Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/1582
Appears in Collections:Faculty of Health Sciences and Sport Journal Articles
Peer Review Status: Refereed
Title: Competencies and Skills for Remote and Rural Maternity Care: A Review of the Literature
Authors: Ireland, Jillian M
Bryers, Helen
van, Teijlingen Edwin
Hundley, Vanora
Farmer, Jane
Harris, Fiona Margaret
Tucker, Janet
Kiger, Alice
Caldow, Jan
Contact Email: fiona.harris@stir.ac.uk
Keywords: competence
competency
midwifery education
skills
literature review
Issue Date: Apr-2007
Publisher: Wiley-Blackwell
Citation: Ireland JM, Bryers H, van Teijlingen E, Hundley V, Farmer J, Harris FM, Tucker J, Kiger A & Caldow J (2007) Competencies and Skills for Remote and Rural Maternity Care: A Review of the Literature, Journal of Advanced Nursing, 58 (2), pp. 105-115.
Abstract: Aim. This paper reports a review of the literature on skills, competencies and continuing professional development necessary for sustainable remote and rural maternity care. Background. There is a general sense that maternity care providers in rural areas need specific skills and competencies. However, how these differ from generic skills and competencies is often unclear. Methods. Approaches used to access the research studies included a comprehensive search in relevant electronic databases using relevant keywords (e.g. ‘remote’, ‘midwifery’, ‘obstetrics’, ‘nurse–midwives’, education’, ‘hospitals’, ‘skills’, ‘competencies’, etc.). Experts were approached for (un-)published literature, and books and journals known to the authors were also used. Key journals were hand searched and references were followed up. The original search was conducted in 2004 and updated in 2006. Findings. Little published literature exists on professional education, training or continuous professional development in maternity care in remote and rural settings. Although we found a large literature on competency, little was specific to competencies for rural practice or for maternity care. ‘Hands-on’ skills courses such as Advanced Life Support in Obstetrics and the Neonatal Resuscitation Programme increase confidence in practice, but no published evidence of effectiveness of such courses exists. Conclusion. Educators need to be aware of the barriers facing rural practitioners, and there is potential for increasing distant learning facilitated by videoconferencing or Internet access. They should also consider other assessment methods than portfolios. More research is needed on the levels of skills and competencies required for maternity care professionals practising in remote and rural areasat
Type: Journal Article
URI: http://hdl.handle.net/1893/1582
DOI Link: http://dx.doi.org/10.1111/j.1365-2648.2007.04246.x
Rights: The publisher does not allow this work to be made publicly available in this Repository. Please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author; you can only request a copy if you wish to use this work for your own research or private study.
Affiliation: Robert Gordon University
NHS Highland
University of Aberdeen
University of Stirling
UHI Millennium Institute
NMAHP Research
University of Aberdeen
University of Aberdeen
University of Aberdeen

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