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Western Journal of Nursing Research
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What's this?

A Profile of Colorado Nurse—Midwives

Implications for Health Care

Marie Hastings-Tolsma

University of Colorado-Denver, marie.hastingstolsma{at}UCDenver.edu

Yuki Tasaka

University of Colorado-Denver

Abby Burton

University of Colorado-Denver

Steffie Goodman

Broomfield County Health Department

Cathy L. Emeis

Oregon Health Sciences University

Elisa Patterson

Kaiser Permanente-Denver

Penelope Bennett

University of Colorado-Boulder

Kate Koschoreck

University of Colorado-Denver

Sharon Ruyak

Colorado Springs Obstetrics & Gynecology

Tanya Tanner

University of Colorado-Denver Denver Health Medical Center

Tricia Vaughn

Exempla Lutheran Medical Center

Anne Williams

University of Colorado-Denver

Nurse—midwives provide significant health care to underserved and vulnerable women, yet there is limited information about the nature of nurse—midwifery practices and compensation for services. This study reports the results of a Colorado statewide survey of nurse—midwives (N = 217). Electronic survey was utilized to detail practice in seven areas: demographics, type of practice, compensation, leadership, legislativep riorities,teaching involvement, and practice satisfaction. Responses(N = 114) were analyzed using SPSS 13.0. Results found wide variation in compensation and practice types. Respondents largely worked in urban settings, cared for low to moderate risk patients, and were generally older and White. Restriction from medical staffm membership, prescriptive authority constraints, and liability issues were practice limitations. While teaching a wide variety of learners, nurse—midwives do limited mentoring of nurse—midwifery students, a finding which is concerning given the decreasing numbers of nurse—midwives. Findings are compared to known national data, with implications for the provision of health care services detailed.

Key Words: nurse—midwives • compensation and benefits • survey • health carep olicy

This version was published on February 1, 2009

Western Journal of Nursing Research, Vol. 31, No. 1, 24-43 (2009)
DOI: 10.1177/0193945908319989
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