Perception of empowerment in Spanish midwives: A cross-sectional study

IF 2.5 3区 医学 Q1 NURSING
Zaida Rodríguez-Puente , Agustín Rodríguez-Esteban , Francisco Javier Pérez-Rivera , Olga Arias-Gundín , Elena Andina-Díaz
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Abstract

Introduction

Empowerment of midwives is an important issue worldwide and lack of empowerment in midwives is associated with a decrease in job satisfaction and consequently a higher probability of job desertion. Given the international shortage of professionals, it is necessary to explore the key aspects of increasing their job satisfaction. The aim of this paper was to investigate perceptions of empowerment in Spanish midwives’ practice through the Perceptions of Empowerment in Midwifery Scale (PEMS).

Methods

A cross-sectional survey using a national sample of midwives in Spain from January to June 2023. 504 midwives were recruited from the Spanish Federation of midwives’ associations in 2023. Data were collected using the revised version of the Perception of Empowerment Scale (PEMS) translated into Spanish.

Results

The PEMS scale exhibited suitable validity. The exploratory factor analyses identified three subescales: Professional Recognition, Autonomy and Manager,Support,Skills & Resources and Autonomy. The PEMS-R-IT had good internal consistency for each proposed dimension. 54.3 % of the participants reported having autonomy in their work. There were significant differences between primary care midwives and special care midwives in the Professional recognition dimension p = .016*. Midwives working in primary care felt more recognized professionally.

Conclusions

The perception of empowerment and autonomy of Spanish midwives in maternity and postnatal wards was lower than in the primary care setting. Years of experience were not significant in feeling more autonomous. More research is needed to assess the perceptions of empowerment of midwives in Spain. This study support the psychometric quality of PEMS.
西班牙助产士的赋权感知:一项横断面研究
助产士的赋权是世界范围内的一个重要问题,助产士赋权不足与工作满意度下降有关,因此更有可能离职。鉴于国际上专业人才的短缺,有必要探讨提高他们工作满意度的关键方面。本文的目的是通过对助产规模(PEMS)的赋权感知来调查西班牙助产士实践中的赋权感知。方法2023年1 - 6月对西班牙助产士进行横断面调查。2023年从西班牙助产士协会联合会招募了504名助产士。数据收集使用翻译成西班牙语的授权感知量表(PEMS)的修订版。结果PEMS量表具有较好的效度。探索性因素分析确定了三个子量表:专业认可、自主与管理者、支持、技能与资源、自主。PEMS-R-IT对于每个建议的维度具有良好的内部一致性。54.3%的参与者表示在工作中有自主权。初级保健助产士与特护助产士在专业认知维度上存在显著差异p = 0.016 *。在初级保健工作的助产士感到更专业。结论西班牙助产士在产房和产后病房的赋权和自主权认知低于初级保健机构。多年的经验对感觉更自主没有显著影响。需要更多的研究来评估西班牙助产士赋权的看法。本研究支持PEMS的心理测量质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Midwifery
Midwifery 医学-护理
CiteScore
4.50
自引率
7.40%
发文量
221
审稿时长
13.4 weeks
期刊介绍: Midwifery publishes the latest peer reviewed international research to inform the safety, quality, outcomes and experiences of pregnancy, birth and maternity care for childbearing women, their babies and families. The journal’s publications support midwives and maternity care providers to explore and develop their knowledge, skills and attitudes informed by best available evidence. Midwifery provides an international, interdisciplinary forum for the publication, dissemination and discussion of advances in evidence, controversies and current research, and promotes continuing education through publication of systematic and other scholarly reviews and updates. Midwifery articles cover the cultural, clinical, psycho-social, sociological, epidemiological, education, managerial, workforce, organizational and technological areas of practice in preconception, maternal and infant care. The journal welcomes the highest quality scholarly research that employs rigorous methodology. Midwifery is a leading international journal in midwifery and maternal health with a current impact factor of 1.861 (© Thomson Reuters Journal Citation Reports 2016) and employs a double-blind peer review process.
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