School of Nursing and Midwifery, Griffith University Logan Campus, University Drive, Meadowbrook, QLD, 4131, Australia; Transforming Maternity Care Collaborative, Griffith University, QLD, 4222, Australia.
School of Nursing and Midwifery, Griffith University Logan Campus, University Drive, Meadowbrook, QLD, 4131, Australia; Transforming Maternity Care Collaborative, Griffith University, QLD, 4222, Australia; Gold Coast University Hospital, 1 Hospital Blvd, Southport, QLD, 4215, Australia.
Women Birth. 2019 Dec;32(6):e584-e593. doi: 10.1016/j.wombi.2019.01.001. Epub 2019 Jan 8.
There is growing body of evidence that suggests many midwives are unhappy and as a result are making decisions to leave the profession.
Determine the incidence of midwives indicating their intention to leave the profession and explore the reasons for this decision including what might cause midwives to be dissatisfied.
Data analysed was collected as part of the Australian arm of the Work, Health and Emotional Life of Midwives (WHELM) project. Descriptive statistics and latent content analysis was used to analysis the data set.
Almost half (42.8%, n=443/1037) the midwives had considered leaving the profession in the preceding six months. The qualitative and quantitative data aligned with 'dissatisfaction with the organisation of midwifery care' and/or 'dissatisfaction with my role as a midwife' being the two commonest reasons behind the intention to leave. Early career midwives were most likely to consider leaving the profession (p=.05) due to dissatisfaction with their role. Almost half the midwives who had considered leaving the profession were most dissatisfied with managers (p=<.001).
Midwives felt their ability to provide quality maternity care was constrained by a fragmented medicalised system that did not work for the women in their care or themselves. The results of this study add to a growing call for policy makers and health care providers to reorientate maternity services to enable women to build positive longitudinal relationships with midwives. Not only will this improve maternal and neonatal outcomes but provide a satisfying and sustainable way for working for midwives.
越来越多的证据表明，许多助产士感到不满，因此决定离开这个行业。
确定表示打算离开该行业的助产士的发生率，并探讨做出这一决定的原因，包括可能导致助产士不满的原因。
分析的数据是作为澳大利亚助产士工作、健康和情感生活（WHELM）项目的一部分收集的。使用描述性统计和潜在内容分析来分析数据集。
在过去的六个月中，近一半（42.8%，n=443/1037）的助产士曾考虑过离开这个行业。定性和定量数据与“对助产护理组织的不满”和/或“对我作为助产士的角色不满”这两个最常见的离职原因一致。由于对其角色不满，早期职业助产士最有可能考虑离开该行业（p=.05）。近一半考虑离开该行业的助产士对管理人员最不满意（p=<.001）。
助产士认为，由于医疗化的零碎系统不利于他们所照顾的妇女或他们自己，他们提供优质产妇护理的能力受到了限制。这项研究的结果进一步呼吁政策制定者和医疗保健提供者重新调整产妇服务，使妇女能够与助产士建立积极的纵向关系。这不仅将改善母婴结局，还为助产士提供一种令人满意和可持续的工作方式。
