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ABSTRACT: Aim
To investigate Norwegian midwives' perceptions of their working environment.Design
A nationwide postal survey in 2014 collected information from 489 midwives, including the Practice Environment Scale and seven open-ended questions concerning the workplace.Methods
Psychometric-, descriptive- and comparative analysis was used for the quantitative data and content analysis for the qualitative data.Results
Psychometric analyses yielded five subscales: Quality of management; Resource adequacy; Midwife-doctor relations; Opportunities for development; and Midwifery foundation for care. Content analyses identified four main themes: Lack of resources; Insufficient support; Staying in midwifery; and Lack of influence. Subthemes only found in the qualitative analysis were as follows: Fear of adverse events and The strain of shift work. Most midwives rated the PES subscales Midwife-doctor relations and Quality of management favourable. In contrast, the theme Lack of influence showed that midwives felt powerless in a constantly changing work environment and ruled by the medical model of care.
SUBMITTER: Lukasse M
PROVIDER: S-EPMC6805784 | biostudies-literature | 2019 Oct
REPOSITORIES: biostudies-literature
Lukasse Mirjam M Henriksen Lena L
Nursing open 20190806 4
<h4>Aim</h4>To investigate Norwegian midwives' perceptions of their working environment.<h4>Design</h4>A nationwide postal survey in 2014 collected information from 489 midwives, including the Practice Environment Scale and seven open-ended questions concerning the workplace.<h4>Methods</h4>Psychometric-, descriptive- and comparative analysis was used for the quantitative data and content analysis for the qualitative data.<h4>Results</h4>Psychometric analyses yielded five subscales: <i>Quality o ...[more]