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Background <p>Structural transformation and professionalization are creating a&#xa0;need for new roles in midwifery. Internationally, Advanced Practice Midwifery (APM) is emerging as one response, while in Germany the debate is still at an early stage.</p> Research aim <p>To elicit and consolidate transdisciplinary assessments of APM’s fields of activity, competency requirements, and projections in Germany.</p> Methods <p>A&#xa0;two-round exploratory Delphi study using online questionnaires. Invitations were sent to 341 and 348 experts from midwifery science, healthcare, education, politics, and related areas. Round&#xa0;1 yielded 79&#xa0;data sets, and Round&#xa0;2 produced 63&#xa0;data sets. Analysis was descriptive.</p> Results <p>About 90% rated APM as very to extremely relevant; most expected implementation within 5–10&#xa0;years. There was consensus on three years of professional experience before commencing studies and at least 50% direct clinical practice after graduation. Preventive and coordinating services were prioritized, including midwife-led models of care, case management, family planning, and prescribing authority. There was also support for involvement in abortion care and for supporting families in vulnerable circumstances; invasive procedures received less approval.</p> Conclusion <p>APM is viewed as highly relevant, with a&#xa0;focus on clinically coordinated core tasks and patient-facing domains. At the same time, questions of role delineation and profile sharpening become visible. The study provides initial expert assessments to inform research, curricula, and professional policy debates.</p>

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Potenziale und Perspektiven von Advanced Practice Midwifery in Deutschland: eine Delphi-Studie

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年4月13日

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  • Olivia Märkl,
  • Michaela Michel-Schuldt,
  • Karen Fried

摘要

Background

Structural transformation and professionalization are creating a need for new roles in midwifery. Internationally, Advanced Practice Midwifery (APM) is emerging as one response, while in Germany the debate is still at an early stage.

Research aim

To elicit and consolidate transdisciplinary assessments of APM’s fields of activity, competency requirements, and projections in Germany.

Methods

A two-round exploratory Delphi study using online questionnaires. Invitations were sent to 341 and 348 experts from midwifery science, healthcare, education, politics, and related areas. Round 1 yielded 79 data sets, and Round 2 produced 63 data sets. Analysis was descriptive.

Results

About 90% rated APM as very to extremely relevant; most expected implementation within 5–10 years. There was consensus on three years of professional experience before commencing studies and at least 50% direct clinical practice after graduation. Preventive and coordinating services were prioritized, including midwife-led models of care, case management, family planning, and prescribing authority. There was also support for involvement in abortion care and for supporting families in vulnerable circumstances; invasive procedures received less approval.

Conclusion

APM is viewed as highly relevant, with a focus on clinically coordinated core tasks and patient-facing domains. At the same time, questions of role delineation and profile sharpening become visible. The study provides initial expert assessments to inform research, curricula, and professional policy debates.