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分娩中心的韩国助产士与医院助产士的职业素养及工作满意度比较。

Comparison of professionalism and job satisfaction between Korean midwives in birthing centers and midwives in hospitals.

作者信息

Kim Buyoun, Kang Sook Jung

机构信息

College of Nursing, Ewha Womans University, Seoul, Korea.

出版信息

Korean J Women Health Nurs. 2020 Sep 30;26(3):222-230. doi: 10.4069/kjwhn.2020.09.08. Epub 2020 Sep 29.

DOI:10.4069/kjwhn.2020.09.08
PMID:36313173
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9328580/
Abstract

PURPOSE

Midwives working in hospitals (MWH) have limited roles in managing and assisting births independently. To find ways to successfully integrate midwifery into care systems, exploring midwives' work-related perceptions might be the first step. The purpose of this study was to compare professionalism and job satisfaction between Korean midwives working in birthing centers (MWBC) and MWH.

METHODS

A descriptive comparative design was used, querying 19 MWBC and 53 MWH in Korea. Data were accrued from October to November 2017 using the Professionalism Inventory Scale and the Job Satisfaction Scale.

RESULTS

Age, marital status, monthly income, length of career as a midwife, and length of career in the current workplace were significantly different between MWBC and MWH. The level of professionalism among MWBC showed significant differences by position at the birthing center (t=16.19, =.001). Professionalism and job satisfaction among MWH showed significant differences depending on perceived professional performance (F=9.95, <.001 and F=11.04, <.001, respectively). Levels of professionalism and job satisfaction were higher for MWBC than for MWH.

CONCLUSION

Educational programs designed to enhance professionalism and expand the role of MWH are suggested. Also, policy changes that clearly define job roles and improvement of the legal system is required, so MWH in Korea can effectively perform their midwifery work and be properly reimbursed.

摘要

目的

在医院工作的助产士(MWH)在独立管理和协助分娩方面的作用有限。为了找到将助产服务成功融入护理系统的方法,探索助产士与工作相关的认知可能是第一步。本研究的目的是比较在分娩中心工作的韩国助产士(MWBC)和在医院工作的助产士之间的专业精神和工作满意度。

方法

采用描述性比较设计,对韩国的19名在分娩中心工作的助产士和53名在医院工作的助产士进行调查。2017年10月至11月期间,使用专业精神量表和工作满意度量表收集数据。

结果

在分娩中心工作的助产士和在医院工作的助产士在年龄、婚姻状况、月收入、助产士职业生涯长度以及在当前工作场所的工作年限方面存在显著差异。在分娩中心工作的助产士的专业精神水平因在分娩中心的职位不同而存在显著差异(t = 16.19,P =.001)。在医院工作的助产士的专业精神和工作满意度根据感知到的专业表现存在显著差异(分别为F = 9.95,P <.001和F = 11.04,P <.001)。在分娩中心工作的助产士的专业精神和工作满意度水平高于在医院工作的助产士。

结论

建议设计旨在提高专业精神和扩大在医院工作的助产士作用的教育项目。此外,需要进行政策变革以明确界定工作角色并完善法律制度,以便韩国在医院工作的助产士能够有效地开展助产工作并获得适当的报酬。

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Methods and Estimates of the Reimbursement for the Nurse Midwifery Center in the National Health Insurance.
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