midwife ethical guidelines

Evidence-based guidelines - Introduction 01 November 2012 The RCM Evidence based guidelines for midwifery-led care in labour (2012) provides a comprehensive discussion of currently available evidence for midwives to follow in practice. © 2020 Probity and Ethics. We value cultural sensitivity, competency and humility as critical skills for the midwife to master in an increasingly multicultural society. Nursing and Midwifery Council’s The Code: professional standards of practice and behaviour for nurses and midwives (NMC 2015) and as always, the best interests of the person they are caring for are paramount. The Code presents the professional standards that nurses, midwives and nursing associates must uphold in order to be registered to practise in the UK. Notification of Nurses’ and Midwives' Fitness to Practice [PDF, 134KB] Guidelines for Agency Nurses/Midwives and Agencies Engaging Them [PDF, 39KB] Guidelines for Determining When Return-To-Nursing Programme is Mandatory [PDF, 476KB] It is not just a tool used in fitness-to-practise cases--it should be used t … K. We value diversity among midwives that broadens our collective resources and challenges us to work toward greater understanding. Moral integrity, truthfulness and adequate information enable all participants to judge together the best course of action in varied situations. Guidelines for Social Media Use [PDF, 251KB] Nurse's Pledge [PDF, 154KB] For Employers. G. We value homebirth with a midwife as a wise and safe choice for healthy families. Editor’s note: This article first appeared in Midwifery Today, Issue 40, Winter 1996. Judgments are fundamentally based on awareness and understanding of ourselves and others. Principles of Nursing and Midwifery Ethics and the expected Ethical Standards for Nurses and Midwives: Honesty, Integrity, Openness and Truthfulness: Why is Ethics Important as a nurse or midwife? © Copyright 2020 by Midwives Alliance of North America. We value the quality, integrity and uniqueness of our interactions, which inform our choices and decisions. As midwives, we seek to benefit women and babies in our care. We value multiple routes of midwifery education and the essential importance of apprenticeship training. All Rights Reserved. (10) Midwifery care should take place within services which are organised to provide evidence-based guidance for midwives and in systems that validate and regularly review policies, guidelines and protocols. These statements are written for midwives, women and the general public to identify the values and beliefs that the profession holds. We value a mother’s intuitive knowledge and innate ability to nurture herself, her unborn baby and her newborn baby. We value each woman’s right to a supportive caregiver appropriate to her needs and respectful of her belief system. B. Advocate: the nurse or midwife should act and support the interest of the patient or client B. We value the essential mystery of birth. Cultural Sensitivity, Competency and Humility. Nursing and midwifery students It is intended to provide guidance for professional conduct in the practice of midwifery, as well as influence MANA’s organizational policies, thereby promoting high quality care for childbearing families. They grow out of our own sense of moral integrity, which is born within the heart of each individual. However depending on an individual’s personal beliefs, values and experiences in a given situation, very different choices may be made involving the same dilemma. C. We value pregnancy and birth as processes that have lifelong impact on a woman’s self-esteem, her health, her ability to nurture and her personal growth. D. We value the capacity of partners, family and community to support a woman in all aspects of pregnancy, birth and mothering and to provide a safe environment for mother and baby. III. Nurse-midwives are encouraged to participate in OB section meetings. J. Therefore, a midwife must develop a moral compass to guide practice in diverse situations that arise from the uniqueness of pregnancy and birth as well as the relationship between midwives and birthing women. We value the mother and her baby as an inseparable and interdependent whole and acknowledge that each woman and baby have parameters of well-being unique to themselves. We would like to show you a description here but the site won’t allow us. The International Confederation of Midwives invites your comments on its Code of Ethics. Codes of conduct Guidelines on the Supervision of Certified Nurse Midwives, Nurse Practitioners and Physician Assistants. The practice of midwifery is infused with values that guide the way midwives provide care to women, infants and families. Our actual choices may be limited by the medical, legal, political, economic, cultural or social climate in which we function. It will also consider how the expansion of medical ethics has also contributed to the increased need for midwives to be able to understand, articulate and demonstrate ethical-based midwifery care. I. Out of the discussion may come an adopted code-this one, a variant, some other-or none, but the discussion will sharpen awareness of the ethical nature of practice. All Rights Reserved. I. GUIDELINES FOR COMMUNITY-BASED MIDWIFERY ONE: The licensed midwife is accountable to the client, the midwifery profession and the public for safe, competent, and ethical care. F. We value personal responsibility and the right of a woman to make decisions regarding what she deems best for herself, her baby and her family, using both informed consent and informed refusal. essential competencies for basic midwifery practice according to icm: competency 1 : midwives have the requisite knowledge and skills from thesocial science, publichealth, and ethics that form the basis of high quality , culturally relevant, appropriate … Subscribe to Midwifery Today Magazine. The Midwives Alliance Statement of Values and Ethicsis a critical reflection of moral issues as they pertain to maternal and child health and is intended to provide guidance for professional conduct in the practice of midwifery, as well as influence MANA's organizational policies, thereby promoting high quality care for childbearing families. *Section VII is derived from Melanie Tervalon and Jann Murray-Garcia, “Cultural Humility versus Cultural Competency: A Critical Distinction in Defining Physician Training Outcomes in Multicultural Education,” Journal of Health Care for the Poor and Underserved 9 (May 1998): 117–25. C. We value the mother as the direct care provider for her unborn child. Understanding Relative Risks In The Community Birth Setting, Homebirth: An Annotated Guide to the Literature, Foundation for the Advancement of Midwifery, Beneficence—to act so as to benefit others, Confidentiality—to honor others’ privacy and keep personal interactions confidential, Justice—to treat people respectfully and equitably. Acknowledgements This publication is the result of a collaborative project involving key stakeholders. “I encourage nurses and midwives to study the codes of ethics and am confident they will prove helpful in providing guidance when facing ethical dilemmas and standards of conduct.” D. We value a woman as autonomous and competent to make decisions regarding all aspects of her life. The Code for Nurses and Midwives (“The Code”) sets out the professional conduct, ethical values and practice standards that every nurse and midwife in Singapore must act upon and uphold. To strengthen Midwives Associations and to advance the profession of midwifery globally by promoting autonomous midwives as the most appropriate caregivers for childbearing women and in keeping birth normal, in order to enhance the reproductive health of women, their newborns and their families. The Professional Standards for Midwives (“Professional Standards”)describes what is expected of all midwives registered with the College of Midwives of Ontario (“College”). MANA’s affirmation of individual moral integrity and recognition of the complexity of life events bring us to an understanding that there cannot possibly be one right answer for all situations. E. We value the right of a woman and her partner to determine the most healing course of action when difficult situations arise. The Nurses and Midwives Act of 2011 requires the Board to provide guidelines to the approved schools of nursing and midwifery on ethical standards and behaviours for students. C. We value a woman’s right to access resources in order to achieve health, happiness and personal growth according to her needs, perceptions and goals. We value cultural sensitivity—a midwife’s awareness of and ability to honor differences between people and the cultural values of the women she serves. A. D. We value birth as a personal, intimate, internal, sexual and social experience to be shared in the environment and with the attendants a woman chooses. D. We value the art of nurturing the inherent normalcy of pregnancy and birth as expressions of wellness in a healthy woman. In midwifery in particular, the complexity of ethical problems is increasing e.g., due to new medical options in diagnostics and reproductive medicine, the increasing diversity of life styles or the high number of preterm births. The intention of this chapter is to define ethics, identify the three main types of ethics, demonstrate what ethical-based midwifery care is and explain the meaning of ethics. VII. C. We value the importance of cultural competency in addressing the social and economic barriers to access to care for vulnerable, underserved and marginalized women, thereby improving maternal and infant health and the well-being of families. We welcome an open and ongoing articulation of values and ethics and the evolution of this document. Standards of Practice. The Nursing and Midwifery Board of Australia (NMBA) provides guidance to nurses and midwives by publishing a range of professional codes and guidelines. Acting ethically is an expression of our values within the context of our individual, geographic, religious, cultural, ethnic, political, educational and personal backgrounds and in our relationships with others. Midwifery care is woman-led care with informed choice and a clear set of values at its core. This unique text uses an accessible writing style and includes chapters on diversity and justice, informed consent, multiple relationships, confidentiality and privacy, scope of practice, and others. We value the physical, psychosocial and spiritual health, well-being and safety of every mother and baby. As we seek to respond in the moment to each situation we face, we call upon ethical principles of human interaction as follows: The equality and mutuality of the relationship between midwife and client create a foundation uniquely suited to integrate these principles. Standard one: The midwife works in partnership with the woman. This approach affirms the mystery and potential for transformation present in every experience and fosters truly diverse practice. Standards, values, and ethics are more general than practice guidelines, and they reflect the philosophy of the midwife. Please answer the following questions and address your response to Secretary General, International Confederation, 10 Barley Mow Passage, Chiswick, London W4 4PH, England: 1. E. We value direct access to information that is readily understood by all. C. We value the integrity of a woman’s body, the inherent rhythm of each woman’s labor and the right of each mother and baby to be supported in their efforts to achieve a natural, spontaneous vaginal birth. Autonomy—to respect an individual’s rights to self-determination and freedom to make decisions that affect his or her life. Registration confirmation will be emailed to you. The scenario allows me to critically explore and evaluate the legal, ethical and professional implications arising from the issues. Ethics in Midwifery Guide Good Decision Making The practice of midwifery is infused with values that guide the way midwives provide care to women, infants and families. Standard two: The midwife upholds each woman’s right to free and informed choice Standard three: The midwife collates and documents comprehensive assessments of the woman and/or baby’s health and wellbeing Standard four: The midwife maintains purposeful, on-going, updated records and makes them … D. We value cultural humility as a lifelong process of self-reflection and self-critique in order to develop a respectful partnership with each woman.*. Doing research and practising as a midwife at the same time can lead to ethical conflicts as the ethical codes for midwifery practice and those for conducting research are subtly different. We value pregnancy and birth as natural, physiologic and holistic processes that technology will never supplant. We value the acquisition and use of skills that identify and guide a complicated pregnancy or birth to move toward greater well-being and be brought to the most healing conclusion possible. Accessing this course requires a login, please enter your credentials below. We value each woman as a strong, creative, unique individual with life-giving powers. Midwives should be aware of, and abide by the regulatory and professional standards and codes as set by the Nursing and Midwifery Board of Australia and the International Confederation of Midwives.In addition the ACM has developed a number of Standards and Guidelines to aid midwives' practice. The care from a midwife will take place in many diverse settings and as such requires midwives to be adaptable and versatile. We value sharing information and understanding about birth experiences, skills and knowledge. The Professional Standards sets out the College’s minimum requirements regarding your practice and conduct and helps you achieve the best outcomes for your clients and the public. There are duties arising from this role and obligations owed to others, including yo… guidelines also correspond with the ACNM Philosophy, Code of Ethics and Standards for the Practice of Nurse-Midwifery, the policies of Boulder Community Health and the Women & Family Services Department, and Colorado state legislation governing nurse-midwifery practice. The principles of ethics and the expected Ethical Standards for Nurses and Midwives; Why is Ethics and maintaining ethical standards important for Nurses and Midwives; What are the results of a breach of Ethics and the expected Ethical Standards; What to do if a breach of Ethics and the expected Ethical Standards happens Since the outcome of pregnancy is ultimately unknown and is always unknowable, it is inevitable that in certain circumstances our best decisions in the moment will lead to consequences we could not foresee. Practice guidelines are based upon the standards, values and ethics held by the midwife. Our values inform and inspire midwifery practice in our hearts and minds. A. Ethics is a necessary component of midwifery care and requires midwives to make ethical decision on a daily basis regardless of settings in which they provide services, such as clinics, homes, hospitals and H. We value caring for a woman to the best of our ability without prejudice with regards to age, race, ethnicity, religion, education, culture, sexual orientation, gender identification, physical abilities or socioeconomic background. Ethical decisions made by the nurses /midwives are based upon the classes of principles of nursing and midwifery ethics which are underpinned by the ethical principles. Practice guidelines are the specific protocols of practice followed by a midwife, and they should reflect the Midwifery Model of Care. Our decisions may be impacted by the oppressive rules and practices of a society that is often hostile to homebirth, midwives and midwifery clients. These are determined by committee with review by other stakeholders familiar with policy formation, as well as other medical professionals within and without the province. E. We value continuity of care throughout the childbearing year. Ultimately, it is at the heart of midwifery practice to honor and respect the decisions women make about their pregnancies and births based on their knowledge and belief about what is best for themselves and their babies. We value the power and beauty of a woman’s body as it grows in pregnancy and a woman’s strength in labor and birth. F. We value breastfeeding as the ideal way to nourish and nurture the newborn. G. We value our relationship to a process that is larger than ourselves, recognizing that birth is something we can seek to learn from and to know, but cannot control. We value a supportive midwifery community as an essential place of learning. A Code of Ethics for Nurse-Midwives presents a brief review of health care codes and their value, along with a proposed code of ethics for consideration by the American College of Nurse-Midwives and midwives anywhere. Guidelines for registration standards Becoming self-aware and increasing understanding are ongoing processes that must be nurtured as a function of personal and professional growth. The Code: Standards of Conduct, Performance and Ethics for Nurses and Midwives is a set of key principles that should underpin the practice of all nurses and midwives, and remind them of their professional responsibilities. C. We value the wisdom of midwifery, an expertise that incorporates theoretical and embodied knowledge, clinical skills, deep listening, intuitive judgment, spiritual awareness and personal experience. Since what we value infuses and informs our ethical decisions and actions, the Midwives Alliance of North America affirms: A. H. We value humility and the recognition of our own limitations. The Nursing and Midwifery Board of Ireland acknowledges the work of the Working Group for Advanced Midwifery Practice in the development of Advanced Practice (Midwifery) Standards and Requirements. L. We value collaboration between a midwife and other health-care practitioners as essential to providing a family with resources to make responsible and informed choices. K. We value standing up for what we believe in the face of social pressure and political oppression. E. We value the empowerment of a woman during the processes of pregnancy, birth, breastfeeding, mother–infant attachment and parenting. B. F. We value the art of letting go and acknowledge death and loss as possible outcomes of pregnancy and birth. The Midwives Alliance of North America envisions Midwifery as a thriving, diverse, autonomous profession in service to families throughout North America. In such conditions we may be unable to make peace with any course of action or may feel conflicted about a choice already made. Adverse Event: an incident which resulted in or could have resulted in harm. “Globally recognised standards of ethical conduct is highly relevant and will add strength and guidance to nurses and midwives in all aspects of their work. The community of women, both midwives and those we serve, may provide a fruitful resource for continued moral support and guidance. The more our values conflict with those of the dominant culture, the greater the threat to the integrity of our own values, and the greater the risk that our actions may lead to professional repercussions or legal reprisal. M. We value the right and responsibility of both a midwife and a woman to discontinue care when insurmountable obstacles develop that compromise communication, mutual trust or joint decision making. Professional standards define the practice and behaviour of nurses and midwives and include: codes of conduct, standards for practice, and ; codes of ethics. Ethics is a necessary component of midwifery care and requires midwives to make ethical decision on a daily basis regardless of settings in which they provide services, such as clinics, homes, hospitals and birth centers. We value the art of empowering women, supporting each to birth unhindered and confident in her natural abilities. The Code serves as a guide to assist in ethical decisions faced by nurses/midwives and provides a framework B. A. TWO: The licensed midwife ensures that no act or omission places the client at unnecessary risk. Standards and Policies The College of Midwives of Alberta (CMA) is charged with establishing policies and guidelines for regulating the profession of midwifery in the province of Alberta. Decision making is a shared responsibility with the goals of healthy women and babies and of gentle, empowering births with a focus on individual and family needs and concerns. We recognize the limitations of traditional codes of ethics that present a list of rules to be followed. According to the ethical code of midwifery, the ethical principles in midwifery states that the women are people with human rights, the midwife should act according to the policies and standards of midwifery care provision to improve the quality of care given to the women and the infants and that the women should have equal access to health care she deserves (ANMC Ethics, 2006). The Philosophy and Code of Ethics are statements from which the midwifery profession develops its Standards of Practice and identifies ways in which College members can understand the nature of responsible practice. A. E. We value the sentient and sensitive nature of the newborn and affirm every baby’s right to a caring and loving birth without separation from mother and family. Professional Ethics for Midwives: Conscious Practice is an applied ethics book designed for both students and practicing midwives to build ethical thinking in the context of daily practice. midwife does not follow the Code and a complaint is made against them, the Board can investigate that nurse or midwife. D. We value a woman’s right to privacy, and we honor the confidentiality of all personal interactions and health records. D. We value the process of labor and birth as a rite of passage with mother and baby as equal participants. The Statement of Values and Ethics of the Midwives Alliance of North America (MANA) is a critical reflection of moral issues as they pertain to maternal and child health. Nurses and midwives must be registered with the Nursing and Midwifery Board of Australia (NMBA), and meet the NMBA's professional standards in order to practise in Australia. B. J. Our Code and Standards continue to support you by providing key principles you should follow, alongside the ethical frameworks that normally guide your practice. A. B. We value our right to practice the art of midwifery, an ancient vocation of women. Mutual trust and respect are critical to the success of a relationship that requires joint decision making at every level. By carefully describing the multifaceted aspects of what we value and defining the elements of moral integrity and decision making, we have created a framework for ethical behavior in midwifery practice. N. We value the responsibility of a midwife to consult with other health-care practitioners when appropriate and refer or transfer care when necessary. B. Results of a breach of Ethics and the expected Ethical Standards: What to do if a breach of Ethics and expected Ethical Standards happens? These documents: help understand the NMBA’s expectations and requirements; and ; provide pathways to meet them. A. C. We value mutual trust, honesty and respect. The midwife’s practice is guided by the Nursing and Midwifery Board of Australian (NMBA) Code of Conduct for Midwives.. As a professional practitioner, you are accountable for your practice and must take responsibility to work within relevant legislation. 3 Code of Ethics and Standards of Professional Conduct for Nurses and Midwives - CNM GLOSSARY Accountability: being able to give an account of one’s judgement, actions and omissions. F. We value birth with a midwife in any setting that a woman chooses. Midwives, like other health professionals, are confronted with ethical issues on a daily basis and acting ethically is a core competence within professional conduct. We value an egalitarian relationship between a woman and her midwife. In summary, acting ethically requires us to define our values, respond to the communities of families, midwives and cultures in which we find ourselves, act in accord with our values to the best of our ability as the situation demands, and engage in ongoing self-examination, evaluation, peer review and professional growth. All midwives involved in client care hold the role of a trusted professional. The mission of the Midwives Alliance of North America is to unite, strengthen, support and advocate for the midwifery community and to promote educational, economic, and cultural sustainability of the midwifery profession. The Midwives Alliance Statement of Values and Ethics was written and adopted by the MANA Board of Directors in 1997, and revised and adopted in August 2012. There are both individual and social implications to any decision-making process. 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