A Descriptive Study of Career Satisfaction and Professional Trajectories of Certified Midwives and Certified Nurse‐Midwives.
Introduction: The Certified Midwife (CM) credential was introduced by the American College of Nurse‐Midwives in 1996 to increase the midwifery workforce and provide an equivalent direct entry pathway to midwifery practice without prior nursing education. No research has compared the professional exp...
| Publicado en: | Journal of Midwifery & Women's Health Vol. 70; no. 5; pp. 764 - 771 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Sep/Oct2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=188721218&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 188721218 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15269523 JR6 jtl: Journal of Midwifery & Women's Health issn: 15269523 maglogo: Y pubinfo: dt: Sep/Oct2025 vid: 70 iid: 5 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 188721218 186949246 188721218 188721218 10.1111/jmwh.13787 188721218 ppf: 764 ppct: 7 formats: tig: atl: A Descriptive Study of Career Satisfaction and Professional Trajectories of Certified Midwives and Certified Nurse‐Midwives. aug: au: Jefferson, Karen Bella, Abigail Schechter, Suzanne Buscarino, Lauren Hackley, Barbara Lichtman, Ronnie affil: American College of Nurse‐Midwives, Washington District of Columbia sug: subj: Job Satisfaction Evaluation Career Mobility Professional Development Midwives Psychosocial Factors Certification Certified Nurse Midwives Psychosocial Factors Work Experiences Evaluation Education, Midwifery New York Human Male Female Adult Middle Age Cross Sectional Studies Descriptive Research Education, Midwifery Survey Research Questionnaires New York Professional Role Mann-Whitney U Test Pearson's Correlation Coefficient Academic Achievement Job Performance Professional Recognition Clinical Competence Workforce Comparative Studies Role Change Personnel Retention Nonparametric Statistics Employment Status Education, Continuing Age Factors Race Factors Ethnic Groups Language Descriptive Statistics Data Analysis Software Adult: 19-44 years Middle Aged: 45-64 years Male Female ab: Introduction: The Certified Midwife (CM) credential was introduced by the American College of Nurse‐Midwives in 1996 to increase the midwifery workforce and provide an equivalent direct entry pathway to midwifery practice without prior nursing education. No research has compared the professional experiences of certified nurse‐midwives (CNMs) and CMs. This study compared the career trajectories and experiences of CNMs and CMs who graduated from the State University of New York Downstate Health Sciences University Midwifery Program between 1997 and 2019. Methods: Using a cross‐sectional design, a survey was sent to 237 alumni. The survey included items on satisfaction with chosen education pathways, role transition from student to midwife, and professional experiences. Mann‐Whitney U tests and Pearson's χ2 tests of independence were used to assess group differences. Results: Of the 237 individuals invited to participate in the survey, 131 completed the survey in sufficient detail to be included in the analysis. Participants reported similar career trajectories, satisfaction with their education preparation, measures of job performance, longevity as a midwife, and overall satisfaction with their careers. CMs were significantly more likely to express dissatisfaction with their education route, largely due to a lack of geographic mobility. CMs and CNMs experienced significantly different levels of respect from professional colleagues in their first and current or most recent positions. There were no significant differences in reported clinical competence or perceived success between groups. Discussion: This study demonstrates that CNMs and CMs have equal career success and satisfaction. Expanding the geographic mobility of CMs by expanding state licensure could enhance career satisfaction and potentially increase the number of students interested in becoming CMs. Because both the CNM and CM pathways produce qualified midwives, the American College of Nurse‐Midwives and state affiliates should continue to seek CM licensure with an identical scope of practice to CNMs in all 50 states. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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