Aim: The study aimed to describe the various ways in which Italian midwives reconcile their profession's philosophical views about labor with the use of epidural analgesia in clinical practice. Design: Interpretive description. Methods: A purposeful sample of 41 midwives and 12 midwifery students participated in the study. Information about their perceptions and experiences of the use of epidural analgesia and how this practice aligns with their professional values were explored through in-depth interviews (n = 10 focus groups; n = 1 one-to-one interview). The constant comparative method was used to analyze the data. Results: With respect to aligning midwifery care with the administration of epidural analgesia, two midwifery positions were identified: the midwife that acted "in harmony" and the "disoriented midwife", defined by three dimensions: 1) the midwife's conception of her professional role; 2) the woman's attitude towards labor and; 3) the midwife's relationship and comfort with other professionals in the labor room. Conclusion: The results of this research highlight how difficult it can be for a midwife to reconcile a specific philosophical view of labor with the use of epidural analgesia. These findings can provide useful insights to help midwives in the challenging task of combining epidural analgesia with their philosophical view of labor to offer a better birth experience to women.
- MeSH
- epidurální analgezie * psychologie MeSH
- filosofie ošetřovatelská MeSH
- kvalitativní výzkum MeSH
- percepce MeSH
- porodní asistentky * psychologie statistika a číselné údaje MeSH
- postoj zdravotnického personálu MeSH
- průzkumy a dotazníky MeSH
- role ošetřovatelky MeSH
- rozhovory jako téma MeSH
- studenti ošetřovatelství psychologie statistika a číselné údaje MeSH
- Geografické názvy
- Itálie MeSH
Aim: The aim of the study was to check whether there is a link between perinatal stress events, self-efficacy, and burnoutin a group of midwives. According to the Job Demands-Resources model (JD-R model), perinatal stress events may be linked to burnout, and self-efficacy can play a mediating role in this connection. Design: A quantitative longitudinal study. Methods: The research involved 99 midwives working in the Polish public health service. Results: Stepwise regression analysis showed a direct relationship between perinatal stress events and emotional exhaustion (β = 0.12; p = 0.02). The results of mediation analysis suggest that self-efficacy plays the role of mediator in the perinatal stress events - emotional exhaustion relationship (β = -0.12; p < 0.001), and plays the role of suppressive variable in the perinatal stress events - disengagement from work relationship, (β = -0.10; p = 0.008). Seniority acts as a moderator between perinatal stress events and exhaustion in the relationship mediated by self-efficacy (β = 0.07; p = 0.04). Conclusion: The results confirm the assumptions of the JD-R model regarding the link between job demands, job resources, and occupational burnout. Perinatal stress events can be a predictor of exhaustion, especially when combined with low self-efficacy and limited seniority.
- Klíčová slova
- burnout, JD-R model, midwives, self-efficacy, work-related stress,
- MeSH
- lidé MeSH
- porodní asistentky * psychologie MeSH
- pracovní stres MeSH
- profesionální vyhoření MeSH
- Check Tag
- lidé MeSH
- Geografické názvy
- Polsko MeSH
Účelom príspevku je zdôrazniť význam psychosociálnej podpory počas pôrodu. Táto podpora počas pôrodu zo strany pôrodných asistentiek je dôležitá ako v somatickej, tak aj v psychologickej oblasti a je významným kritériom spokojnosti žien. Cieľom starostlivosti o ženu počas pôrodu by malo byť poskytovanie kvalitnej starostlivosti, rešpektovanie a uspokojenie individuálnych potrieb žien a vytváranie pozitívnej skúsenosti s pôrodom, ku ktorej je potrebné využiť vplyv psychosociálnych faktorov.
The purpose of this paper is to emphassise the meaning of psychosocial support during the childbirth. This support of midwives to mothers during the childbirth is important in somatic as well as psychological field and is an important criterion for women's satisfaction. The aim of caring for a woman during childbirth should be providing quality care, to respect and satisfying the individual needs of women and to create a positive experience of childbirth, to which the influence of psychosocial factors must be exploited. An accommodating, supportive and empathetic approach, good communication, sufficient information, the possibility of maternal participation in decision-making, protection of intimacy, esteem and respect for the birthing woman can increase physiological birth processes and then reduce the need of obstetric intervention. The satisfaction of women with their childbirth can have an impact on their mental and physical health, their relationship with the child, their partner and subsequently the growth of the child. Consideration of psychosocial aspects in perinatal /obstetric care is also an effective prevention of many social pathologies.
Aim:The purpose of the study was to identify the most common workplace stressors and most frequently used coping strategies among Slovak midwives, as well as the relationships between work place stressors, coping strategies, and demographic characteristics. Design: Quantitative cross-sectional study.Methods:A cross-sectional study was conducted with the research sample, which consisted of 100 midwives (females, age 37.91 ± 11.03). The Brief COPE questionnaire and Expanded Nursing Stress Scale were used. Descriptive statistic, Kruskal-Wallis Test, Student’s t-test, and Pearson’s Correlation Analysis were employed.Results: Death and dying, conflicts with doctors, and workload were the most cited stressors. Active coping, acceptance, and using instrumental support were the most frequently used coping strategies. Midwives used both problem-focused and emotion-focused strategies when dealing with work-related stressors. Conclusion:Since emotion-focused strategies are considered maladaptive in the long term, intervention strategies and education programs helping midwives in theuse of positive forms of adaptive problem-focused coping would be beneficial.
- MeSH
- adaptace psychologická klasifikace MeSH
- babictví MeSH
- demografie statistika a číselné údaje MeSH
- dospělí MeSH
- emoce MeSH
- lidé středního věku MeSH
- lidé MeSH
- porodní asistentky * psychologie statistika a číselné údaje MeSH
- pracovní stres * psychologie MeSH
- průřezové studie MeSH
- průzkumy a dotazníky MeSH
- smrt MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- ženské pohlaví MeSH
- Geografické názvy
- Slovenská republika MeSH
Aim:The aims of the literature review were to identify andanalyzefactors affecting job satisfaction of midwives. Design:Aliterature review.Methods: Included in the literature review were full texts of papers published in English language from 1990 to 2014. The search for relevant data was performed using the electronic databases CINAHL, Medline, Science Direct and Wiley Online Library. From a total of 43 studies found, 11were analyzed as quantitative studies that fulfilled the specified criteria. Results: Job satisfaction of midwives is affected by a lack of support from the management of healthcare facilities, low salary, understaffing, insufficient time for professional activities, work-family imbalance, high workload, physical demands, inadequate professional development, working environment, stress and low autonomy at work. Midwives showed signs ofexhaustion, fatigue, hostility and depression, contributing to job turnover. Conclusion:The literature review presents the factors influencing job satisfaction of midwives. This is affected by many variable determinants, which create a feeling of job satisfaction of midwives, but can also lead to job dissatisfaction and, consequently, high turnover.
Aim: The aim of the study was to: (a) determine whether there are differences between the personality profiles of students of non- medical healthcare programmes and the population standard; (b) to find out whether there are differences in the personality profiles between students of non-medical health care professions and exact sciences. Sample and methods: The sample included 141 respondents comprising of students of humanities and students of exact sciences from Faculty of Health Sciences and Faculty of Sciences, Palacký University in Olomouc. As for humanities, the sample included 73 respondents studying General Nursing and Midwifery programmes. The sample of exact sciences included 68 students of Mathematics and informatics. Standardized questionnaires EPQ-R and IVE were used. The research was conducted from December 2014 to November 2015. In order to ascertain statistically significant differences in the data compared, a parametric significance test – Student t-test – was used. Statistical hypotheses were tested on significance level α = 0.05. The IBM SPSS Statistics 20.0 was used for statistical processing and data sorting was performed using Microsoft Excel 2010. Results: The students of non-medical healthcare programmes had significantly lower score in empathy and extraversion than the population norm. On the psychoticism scale, students of non-medical healthcare programmes scored significantly higher than the population norm. No statistically significant difference was found on the neuroticism scale. A statistically significant difference in personality profiles between students of humanities and exact sciences was confirmed on the extraversion scale, with higher scores amongst students of humanities. Conclusion: Due to the finding that among the students of the field of study Midwife and General Nurse were detected low levels of empathy and high levels of psychoticism, would be useful to devote more space on the personality development of the health workers during their studies.
- MeSH
- dospělí MeSH
- emoce MeSH
- empatie MeSH
- extraverze (psychologie) MeSH
- impulzivní chování MeSH
- lidé MeSH
- mladý dospělý MeSH
- návykové chování MeSH
- osobnost MeSH
- porodní asistentky psychologie MeSH
- průzkumy a dotazníky MeSH
- studium ošetřovatelství * MeSH
- testování osobnosti * statistika a číselné údaje MeSH
- zdravotní sestry psychologie MeSH
- Check Tag
- dospělí MeSH
- lidé MeSH
- mladý dospělý MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- srovnávací studie MeSH
Introduction: The objective is to describe the experience of Czech mothers in terms of decision-making about visual and physical contact with a baby after perinatal loss, and also to explore the effect of this experience on the intensity of the mothers' grief after perinatal loss. Methods: A mixed method design using qualitative data from 18 in-depth interviews was used in the Czech Republic, as well as mixed qualitative and quantitative data from an internet based questionnaire. A total of 100 questionnaires were analyzed using “Interventions after Perinatal Loss” and the Czech version of “the Perinatal Grief Scale”. Results: The decision making of women after perinatal loss over contact with their deceased baby is influenced by internal factors (the need of a woman to get to know her child, concerns and fear of contact) and external factors (emotional support for the woman, professional information and interventions of the midwife or doctor). Internal factors are often conflicting and the social environment has the decisive say. The research has proven that a mother's independent decision about contact with a baby after perinatal loss has significant impact on the intensity of her grief. The grief of mothers who decided independently and who were sure about their decision was statistically significantly less intense than in mothers for whom the decision had been made by medical staff. Conclusion: The results of our research reflect the professional uncertainty of Czech midwives taking care of mothers after perinatal loss. This is demonstrated in a majority of cases by a paternalistic approach to communication.
- MeSH
- dítě MeSH
- kojenec MeSH
- kojenecká mortalita MeSH
- lidé MeSH
- mateřská mortalita MeSH
- narození mrtvého plodu psychologie MeSH
- novorozenec MeSH
- perinatální mortalita MeSH
- plod MeSH
- porod psychologie MeSH
- porodní asistentky * psychologie MeSH
- postoj ke smrti * MeSH
- Check Tag
- dítě MeSH
- kojenec MeSH
- lidé MeSH
- novorozenec MeSH
- ženské pohlaví MeSH
- MeSH
- císařský řez * MeSH
- interpretace statistických dat * MeSH
- kojenec MeSH
- kvalita života * MeSH
- lidé MeSH
- novorozenec MeSH
- péče o kojence * MeSH
- poporodní období * fyziologie psychologie MeSH
- porod * MeSH
- porodní asistentky * normy organizace a řízení psychologie trendy výchova využití MeSH
- porodnice * MeSH
- příprava pro nastávající rodiče * MeSH
- propuštění pacienta * MeSH
- průzkumy a dotazníky * klasifikace normy využití MeSH
- rodinné vztahy * MeSH
- sociální opora * MeSH
- sociální péče * MeSH
- těhotenství MeSH
- výzkum * normy organizace a řízení statistika a číselné údaje trendy MeSH
- zdravotní stav * MeSH
- Check Tag
- kojenec MeSH
- lidé MeSH
- novorozenec MeSH
- těhotenství MeSH
- ženské pohlaví MeSH
