助产士满意度对离职意向和移民的影响——一项全国性的横断面研究

IF 2.6 3区医学 Q1 NURSING

Midwifery Pub Date : 2025-06-16 DOI:10.1016/j.midw.2025.104495

Alicja Domagała , Agnieszka Micek , Barbara Baranowska , Beata Szlendak , Maria Węgrzynowska , Katarzyna Kopeć-Godlewska , Ilona Nenko

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引用次数: 0

摘要

助产士面临着具有挑战性的工作条件，包括繁重的工作量和高水平的压力，这可能导致他们决定离开这个行业或移民。目的探讨在波兰工作的助产士的工作满意度和工资满意度及其对离开助产专业或移民意图的影响。方法于2023年6月至12月在全国范围内进行横断面研究。数据是通过在波兰门诊诊所和医院执业的助产士的在线调查收集的。通过调整社会人口因素，分析了工作和工资满意度与离开专业或移民意图之间的关系。结果我们招募了790名在波兰执业的助产士。所有受访者均为女性，年龄中位数为30岁（范围：26-41岁）。受访者对工作和薪资满意度的中位数分别为69分和60分（满分为100分）。相对较小比例的受访者表示打算离开这个行业（9.5%）或移民（16%）。工作满意度每增加10分，离职的可能性就会降低30% (OR = 0.70, 95%；CI: 0.62 - 0.79)，而工资满意度的类似增长将可能性降低了12% （OR = 0.88）。95% ci: 0.79 - 0.98)。结论改善助产士的工作条件，确保公平的薪酬待遇，是维持和增加助产士数量的关键。我们的研究结果强调了提高满意度和支持早期职业助产士减少流失率的策略的必要性。

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The impact of midwives’ satisfaction on intention to leave the profession and emigration -a nationwide cross-sectional study

Problem and background

Midwives face challenging working conditions, including heavy workloads and high levels of stress, which may contribute to their decision to leave the profession or emigrate.

Aim

To explore job satisfaction and salary satisfaction among midwives working in Poland and their impact on intentions to leave the midwifery profession or emigrate.

Methods

A nationwide cross-sectional study was conducted from June to December 2023. Data were collected through an online survey among midwives practicing in outpatient clinics and hospitals in Poland. Associations between job and salary satisfaction and intentions to leave the profession or emigrate were analysed by adjusting for socio-demographic factors.

Results

We recruited 790 midwives practicing in Poland. All respondents were women and the median age was 30 years (range: 26–41 years). Our respondents' median job and salary satisfaction levels were 69 and 60, respectively, on a scale from 0 to 100. A relatively small proportion of respondents reported intentions to leave the profession (9.5 %) or to emigrate (16 %). A 10-point increase in job satisfaction reduced the likelihood of leaving the profession by 30 % (OR = 0.70, 95 %; CI: 0.62 - 0.79), while a similar increase in salary satisfaction reduced the likelihood by 12 % (OR = 0.88. 95 % CI: 0.79 - 0.98).

Conclusion

The results show the need to improve working conditions and ensure fair remuneration, which is crucial to maintaining and increasing the number of active midwives in the healthcare system. Our findings highlight the need for strategies to enhance satisfaction and support early-career midwives to minimize turnover.

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来源期刊

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.