Tehran University of Medical Sciences, Tehran, Iran; Department of Midwifery, Tehran Medical sciences Branch, Islamic Azad University, Tehran, Iran.
Tehran University of Medical Sciences, Tehran, Iran.
Nurs Ethics. 2019 Feb;26(1):148-160. doi: 10.1177/0969733016689816. Epub 2017 Feb 6.
: Midwives play an important role in maintaining and increasing women's health and well-being. Training professional midwives is one of the main policies of any healthcare system. Since the number of complaints against midwives has increased recently, this study was conducted to explore the perspectives of midwives regarding patients' complaint to authorities and their impacts on the profession of midwifery.
: Being conducted in 2013, this qualitative study was the first of its type in Iran. Data were collected through in-depth semi-structured interviews with 14 midwives working in different cities across the country. The participants were selected using a purposive sampling method. Interviews were transcribed verbatim and analyzed following a qualitative content analysis approach. Written text was then coded, and themes were extracted from the data. Ethical considerations: The study was conducted with midwives' free informed consent and was approved by Ethics Committee of Tehran University of Medical Sciences.
: By analyzing the data, four main themes regarding the impact of complaint on midwifery profession were developed. These included the following: "dissatisfied of midwifery, professional deviation, obsession with work, and weakening of the professional status."
: The experience of patients' complaint to legal authorities against midwives was described, by participants, as a painful experience. Lack of midwives' knowledge about professional rules and litigation process created many problems for them and could negatively affect their practice and the society's attitude toward midwifery. Thus, we suggest that in order to prevent such problems, midwives and midwifery students should be educated regarding factors that have the potential to create such problems and also prevention strategies.
助产士在维护和增进妇女健康和福祉方面发挥着重要作用。培训专业助产士是任何医疗保健系统的主要政策之一。由于最近对助产士的投诉数量有所增加，因此进行了这项研究，旨在探讨助产士对向当局投诉患者的看法及其对助产士职业的影响。
这是 2013 年进行的一项定性研究，是伊朗首例此类研究。通过深入的半结构式访谈，对来自全国各地不同城市的 14 名助产士收集数据。参与者是通过目的抽样法选择的。访谈逐字转录，并采用定性内容分析方法进行分析。然后对书面文本进行编码，并从数据中提取主题。伦理考虑：本研究是在征得助产士的自由知情同意下进行的，并获得了德黑兰医科大学伦理委员会的批准。
通过分析数据，针对投诉对助产士职业的影响，确定了四个主要主题。这些主题包括：“对助产士的不满、专业偏差、对工作的痴迷和专业地位的削弱”。
参与者将患者向法律当局投诉助产士的经历描述为一种痛苦的经历。助产士对专业规则和诉讼程序缺乏了解，给他们带来了许多问题，可能会对他们的实践和社会对助产士的态度产生负面影响。因此，我们建议，为了防止出现此类问题，应教育助产士和助产士学生了解可能导致此类问题的因素，以及预防策略。
