMID 38799023›Full record

ArticleEuropean journal of midwifery2024

Developing a career and education framework for advanced clinical practice in midwifery.

Ruth Sanders, Katherine Letley, Kelda Folliard, Melanie Applegate, Kirsty Tweedie, Kenda Crozier

Abstract read
In one paragraph

Article in European journal of midwifery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Ruth SandersFaculty of Medicine and Health Sciences, School of Health Sciences, University of East Anglia, Norwich, United Kingdom.
Katherine LetleyFaculty of Medicine and Health Sciences, School of Health Sciences, University of East Anglia, Norwich, United Kingdom.
Kelda FolliardFaculty of Medicine and Health Sciences, School of Health Sciences, University of East Anglia, Norwich, United Kingdom.
Melanie ApplegateFaculty of Medicine and Health Sciences, School of Health Sciences, University of East Anglia, Norwich, United Kingdom.
Kirsty TweedieFaculty of Medicine and Health Sciences, School of Health Sciences, University of East Anglia, Norwich, United Kingdom.
Kenda CrozierFaculty of Medicine and Health Sciences, School of Health Sciences, University of East Anglia, Norwich, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThis study outlines the nature of Advanced Clinical Practice in Midwifery (ACPiM), reporting on a stakeholder analysis as part of a national project to develop a career framework for advanced practice in midwifery on behalf of the National Health Service (NHS) in England.

methodsBetween June and July 2022, 31 advanced practice midwives were recruited across England within the NHS settings. Convenience sampling was used to identify midwives working as advanced practitioners, and those pursuing this career route. Focus group and one-to-one interviews were conducted, recorded, and transcribed. These stakeholder data were then analyzed using a reflexive thematic approach.

resultsACP midwives were active across many professional settings. The findings resulted in three themes: Midwifery autonomy, Desire for progression, and Avenues of support. Midwifery autonomy highlighted a midwifery desire to utilize specialist skills and expert decision-making to provide holistic care directly to women and families. Desire for progression highlighted that, regardless of career stage, midwives aspired to advance their practice requiring a range of pathways to fulfil career satisfaction and meet local population health needs. Avenues of support discussed the barriers and facilitators to progression, highlighting the need for service vision, a multi-disciplinary approach to facilitate support for individuals, and strong midwifery leadership.

conclusionsAlthough the ACPiM role is desired by maternity institutions and organizations, midwives remain unclear about how to achieve this position, and employers remain unsure of how an ACPiM could transform services. If midwives are to successfully achieve ACPiM status, organizational support is needed to facilitate individuals drive for career progression, resulting in a strengthened workforce and improved patient experience.

Indexed as

advanced clinical practicemidwiferymidwifery careermidwifery career progressionmidwifery educationscope of practice

Identifiers

PMID38799023
PMCPMC11119754

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.