TY - JOUR
T1 - A profile of colorado nurse-midwives
T2 - Implications for health care
AU - Hastings-Tolsma, Marie
AU - Tasaka, Yuki
AU - Burton, Abby
AU - Goodman, Steffie
AU - Emeis, Cathy L.
AU - Patterson, Elisa
AU - Bennett, Penelope
AU - Koschoreck, Kate
AU - Ruyak, Sharon
AU - Tanner, Tanya
AU - Vaughn, Tricia
AU - Williams, Anne
PY - 2009/2
Y1 - 2009/2
N2 - Nurse-midwives provide significant health care to underserved and vulnerable women, yet there is limited information about the nature of nurse-midwifery practices and compensation for services. This study reports the results of a Colorado statewide survey of nurse-midwives (N = 217). Electronic survey was utilized to detail practice in seven areas: demographics, type of practice, compensation, leadership, legislativep riorities,teaching involvement, and practice satisfaction. Responses(N = 114) were analyzed using SPSS 13.0. Results found wide variation in compensation and practice types. Respondents largely worked in urban settings, cared for low to moderate risk patients, and were generally older and White. Restriction from medical staffm membership, prescriptive authority constraints, and liability issues were practice limitations. While teaching a wide variety of learners, nurse-midwives do limited mentoring of nurse-midwifery students, a finding which is concerning given the decreasing numbers of nurse-midwives. Findings are compared to known national data, with implications for the provision of health care services detailed.
AB - Nurse-midwives provide significant health care to underserved and vulnerable women, yet there is limited information about the nature of nurse-midwifery practices and compensation for services. This study reports the results of a Colorado statewide survey of nurse-midwives (N = 217). Electronic survey was utilized to detail practice in seven areas: demographics, type of practice, compensation, leadership, legislativep riorities,teaching involvement, and practice satisfaction. Responses(N = 114) were analyzed using SPSS 13.0. Results found wide variation in compensation and practice types. Respondents largely worked in urban settings, cared for low to moderate risk patients, and were generally older and White. Restriction from medical staffm membership, prescriptive authority constraints, and liability issues were practice limitations. While teaching a wide variety of learners, nurse-midwives do limited mentoring of nurse-midwifery students, a finding which is concerning given the decreasing numbers of nurse-midwives. Findings are compared to known national data, with implications for the provision of health care services detailed.
KW - Compensation and benefits
KW - Health carep olicy
KW - Nurse-midwives
KW - Survey
UR - http://www.scopus.com/inward/record.url?scp=58449135506&partnerID=8YFLogxK
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U2 - 10.1177/0193945908319989
DO - 10.1177/0193945908319989
M3 - Article
C2 - 18660490
AN - SCOPUS:58449135506
SN - 0193-9459
VL - 31
SP - 24
EP - 43
JO - Western journal of nursing research
JF - Western journal of nursing research
IS - 1
ER -