Work situation of midwives in Spain: Perception of autonomy and intention to leave the profession: a cross-sectional study

Background: Developed countries report specific issues regarding the declining midwifery workforce, and their shortage could have serious consequences for women’s sexual and reproductive health. The aim was to understand the perception of autonomy among midwives working in Spain, as well as factors...

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Detalles Bibliográficos
Autores: Iglesias-Casás, Susana, Vila-Candel, Rafael, Mena-Tudela, Desirée, Martín-Arribas, Anna, León Larios, Fátima
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2024
País:España
Institución:Universidad de Sevilla (US)
Repositorio:idUS. Depósito de Investigación de la Universidad de Sevilla
OAI Identifier:oai:idus.us.es:11441/169539
Acceso en línea:https://hdl.handle.net/11441/169539
https://doi.org/10.3390/healthcare12191994
Access Level:acceso abierto
Palabra clave:Midwifery workforce
Job autonomy
Job satisfaction
Quality of healthcare
Workplace environment
Continuity of care
Descripción
Sumario:Background: Developed countries report specific issues regarding the declining midwifery workforce, and their shortage could have serious consequences for women’s sexual and reproductive health. The aim was to understand the perception of autonomy among midwives working in Spain, as well as factors related to their intention to leave the profession and their work environment. Method: Adescriptiveandcross-sectional study using an online questionnaire. Population: midwives. working in Spain in any field (clinical, research, teaching, or management). Results: A sample of 1060 midwiveswasobtained. Of these, 53.7% (n = 569) feel autonomous in their work, 92.4% (n = 978) perceive that their profession frequently suffers from external interference, 46.6% (n = 494) have experienced sexist behaviors at work, and 53% (n = 561) have considered leaving the profession in the last year. Midwives with less than 10 years of experience (57.7%), those aged 31–45 years (59.8%), those with temporary contracts (38.3%), and those working in hospital care (71.9%) show a higher rate of considering leaving the profession (p < 0.001). Conclusions: Considering the current midwifery workforce crisis in Spain, it seems urgent to improve the working conditions of midwives to ensure the continuity and quality of women’s sexual and reproductive healthcare.