Midwives' negative experiences and outcomes, a phenomenological study "Being a midwife in Istanbul; I am a midwife, I accompany births…, but I cannot be a midwife!"
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引用次数: 0
Abstract
Problem and background
In Turkey, the fact that midwives cannot actively perform midwifery during births negatively affects them. Studies examining the negative experiences and outcomes of midwives are quite limited.
Aim
The study was conducted to examine the negative experiences and outcomes of midwives.
Method
The study was designed with phenomenological design, one of the qualitative research types. The participants consisted of 19 midwives selected by snowball sampling method. Semi-structured, face-to-face in-depth interviews were conducted with the participants. Interviews were audio recorded and transcribed. The data were analysed using an inductive qualitative content analysis approach. In the open coding process, expressions with similar meanings were identified and coded; these codes were divided into categories and subcategories according to their similarities and differences. Themes were formed in line with the relationships between categories.
Findings and results
The data obtained were grouped under three main themes. The themes were determined as "(I) negative experiences of midwives, (II) effects of midwives' negative experiences on their professional lives and (III) effects of midwives' negative experiences on their private lives. It was determined that midwives were exposed to mobbing and violence and had team problems. It was determined that they felt dissatisfied and disappointed as a result of the negative experiences they experienced. As a result, it was determined that midwives experienced burnout, secondary trauma, introversion and depression.
Suggestions
The sustainability of the midwifery workforce depends largely on improving their well-being and job satisfaction. This can be achieved by creating a positive working environment and implementing practical, long-term solutions. Supporting and advocating for midwives in the workplace by their managers can reduce burnout and dissatisfaction. Improving working conditions; reducing working hours, eliminating staff shortages, increasing wages, ensuring a balanced distribution of work intensity will reduce the intra-team conflict and tension experienced by midwives in their working environment.
期刊介绍:
Women and Birth is the official journal of the Australian College of Midwives (ACM). It is a midwifery journal that publishes on all matters that affect women and birth, from pre-conceptual counselling, through pregnancy, birth, and the first six weeks postnatal. All papers accepted will draw from and contribute to the relevant contemporary research, policy and/or theoretical literature. We seek research papers, quality assurances papers (with ethical approval) discussion papers, clinical practice papers, case studies and original literature reviews.
Our women-centred focus is inclusive of the family, fetus and newborn, both well and sick, and covers both healthy and complex pregnancies and births. The journal seeks papers that take a woman-centred focus on maternity services, epidemiology, primary health care, reproductive psycho/physiology, midwifery practice, theory, research, education, management and leadership. We also seek relevant papers on maternal mental health and neonatal well-being, natural and complementary therapies, local, national and international policy, management, politics, economics and societal and cultural issues as they affect childbearing women and their families. Topics may include, where appropriate, neonatal care, child and family health, women’s health, related to pregnancy, birth and the postpartum, including lactation. Interprofessional papers relevant to midwifery are welcome. Articles are double blind peer-reviewed, primarily by experts in the field of the submitted work.