The workforce planning system birthrate plusr is based upon an understanding of the total midwifery time required to care for women based on a minimum standard of providing one to one midwifery care throughout established labour. Marie washbrook programme director the name of marie washbrook is synonymous with birthrate plus a framework for workplace planning and strategic decision making in maternity services by which trusts can ascertain the number of midwives they need. The birthrate plus workforce planning tool has been used extensively over the last 20 years by more than 100 nhs trusts in the uk as well as maternity providers in ireland and australia 1996 birthrate plus a framework for workforce planning and decision making for midwifery services books for midwives press elsevier press. Birthrate plus in china researchers led by associate professor xiu zhu from peking university in beijings school of nursing have been using the br methodology to assess safe staffing in maternity services in china in response to a rising birth rate the chinese government is reviewing the nations maternity policy
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