Rodríguez-García Mª Carmen, Martos-López Isabel M, Casas-López Gema, Márquez-Hernández Verónica V, Aguilera-Manrique Gabriel, Gutiérrez-Puertas Lorena
Department of Nursing, Physiotherapy and Medicine, Universidad de Almería, Spain; Research Group for Health Center CTS-451, Health Research Center, Universidad de Almería, Spain.
Hospital Materno Infantil Torrecárdenas, Almería, Spain.
Women Birth. 2023 Feb;36(1):e10-e16. doi: 10.1016/j.wombi.2022.04.002. Epub 2022 Apr 18.
The shortage of midwives is a concern for healthcare systems as it compromises the quality maternity care. Various studies argue that a favorable work environment increases nurses' job satisfaction and intention to continue working at their current workplace.
To analyze the work environment and its relationship with women's clinical safety culture and midwives' intention to stay in their current job and the midwifery profession.
A cross-sectional, correlational study was performed on N = 218 midwives working in Spain. Standardized instruments were used, including The Practice Environment Scale of the Nursing Work Index (PES-NWI) and the Hospital Survey on Patient Safety Culture (HSOPSC). Descriptive and bivariable statistics were used. The study followed the STROBE guidelines.
The work environment in the labor wards was mixed, according to the PES-NWI classification. The mean total score of the PES-NWI significantly and positively correlated with the mean total score of the HSOPSC (rs = 0.498, p < 0.001), indicating that as the quality of midwives' work environment increased, women's clinical safety increased. Significant correlations were observed between the midwives' intent to stay in the hospital where they work and features of women's safety culture.
The results of this study showed significant relationships between the work environment, women's safety culture, and midwives' intentions to leave their job/profession. Creating a favorable working environment could be a potentially effective strategy that encourages improvement in the women's safety culture in healthcare organizations and greater intention of midwives to stay at their current job.
助产士短缺是医疗系统关注的问题，因为这会影响产妇护理质量。多项研究表明，良好的工作环境能提高护士的工作满意度以及继续在当前工作场所工作的意愿。
分析工作环境及其与女性临床安全文化以及助产士继续从事当前工作和助产士职业意愿之间的关系。
对西班牙218名助产士进行了一项横断面相关性研究。使用了标准化工具，包括护理工作指数实践环境量表（PES-NWI）和患者安全文化医院调查（HSOPSC）。采用了描述性和双变量统计方法。该研究遵循STROBE指南。
根据PES-NWI分类，产房的工作环境好坏参半。PES-NWI的平均总分与HSOPSC的平均总分显著正相关（rs = 0.498，p < 0.001），这表明随着助产士工作环境质量的提高，女性的临床安全性也会提高。观察到助产士留在其工作医院的意愿与女性安全文化特征之间存在显著相关性。
本研究结果表明工作环境、女性安全文化与助产士离职/离开职业的意愿之间存在显著关系。营造良好的工作环境可能是一种潜在有效的策略，有助于促进医疗机构中女性安全文化的改善，并提高助产士继续从事当前工作的意愿。
