Midwifery workplace culture in Sydney, Australia.

Australia Female Humans Midwifery / methods Nurse Midwives Pregnancy Qualitative Research Workload Workplace
Australia Hospital settings Maternity Midwifery Workplace culture

Journal

Women and birth : journal of the Australian College of Midwives
ISSN: 1878-1799
Titre abrégé: Women Birth
Pays: Netherlands
ID NLM: 101266131

Informations de publication

Date de publication:
Jul 2022
Historique:
received: 08 03 2021
revised: 01 07 2021
accepted: 05 07 2021
pubmed: 17 7 2021
medline: 15 6 2022
entrez: 16 7 2021
Statut: ppublish

Résumé

Aspects of the midwifery workplace culture have previously been measured as negative with limited leadership or support. Support for midwives is essential for them to face the complexity and workloads in Australian maternity units. Understanding the culture of the midwifery workplace is important to develop strategies to stem workforce attrition and to optimise care of women and their families. This study aimed to assess midwives' perceptions of workplace culture in two maternity units in Sydney, Australia, and compare the results with a national study using the same validated instrument. This study reports results using the Australian Midwifery Workplace Culture instrument (n = 49 midwives) and stakeholder groups (n = 10). Simple descriptive statistics were used, and the qualitative responses were analysed thematically. Compared to the national sample, participants rated their workplace more favourably, especially their relationships with managers and colleagues. Over one-third (36.7%) considered that their workplace had a positive culture, compared with 27.9%. However, they rated their workplaces more negatively on time constraints and staff resources, and reported limited autonomy. Workplaces were highly medicalised which impacted their philosophy of woman-centred care and their ability to work autonomously. Factors related to collegiality in the workplace, relationship with managers, midwives' intention to leave the profession and time constraints are discussed in comparison to the national study, as well as other relevant research. Conclusion Workplace collaboration, support, respect and understanding were extremely important to midwives, as were adequate staffing levels, teamwork and opportunities for further education.

Sections du résumé

PROBLEM OBJECTIVE
Aspects of the midwifery workplace culture have previously been measured as negative with limited leadership or support. Support for midwives is essential for them to face the complexity and workloads in Australian maternity units.
BACKGROUND BACKGROUND
Understanding the culture of the midwifery workplace is important to develop strategies to stem workforce attrition and to optimise care of women and their families.
AIMS OBJECTIVE
This study aimed to assess midwives' perceptions of workplace culture in two maternity units in Sydney, Australia, and compare the results with a national study using the same validated instrument.
METHOD METHODS
This study reports results using the Australian Midwifery Workplace Culture instrument (n = 49 midwives) and stakeholder groups (n = 10). Simple descriptive statistics were used, and the qualitative responses were analysed thematically.
FINDINGS RESULTS
Compared to the national sample, participants rated their workplace more favourably, especially their relationships with managers and colleagues. Over one-third (36.7%) considered that their workplace had a positive culture, compared with 27.9%. However, they rated their workplaces more negatively on time constraints and staff resources, and reported limited autonomy. Workplaces were highly medicalised which impacted their philosophy of woman-centred care and their ability to work autonomously.
DISCUSSION CONCLUSIONS
Factors related to collegiality in the workplace, relationship with managers, midwives' intention to leave the profession and time constraints are discussed in comparison to the national study, as well as other relevant research. Conclusion Workplace collaboration, support, respect and understanding were extremely important to midwives, as were adequate staffing levels, teamwork and opportunities for further education.

Identifiants

DOI: 10.1016/j.wombi.2021.07.001 PMID: 34266786
pubmed: 34266786
pii: S1871-5192(21)00115-3
doi: 10.1016/j.wombi.2021.07.001
pii:
doi:

Types de publication

Journal Article

Langues

eng

Pagination

e379-e388

Informations de copyright

Copyright © 2021 Australian College of Midwives. Published by Elsevier Ltd. All rights reserved.

Auteurs

Christine Catling (C)

Centre for Midwifery, Child and Family Health, School of Nursing and Midwifery, Faculty of Health, University of Technology Sydney, Australia. Electronic address: Christine.catling@uts.edu.au.

Chris Rossiter (C)

Centre for Midwifery, Child and Family Health, School of Nursing and Midwifery, Faculty of Health, University of Technology Sydney, Australia.

Allison Cummins (A)

Centre for Midwifery, Child and Family Health, School of Nursing and Midwifery, Faculty of Health, University of Technology Sydney, Australia.

Erica McIntyre (E)

Institute for Sustainable Futures, University of Technology Sydney, Australia; School of Public Health, Faculty of Health, University of Technology Sydney, Australia.

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Classifications MeSH

questionsmedicales.fr › Régions géographiques › Océanie › Australasie › Australie › Midwifery workplace culture in Sydney, Australia.
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Midwifery workplace culture in Sydney, Australia.
questionsmedicales.fr › Professions de santé › Spécialités en soins infirmiers › Profession de sage-femme › Midwifery workplace culture in Sydney, Australia.
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Personnel de santé › Infirmières et infirmiers › Infirmiers spécialisés › Infirmières sages-femmes › Midwifery workplace culture in Sydney, Australia.
questionsmedicales.fr › Phénomènes physiologiques des appareils urinaire et reproducteur › Phénomènes physiologiques de la reproduction › Reproduction › Grossesse › Midwifery workplace culture in Sydney, Australia.
questionsmedicales.fr › Disciplines des sciences naturelles › Science › Recherche › Recherche empirique › Recherche qualitative › Midwifery workplace culture in Sydney, Australia.
questionsmedicales.fr › Administration des services de santé › Organisation et administration › Gestion du personnel › Affectation du personnel et organisation du temps de travail › Charge de travail › Midwifery workplace culture in Sydney, Australia.
questionsmedicales.fr › Administration des services de santé › Organisation et administration › Gestion du personnel › Lieu de travail › Midwifery workplace culture in Sydney, Australia.