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Proactive behaviour in midwifery practice: A qualitative overview based on midwives' perspectives.
Eveline Mestdagh1, Olaf Timmermans2, Yvonne Fontein-Kuipers3
1Bachelor in Midwifery, Department of Health and Social Work, Artesis Plantijn University College Antwerp, Noorderplaats 2, 2000 Antwerp, Belgium; Centre for Research and Innovation in Care, University Antwerp, Universiteitsplein 1, 2610 Antwerp, Belgium.
Summary
Midwives need supportive environments and continuous learning to foster proactive behavior, enhancing job satisfaction and stress resistance in evolving healthcare settings. This study identifies key facilitators and barriers to proactive midwifery practice.
Area of Science:
- Midwifery
- Healthcare Management
- Organizational Psychology
Background:
- Contemporary midwifery practice demands proactive behavior for improved efficiency and job satisfaction.
- Understanding facilitators and barriers to proactive behavior is crucial for professional development.
Purpose of the Study:
- To explore midwives' perceptions of factors influencing proactive behavior.
- To identify facilitators and barriers to proactive behavior in midwifery practice.
Main Methods:
- Qualitative descriptive study design.
- Individual semi-structured interviews conducted with 102 Flemish and Dutch midwives.
- Data collected using a four-item topic-list between September and December 2017.
Main Results:
- Six key influencing factors were identified: causal, contextual, and conditional.
- Midwives emphasized the need for team consultations, a safe organizational culture, and supportive leadership.
- Addressing healthcare challenges and societal pressures requires specific coping strategies.
Conclusions:
- The study confirms and expands previous research on proactive behavior in midwifery.
- Identified factors provide a basis for enhancing proactive behavior in daily practice, education, and policy.
- Further research is recommended for transferring these findings into actionable recommendations.