Exploring Midwives' and Nurse-Midwives' Professional Identity and How Midwifery May Be Best Represented in the Public Realm: A Global Convergent Parallel Mixed-Methods Study

IF 3.4 3区医学 Q1 NURSING Journal of Advanced Nursing Pub Date : 2024-12-26 DOI:10.1111/jan.16696

Sally Pezaro, Gila Zarbiv, Jude Jones, Mariama Lilei Feika, Laura Fitzgerald, Sanele Lukele, Jacquelyn McMillan-Bohler, Olivia B. Baloyi, Ksenija Maravic Da Silva, Christine Grant, Lisa Bayliss-Pratt, Pandora Hardtman

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Abstract

Aims

With respect to midwives and nurse-midwife populations (1) measure and (2) explore professional identity and (3) explore how the midwifery profession may be best represented in the public realm.

Design

Convergent Parallel Mixed-Methods Design.

Methods

A web-based survey was used to collect data from 860 midwives and nurse-midwives from 102 countries between February and July 2022. Qualitative data were analysed inductively via reflexive thematic analysis. Statistical analysis was performed using SPSS.

Results

Nurse-midwives had a statistically significant higher professional identity score than midwives. Subthemes included pride and passion in midwifery and nurse-midwifery; motivational religiosity; celebrating role diversity and a call for the separation of nursing and midwifery. Subthemes outlining barriers to the development of a healthy professional identity related to lack of professional recognition in society and lack of respect from other professions. Subthemes related to the representation of midwifery included (1) imagery (e.g., real midwives) and (2) mediums (e.g., statues). Diminished professional identity and the conflation of midwifery with nursing were negatively associated with the recruitment and retention of midwives.

Conclusion

This is the first study to measure and investigate the professional identity of midwives and nurse-midwives concomitantly and explore how midwifery may be best represented in the public realm. Public monuments highlighting both the art and science of midwifery along with the separation of midwifery from the nursing profession and enhanced role diversity may boost the professional identity of midwives overall.

Implications for the Profession

Midwives' professional identity, status and recognition in society are key to improved perinatal outcomes, recruitment and retention. Findings will inform interventions designed to enhance the professional identity and public representation of midwives worldwide.

Impact

This research demonstrates midwives diminished professional identity. Findings will be used to bolster the midwifery profession to improve perinatal outcomes, along with the recruitment and retention of midwives to the benefit of childbearing people and their families worldwide.

Patient or Public Contribution

Global webinars were used to engage midwives and nurse-midwives in shaping the design and direction of this research.

Reporting Method

The Good Reporting of a Mixed Methods Study (GRAMMS) checklist was used to guide reporting.

Abstract Image

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探索助产士和护士助产士的职业身份，以及如何在公共领域最好地代表助产：一项全球趋同平行混合方法研究

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来源期刊

Journal of Advanced Nursing 医学-护理

CiteScore

6.40

自引率

7.90%

发文量

369

审稿时长

3 months

期刊介绍： The Journal of Advanced Nursing (JAN) contributes to the advancement of evidence-based nursing, midwifery and healthcare by disseminating high quality research and scholarship of contemporary relevance and with potential to advance knowledge for practice, education, management or policy. All JAN papers are required to have a sound scientific, evidential, theoretical or philosophical base and to be critical, questioning and scholarly in approach. As an international journal, JAN promotes diversity of research and scholarship in terms of culture, paradigm and healthcare context. For JAN’s worldwide readership, authors are expected to make clear the wider international relevance of their work and to demonstrate sensitivity to cultural considerations and differences.