Competencies and skills for remote and rural maternity care: A review of the literature

Jillian Ireland, Helen M. M. Bryers, Edwin Roland Van Teijlingen, Vanora Hundley, Jane Farmer, Fiona Harris, Janet Stephen Tucker, Alice Kiger, Jan Caldow

Research output: Contribution to journalArticlepeer-review

24 Citations (Scopus)


Aim. This paper reports a review of the literature on skills, competencies and continuing professional development necessary for sustainable remote and rural maternity care.

Background. There is a general sense that maternity care providers in rural areas need specific skills and competencies. However, how these differ from generic skills and competencies is often unclear.

Methods. Approaches used to access the research studies included a comprehensive search in relevant electronic databases using relevant keywords (e.g. 'remote', 'midwifery', 'obstetrics', 'nurse-midwives', education', 'hospitals', 'skills', 'competencies', etc.). Experts were approached for (un-)published literature, and books and journals known to the authors were also used. Key journals were hand searched and references were followed up. The original search was conducted in 2004 and updated in 2006.

Findings. Little published literature exists on professional education, training or continuous professional development in maternity care in remote and rural settings. Although we found a large literature on competency, little was specific to competencies for rural practice or for maternity care. 'Hands-on' skills courses such as Advanced Life Support in Obstetrics and the Neonatal Resuscitation Programme increase confidence in practice, but no published evidence of effectiveness of such courses exists.

Conclusion. Educators need to be aware of the barriers facing rural practitioners, and there is potential for increasing distant learning facilitated by videoconferencing or Internet access. They should also consider other assessment methods than portfolios. More research is needed on the levels of skills and competencies required for maternity care professionals practising in remote and rural areas.

Original languageEnglish
Pages (from-to)105-115
Number of pages11
JournalJournal of Advanced Nursing
Issue number2
Publication statusPublished - Apr 2007


  • ambulance
  • competence
  • competency
  • literature review
  • midwifery education
  • skills
  • neonatal resuscitation
  • health-professionals
  • Scotland
  • doctors
  • information
  • midwives
  • access
  • areas
  • staff


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