Wiegers Therese A, Hermus Marieke A, Verhoeven Corine J, Rijnders Marlies E, van der Pal-de Bruin Karin M
NIVEL (Netherlands Institute for Health Services Research), The Netherlands.
Department of Child Health, TNO, The Netherlands, Department of Obstetrics, Leiden University Medical Center, Leiden, The Netherlands, Midwifery Practice Verloskundigen Oosterhout, The Netherlands.
Eur J Midwifery. 2018 Sep 13;2:11. doi: 10.18332/ejm/94279. eCollection 2018.
In the Netherlands birth centres have recently become an alternative option as places where women with uncomplicated pregnancies can give birth. This article focusses on the job satisfaction of three groups of maternity care providers (community midwives, clinical care providers and maternity care assistants) working in or with a birth centre compared to those working only in a hospital or at home.
In 2015, an existing questionnaire was adapted and distributed to maternity care providers and 4073 responses were received. Using factor analyses, two composite measures were constructed, a Composite Job Satisfaction scale and an Assessment-of-Working-in-or-with-a-Birth-Centre scale. Differences between groups were tested with Student's t-test and MANOVA with post hoc test and linear regression analyses.
The overall score on the Composite Job Satisfaction scale did not differ between community midwives or clinical care providers working in or with a birth centre and those working in a different setting. For maternity care assistants there was a small but significantly higher score for those not working in a birth centre. Maternity care assistants' overall job satisfaction score was higher than that of both other groups. In a linear regression analysis working or not working in or with a birth centre was related to the overall job satisfaction score, but repeated for the three professional groups separately, this relation was only found for maternity care assistants.
Job satisfaction is generally high, but, except for maternity care assistants, not related to the setting (working or not working in or with a birth centre).
在荷兰,分娩中心最近已成为一种替代选择,可供妊娠情况正常的女性分娩。本文重点关注在分娩中心工作或与分娩中心合作的三组产科护理人员(社区助产士、临床护理人员和产科护理助理)的工作满意度,并与仅在医院或家中工作的人员进行比较。
2015年,对一份现有问卷进行了改编,并分发给产科护理人员,共收到4073份回复。通过因子分析,构建了两个综合指标,即综合工作满意度量表和在分娩中心工作或与分娩中心合作的评估量表。使用学生t检验、多变量方差分析及事后检验和线性回归分析对组间差异进行了检验。
在分娩中心工作或与分娩中心合作的社区助产士或临床护理人员与在其他环境中工作的人员相比,综合工作满意度量表的总体得分没有差异。对于产科护理助理,未在分娩中心工作的人员得分略高,但差异显著。产科护理助理的总体工作满意度得分高于其他两组。在线性回归分析中,在分娩中心工作或与分娩中心合作与总体工作满意度得分相关,但分别对三个专业组进行重复分析时,这种关系仅在产科护理助理中发现。
总体而言,工作满意度较高,但除产科护理助理外,与工作环境(在分娩中心工作或与分娩中心合作与否)无关。