Nurse-Midwifery Report to Graduate Curriculum Subcommittee, Spring, 2014
Curriculum: All Degree Completion Options
Generic Master of Science (MSN) Credit Hours (Core + Specialty)
Specialty
Credits(Clinical)
Total
Nurse-Midwifery
Core
21(1)
Specialty
10(12)
# Clinical
Hours
31(13)=44
>720**
Post Graduate Certificate* (PGC) Credit Hours (Specialty Only – no elective included)
Nurse-Midwifery
7(12)
19
>720**
RN to MSN Credit Hours (Bridge + Core + Specialty)
Nurse-Midwifery
Bridge
Core
Specialty
11(2)
21(1)
10(12)
Total
42(15)=57
>720**
Midwifery Initiative (MI) Certificate of Completion Credit Hours (no elective included)
Core
Specialty*
Total
JMU: 19
19
38
>720**
WVWC: 25
19
44
>720**
GWU: 28
19
47
>720**
ODU: 28
19
47
>720**
RU: 41
19
60
>720**
JHU: 44-49
19
63 - 66
>720**
MU: 25
19
44
>720**
**Minimum # of hours, however extended due to unique nature of NM care (1 birth/many hours)
SU Core Curriculum Plan of Study^ (First Year Full Time, First 2 Years Part Time)
“N”
Course Title
Credit
506
512
521
532
550
560
580
Data Analysis and Interpretation
Theory, Research and Reasoning I
Theory, Research and Reasoning II
Roles and Issues in Advanced Practice
Advanced Pharmacology & Therapeutics
Adv. Concepts in Physiology & Pathophysiology
Adv. Health Promotion & Assessment
Total
2013-2014 Tuition $799/credit hour
3
3
3
3
3
3
3(1)
21(1)
Requisite Status
Pre/Co to specialty
Pre/Co to N580
Session
F1/ Sp 1
F1
Sp 1
Sp1/Su1
Sp 1
F1
F 1/Sp 1
$19,975
^Students come to campus one day a week in core yr. 1 credit clinical = 4 hrs. (F=Fall, Sp=Spring, Su=Summer)
Nurse-Midwifery Specialty Courses^
NM
610
620
630
640
651
652
660
Course Title
Primary Care of Women
Comprehensive Antepartal Care
Midwifery Practicum
Comprehensive Perinatal Care
Integrated Midwifery Practicum
Evidence Based Practice Project
Adv. NM Role Development
Elective**
Total
2013-2014 Tuition $799/credit hour
Credits
2(1)
2(1)
(3)
2(1)*
(5)*
1
1
3
10(12)
Clinical hrs
60
60
180
60
300
0
0
0
>720
Requisite
Pre to 630
Pre to 630
Pre to 650
Pre to 650
Session
F2
F2
Sp 2
Sp 2
Su 2
Su 2
Su 2
Yr 2
$15, 181.00
*1:4 Although the SU School of Nursing has a 1:4 clinical hour/clock hour ratio, the minimum # of hours is
extended due to unique nature of NM care (1 birth/many hours)
^Students on campus one week in Fall and Spring semesters, and none in the Summer semester
**3 credit elective taken during specialty is not included in PC nor MI Credit Allotment
Nurse-Midwifery Plan of Study: Second (or Specialty) Year of Study
There are six courses in the Nurse-Midwifery Specialty; three, (NM610, NM620, and NM630), have
didactic components in modular format, making distance education possible. Each course module
contains units and each unit contains objectives that focus on ACNM competencies. Modules are
accessed on Blackboard Learning System. All three modules have 30-35 units covering different
competency categories. During the first two weeks of the fall and spring semesters, students update the
units, each student being assigned a number of units to update. For example, when a student enrolls in the
fall, s/he is assigned a number of units in NM610 and a number of units in NM620. The student visits
Blackboard, finds the units, updates and reinserts them into the system before the week of class (held
during the third week of semester). All students come to class with completed and updated modules. The
third week consists of lecture, hands on skills, discussion, and management of standardized patients.
This format allows the students to come to class at SU during a concentrated time (five days in the
third week) and be placed with clinical preceptors for the next ten weeks for clinical application of
knowledge. Students then return to campus for two days in the last week for review and exam. Students
who live at a prohibitive distance may take a proctored exam close to home. These students may attend
the reviews via e-resources.
Courses in the Nurse-Midwifery Specialty are arranged to provide a logical sequence for attaining
the ACNM “Core Competencies of Basic Midwifery Practice.” The courses are presented in a
hierarchical fashion: Primary Care of Women (NM610) and Comprehensive Antepartal Care (NM620) in
the Fall 2 semester; Midwifery Practicum (NM630) and Comprehensive Intrapartal Care (NM640) in
Spring 2 semester; 5 credit internship, “Integrated Midwifery Internship” (NM651), one credit “EvidenceBased Practice Project”, and a one credit didactic course, “Advanced NM Role Development.” in
Summer 2.
The Nurse-Midwifery Specialty, through its Midwifery Initiative (MI), has led the Graduate Program
in strategies to make curricula more accessible to students living and working in rural areas. Since the
nurse-midwifery courses are isolated to the second year of study (discreet from the core courses for the
Master’s degree which are in the first year of study), SU is in the position to allow students from
collaborating universities (presently Old Dominion University in Norfolk, VA, Radford University in
Radford, VA, James Madison University in Harrisonburg, VA, Johns Hopkins University in Baltimore,
MD, and Marshall University) to take the core credits of their graduate degrees at their home universities
in their first year of study and then take the 19 credits of NM courses at SU.
In their second year, all students (Midwifery Initiative or SU Nurse-Midwifery students enrolled in
the SU Graduate Program), take their nurse-midwifery courses through SU. In this academic year,
students come to SU campus for one week in the Fall and Spring semesters, for the remainder of these
semesters including summer, they are placed in clinical sites of their choosing or close to home. On
completion of these two elements, Midwifery Initiative students receive a Master of Science in Nursing
from their home universities with Post Graduate Certificate in Nurse-Midwifery from SU, SU students
receive their MSN from SU, and post-master’s students receive their post-master’s certificate from SU.
The Nurse-Midwifery Specialty is accredited by the American College of Nurse-Midwives, 8403 Colesville Rd,
Suite 1550, Silver Spring MD 20910. Phone: 240-485-1800 • Fax: 240-485-1818 • Web: www.midwife.org
(2005-2015).
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Course Content Maps: Nurse-Midwifery
NM610 (2 didactic credits) & NMLB 610 (1 clinical credit): Primary Care of Women:
Knowledge: Nurse-Midwifery Management Process for Primary Care of Women, Well Woman Care and
Primary Care, Contraception, Anatomy and Physiology of the Reproductive Tract,
Skills: Obtains accurate data and safely completes appropriate procedures with correct and efficient use
of hands, instruments, and equipment while providing care in the above knowledge areas. Begins data
collection as care is being provided to document the occurrence of evidence-based care utilizing the
Optimality Index-US.
Values: Hallmarks of Midwifery
Meanings: Individual qualities of professionalism, Communication, approach to the health care system.
Practice evidence based care within a health care system that is woman centered, effective, efficient,
evidence-based, accessible and equitable.
Experiences: Appropriate procedures for Nurse-Midwifery Management Process in Primary Care, AP
and Well Woman Care.
NM620 and NMLB620: Comprehensive Antepartal Care
NM620 = 2 didactic credits, NMLB620 = 1 clinical credit
Knowledge: Antepartal Care, normality and complications during pregnancy. Anatomy and physiology
of pregnancy, fetal development, prevention and health promotions strategies during pregnancy.
Skills: Prenatal history and physicals, initial and return. Leopolds maneuvers, fetal heart tones,
pelvimetry, fundal height, assessment utilizing lab technology. Begins data collection as care is being
provided to document the occurrence of evidence-based care utilizing the Optimality Index-US.
Values: Hallmarks of Midwifery
Meanings: Assumes the role and professional responsibilities of nurse-midwifery practice As a leader or
change agent demonstrates knowledge of standards for quality maternal & child health services.
Demonstrates the ability to carry out the philosophy of the American College of Nurse-Midwives.
Experiences: Appropriate procedures for Nurse-Midwifery Management Process in Comprehensive
Antepartal Care
NMLB630: Nurse-Midwifery Practicum
3 Clinical Credits
Knowledge: Nurse-Midwifery Management Process for Primary Care of Women, Well Woman Care and
Primary Care, Contraception, Anatomy and Physiology of the Reproductive Tract. Nurse-Midwifery
Management Process for Antepartal Care, normality and complications during pregnancy. Anatomy and
physiology of pregnancy, fetal development, prevention and health promotions strategies during
pregnancy.
Skills: Obtains accurate data and safely completes appropriate procedures with correct and efficient use
of hands, instruments, and equipment while providing care in Primary Care of Women, Well Woman
Care, Contraception as well as Prenatal history and physicals, initial and return. Leopolds maneuvers,
fetal heart tones, pelvimetry, fundal height, and assessment utilizing lab technology. Continues data
collection as care is being provided to document the occurrence of evidence-based care utilizing the
Optimality Index-US.
Values: Hallmarks of Midwifery.
Meanings: Individual qualities of professionalism, Communication, approach to the health care system.
Assumes the role and professional responsibilities of nurse-midwifery practice As a leader or change
agent demonstrates knowledge of standards for quality maternal & child health services. Demonstrates the
ability to carry out the philosophy of the American College of Nurse-Midwives.
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Experiences: Appropriate procedures for Nurse-Midwifery Management Process in Primary Care, AP,
Well Woman Care, and Comprehensive Antepartal Care
NM640 and NMLB 640: Comprehensive Perinatal Care
NM640 = 2 didactic credits and NMLB640 = 1 clinical credit
Knowledge: Nurse-Midwifery Management Process for Comprehensive Perinatal Care, Concepts of
Intrapartum, Neonatal, and Postpartum Care.
Skills: Obtains accurate data and safely completes appropriate procedures with correct and efficient use
of hands, instruments, and equipment while providing care in the above knowledge areas. Continues data
collection as care is being provided to document the occurrence of evidence-based care utilizing the
Optimality Index-US.
Values: Hallmarks of Midwifery
Meanings: Individual qualities of professionalism, Communication, approach to the health care system.
Experiences: Appropriate procedures for Nurse-Midwifery Management Process in Comprehensive
Perinatal Care.
NMLB 651: Integrated Midwifery Practicum*
5 Clinical Credit Hours
*New course for Post Graduate Certificate (replaces NMLB650)
Knowledge: Nurse-Midwifery Management Process for Primary Care of Women, Well Woman Care and
Primary Care, Contraception, Anatomy and Physiology of the Reproductive Tract. Nurse-Midwifery
Management Process for Antepartal Care, normality and complications during pregnancy. Anatomy and
physiology of pregnancy, fetal development, prevention and health promotions strategies during
pregnancy. Concepts of Intrapartum, Neonatal, and Postpartum Care
Skills: Obtains accurate data and safely completes appropriate procedures with correct and efficient use
of hands, instruments, and equipment while providing care in NM610 (Primary Care of Women, Well
Woman Care, Contraception), NM620 (Prenatal history and physicals, initial and return. Leopolds
maneuvers, fetal heart tones, pelvimetry, fundal height, and assessment utilizing lab technology) and
NM640 (Intrapartal, Neonatal, and Postpartal Care). Analyzes associations between items documented in
the OI-US.
Values: Hallmarks of Midwifery.
Meanings: Individual qualities of professionalism, communication, and approach to the health care
system. Assumes the role and professional responsibilities of nurse-midwifery practice. As a leader or
change agent demonstrates knowledge of standards for quality maternal & child health services.
Demonstrates the ability to carry out the philosophy of the American College of Nurse-Midwives.
Experiences: Appropriate procedures for Nurse-Midwifery Management Process in Primary Care, AP,
Well Woman Care, Comprehensive Antepartal Care, and Comprehensive Perinatal Care.
NM 652: Evidence Based Practice Project *
1 Didactic Credit
*New course for Post Graduate Certificate
Course Description: This is the capstone course for the graduate credential in the Nurse-Midwifery
Program. It provides the opportunity for students to integrate and influence the knowledge, skills, values,
meanings, and experiences related to the documentation and analysis of evidence-based and
interprofessional practice in primary care and comprehensive perinatal care. The Evidence-Based
Practice Project will utilize perinatal case studies to analyze the relationship between evidence-based
practice and the optimality of outcomes. Prerequisite: NM640. One credit.
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Knowledge: Analysis of Evidence Based Practices
Skills: Data management, population of data collection tool
Values: Hallmarks of Midwifery
Meanings: Integration of research into practice
Experiences: Documentation in Electronic Health Records
Content Map NM660: Advanced Practice Role Development
1 Didactic Credit
Knowledge: Business structure, Community Needs Assessment, Hospital By-Laws, Clinical
Privileges, Marketing, Managed Care, Financial Management, Quality Management, Human Resources
Management, Organizational Behavior
Skills: Interviewing Skills, Contract Negotiation, Work Analysis, Budgets, Quality Improvement.
Analyzes associations between items on the Optimality Index-US.
Values: Hallmarks of Midwifery
Meanings: Individual qualities of professionalism, communication, approach to the health care system
Experiences: Development of plan to start a midwifery service.
American Midwifery Certification Board 2013
Total students taking exam: 11
First Time Pass: 10
2013 pass rate: 91%
Statistics on Enrollment as of 12/31/13:
Admitted
New FT
Cont FT
New PT
Cont PT
Grad
45
11 New FT
7 JHU
3 SU
1 ODU
35 Cont FT
15 JHU
2 ODU
1 RU
14 SU
1 WVWC
2 JMU
15 New PT
3 ODU
10 GWU
1 JHU
1 Marshall
13 Cont PT
5 JHU
1 ODU
1 WVWC
3 SU
1 Marshall
2 GWU
11 GRAD
2 JHU
1 ODU
1 RU
7 SU
Withdraw/
Dismissed
1 JMU
8 JHU
3 SU
*Not final for remainder of AY 2013-14 due to rolling admissions
From 2012-2013 HRSA budget year: July 1, 2012 – June 30, 2013: *
Admitted
Enrolled
Inquiries
Applied
Retention Rate as of March, 2013
45
118
146
117
98%
Course Evaluations
5
All courses have generally been rated well (between 4-5 on Likert scale on all items)
Changes:
 Post-Graduate Certificate in Midwifery has been approved and the first graduates will be
Summer 14.
 Phone conferences with each student once a month are going well.
 Documentation of experiences through Typhon Group has gone well.
 Optimality Index – EHR app is going well for the students and has been published, “Using
the Optimality Index–US to Teach Midwifery Students to Recognize and Implement
Evidence-Based Practices That Promote Optimal Outcomes in Perinatal Health” in Journal of
Midwifery & Women’s Health.
Topics for Midwifery Program:
 Accreditation – Site visit anticipated March 2015
 Participation in advising activities with all students in collaborating universities
 Administration topics with Midwifery Initiative:
o Registration (SU and all collaborating universities)
o Admission, (SU and all collaborating universities)
o Financial Aid (SU and all collaborating universities)
o Recruitment (SU and all collaborating universities)
 Oversight of all recruitment materials in collaborating universities
o Points of communication between SU, all universities and their students
 Participation in accreditation activities in collaborating universities
 Continuing to assure that SU core courses are consistent with core courses of collaborating
universities (ACNM requirement)
 Continual data collection and frequency and differing timing of reports from: ACNM and
HRSA
 Faculty Issues: We have 4 midwifery faculty. Two of them are part time. None are grant
based.
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