Moradali Monireh Rezaee, Hajian Sepideh, Majd Hamid Alavi, Rahbar Mohammadreza, Entezarmahdi Rasool
Student Research Committee, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Department of Midwifery, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Vali Asr Ave., Niayesh Cross Road, Niayesh Complex, Tehran, 1996835119, Iran.
Arch Public Health. 2023 Oct 10;81(1):181. doi: 10.1186/s13690-023-01193-1.
Possessing sensitive and multiple responsibilities in the country's health system, particularly after the implementation of the health reform in Iran, midwives must be able to optimally perform their duties in their new job as healthcare providers. This study aimed to identify the factors that predict job adjustment for Iranian midwives working in healthcare.
In this cross-sectional study, 310 midwives were recruited from 209 health centers in the Iranian province of West Azerbaijan using the census method and asked to complete research questionnaires. Data were collected using job adjustment, job satisfaction, and organizational commitment scales. SPSS version 25 was used to perform ANOVA and calculate multiple linear regression coefficients for data analysis. In addition, the AMOS software was employed for path analysis and the identification of predictive variables.
The mean age of the participants was 37.67 ± 7.1 years. Most participants (35.5%) were interested in their occupation as a midwife, and 27.1% were very interest. They had a moderate to strong tendency (76.1%) to remain in their new profession. In addition, 58.1% of participants experienced moderate job adjustment. For healthcare midwives, "desire to remain in the midwifery profession" and "organizational commitment" were significant predictors of job adjustment. "Desire to remain in the midwifery profession" directly affected midwives' job adjustment, while "interest in the new profession" had an indirect effect. Furthermore, "adequacy of income to expenses," "job satisfaction," and "organizational commitment" through the mediating role of "desire to remain in the profession" can, directly and indirectly, influence their job adjustment.
To better prepare midwives for their role as healthcare providers, organizational managers should focus their efforts and plan primarily on providing incentives to increase the longevity of staying in the profession of midwifery increase job adjustment, job satisfaction, and organizational commitment, thereby improving the quality-of-service delivery.
在国家卫生系统中承担着敏感且多重的职责，尤其是在伊朗实施卫生改革之后，助产士必须能够在其作为医疗服务提供者的新工作中最佳地履行职责。本研究旨在确定预测伊朗从事医疗保健工作的助产士工作适应情况的因素。
在这项横断面研究中，采用普查方法从伊朗西阿塞拜疆省的209个卫生中心招募了310名助产士，并要求他们填写研究问卷。使用工作适应、工作满意度和组织承诺量表收集数据。使用SPSS 25版进行方差分析并计算多元线性回归系数以进行数据分析。此外，使用AMOS软件进行路径分析并识别预测变量。
参与者的平均年龄为37.67±7.1岁。大多数参与者（35.5%）对助产士职业感兴趣，27.1%非常感兴趣。他们有中度到强烈的倾向（76.1%）留在新职业中。此外，58.1%的参与者经历了中度的工作适应。对于医疗保健助产士，“留在助产士职业的愿望”和“组织承诺”是工作适应的重要预测因素。“留在助产士职业的愿望”直接影响助产士的工作适应，而“对新职业的兴趣”有间接影响。此外，“收入与支出的充足性”、“工作满意度”和“组织承诺”通过“留在职业的愿望”的中介作用，可以直接和间接地影响他们的工作适应。
为了更好地让助产士为其作为医疗服务提供者的角色做好准备，组织管理者应集中精力并主要计划提供激励措施，以提高留在助产士职业的时长，增加工作适应、工作满意度和组织承诺，从而提高服务质量。
