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Factors Related to Midwives' Motivation to Implement In-Hospital Midwifery System Chikako HARADA 1 , Masuko SAITO 2 1School of Nursing Faculty, Toho University 2Department of Nursing Teikyo University of Science Keyword: 院内助産システム , 助産外来 , 院内助産 , 実践能力 , 助産師経験年数 , in-hospital midwifery system , midwifery outpatient unit , midwife-managed delivery unit , midwifery capability , years of midwifery experien pp.13-23
Published Date 2016/2/1
DOI https://doi.org/10.11477/mf.7011200049
  • Abstract
  • Reference

Objective

This study was conducted to investigate (1) the degree of midwives' motivation for implementation of an in-hospital midwifery system and (2) correlations between the motivation and their midwifery capability and individual characteristics.

Materials and Methods

A mail-in survey was conducted on 528 midwives working in the maternity units and obstetrics/gynecology units of hospitals in Tokyo. The questionnaire worked out by the authors included questions on individual attributes, in-hospital midwifery system and midwifery capability. The completed questionnaires were retrieved by return mail from individual respondents.

Results

More than 70% of the respondents showed a positive motivation for the in-hospital midwifery system, answering "really want to implement it" or "want to implement". No significant correlation was observed between such motivation and the degree of their midwifery capability. As to the correlation between such motivation and individual characteristics, the only factor significantly correlated was "years of midwifery experience", among "years of midwifery experience", "types of hospitals for which they work", "midwifery education institutions" and "number of birth assistances"..

Conclusions

The midwives involved in this study were positive about implementation of the in-hospital midwifery system. No significant difference was observed between the motivation for implementation of the in-hospital midwifery system and their midwifery capability. As to the mean score of their midwifery capability for each of the pregnancy-, intrapartum-, puerperal- neonatal- and other periods, the mean scores of the pregnancy- and intrapartum periods were lower than that of other periods. Enhancement of midwifery capability for the pregnancy- and intrapartum periods is necessary to further promote the in-hospital midwifery system and play a pivotal role as a midwife. In addition, it was suggested necessary to take some age-based approaches to promote the in-hospital midwifery system because the factor "years of experience" was correlated with the motivation for implementation of the in-hospital midwifery system.


Copyright © 2016, The Japan Maternal and Infant Caring Association All rights reserved.

基本情報

電子版ISSN 印刷版ISSN 1882-2495 日本母子看護学会

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