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dc.contributor.authorGrylka, Susanne-
dc.contributor.authorAeberli, Regula-
dc.contributor.authorGünthard, Barbara-
dc.contributor.authorMeier Käppeli, Barbara-
dc.contributor.authorLeutenegger, Vanessa-
dc.contributor.authorVolken, Thomas-
dc.contributor.authorPehlke-Milde, Jessica-
dc.date.accessioned2021-07-01T09:42:49Z-
dc.date.available2021-07-01T09:42:49Z-
dc.date.issued2021-04-
dc.identifier.urihttps://digitalcollection.zhaw.ch/handle/11475/22740-
dc.description.abstractBackground: Midwives’ job satisfaction depends on their working environment. A positively experienced work situation enhances the likelihood of midwives remaining in their job as well as in their profession. This contributes to the prevention of skill shortages. Midwives working in midwife-led models of care are more independent and assume more responsibility. They were found to be more satisfied compared to those working in standard care. However, no previous study has investigated job satisfaction in the context of midwife-led projects. The implementation of postpartum telephone debriefing sessions in A Swiss University Hospital was initiated by midwives, was under their responsibility and fostered continuity of care. It therefore fulfilled some criteria of midwife-led care, but changes affected only a small part of the spectrum of maternity care. Aim: This study aimed to investigate job satisfaction before and after the implementation of a midwife-led project consisting of postpartum debriefing sessions. Method: We conducted a repeat measure observational study at three time points combining quantitative (online questionnaires) and qualitative methods (focus group discussion). A total of 43 out of 50 midwives, who could participate at least at one time point, completed one (n=10), two (n=14) or three (n=19) online-questionnaires. Between five and seven midwives participated in the three focus group discussions. The midwifery specific instrument of Turnbull et al. to assess job satisfaction and questions from the Copenhagen Psychosocial Questionnaire were included in the online questionnaires. Descriptive and multivariable time series analysis were used for quantitative data. Focus group discussions were transcribed verbatim and qualitative content analysis was applied. Results: Between t0 and t1, adjusted predicted sub scores decreased and subsequently increased slightly at t2 without reaching baseline values (e.g. ‘professional support subscales’: between t0 and t1: (0.65, 95% CI [0.48, 0.82] versus 0.35 95% CI [0.17, 0.53], p=0.018) and t0 and t2 (0.65, 95% CI [0.48, 0.82] versus 0.41, 95% CI [0.23, 0.59], p=0.040); ‘professional development subscale’ between t0 and t1 (0.74, 95% CI [0.54, 0.94], versus 0.41, 95% CI [0.20, 0.62], p=0.006) as well as t0 and t2 (0.74, 95% CI [0.54, 0.94] versus 0.42, 95% CI [0.21, 0.63], p=0.007). Focus group discussions revealed four themes: “Job satisfaction”, “Challenges with the implementation”, “Continuity of care” and “Meaning for the mothers”. Midwives perceived the additional tasks and organisational aspects as stressors but mentioned also other work-related burdens. Discussion: Job satisfaction showed a multifactorial character and cause-effect could not be assessed conclusively. The implementation of a new intervention comprising additional tasks might increase work related stress and decrease job satisfaction in an early phase. This effect might decrease over time. Conclusion: Long term development of job satisfaction in the context of this midwife-led project remained unclear. Longer follow-up periods and larger samples in different settings should be considered in future studies.de_CH
dc.language.isoende_CH
dc.rightsLicence according to publishing contractde_CH
dc.subjectJob satisfactionde_CH
dc.subjectOccupational satisfactionde_CH
dc.subjectMidwife-led carede_CH
dc.subjectRepeat mearsure studyde_CH
dc.subject.ddc331: Arbeitsökonomiede_CH
dc.subject.ddc618: Geburtsmedizin und Hebammenarbeitde_CH
dc.titleDevelopment of midwives’ job satisfaction after the implementation of a midwife-led projectde_CH
dc.typeKonferenz: Paperde_CH
dcterms.typeTextde_CH
zhaw.departementGesundheitde_CH
zhaw.organisationalunitInstitut für Hebammenwissenschaft und reproduktive Gesundheit (IHG)de_CH
zhaw.conference.details2nd International CNHW Conference – «Effective measures to keep our treasures – How to care for health professionals», online, 29-30 April 2021de_CH
zhaw.funding.euNode_CH
zhaw.originated.zhawYesde_CH
zhaw.publication.statuspublishedVersionde_CH
zhaw.publication.reviewPeer review (Abstract)de_CH
zhaw.funding.zhawBerufszufriedenheit Hebammende_CH
zhaw.author.additionalNode_CH
zhaw.display.portraitYesde_CH
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Grylka, S., Aeberli, R., Günthard, B., Meier Käppeli, B., Leutenegger, V., Volken, T., & Pehlke-Milde, J. (2021, April). Development of midwives’ job satisfaction after the implementation of a midwife-led project. 2nd International CNHW Conference – «Effective Measures to Keep Our Treasures – How to Care for Health Professionals», Online, 29-30 April 2021.
Grylka, S. et al. (2021) ‘Development of midwives’ job satisfaction after the implementation of a midwife-led project’, in 2nd International CNHW Conference – «Effective measures to keep our treasures – How to care for health professionals», online, 29-30 April 2021.
S. Grylka et al., “Development of midwives’ job satisfaction after the implementation of a midwife-led project,” in 2nd International CNHW Conference – «Effective measures to keep our treasures – How to care for health professionals», online, 29-30 April 2021, Apr. 2021.
GRYLKA, Susanne, Regula AEBERLI, Barbara GÜNTHARD, Barbara MEIER KÄPPELI, Vanessa LEUTENEGGER, Thomas VOLKEN und Jessica PEHLKE-MILDE, 2021. Development of midwives’ job satisfaction after the implementation of a midwife-led project. In: 2nd International CNHW Conference – «Effective measures to keep our treasures – How to care for health professionals», online, 29-30 April 2021. Conference paper. April 2021
Grylka, Susanne, Regula Aeberli, Barbara Günthard, Barbara Meier Käppeli, Vanessa Leutenegger, Thomas Volken, and Jessica Pehlke-Milde. 2021. “Development of Midwives’ Job Satisfaction after the Implementation of a Midwife-Led Project.” Conference paper. In 2nd International CNHW Conference – «Effective Measures to Keep Our Treasures – How to Care for Health Professionals», Online, 29-30 April 2021.
Grylka, Susanne, et al. “Development of Midwives’ Job Satisfaction after the Implementation of a Midwife-Led Project.” 2nd International CNHW Conference – «Effective Measures to Keep Our Treasures – How to Care for Health Professionals», Online, 29-30 April 2021, 2021.


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