Exploring values and ideologies of Dutch community midwives, a qualitative study

Area of Science:

• Midwifery
• Sociology
• Healthcare Management

Background:

• Dutch community midwifery is guided by core values like client-centered care and autonomy.
• Conflicts with colleagues or parents can challenge these professional values.
• Attrition among midwives necessitates strategies to address value conflicts.

Purpose of the Study:

• Investigate conflicting values and ideologies among Dutch community midwives.
• Develop practical, organizational, and educational strategies to reduce midwife attrition.
• Enhance understanding of the ideological underpinnings of Dutch midwifery.

Main Methods:

• Qualitative research using a constructivist paradigm.
• Semi-structured interviews with community midwives in group and solo practices.
• Iterative data collection and thematic analysis from March to June 2023.

Main Results:

• Identified core values: client-centered care, autonomy, empowerment, connections, tailored care, professional development.
• Midwives prioritize high-quality care, reflection, continuous professional growth, and well-being.
• Internal conflicts can challenge deeply held professional values.

Conclusions:

• Dutch community midwifery is shaped by distinct ideologies and core values.
• Navigating value conflicts and resource limits requires continuous reflection for sustainable practice.
• Awareness and reflection on professional values are crucial for reducing conflicts and improving care quality globally.