Warmelink J Catja, Wiegers Therese A, de Cock T Paul, Spelten Evelien R, Hutton Eileen K
Department of Midwifery Science, AVAG and the EMGO Institute for Health and Care Research, VU University Medical Centre, Amsterdam, the Netherlands.
Midwifery Academy Amsterdam Groningen (AVAG), Dirk Huizingastraat 3-5, 9713 GL, Groningen, the Netherlands.
Hum Resour Health. 2015 May 10;13:29. doi: 10.1186/s12960-015-0025-3.
In labour market policy and planning, it is important to understand the motivations of people to continue in their current job or to seek other employment. Over the last decade, besides the increasingly medical approach to pregnancy and childbirth and decreasing home births, there were additional dramatic changes and pressures on primary care midwives and midwifery care. Therefore, it is important to re-evaluate the career plans of primary care midwives and their intentions to leave their current job.
All 108 primary care midwives of 20 selected midwifery care practices in the Netherlands were invited to fill out a written questionnaire with questions regarding career plans and intentions to leave. Bivariate analyses were carried out to compare career plans and work-related and personal characteristics and attitudes towards work among the group of midwives who indicated that they intended to leave their current job (ITL group) and those who indicated they had no intention to leave (NITL group). Significant predictors of ITL were included in the multiple binary logistic regression with 'intention to leave' as the dependent variable.
In 2010, 32.7% of the 98 participating primary care midwives surveyed had considered an intention to leave their current type of job in the past year. Fewer ITL midwives wanted to be a self-employed practitioner with the full range of primary care tasks and work full-time. Significant predictors of the primary care midwives' intention to leave included a lower overall score on the job satisfaction scale (OR = 0.18; 95% CI = 0.06-0.58; p = 0.004) and being between 30 and 45 years old (OR = 2.69; 95% CI = 1.04-7.0; p = 0.041).
Our study shows that, despite significant changes in the reproductive, maternal and newborn health service delivery that impact on independent midwifery practice, the majority of primary care midwives intended to stay in primary care. The absence of job satisfaction, and being in the age group between 30 and 45 years old, is associated with primary care midwives' intention to leave their current job. Ongoing monitoring will be important in the future.
在劳动力市场政策与规划中，了解人们继续从事当前工作或寻求其他工作的动机非常重要。在过去十年中，除了对怀孕和分娩的医学化处理日益增加以及家庭分娩减少之外，初级保健助产士和助产护理还面临着其他巨大变化和压力。因此，重新评估初级保健助产士的职业规划及其离职意向很重要。
邀请了荷兰20家选定的助产护理机构的所有108名初级保健助产士填写一份书面问卷，其中包含有关职业规划和离职意向的问题。进行双变量分析，以比较表示打算离职的助产士组（ITL组）和表示无意离职的助产士组（NITL组）之间的职业规划、与工作相关的和个人特征以及对工作的态度。将ITL的显著预测因素纳入以“离职意向”为因变量的多元二元逻辑回归分析。
2010年，在接受调查的98名参与的初级保健助产士中，32.7%的人在过去一年中曾考虑过离职。想要成为承担全部初级保健任务的自雇从业者并全职工作的ITL助产士较少。初级保健助产士离职意向的显著预测因素包括工作满意度量表的总体得分较低（OR = 0.18；95% CI = 0.06 - 0.58；p = 0.004）以及年龄在30至45岁之间（OR = 2.69；95% CI = 1.04 - 7.0；p = 0.041）。
我们的研究表明，尽管生殖、孕产妇和新生儿保健服务提供方面的重大变化对独立助产实践产生了影响，但大多数初级保健助产士仍打算留在初级保健领域。工作满意度的缺乏以及年龄在30至45岁之间与初级保健助产士离职意向相关。未来持续监测将很重要。
