both acute and community settings in order to meet client expectations of service andimprove quality of care for women and babies (NCNM, 2005a).In this assignment the development of the advanced midwife practitioner will be discussedby reviewing the background, rationale, implementation and evaluation of the post andrelating this to the impact on care for mothers and babies and the midwifery profession.Background and rationale for the development
In the US, Canada and New Zealand the role of advanced practitioner has been in operationfor a few decades but the role is a relatively new development in UK and Australia, since the
et al, 2007). In Ireland the first advanced nurse practitioner (ANP) post waspiloted in 1996 which led to the establishment of the National Council for the ProfessionalDevelopment of Nursing and Midwifery (NCNM) in 1999. Currently in Ireland there are sixtyseven advanced nurse practitioner (ANP) posts and one advanced midwife practitioner(AMP) post filled;
although two further posts have met criteria, in the areas of women’s
health and diabetes, as yet they have not received funding (NCNM, 2008b). TheDepartment of Health (2003) and Health Strategy (2001) highlighted the need for thedevelopment of the advanced midwife practitioner (AMP) role as a continuing and essentialcomponent of the health service reform (Begley et al, 2007 & NCNM, 2008b). The Instituteof Obstetrics and Gy
naecology (2006) recognised the crucial role midwives play in ‘normal’
pregnancy and supported the expansion of DOMINO services and early transfer homeservices nationally, along with the further development of CMS and AMP posts (NCNM,2008b).