Enhancing Midwives’ Occupational Well-Being: Lessons From New Zealand’s COVID-19 Experience

Date
2024-05-17
Authors
Mharapara, Tago L
Ravenswood, Katherine
Clemons, Janine H
Kirton, Gill
Greenslade-Yeats, James
Supervisor
Item type
Journal Article
Degree name
Journal Title
Journal ISSN
Volume Title
Publisher
Ovid Technologies (Wolters Kluwer Health)
Abstract

Background The World Health Organization posits that adequate maternity health is possible if midwives are supported, respected, protected, motivated, and equipped to work safely and optimally within interdisciplinary health care teams. Based on qualitative survey data, we argue that the COVID-19 pandemic amplified job demands and resources, professional invisibility, and gender norms to negatively impact midwives' well-being.

Purposes We aim to develop a refined understanding of the antecedents of well-being in midwifery to equip policymakers, administrators, and professional associations with the knowledge to enhance midwives' well-being postpandemic.

Methodology/Approach Drawing on the Job Demands–Resources model, we thematically analyzed qualitative survey data (N = 215) from New Zealand midwives to reveal how job demands, resources, and structural factors impacted midwives' well-being.

Results We identified fear of contracting and spreading COVID-19, financial and legal imperatives (job demands), work-related hypervigilance, sense of professional duty, practical and social support, and appreciation and recognition (job resources) as key antecedents of midwives' well-being. These job demands and resources were influenced by professional invisibility and gender norms.

Conclusion Policy and practice solutions must address job demands, resources, and structural factors to meaningfully enhance midwives' well-being postpandemic.

Practice Implications We recommend that policymakers, administrators, and professional associations monitor for signs of overcommitment and perfectionistic strivings and then take appropriate remedial action. We also suggest that midwives receive equitable pay, sick leave, and other related benefits.

Description
Keywords
1117 Public Health and Health Services , 1503 Business and Management , 1605 Policy and Administration , Health Policy & Services , 3507 Strategy, management and organisational behaviour , 4203 Health services and systems , 4206 Public health
Source
Health Care Management Review, ISSN: 0361-6274 (Print); 1550-5030 (Online), Ovid Technologies (Wolters Kluwer Health). doi: 10.1097/hmr.0000000000000406
Rights statement
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