Woman-centered care and associated factors among midwives working in urban health centers and public and private hospitals in Tabriz, Iran: a cross-sectional study
Abstract Background Woman-centered care (WCC) is the cornerstone of the midwifery profession. However, no study has been conducted on WCC provided by Iranian midwives and its associated factors. Thus, this study aimed to determine WCC and factors associated with midwives’ WCC for midwives working in...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-09-01
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| Series: | Reproductive Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12978-023-01681-1 |
| _version_ | 1797559325551493120 |
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| author | Sepideh Mashayekh-Amiri Roghaiyeh Nourizadeh Sakineh Mohammad-Alizadeh-Charandabi Maryam Vaezi Shahla Meedya Mojgan Mirghafourvand |
| author_facet | Sepideh Mashayekh-Amiri Roghaiyeh Nourizadeh Sakineh Mohammad-Alizadeh-Charandabi Maryam Vaezi Shahla Meedya Mojgan Mirghafourvand |
| author_sort | Sepideh Mashayekh-Amiri |
| collection | DOAJ |
| description | Abstract Background Woman-centered care (WCC) is the cornerstone of the midwifery profession. However, no study has been conducted on WCC provided by Iranian midwives and its associated factors. Thus, this study aimed to determine WCC and factors associated with midwives’ WCC for midwives working in urban health centers and public and private hospitals in Tabriz, Iran. Methods This cross-sectional study was the first part (i.e., the quantitative phase) of a sequential explanatory mixed-method study conducted on 575 midwives working in urban health centers and public and private hospitals in Tabriz-Iran from November 2022 to January 2023. The required data was collected by distributing a socio-demographic and job characteristics questionnaire and woman-centered care scale-midwife self-report (WCCS-MSR). To determine the factors associated with WCC, an independent t-test or one-way analysis of variance (ANOVA) was used in bivariate analysis, and a general linear model (GLM) was employed in multivariate analysis to control possible confounding variables. Results The statistical population consisted of 575 midwives, with a response rate of 88.2%. According to the GLM, the total mean WCCS-MSR score of single [β (95% CI) 23.02 (7.94 to 38.10)] and married [β (95% CI) 21.28 (6.83 to 35.72)] midwives was significantly higher than that of divorced midwives after adjusting their demographic and job characteristics. Also, the total mean WCCS-MSR score of midwives with sufficient income was significantly higher than those with insufficient income [β (95% CI) 8.94 (0.12 to 17.77). In addition, the total mean WCCS-MSR score of midwives with < 5 years of work experience [β (95% CI) − 7.87 (− 14.79 to − 0.94)], and midwives with official-experimental employment status [β (95% CI) − 17.99 (− 30.95 to − 5.02)], was significantly lower than those with more than 5 years of work experience and contractual employment status. Conclusions The findings indicate that marital status, level of income, years of practice, and employment status were significantly related to WCC provided by midwives. Focusing only on the midwifery community is insufficient to ensure the improved quality of WCC. However, arrangements should be made at three levels, including policy-makers, managers, and health care provider (midwives). |
| first_indexed | 2024-03-10T17:43:43Z |
| format | Article |
| id | doaj.art-5619511629564704b6135a1d10af78f6 |
| institution | Directory Open Access Journal |
| issn | 1742-4755 |
| language | English |
| last_indexed | 2024-03-10T17:43:43Z |
| publishDate | 2023-09-01 |
| publisher | BMC |
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| series | Reproductive Health |
| spelling | doaj.art-5619511629564704b6135a1d10af78f62023-11-20T09:36:40ZengBMCReproductive Health1742-47552023-09-0120111010.1186/s12978-023-01681-1Woman-centered care and associated factors among midwives working in urban health centers and public and private hospitals in Tabriz, Iran: a cross-sectional studySepideh Mashayekh-Amiri0Roghaiyeh Nourizadeh1Sakineh Mohammad-Alizadeh-Charandabi2Maryam Vaezi3Shahla Meedya4Mojgan Mirghafourvand5Students Research Committee, Midwifery Department, Tabriz University of Medical SciencesDepartment of Midwifery, Faculty of Nursing & Midwifery, Tabriz University of Medical SciencesDepartment of Midwifery, Faculty of Nursing & Midwifery, Tabriz University of Medical SciencesDepartment of Obstetrics and Gynecology, Fellowship of Gynecology Oncology, Alzahra Teaching Hospital, Tabriz University of Medical SciencesSouth Asia Infant Feeding Research Network (SAIFRN), Faculty of Science, Medicine and Health, School of Nursing, University of WollongongSocial Determinants of Health Research Center, Tabriz University of Medical SciencesAbstract Background Woman-centered care (WCC) is the cornerstone of the midwifery profession. However, no study has been conducted on WCC provided by Iranian midwives and its associated factors. Thus, this study aimed to determine WCC and factors associated with midwives’ WCC for midwives working in urban health centers and public and private hospitals in Tabriz, Iran. Methods This cross-sectional study was the first part (i.e., the quantitative phase) of a sequential explanatory mixed-method study conducted on 575 midwives working in urban health centers and public and private hospitals in Tabriz-Iran from November 2022 to January 2023. The required data was collected by distributing a socio-demographic and job characteristics questionnaire and woman-centered care scale-midwife self-report (WCCS-MSR). To determine the factors associated with WCC, an independent t-test or one-way analysis of variance (ANOVA) was used in bivariate analysis, and a general linear model (GLM) was employed in multivariate analysis to control possible confounding variables. Results The statistical population consisted of 575 midwives, with a response rate of 88.2%. According to the GLM, the total mean WCCS-MSR score of single [β (95% CI) 23.02 (7.94 to 38.10)] and married [β (95% CI) 21.28 (6.83 to 35.72)] midwives was significantly higher than that of divorced midwives after adjusting their demographic and job characteristics. Also, the total mean WCCS-MSR score of midwives with sufficient income was significantly higher than those with insufficient income [β (95% CI) 8.94 (0.12 to 17.77). In addition, the total mean WCCS-MSR score of midwives with < 5 years of work experience [β (95% CI) − 7.87 (− 14.79 to − 0.94)], and midwives with official-experimental employment status [β (95% CI) − 17.99 (− 30.95 to − 5.02)], was significantly lower than those with more than 5 years of work experience and contractual employment status. Conclusions The findings indicate that marital status, level of income, years of practice, and employment status were significantly related to WCC provided by midwives. Focusing only on the midwifery community is insufficient to ensure the improved quality of WCC. However, arrangements should be made at three levels, including policy-makers, managers, and health care provider (midwives).https://doi.org/10.1186/s12978-023-01681-1Woman-Centred CareWCCS-MSRMidwifeSelf-reportCross-sectional studyIran |
| spellingShingle | Sepideh Mashayekh-Amiri Roghaiyeh Nourizadeh Sakineh Mohammad-Alizadeh-Charandabi Maryam Vaezi Shahla Meedya Mojgan Mirghafourvand Woman-centered care and associated factors among midwives working in urban health centers and public and private hospitals in Tabriz, Iran: a cross-sectional study Reproductive Health Woman-Centred Care WCCS-MSR Midwife Self-report Cross-sectional study Iran |
| title | Woman-centered care and associated factors among midwives working in urban health centers and public and private hospitals in Tabriz, Iran: a cross-sectional study |
| title_full | Woman-centered care and associated factors among midwives working in urban health centers and public and private hospitals in Tabriz, Iran: a cross-sectional study |
| title_fullStr | Woman-centered care and associated factors among midwives working in urban health centers and public and private hospitals in Tabriz, Iran: a cross-sectional study |
| title_full_unstemmed | Woman-centered care and associated factors among midwives working in urban health centers and public and private hospitals in Tabriz, Iran: a cross-sectional study |
| title_short | Woman-centered care and associated factors among midwives working in urban health centers and public and private hospitals in Tabriz, Iran: a cross-sectional study |
| title_sort | woman centered care and associated factors among midwives working in urban health centers and public and private hospitals in tabriz iran a cross sectional study |
| topic | Woman-Centred Care WCCS-MSR Midwife Self-report Cross-sectional study Iran |
| url | https://doi.org/10.1186/s12978-023-01681-1 |
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