title: Enhancing midwives' scope of practice: an innovative educational program for delivery suite operating rooms.
abstract: BACKGROUND
  This retrospective study examined the enhancement of practice, knowledge, and skill of delivery suite midwives undertaking the circulating and instrument roles during emergent caesarean sections following a tailored educational program implemented to the benchmark standard.
  
  
  METHODS
  All midwives who attended the educational program were invited to participate (N = 48); a total of 20 responses were received. Descriptive data analysis of the bivariate nominal data was performed.
  
  
  RESULTS
  Clinically significant outcomes were noted across all theme areas: knowledge of the Australian College of Operating Room Nurses standards, competence and knowledge of the main roles during a caesarean section, knowledge of policies and procedures, and patient safety. An improved working relationship between the perioperative and delivery ward staff also was identified.
  
  
  CONCLUSIONS
  An educational program for midwives on the instrument and circulating roles for caesarean sections provides the knowledge and skill development required for clinically safe practice.
authors.forename: Janie A
authors.initials: JA
authors.lastname: Brown
authors.forename: Caroline F
authors.initials: CF
authors.lastname: Dunning
authors.forename: Debra
authors.initials: D
authors.lastname: Cavanagh
authors.forename: Leonie A
authors.initials: LA
authors.lastname: Cross
mesh_terms: D002585:Cesarean Section / Q000193:education* / Q000451:nursing; D004509:Education, Nursing, Continuing / Q000379:methods* / Q000458:organization & administration*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008880:Midwifery / Q000193:education*; D015403:Nursing Evaluation Research; D009871:Operating Room Nursing / Q000193:education*; D011247:Pregnancy