The experience of working alone as midwives in small-scale municipalities - a qualitative study with emphasis on...

To examine how midwives in small-scale municipalities in Norway experience working alone, with emphasis on professional loneliness.

This qualitative study was conducted using semi-structured interviews with twelve midwives. The data were analysed using Systematic Text Condensation as described by Malterud.

The experience of working alone was described in terms of managing municipality's maternity service independently, having an extensive practice and responsibility, feeling a duty to maintain up-to-date knowledge, and recognising the critical value of professional networks, both locally and centrally.

Working alone had both positive and negative impacts, and this study gives a deeper insight into professional loneliness as a challenge. A broader approach is necessary to uncover the consequences of working alone for individual midwives and the overall quality of service.