Nurse Disrespect and Abuse Toward Laboring and Child-Birthing Women

Abstract

Background: Disrespect and abuse of laboring and child-birthing women in healthcare is a global problem that violates a woman's right to respectful care. The abuse can be life-threatening and jeopardizes their rights to health, bodily integrity, and freedom from discrimination. This study aimed to understand the factors influencing nurse and midwife disrespect and abuse of child-birthing women in healthcare settings.Methods: An exploratory, nonexperimental, cross-sectional design was used to identify correlates and predictors of disrespect and abuse of child-birthing women by nurses/midwives. Pearson product-moment correlation and hierarchical multiple regression analyses were used to explore the relationships between nurse intrapersonal, interpersonal (Nursing Incivility Scale), organizational/structural factors (Professional Practice Work Environment Inventory), and disrespect and abuse (Disrespect and Abuse Scale) toward women during labor and childbirth. An online electronic survey was used to collect data from an international nursing and midwifery population from May 2021 to September 2021. Data were collected from 231 nurses and midwives. Results:The standardized regression coefficients showed that gender, number of hours worked per week, and organizational/ structural factors were all predictors of disrespect and abuse. Organizational/structural factors were the strongest predictor of disrespect and abuse, accounting for 20% of the variance in the regression model.Discussion: These findings support the patient abuse in healthcare model, where researchers hypothesized that nurse/midwife intrapersonal, interpersonal, and organizational/structural factors contribute to patient abuse in healthcare settings. Work environment, gender, and number of hours worked per week were significant predictors of disrespect and abuse. The results of this study support future research that addresses unhealthy work environments and develops policies to transform the values and norms of labor and delivery.

The Relationship Between Restrictive Regulation of Midwives, Practice Environment, and Professional Burnout

“…38 A study of predictors of disrespect and abuse toward laboring and childbearing women across 22 countries found that practice environment had a larger effect than inter-or intrapersonal factors. 39 The findings suggest that state regulations do have the potential to affect practice environment. For example, respondents in RR states were more overwhelmed with the demands in their practice setting and felt disempowered to effect change to reduce those demands.…”

“…The impact of practice environment extends to maternal health outcomes; in a large sample of US nurses, researchers found a positive association between practice environment and missed care 38. A study of predictors of disrespect and abuse toward laboring and childbearing women across 22 countries found that practice environment had a larger effect than inter- or intrapersonal factors 39…”