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Norwegian midwives' perceptions of their practice environment: A mixed methods study.


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

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Norwegian midwives' perceptions of their practice environment: A mixed methods study.

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]

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