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. 2020 Dec;15(1):1848025.
doi: 10.1080/17482631.2020.1848025.

Work situation and professional role for midwives at a labour ward pre and post implementation of a midwifery model of care - A mixed method study

Malin Hansson  1 , Ingela Lundgren  1 , Anna Dencker  1 , Charles Taft  1 , Gunnel Hensing  2
Affiliations

Work situation and professional role for midwives at a labour ward pre and post implementation of a midwifery model of care - A mixed method study

Malin Hansson et al. Int J Qual Stud Health Well-being. 2020 Dec.

Abstract

Purpose: To explore and analyse the experience of work situation and professional role for midwives at a labour ward pre and post the implementation of a midwifery model of care (MiMo). Methods: A simultaneous mixed method was used. The qualitative core component departed from three focus group interviews (n = 16 midwives). Secondary inductive and deductive content analysis was performed using an unconstrained matrix to make a corresponding comparison of the different time points. The supplemental component was a quantitative survey about the work situation (n = 58). Results: The qualitative results pre the implementation showed three categories: Balance between Women and Organization, Midwives-Diverse as both Profession and Person, and Strained Work Situation. Post the intervention they transformed to Balance between Midwifery and Organization, Midwives-An Adaptable Profession, Strained Work Situation, and a new category Ability to concretize midwifery was found. There were no significant differences in the measures of work situation in the quantitative analyses. Conclusions: The synthesized findings based on the qualitative part show that MiMo has a potential to strengthen the professional role and midwifery practice. As such, MiMo has the capability to offer benefits to the labour wards with additional considerations.

Keywords: Midwifery; burnout; demand and control; mixed method; professional role; stress; work situation.

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Conflict of interest statement

The authors have no financial or other relationships to declare which might lead to a conflict of interest.

Figures

Figure 1.
Figure 1.
Midwifery model of women-centred childbirth care developed in Swedish and Islandic settings, Berg et al. (2012), page 83 (Berg et al., 2012)
Figure 2.
Figure 2.
Study design and aim of the (QUAL + quan) mixed-method sub-study of the MiMo-project, Sweden 2015–16
Figure 3.
Figure 3.
Point of interface between qualitative and quantitative (QUAL + quant) results and synthesized findings
See this image and copyright information in PMC

References

    1. Antonovsky, A. (1987). Unraveling the mystery of health: How people manage stress and stay well (1 ed.). Jossey-Bass.
    1. Antonovsky, A. (1996). The salutogenic model as a theory to guide health promotion. Health Promotion International, 11(1), 11–14. 10.1093/heapro/11.1.11 - DOI
    1. Antonovsky, A. (2005). Hälsans mysterium (2. utg./förord av Lennart Levi ed.). Natur och kultur.
    1. Bakker, A. B., & Demerouti, E. (2007). The job demands-resources model: State of the art. Journal of Managerial Psychology, 22(3), 309–328. 10.1108/02683940710733115 - DOI
    1. Bauer, G., Davies, J. K., & Pelikan, J. (2006). The EUHPID health development model for the classification of public health indicators. Health Promotion International, 21(2), 153–159. 10.1093/heapro/dak002 - DOI - PubMed