Part 4: Nuts and Bolts 202 - Clinical Learning

A. What We Teach: Content and Context

Teaching nurse-midwives and nurse practitioners is an act of hope and commitment. The effort to perpetuate the art and science of midwifery and advanced practice nursing honors the commitment to midwifery and advanced practice nursing and that of the midwives and advanced practice nurses from whom it was all learned.

At the same time, teaching midwives and practitioners causes all clinicians to reflect critically on their profession and their practice. It therefore challenges everyone to examine the assumptions that underlie decisions and actions and to explain the ways whereby clinicians "know" their patients. Passing on a tradition requires its articulation. It must be described as well as demonstrated.

The processes of self-examination and critical evaluation of the profession, as a whole, strengthen advanced practice care. Nurse-midwifes and advanced practice nurses have a history of practicing under conditions of adversity. Such care will survive the complexities of today's practice environment. Those who teach play a key role in assuring the future of the profession.

A prime job is to prepare intuitive, caring midwives who are fully able to be "with woman," as well as intuitive, caring, nurse practitioners who are fully able to do the same for their patients. Both midwives and nurse practitioners also need to be skilled at making clinical judgments based on evidence and inquiry. They must be capable of accepting professional accountability within the larger social system and capable of applying the economic concepts basic to sustaining practice. The Hallmarks of Midwifery Practice and Core Competencies of Basic Midwifery Practice of the American College of Nurse-Midwives (Appendix B) describe in detail the attributes of midwifery practice and the model that is sought and passed on. The Domains and Competencies of Nurse Practitioners' Practice by the National Organization of Nurse Practitioner Faculties describe in detail the generic practice behaviors of nurse practitioners as they enter into practice (Appendix C).

rev. 2/23/04

 

“Sometimes the best thing to say is nothing at all.” - Janet Fields, CNM, Piedmont Women’s Health Center, Chapel Hill, North Carolina

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