Perdok Hilde, Cronie Doug, van der Speld Cecile, van Dillen Jeroen, de Jonge Ank, Rijnders Marlies, de Graaf Irene, Schellevis François G, Verhoeven Corine J
Department of Midwifery Science, AVAG, Amsterdam Public Health Research Institute, VU University Medical Centre, Amsterdam, The Netherlands; Department of Obstetrics and Gynaecology Catharina Hospital, Eindhoven, The Netherlands.
Department of Obstetrics and Gynaecology Onze Lieve Vrouwe Gasthuis in Amsterdam, The Netherlands; University of Maastricht, The Netherlands.
Midwifery. 2017 Nov;54:67-72. doi: 10.1016/j.midw.2017.07.015. Epub 2017 Jul 20.
High levels of experienced job autonomy are found to be beneficial for healthcare professionals and for the relationship with their patients. The aim of this study was to assess how maternity care professionals in the Netherlands perceive their job autonomy in the Dutch maternity care system and whether they expect a new system of integrated maternity care to affect their experienced job autonomy.
A cross-sectional survey. The Leiden Quality of Work Life Questionnaire was used to assess experienced job autonomy among maternity care professionals.
Data were collected in the Netherlands in 2015.
799 professionals participated of whom 362 were primary care midwives, 240 obstetricians, 93 clinical midwives and 104 obstetric nurses.
The mean score for experienced job autonomy was highest for primary care midwives, followed by obstetricians, clinical midwives and obstetric nurses. Primary care midwives scored highest in expecting to lose their job autonomy in an integrated care system.
There are significant differences in experienced job autonomy between maternity care professionals.
When changing the maternity care system it will be a challenge to maintain a high level of experienced job autonomy for professionals. A decrease in job autonomy could lead to a reduction in job related wellbeing and in satisfaction with care among pregnant women.
研究发现，高水平的工作自主性对医疗保健专业人员及其与患者的关系有益。本研究旨在评估荷兰产科护理专业人员如何看待他们在荷兰产科护理系统中的工作自主性，以及他们是否期望新的综合产科护理系统会影响他们的工作自主性体验。
横断面调查。使用莱顿工作生活质量问卷来评估产科护理专业人员的工作自主性体验。
2015年在荷兰收集数据。
799名专业人员参与，其中362名是初级保健助产士，240名产科医生，93名临床助产士和104名产科护士。
初级保健助产士的工作自主性体验平均得分最高，其次是产科医生、临床助产士和产科护士。在综合护理系统中，初级保健助产士预计失去工作自主性的得分最高。
产科护理专业人员在工作自主性体验方面存在显著差异。
改变产科护理系统时，保持专业人员高水平的工作自主性体验将是一项挑战。工作自主性的降低可能导致与工作相关的幸福感下降以及孕妇对护理的满意度降低。
