与助产士工作满意度和工作经验相关的因素：对澳大利亚墨尔本一家三级妇产医院助产士的横断面调查。

Factors associated with midwives' job satisfaction and experience of work: a cross-sectional survey of midwives in a tertiary maternity hospital in Melbourne, Australia.

机构信息

Judith Lumley Centre, La Trobe University, Bundoora, VIC 3086, Australia; The Royal Women's Hospital, Locked Bag 300, Cnr Grattan St and Flemington Rd, Parkville, VIC 3052, Australia.

Judith Lumley Centre, La Trobe University, Bundoora, VIC 3086, Australia; School of Nursing & Midwifery, La Trobe University, Bundoora, VIC 3086, Australia; The Royal Women's Hospital, Locked Bag 300, Cnr Grattan St and Flemington Rd, Parkville, VIC 3052, Australia.

出版信息

Women Birth. 2022 Mar;35(2):e153-e162. doi: 10.1016/j.wombi.2021.03.012. Epub 2021 Apr 30.

DOI:10.1016/j.wombi.2021.03.012

PMID:33935006

Abstract

BACKGROUND

Significant factors affecting the Australian maternity care context include an ageing, predominantly part-time midwifery workforce, increasingly medicalised maternity care, and women with more complex health/social needs. This results in challenges for the maternity care system. There is a lack of understanding of midwives' experiences and job satisfaction in this context.

AIM

To explore factors affecting Australian midwives' job satisfaction and experience of work.

METHODS

In 2017 an online cross-sectional questionnaire was used to survey midwives employed in a tertiary hospital. Data collected included characteristics, work roles, hours, midwives' views and experiences of their job. The Midwifery Process Questionnaire was used to measure midwives' satisfaction in four domains: Professional Satisfaction, Professional Support, Client Interaction and Professional Development. Data were analysed as a whole, then univariate and multivariate logistic regression analyses conducted to explore any associations between each domain, participant characteristics and other relevant factors.

FINDINGS

The overall survey response rate was 73% (302/411), with 96% (255/266) of permanently employed midwives responding. About half (53%) had a negative attitude about their Professional Support and Client Interaction (49%), and 21% felt negatively about Professional Development. The majority felt positively regarding Professional Satisfaction (85%). The main factors that impacted midwives' satisfaction was inadequate acknowledgment from the organisation and needing more support to fulfil their current role.

CONCLUSION

Focus on leadership and mentorship around appropriate acknowledgement and support may impact positively on midwives' satisfaction and experiences of work. A larger study could explore how widespread these findings are in the Australian maternity care setting.

摘要

背景

影响澳大利亚产科护理环境的重要因素包括：助产士队伍老龄化、以兼职为主，产科护理日益医学化，以及妇女的健康/社会需求更加复杂。这给产科护理系统带来了挑战。对于这种情况下助产士的经验和工作满意度缺乏了解。

目的

探讨影响澳大利亚助产士工作满意度和工作体验的因素。

方法

2017 年，采用横断面在线问卷调查的方法，对一家三级医院的助产士进行调查。收集的数据包括特征、工作角色、工作时间、助产士对工作的看法和体验。采用助产士过程问卷（Midwifery Process Questionnaire）来衡量四个领域的助产士满意度：专业满意度、专业支持、客户互动和专业发展。对数据进行整体分析，然后进行单变量和多变量逻辑回归分析，以探索每个领域、参与者特征和其他相关因素之间的任何关联。

结果

总的来说，调查的回复率为 73%（302/411），其中永久性雇佣的助产士中有 96%（255/266）做出了回应。约有一半（53%）对其专业支持和客户互动持否定态度（49%），21%对专业发展感到不满。大多数人对专业满意度持肯定态度（85%）。影响助产士满意度的主要因素是组织的认可不足和需要更多的支持来履行其当前角色。