Browsing by Subject "Midwifery"

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    Barriers Perceived by Managers and Clinical Professionals Related to the Implementation of Clinical Practice Guidelines for Breastfeeding through the Best Practice Spotlight Organization Program
    (MDPI, 2020-08-27) Ramos Morcillo, Antonio Jesús; Armero Barranco, David; Leal Costa, César; Moral García, José Enrique; Ruzafa Martínez, María; Harillo Acevedo, Francisco David; Enfermería
    : International institutions facilitate the contact of health professionals to evidence-based recommendations for promoting exclusive breast feeding (BF). However, the achievement of good rates of exclusive BF is still far from the optimum. The intention of the present work is to determine the barriers identified by managers and health professionals involved in the implementation and sustainability of Clinical Practice Guidelines (CPG) for breastfeeding under the auspices of the Best Practice Spotlight Organization program. A qualitative research study was carried out. The participants were managers, healthcare assistants, nurses, midwives, pediatricians and gynecologists. Semi-structured interviews were conducted which were transcribed and analyzed using the six steps of thematic analysis. Twenty interviews were conducted, which defined four major themes: (1) Lack of resources and their adaptation; (2) Where, Who and How; (3) Dissemination and reach of the project to the professionals; and (4) The mother and her surroundings. This research identifies the barriers perceived by the health professionals involved in the implementation, with the addition of the managers as well. Novel barriers appeared such as the ambivalent role of the midwives and the fact that this CPG is about promoting health. The efforts for promoting the implementation program should be continuous, and the services should be extended to primary care.
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    Construction and validation of the “labour ward job satisfaction scale for midwives (LWJSS-M)” in Spain
    (BioMed Central, 2025-10-14) Pérez Castejón, Marta; Martínez Alarcón, Laura; Leal Costa, César; Suárez Cortés, María; Vera Pérez, José Antonio; Jiménez Ruiz, Ismael; Enfermería
    Background Midwives’ job satisfaction is essential to ensuring high quality obstetric care and promoting the well-being of both women and healthcare professionals. However, the medicalised model of childbirth and role conflicts within multidisciplinary teams reduce job satisfaction and increase burnout, leading to high rates of staff turnover. There is therefore a need to develop a comprehensive tool to assess the job satisfaction of midwives working in birthing rooms. Thus, the aim of this study is to develop and validate the following scale: Satisfacción Laboral en Paritorio para Matronas (SLP-M) [Job Satisfaction of Midwives in the Birthing Room]. Methods A two-phase instrumental study was conducted. Firstly, to develop the new instrument a systematic review with meta-analysis and a phenomenological qualitative study were carried out. An expert content validation and the content validity index were conducted. For the validation, psychometric properties of the scale were analysed: item performance, reliability, evidence of validity and its internal structure. Non-probabilistic sampling was used with a minimum of 10 participants per item. They were midwives involved in childbirth areas and were recruited via online. Results A total of 476 complete responses were recorded, with the scale achieving an overall McDonald’s omega of 0,937. Following confirmatory factor analysis, two items with factor loadings below 0.30 were eliminated and the five-dimension model was selected as a good fit, among which are: professional skills in supporting the childbirth process; functional multidisciplinary team; intraprofessional relationships and cooperation; satisfaction with antenatal education and working conditions/determinants of job satisfaction. Conclusion The SLP-M consists of 37 items with good internal consistency, grouped into five dimensions. This approach is designed to ensure the continued viability of the midwifery profession and the quality of care provided.
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    Job satisfaction among midwives in high-intervention birthing rooms: a qualitative phenomenological study
    (MDPI, 2025-06-02) Pérez-Castejón, Marta; Molina Rodríguez, Alonso; Martínez Alarcón, Laura; Jiménez Ruiz, Ismael; Enfermería; Facultad de Enfermería
    Objectives: To identify the factors influencing the job satisfaction of midwives working in birthing rooms with a medium to high level of obstetric intervention. Methods: A qualitative phenomenological–hermeneutic design based on Heideggerian philosophy was implemented. A study involving 25 participants, midwives, and resident nurses (RINs) was conducted. Residents were included to enrich the analysis with their critical perspectives with regard to interventional procedures and exposure to acts of obstetric violence. Convenience sampling was used. Data were collected from four focus groups in three hospitals in the region and one in-depth interview between 30 September 2022 and 23 June 2023. The testimonies were recorded and transcribed verbatim, and data analysis was carried out using an inductive–deductive approach. The triangulation of data and researchers was used to minimise potential bias. Results: The participants highlighted the following key dimensions or areas that contribute to midwives’ job satisfaction in the labour and birthing room: maternal satisfaction, professional competencies, multidisciplinary team, working conditions, and interventions during childbirth. Conclusions: These findings may inform healthcare management strategies to reduce burnout and improve working conditions in maternity care settings.
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    Job satisfaction in midwives working in labour ward: a systematic review with meta-analysis
    (Elsevier, 2024-07-19) Pérez Castejón, Marta; Suárez Cortés, María; Jiménez Ruiz, Ismael; Jiménez Barbero, José Antonio; Enfermería; Facultades de la UMU::Facultad de Enfermería
    Abstract Problem: There is little documented evidence of job satisfaction in midwives who work in birthing rooms. Background: Job satisfaction in midwives who work in birthing rooms may have changed in recent decades due to the medicalization of maternal health. Aim: To analyse job satisfaction levels among midwives working in birthing rooms. Methods: We searched Web of Science, SCOPUS, MEDLINE, CUIDEN and CINAHL for observational and mixed method studies. The literature search was carried out from September to October 2022. Findings: A total of 13 studies were included in the systematic review. A meta-analysis of the variable "midwives' job satisfaction" was performed on 12 of the studies. Midwives rated their job satisfaction positively: DME, CI (95%) = 1.24 [0.78, 1.69]. Subgroup 1: DME, CI (95%) = 2.41 [2.05, 2.76]); Subgroup 2: DME, CI (95%) = 0.76 [0.65, 0.86]; subgroup 3: DME, CI (95%) = 1.11 [0.95, 1.27]; subgroup 4: DME, CI (95%) = 0.10 [-0.11, 0.31]. Discussion: Although midwives show high levels of satisfaction, the heterogeneity of instruments, lack of specificity and limited number of studies found restrict the outcomes. Conclusion: There are no specific measurement instruments for assessing job satisfaction among midwives working in labour wards, so it is possible that these data do not correspond to reality as they do not take into account specific professional aspects within this field of practice.
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    Motivación y compromiso laboral en una población de profesionales de Enfermería
    (Universidad de Murcia : servicio de publicaciones, 2026) Santana Padilla, Yeray Gabriel; Sánchez Barber, Fayna; Soria Martín, Dara Carolina; Reyes Reyes, Oliver; Sin departamento asociado
    Background:The motivation and work engagement of healthcare professionals are an area of interest for healthcare management. Nurses, midwives, and nursing assistants (TCAE) represent an essential resource in the healthcare system. Objective: to analyze the relationship between motivation and work engagement in nursing professionals at a tertiary hospital, describing the levels of each construct and its dimensions.Material and Method: Descriptive-correlational transversal observational study conducted at a single center using a questionnaire. The participants were nursing staff. Work motivation was measured using Hackman and Oldham's Job Diagnosis Survey (JDS) scale, and work engagement was assessed with the shortened Utrecht Work Engagement Scale (UWES-9). Both scales were analysed based on their total scores and underlying dimensions.Outcomes: 350 nursing professionals participated in the survey. The most represented category was nurses with 177 (50.6%), followed by nursing assistants with 146 (41.7%) and midwives with 27 (7.7%). The JDS and UWEs-9 scale scores were 77.16± 8.786 and 4.49±1.130, respectively. On the JDS scale, midwives had significantly higher scores for task variety (p<0.001), while nursing assistants had higher scores for task identity (p<0.001) and feedback (p<0.001). In terms of work engagement, dedication and absorption scored highly with 4.81 and 4.29.Conclusions:The level of motivation and work engagement are average. As points for action, better feedback on performance and the impact of tasks on midwives and nurses is needed.
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    Perineal protection methods: knowledge and use
    (Universidade de São Paulo, Escola de Enfermagem, 2021-09-01) López Martínez, Esther María; Avilés Sáez, Zaraida; Hernández Sánchez, Encarnación; Camacho Ávila, Marcos; Marín Conesa, Ester; Conesa Ferrer, María Belén; Enfermería
    Objective: To analyse the knowledge and use of perineal protection methods during the expulsive stage by health professionals involved in childbirth and whether they correspond to the World Health Organization’s recommendations. Method: This was a cross-sectional descriptive study aimed at health workers involved in births in Spain. Results: Fifty-seven professionals participated in the study: midwives (47%), gynaecologists (25%), nurse residents (14%) and resident physicians (14%) in obstetrics and gynaecology. The degree of knowledge and use of perineal protection methods differed according to the position held and was very limited among gynaecologists and resident physicians. The only method recognized by all positions was “hands on” (p = 0.05). “Hands off ” (p = 0.002), “delayed pushing” (p = 0.0001) and “maternal posture” (p = 0.03) were only known to midwives and nurse residents. “Flexion technique” (p = 0.035) and “delayed pushing” (p = 0.011) were used effectively by midwives and nurse residents. “Episiotomy” was erroneously identified as a method to protect the perineum by gynaecologists and resident physicians (p = 0.003). Conclusion: The degree of knowledge and use of perineal protection methods by health care professionals does not correspond to the recommendations of the World Health Organization. ---------------------
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    Using the Knowledge-to-Action Framework to understand experiences of breastfeeding guideline implementation: A qualitative study
    (Wiley, 2020-08-03) Ramos Morcillo, Antonio Jesús; Ruzafa Martínez, María; Harillo Acevedo, Francisco David; Enfermería