Advancing Midwifery and Nursing Practice: Equity, Inclusion and Integrated Care

A special issue of Healthcare (ISSN 2227-9032). This special issue belongs to the section "Women’s and Children’s Health".

Deadline for manuscript submissions: 2 August 2026 | Viewed by 1281

Editors


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Guest Editor
School of Medicine and Surgery, University of Milano Bicocca, 20900 Monza, Italy
Interests: quality of care; intrapartum care; maternal and neonatal outcomes; normal labor; health equity

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Guest Editor
Centre for Midwifery and Women’s Health, Bournemouth University, Bournemouth BH12 5BB, UK
Interests: quality of maternal and neonatal care (QMNC); midwifery-led models; respectful care; progress of labour; healthy settings/environment; salutogenesis; public health; women's health

Special Issue Information

Dear Colleagues,

We are pleased to invite you to contribute to this Special Issue dedicated to exploring the strategic directions for midwifery and nursing in advancing inclusion, equity, and health. In recent years, nursing and midwifery have been increasingly recognized as key disciplines in achieving global health goals, particularly in promoting community well-being and reducing disparities. The World Health Organization has outlined strategic directions aimed at strengthening these professions, emphasizing the importance of person-centered care, cultural sensitivity, and social justice. The scientific literature confirms that enhancing professional competencies, clinical competence, and interprofessional collaboration is essential to improving both access to and the quality of care, especially in underserved or vulnerable settings. 

This Special Issue aims to collect theoretical and empirical contributions that explore and critically analyze current practices, models, and innovations in midwifery and nursing, with particular attention to their impact on health equity, social inclusion, and the long-term resilience and sustainability of health services. Submissions may address topics such as integrated care strategies and long-term care models, professional roles, evidence-based interventions, and community-engaged approaches. The proposed theme aligns with Healthcare’s focus on multidisciplinary research and practical solutions that improve health outcomes across populations. 

In this Special Issue, original research articles and reviews are welcome. Research areas may include (but are not limited to) the following:

  • Strategic frameworks and global policy implications for midwifery and nursing;
  • Educational innovations to promote equity and development;
  • Evidence-based clinical practices focused on underserved populations;
  • Community health initiatives and participatory care models;
  • Coordinated interprofessional models and organizational frameworks that promote inclusive and equitable care;
  • Impacts of global crises (e.g., pandemics, conflict) on midwifery and nursing practices.

Dr. Simona Fumagalli
Dr. Laura Iannuzzi
Guest Editors

Manuscript Submission Information

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Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Healthcare is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2700 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • health equity
  • quality of care
  • vulnerability
  • global health
  • midwifery
  • nursing
  • health outcomes
  • education
  • evidence based practices
  • determinants of health

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Published Papers (1 paper)

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14 pages, 671 KB  
Systematic Review
Determinants of Midwifery Workforce Disaster Preparedness and Its Impact on the Continuity of Maternal Care: A Systematic Review
by Eirini Orovou, Alina Liepinaitienė, Chrysoula Taskou, Kleanthi Gourounti, Dimitrios Papoutsis and Antigoni Sarantaki
Healthcare 2026, 14(11), 1499; https://doi.org/10.3390/healthcare14111499 - 28 May 2026
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Abstract
Background/Objectives: Natural disasters and climate-related emergencies increasingly disrupt maternal healthcare systems, placing growing demands on the midwifery workforce. While midwives play a critical role in maintaining continuity of care, evidence on how workforce preparedness influences service delivery remains limited. This systematic review aimed [...] Read more.
Background/Objectives: Natural disasters and climate-related emergencies increasingly disrupt maternal healthcare systems, placing growing demands on the midwifery workforce. While midwives play a critical role in maintaining continuity of care, evidence on how workforce preparedness influences service delivery remains limited. This systematic review aimed to synthesize evidence on determinants of midwives’ disaster preparedness and examine their association with continuity of maternal care. Methods: A systematic review was conducted in accordance with PRISMA 2020 guidelines. Searches were performed in PubMed, Embase, CINAHL, Scopus, and Web of Science from inception to March 2026. Eligible studies examined midwives or midwifery-led care in natural disasters or climate-related emergencies. Data were extracted independently by two reviewers, and methodological quality appraised using the Mixed Methods Appraisal Tool (MMAT). Due to substantial methodological and clinical heterogeneity across study designs, populations, and outcomes, a meta-analysis was not feasible and findings were synthesized narratively. Results: Nine studies met the inclusion criteria, with the evidence base consisting predominantly of qualitative and cross-sectional studies, alongside one cohort study. Evidence was mainly derived from earthquake-affected settings. Preparedness was influenced by individual, professional, organizational, and psychosocial factors. Insufficient disaster-specific training, role ambiguity, and limited institutional preparedness were linked to reduced response capacity and disruptions across antenatal, intrapartum, and postnatal care. Conclusions: The evidence suggests that midwifery workforce preparedness is an important determinant of continuity of maternal care during disasters and climate-related emergencies. Strengthening disaster education, integrating midwives into emergency planning, and enhancing organizational support are essential to improve health system resilience. Further longitudinal and intervention-based research across diverse disaster contexts is needed to strengthen the evidence base. However, the findings should be interpreted cautiously due to the limited number and heterogeneity of included studies. Full article
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