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产房中助产士工作满意度的系统评价:Meta 分析。

Job satisfaction in midwives working in labour ward: A systematic review with meta-analysis.

机构信息

Programa de Doctorado en Ciencias de la Salud, Escuela Internacional de Doctorado, Universidad de Murcia, El Palmar, Murcia, Spain; Servicio Murciano de Salud, Murcia, Spain.

Servicio Murciano de Salud, Murcia, Spain; Unidad Docente Multiprofesional de Obstetricia y Ginecología, Murcia, Spain; Departamento de Enfermería, Facultad de Enfermería, Universidad de Murcia, El Palmar, Murcia, Spain.

出版信息

Midwifery. 2024 Oct;137:104112. doi: 10.1016/j.midw.2024.104112. Epub 2024 Jul 19.

Abstract

PROBLEM

There is little documented evidence of job satisfaction in midwives who work in birthing rooms.

BACKGROUND

Job satisfaction in midwives who work in birthing rooms may have changed in recent decades due to the medicalization of maternal health.

AIM

To analyse job satisfaction levels among midwives working in birthing rooms.

METHODS

We searched Web of Science, SCOPUS, MEDLINE, CUIDEN and CINAHL for observational and mixed method studies. The literature search was carried out from September to October 2022.

FINDINGS

A total of 13 studies were included in the systematic review. A meta-analysis of the variable "midwives' job satisfaction" was performed on 12 of the studies. Midwives rated their job satisfaction positively: DME, CI (95%) = 1.24 [0.78, 1.69]. Subgroup 1: DME, CI (95%) = 2.41 [2.05, 2.76]); Subgroup 2: DME, CI (95%) = 0.76 [0.65, 0.86]; subgroup 3: DME, CI (95%) = 1.11 [0.95, 1.27]; subgroup 4: DME, CI (95%) = 0.10 [-0.11, 0.31].

DISCUSSION

Although midwives show high levels of satisfaction, the heterogeneity of instruments, lack of specificity and limited number of studies found restrict the outcomes.

CONCLUSION

There are no specific measurement instruments for assessing job satisfaction among midwives working in labour wards, so it is possible that these data do not correspond to reality as they do not take into account specific professional aspects within this field of practice.

摘要

问题

在产房工作的助产士的工作满意度几乎没有文献记录。

背景

由于孕产妇保健的医学化,产房工作的助产士的工作满意度可能在最近几十年发生了变化。

目的

分析产房工作的助产士的工作满意度水平。

方法

我们在 Web of Science、SCOPUS、MEDLINE、CUIDEN 和 CINAHL 中搜索了观察性和混合方法研究。文献检索于 2022 年 9 月至 10 月进行。

发现

系统评价共纳入 13 项研究。对其中 12 项研究的变量“助产士工作满意度”进行了 meta 分析。助产士对其工作满意度评价较高:DME,CI(95%)=1.24[0.78,1.69]。亚组 1:DME,CI(95%)=2.41[2.05,2.76];亚组 2:DME,CI(95%)=0.76[0.65,0.86];亚组 3:DME,CI(95%)=1.11[0.95,1.27];亚组 4:DME,CI(95%)=0.10[-0.11,0.31]。

讨论

尽管助产士表现出较高的满意度,但由于仪器的异质性、缺乏特异性以及发现的研究数量有限,限制了结果的推广。

结论

没有专门用于评估产房工作助产士工作满意度的测量工具,因此这些数据可能与现实不符,因为它们没有考虑到该实践领域的特定专业方面。

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