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A greater nurse and midwife density protects against infant mortality globally
Journal article   Open access   Peer reviewed

A greater nurse and midwife density protects against infant mortality globally

Wenpeng You and Frank Donnelly
Journal of Pediatric Nursing, Vol.77, pp.158-166
2024
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CC BY V4.0 Open Access

Abstract

Nurse and midwife density Infant mortality rate Low birthweight The number of nurses and midwives Child mortality Nursing
Purpose As the largest profession within the health care workforce, nurses and midwives play a critical role in the health and wellness of families especially children and infants. This study suggests those countries with higher nurse and midwife densities (NMD) had lower infant mortality rates (IMR). Design and methods With affluence, low birthweight and urbanization incorporated as potential confounders, this ecological study analyzed the correlations between NMD and IMR with scatterplots, Pearson r correlation, partial correlation and multiple linear regression models. Countries were also grouped for analysing and comparing their Pearson's coefficients. Results NMD inversely and significantly correlated to IMR worldwide. This relationship remained significant independent of the confounders, economic affluence, low birthweight and urbanization. Explaining 57.19% of IMR variance, high NMD was implicated in significantly reducing the IMR. Practice implications Countries with high NMD had lower IMRs both worldwide and with special regard to developing countries. This may interest healthcare policymakers, especially those from developing countries, to consider the impacts of global nursing and midwifery staffing shortages. Nurses and midwives are the group of healthcare professionals who spend most with infants and their carers. This may be another alert for the health authorities to extend nurses and midwives' practice scope for promoting infant health.

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Collaboration types
Domestic collaboration
Citation topics
1 Clinical & Life Sciences
1.72 Obstetrics & Gynecology
1.72.748 Neonatal Intensive Care
Web Of Science research areas
Nursing
Pediatrics
ESI research areas
Social Sciences, general
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