School of Nursing and Midwifery, Deakin University, Victoria, Australia; Centre for Quality and Patient Safety Research, Western Health Partnership, Victoria, Australia; Western Health, Victoria, Australia.
School of Nursing and Midwifery, Deakin University, Victoria, Australia; Centre for Quality and Patient Safety Research, Western Health Partnership, Victoria, Australia; Western Health, Victoria, Australia.
Women Birth. 2021 Nov;34(6):e567-e574. doi: 10.1016/j.wombi.2020.11.001. Epub 2020 Nov 19.
Caseload continuity of care models of midwifery are associated with benefits for both mothers and babies. For midwifery staff, caseload models offer flexibility, supportive work partnerships, and one-to-one care with women. However, most caseload models require midwives to be employed 0.7 full-time equivalent or more.
To evaluate the satisfaction of women and staff with 0.5 full-time equivalent part-time caseload midwifery group practice care.
A mixed-methods survey study was undertaken. Women, part-time and full-time caseload midwifery staff completed an online survey regarding their experiences. Descriptive statistics were calculated and thematic analysis of qualitative responses was undertaken.
Women were highly satisfied with the part-time model of care. They indicated a number of advantages including excellent support, flexibility, and responsiveness in receiving care from two primary midwives. Similarly, caseload team midwives were satisfied with the part-time model and valued the flexibility that it offers. Improved coverage of hours and being part of a workplace that promoted work-life balance were perceived as key advantages of having part-time staff in the caseload team.
The part-time model facilitated continuity of care and was received positively by women. For staff, part-time roles enhanced work satisfaction and reduced burnout. Most staff encouraged greater expansion of part-time roles. Organisations may reduce midwife burnout and associated costs by implementing part-time roles to support work-life balance and staff satisfaction.
Part-time caseload midwifery models offered greater flexibility and work-life-balance for staff compared to full-time models and were well received by women.
助产士的病例量连续护理模式与母婴双方的利益相关。对于助产士工作人员而言，病例量模式提供了灵活性、支持性的工作伙伴关系以及与女性一对一的护理。然而，大多数病例量模式要求助产士全职工作 0.7 个当量或更多。
评估妇女和工作人员对 0.5 个全职当量兼职病例量助产小组实践护理的满意度。
采用混合方法调查研究。妇女、兼职和全职病例量助产士工作人员完成了一份关于他们的经验的在线调查。计算了描述性统计数据，并对定性回应进行了主题分析。
妇女对兼职护理模式非常满意。他们表示了一些优势，包括从两名主要助产士那里获得护理时的出色支持、灵活性和响应性。同样，病例量团队助产士对兼职模式感到满意，并重视它提供的灵活性。增加工作时间的覆盖范围和成为促进工作与生活平衡的工作场所的一部分，被认为是在病例量团队中拥有兼职员工的关键优势。
兼职模式促进了连续护理，并受到了妇女的积极反馈。对于工作人员而言，兼职角色提高了工作满意度并减少了倦怠。大多数工作人员鼓励更多地扩大兼职角色。通过实施兼职角色来支持工作与生活平衡和员工满意度，组织可以减少助产士的倦怠和相关成本。
与全职模式相比，兼职病例量助产模式为员工提供了更大的灵活性和工作与生活平衡，并且受到了妇女的好评。
