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III. Guidelines on the Supervision of Certified Nurse Midwives, Nurse Practitioners and Physician Assistants. 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. E. We value continuity of care throughout the childbearing year. 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. Registration confirmation will be emailed to you. 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 A. 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. F. We value birth with a midwife in any setting that a woman chooses. 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 … 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. Mutual trust and respect are critical to the success of a relationship that requires joint decision making at every level. 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. 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. Professional standards define the practice and behaviour of nurses and midwives and include: codes of conduct, standards for practice, and ; codes of ethics. A. 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. D. We value a woman’s right to privacy, and we honor the confidentiality of all personal interactions and health records. 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. 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. 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. Since what we value infuses and informs our ethical decisions and actions, the Midwives Alliance of North America affirms: A. 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. 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.*. Autonomy—to respect an individual’s rights to self-determination and freedom to make decisions that affect his or her life. Acknowledgements This publication is the result of a collaborative project involving key stakeholders. Subscribe to Midwifery Today Magazine. C. We value mutual trust, honesty and respect. 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. 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. We value the art of empowering women, supporting each to birth unhindered and confident in her natural abilities. © Copyright 2020 by Midwives Alliance of North America. Practice guidelines are the specific protocols of practice followed by a midwife, and they should reflect the Midwifery Model of Care. Guidelines for Social Media Use [PDF, 251KB] Nurse's Pledge [PDF, 154KB] For Employers. We value a mother’s intuitive knowledge and innate ability to nurture herself, her unborn baby and her newborn baby. J. 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 documents: help understand the NMBA’s expectations and requirements; and ; provide pathways to meet them. We value the essential mystery of birth. 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. Our Code and Standards continue to support you by providing key principles you should follow, alongside the ethical frameworks that normally guide your practice. All Rights Reserved. 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. © 2020 Probity and Ethics. We recognize the limitations of traditional codes of ethics that present a list of rules to be followed. 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 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. In such conditions we may be unable to make peace with any course of action or may feel conflicted about a choice already made. B. 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. We welcome an open and ongoing articulation of values and ethics and the evolution of this document. 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. K. We value standing up for what we believe in the face of social pressure and political oppression. Standard one: The midwife works in partnership with the woman. Judgments are fundamentally based on awareness and understanding of ourselves and others. “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. B. 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. 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. *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. 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. midwife does not follow the Code and a complaint is made against them, the Board can investigate that nurse or midwife. Midwives, like other health professionals, are confronted with ethical issues on a daily basis and acting ethically is a core competence within professional conduct. As midwives, we seek to benefit women and babies in our care. 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. 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. 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. 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. We value each woman as a strong, creative, unique individual with life-giving powers. 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. These statements are written for midwives, women and the general public to identify the values and beliefs that the profession holds. 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. The community of women, both midwives and those we serve, may provide a fruitful resource for continued moral support and guidance. C. We value the mother as the direct care provider for her unborn child. We value the quality, integrity and uniqueness of our interactions, which inform our choices and decisions. 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. 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. Nurse-midwives are encouraged to participate in OB section meetings. 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. Nursing and midwifery students H. We value humility and the recognition of our own limitations. Adverse Event: an incident which resulted in or could have resulted in harm. Standards of Practice. B. 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. All Rights Reserved. The Midwives Alliance of North America envisions Midwifery as a thriving, diverse, autonomous profession in service to families throughout North America. 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. B. Advocate: the nurse or midwife should act and support the interest of the patient or client TWO: The licensed midwife ensures that no act or omission places the client at unnecessary risk. Editor’s note: This article first appeared in Midwifery Today, Issue 40, Winter 1996. The Code serves as a guide to assist in ethical decisions faced by nurses/midwives and provides a framework Standards, values, and ethics are more general than practice guidelines, and they reflect the philosophy of the midwife. 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. E. We value the empowerment of a woman during the processes of pregnancy, birth, breastfeeding, mother–infant attachment and parenting. 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. 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. 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. We value an egalitarian relationship between a woman and her midwife. We value cultural sensitivity, competency and humility as critical skills for the midwife to master in an increasingly multicultural society. It is not just a tool used in fitness-to-practise cases--it should be used t … 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. 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. 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. We value multiple routes of midwifery education and the essential importance of apprenticeship training. B. A. J. 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. A. 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. The practice of midwifery is infused with values that guide the way midwives provide care to women, infants and families. We value our right to practice the art of midwifery, an ancient vocation of women. 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. The Nursing and Midwifery Board of Australia (NMBA) provides guidance to nurses and midwives by publishing a range of professional codes and guidelines. 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 pregnancy and birth as natural, physiologic and holistic processes that technology will never supplant. K. We value diversity among midwives that broadens our collective resources and challenges us to work toward greater understanding. A. E. We value direct access to information that is readily understood by all. 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. Moral integrity, truthfulness and adequate information enable all participants to judge together the best course of action in varied situations. B. The Professional Standards for Midwives (“Professional Standards”)describes what is expected of all midwives registered with the College of Midwives of Ontario (“College”). Our values inform and inspire midwifery practice in our hearts and minds. Practice guidelines are based upon the standards, values and ethics held by the midwife. F. We value breastfeeding as the ideal way to nourish and nurture the newborn. They grow out of our own sense of moral integrity, which is born within the heart of each individual. 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. 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. I. The Code presents the professional standards that nurses, midwives and nursing associates must uphold in order to be registered to practise in the UK. The care from a midwife will take place in many diverse settings and as such requires midwives to be adaptable and versatile. “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.” Accessing this course requires a login, please enter your credentials below. 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. 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. This approach affirms the mystery and potential for transformation present in every experience and fosters truly diverse practice. D. We value the art of nurturing the inherent normalcy of pregnancy and birth as expressions of wellness in a healthy woman. 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 each woman’s right to a supportive caregiver appropriate to her needs and respectful of her belief system. 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. Cultural Sensitivity, Competency and Humility. F. We value the art of letting go and acknowledge death and loss as possible outcomes of pregnancy and birth. Please answer the following questions and address your response to Secretary General, International Confederation, 10 Barley Mow Passage, Chiswick, London W4 4PH, England: 1. 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. Post Course Assessment - Ethics and Ethical Standards for Nurses and Midwives. B. (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. D. We value a woman as autonomous and competent to make decisions regarding all aspects of her life. 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. H. 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