Stress in midwifery: A comparison of midwives and nurses using the work environment scale

Carlisle, Caroline; Baker, Gus A.; Riley, Martin; Dewey, Michael

doi:10.1016/0020-7489(94)90003-5

Cited by 29 publications

(21 citation statements)

References 18 publications

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“…These conditions will likely be exacerbated for the new midwives educated in the baccalaureate programme as they are younger and will attempt to manage being new mothers and new midwives at the same time. Younger cohorts have been noted elsewhere as being most susceptible to burnout (Carlisle et al, 1994) but the continuity of care model adds another layer to this trend.…”

Section: Discussionmentioning

confidence: 95%

“…Problems arise in the UK context because the majority of midwifery is not organized in a way to provide continuity of care and this is a major cause of disillusionment amongst midwives. Indeed, some argue that some midwives' lack of preparedness and training to provide continuity of care can lead to insecurity and occupational stress (Carlisle, Baker, Riley, & Dewey, 1994). Sandall (1997) also focused on how midwives were able to combine the provision of continuity of care with childcare commitments, and found that if they have occupational autonomy, adequate remuneration for being on call, and social and emotional support at home and work, midwives were able to cope with these tensions in professional and familial roles.…”

Section: The Caring Dilemma In Midwiferymentioning

confidence: 98%

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The Caring Dilemma in Midwifery

Bourgeault¹,

Luce²,

MacDonald³

2006

Community, Work & Family

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THE CARING DILEMMA IN MIDWIFERYBalancing the needs of midwives and clients in a continuity of care model of practice The caring dilemma, first described by Reverby in 1987, denotes the tension caused by being obliged to provide care without the right to determine how that care is to be provided. Such a dilemma is salient in the practice of midwifery based on a continuity of care model that has recently emerged or been implemented in various jurisdictions. Briefly, this model involves the provision of care by a single midwife or pair of midwives to a woman throughout her pregnancy, birth and post-natal period. Continuity of care necessitates that midwives be on call for significant lengths of time to ensure attendance at the woman's birth. It is the on-call nature of this form of midwifery work that most significantly poses a caring dilemma for midwives. In this paper, we trace both the structural and experiential aspects of the caring dilemma through an examination of midwifery in the Canadian province of Ontario. Our analysis reveals that despite being a salient feature of midwifery practice, some work structures can be created to mediate the caring dilemma experienced by midwives.Le dilemme de la prise en charge, que Reverby a évoqué la première fois en 1987, dénote la tension que cause le fait d'être tenu d'offrir une prise en charge sans avoir le droit d'établir de quelle manière l'offrir. L'exemple des sages-femmes, dont la pratique repose sur un type de soin continu qui est récemment apparu ou qu'on vient de mettre sur pied dans diverses administrations, illustre très clairement ce dilemme. Pour résumer, ce modèle veut qu'une femme enceinte soit prise en charge pendant sa grossesse, a`son accouchement et durant sa période postnatale par une ou deux sages-femmes. La continuité de la prise en charge oblige les sages-femmes a`être sur appel durant des périodes prolongées pour que la femme qui accouche bénéficie de leur présence. Pour les sages-femmes, c'est la nature même de leur travail effectué sur appel qui engendre, de façon cruciale, le dilemme de la prise en charge. Dans cet article, nous abordons les aspects structurels et expérimentaux que représente le dilemme de la prise en charge par le biais d'une étude sur la pratique du métier de sagefemme dans la province canadienne de l'Ontario. Notre analyse révèle que, si le dilemme de la prise en charge est inhérent a`la profession de sage-femme, il n'empêche que des structures professionnelles peuvent être mises en place pour en atténuer les aspects négatifs.Mot clés la profession de sage-femme; soigner le travail; le professionel s'intéresse; le client s'intéresse

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Section: Discussionmentioning

confidence: 95%

Section: The Caring Dilemma In Midwiferymentioning

confidence: 98%

The Caring Dilemma in Midwifery

Bourgeault¹,

Luce²,

MacDonald³

2006

Community, Work & Family

View full text Add to dashboard Cite

show abstract

“…Job control may involve having control over the predictability of work, the scheduling of work, and the amount of work (Dwyer & Ganster, 1991). Job control is a relevant stressor within the context of Canadian midwifery because evidence from international midwifery suggests that midwives do tend to feel less autonomy than their nurse colleagues (Carlisle, Baker, Riley, & Dewey, 1994) and they may experience high unpredictability of work and little control over the scheduling and amount of work they do each day or week (e.g., Bakker et al, 1996;Harworth-Brockman, 2002;Hird, 2002).…”

Section: ) Job Content Andmentioning

confidence: 99%

“…For example, Zimmer (2005) describes a situation where ambiguity in assigned roles can lead to stressful interactions between midwives and nurses. Moreover, research in the British midwifery context found that role stressors are significant contributors to midwives' experience of stress (Carlisle et al, 1994).…”

Section: ) Role Stressorsmentioning

confidence: 99%