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高干预产房助产士的工作满意度:一项质性现象学研究

Job Satisfaction Among Midwives in High-Intervention Birthing Rooms: A Qualitative Phenomenological Study.

作者信息

Pérez-Castejón Marta, Martínez-Alarcón Laura, Molina-Rodríguez Alonso, Jiménez-Ruiz Ismael

机构信息

Doctoral Programme in Health Sciences, International School of Doctoral Studies, University of Murcia, 30120 El Palmar, Spain.

Murcian Health Service, 30100 Murcia, Spain.

出版信息

Healthcare (Basel). 2025 Jun 2;13(11):1318. doi: 10.3390/healthcare13111318.

Abstract

To identify the factors influencing the job satisfaction of midwives working in birthing rooms with a medium to high level of obstetric intervention. A qualitative phenomenological-hermeneutic design based on Heideggerian philosophy was implemented. A study involving 25 participants, midwives, and resident nurses (RINs) was conducted. Residents were included to enrich the analysis with their critical perspectives with regard to interventional procedures and exposure to acts of obstetric violence. Convenience sampling was used. Data were collected from four focus groups in three hospitals in the region and one in-depth interview between 30 September 2022 and 23 June 2023. The testimonies were recorded and transcribed verbatim, and data analysis was carried out using an inductive-deductive approach. The triangulation of data and researchers was used to minimise potential bias. The participants highlighted the following key dimensions or areas that contribute to midwives' job satisfaction in the labour and birthing room: maternal satisfaction, professional competencies, multidisciplinary team, working conditions, and interventions during childbirth. These findings may inform healthcare management strategies to reduce burnout and improve working conditions in maternity care settings.

摘要

为了确定影响在产科干预水平中等至高的产房工作的助产士工作满意度的因素。基于海德格尔哲学实施了一种定性现象学-诠释学设计。开展了一项涉及25名参与者(助产士和住院护士)的研究。纳入住院护士是为了从他们对干预程序的批判性观点以及对产科暴力行为的接触方面丰富分析。采用便利抽样法。在2022年9月30日至2023年6月23日期间,从该地区三家医院的四个焦点小组和一次深度访谈中收集数据。对证词进行记录并逐字转录,使用归纳-演绎方法进行数据分析。采用数据和研究人员的三角互证法以尽量减少潜在偏差。参与者强调了以下有助于助产士在分娩室工作满意度的关键维度或领域:产妇满意度、专业能力、多学科团队、工作条件以及分娩期间的干预措施。这些研究结果可为医疗保健管理策略提供参考,以减少倦怠并改善产科护理环境中的工作条件。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f38e/12154067/af0667bb1f78/healthcare-13-01318-g001.jpg

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