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Factors Influencing Job Satisfaction in Hospital-Based Midwives in the Mid-Career or Later Stages Yoshiko SHINOHARA 1 1Shukutoku University Keyword: 助産師 , 職務満足 , 中堅以上 , 影響要因 , Midwives , job satisfaction , mid-career or later stages , influencing factors pp.15-24
Published Date 2020/2/1
DOI https://doi.org/10.11477/mf.7011200090
  • Abstract
  • Reference

Purpose

To elucidate factors influencing job satisfaction in hospital-based midwives in the mid-career or later stages.

Method

Participants were midwives with ≥5 years clinical experience employed by hospitals with an obstetrics or obstetrics/gynecology department. To measure job satisfaction, we used a scale whose internal consistency and criterion-related validity had previously been confirmed. Multivariate analysis was performed with job satisfaction as the dependent variable and the following independent variables extracted from prior research and literature reviews: interprofessional relationships, place of work, number of deliveries at the hospital, profession of those responsible for signing the birth certificate, years of experience as a midwife, position at work, occupation when hired, responsibilities, departmental assignment request was met, and married or previously married.

Results

In total, 2063 responses were analyzed. The top 9 factors influencing job satisfaction according to standard partial regression coefficients were: interprofessional relationships (β=0.401), position at work (β=0.136), departmental assignment request was met (β=0.125), lactation consulting responsibility (β=0.101), number of deliveries at the hospital (β=0.096), delivery assistance responsibility (β=0.077), years of experience as a midwife (β=0.069), responsible for the health education of pregnant women (β=0.055), and married or previously married (β=0.050). Goodness of fit of covariance structure analysis models for these 9 factors was examined using a chi-squared test, goodness-of-fit index, adjusted goodness-of-fit index, root mean square error of approximation and Akaike information criterion. Covariance structure analysis of the following 6 independent variables was performed and a value obtained for each factor: interprofessional relationships score (0.417), position at work (0.168), met request for departmental assignment (0.129), lactation consulting responsibility (0.106), number of deliveries at the hospital (0.079), and delivery assistance responsibility (0.078). These results indicate that job satisfaction was high when interprofessional relationships were perceived positively, when the participant's position at work was high, and when their request for departmental assignment was met. Job satisfaction was also high when participants were responsible for lactation consulting and delivery assistance and when the number of deliveries at the hospital was high.

Conclusion

This study suggests that positive perception of interprofessional relationships is the most effective factor for increasing job satisfaction in hospital-based midwives in the mid-career or later stages.


Copyright © 2020, The Japan Maternal and Infant Caring Association All rights reserved.

基本情報

電子版ISSN 2758-8092 印刷版ISSN 1882-2495 日本母子看護学会

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