Edith Cowan University, Joondalup, Western Australia, Australia.
Edith Cowan University, Bunbury, Western Australia, Australia.
J Clin Nurs. 2019 Feb;28(3-4):386-399. doi: 10.1111/jocn.14651. Epub 2018 Sep 4.
To conduct an integrative review of the factors associated with why midwives stay in midwifery.
Midwifery retention and attrition are globally acknowledged as an issue. However, little is known as to why midwives stay in midwifery as the focus has previously focussed on why they leave.
A structured six-step integrative review approach was used, and this involved the development of a search strategy, study selection and critical appraisal, data abstraction and synthesis, interpretation of findings and recommendations for future practice.
The review was conducted using the databases MEDLINE, CINAHL and PsychInfo. Included studies were in the English language with an unlimited publication date.
Six studies were included in this review: one qualitative, two quantitative and three using mixed methods. Seven themes emerged from synthesisation of the data reported for the six included studies that together help answer the question of why midwives stay in midwifery.
This integrative review has highlighted some important factors that assist in answering the question why midwives stay in midwifery. However, it has also highlighted the need for quality data that reflects the range of contexts in which midwifery is practised.
There is an abundance of literature focussing on why midwives leave the profession; however, the gap exists in the reasons why midwives stay. If we can uncover this important detail, then changes within the profession can begin to be implemented, addressing the shortage of midwives issue that has been seen globally for a large number of years.
对与助产士继续从事助产工作相关的因素进行综合回顾。
全球范围内都承认助产士的保留和离职是一个问题。然而，人们对助产士为什么继续从事助产工作知之甚少，因为之前的重点是他们为什么离开。
采用了结构化的六步综合回顾方法，包括制定搜索策略、研究选择和批判性评价、数据抽象和综合、结果解释以及对未来实践的建议。
使用 MEDLINE、CINAHL 和 PsychInfo 数据库进行了审查。纳入的研究为英文，发表日期不限。
本综述共纳入 6 项研究：1 项定性研究、2 项定量研究和 3 项混合方法研究。从纳入的 6 项研究中综合分析数据，共得出 7 个主题，这些主题有助于回答助产士为什么继续从事助产工作的问题。
本综合回顾强调了一些重要因素，有助于回答为什么助产士继续从事助产工作的问题。然而，它也突出了需要高质量的数据，反映助产实践的各种背景。
有大量文献集中在助产士离职的原因上；然而，助产士继续从业的原因方面的研究却存在空白。如果我们能够揭示这个重要的细节，那么就可以开始在该行业实施变革，解决多年来全球范围内一直存在的助产士短缺问题。
