Midwives’ views and experiences of providing midwifery care in the task shifting context: a meta-ethnography approach
Objective: This study aimed to explore the existing knowledge about midwives’ views and experiences of providing care for women in the context of task shifting. Methods: We conducted a qualitative systematic review using meta-ethnography to describe the views and experiences of midwives on providing...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
KeAi Communications Co., Ltd.
2020-09-01
|
| Series: | Global Health Journal |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2414644720300361 |
| _version_ | 1797869767427620864 |
|---|---|
| author | Chunyi Gu Xiaojiao Wang Lingling Li Yan Ding Xu Qian |
| author_facet | Chunyi Gu Xiaojiao Wang Lingling Li Yan Ding Xu Qian |
| author_sort | Chunyi Gu |
| collection | DOAJ |
| description | Objective: This study aimed to explore the existing knowledge about midwives’ views and experiences of providing care for women in the context of task shifting. Methods: We conducted a qualitative systematic review using meta-ethnography to describe the views and experiences of midwives on providing care in the context of task shifting. Comparative textual analysis of published qualitative studies involved translation of first-order key concepts and meanings from included studies to generate second-and third-order concepts. A grid was made to identify core findings and compare them reciprocally. Results: Thirty-six qualitative studies met the inclusion criteria. The literature comprised of 32 first key concepts. Eight second-order constructs emerged, and three third-order interpretations were generated. The three overarching themes were: (1) midwives perceived themselves as providing culturally competent and high quality women-centered care; (2) they valued their profession but saw it as complex and challenging; (3) as health professionals, they reported a variety of organizational, cultural, and professional barriers to providing women-centered care. Conclusions: While performing a specific task in the task shifting context, midwives perceived their crucial roles and responsibilities, along with achieved value and reward. However, due to a range of existing barriers, the caring task posed great challenges in completely implementing women-centered care. It is essential for systems to identify and eliminate these barriers early, to consider midwives’ emotional well-being, and to develop overall strategies to better support the midwifery workforce. Policy makers and administrators should establish a supportive environment to facilitate midwives to perform women-centered caring tasks in more effective and efficient ways. |
| first_indexed | 2024-04-10T00:16:48Z |
| format | Article |
| id | doaj.art-969d263c4af44f10a6bc6cec3e991b10 |
| institution | Directory Open Access Journal |
| issn | 2096-3947 |
| language | English |
| last_indexed | 2024-04-10T00:16:48Z |
| publishDate | 2020-09-01 |
| publisher | KeAi Communications Co., Ltd. |
| record_format | Article |
| series | Global Health Journal |
| spelling | doaj.art-969d263c4af44f10a6bc6cec3e991b102023-03-16T05:05:26ZengKeAi Communications Co., Ltd.Global Health Journal2096-39472020-09-014396106Midwives’ views and experiences of providing midwifery care in the task shifting context: a meta-ethnography approachChunyi Gu0Xiaojiao Wang1Lingling Li2Yan Ding3Xu Qian4Nursing Department, Obstetrics and Gynecology Hospital, Fudan University, 419 Fangxie Road, Shanghai 200011, China; School of Public Health, Fudan University, 138, Yi Xue Yuan Road, Shanghai 200032, China; Global Health Institute, Fudan University, 138, Yi Xue Yuan Road, Shanghai 200032, ChinaNursing Department, Obstetrics and Gynecology Hospital, Fudan University, 419 Fangxie Road, Shanghai 200011, ChinaDepartment of Obstetrics, Shanghai Changzheng Hospital, the Second Military Medical University, 415 Fengyang Road, Shanghai 200003, ChinaNursing Department, Obstetrics and Gynecology Hospital, Fudan University, 419 Fangxie Road, Shanghai 200011, China; Corresponding author:School of Public Health, Fudan University, 138, Yi Xue Yuan Road, Shanghai 200032, China; Global Health Institute, Fudan University, 138, Yi Xue Yuan Road, Shanghai 200032, China; Corresponding author:Objective: This study aimed to explore the existing knowledge about midwives’ views and experiences of providing care for women in the context of task shifting. Methods: We conducted a qualitative systematic review using meta-ethnography to describe the views and experiences of midwives on providing care in the context of task shifting. Comparative textual analysis of published qualitative studies involved translation of first-order key concepts and meanings from included studies to generate second-and third-order concepts. A grid was made to identify core findings and compare them reciprocally. Results: Thirty-six qualitative studies met the inclusion criteria. The literature comprised of 32 first key concepts. Eight second-order constructs emerged, and three third-order interpretations were generated. The three overarching themes were: (1) midwives perceived themselves as providing culturally competent and high quality women-centered care; (2) they valued their profession but saw it as complex and challenging; (3) as health professionals, they reported a variety of organizational, cultural, and professional barriers to providing women-centered care. Conclusions: While performing a specific task in the task shifting context, midwives perceived their crucial roles and responsibilities, along with achieved value and reward. However, due to a range of existing barriers, the caring task posed great challenges in completely implementing women-centered care. It is essential for systems to identify and eliminate these barriers early, to consider midwives’ emotional well-being, and to develop overall strategies to better support the midwifery workforce. Policy makers and administrators should establish a supportive environment to facilitate midwives to perform women-centered caring tasks in more effective and efficient ways.http://www.sciencedirect.com/science/article/pii/S2414644720300361Midwifery careMidwivesMeta-ethnographyQualitative studyTask shifting |
| spellingShingle | Chunyi Gu Xiaojiao Wang Lingling Li Yan Ding Xu Qian Midwives’ views and experiences of providing midwifery care in the task shifting context: a meta-ethnography approach Global Health Journal Midwifery care Midwives Meta-ethnography Qualitative study Task shifting |
| title | Midwives’ views and experiences of providing midwifery care in the task shifting context: a meta-ethnography approach |
| title_full | Midwives’ views and experiences of providing midwifery care in the task shifting context: a meta-ethnography approach |
| title_fullStr | Midwives’ views and experiences of providing midwifery care in the task shifting context: a meta-ethnography approach |
| title_full_unstemmed | Midwives’ views and experiences of providing midwifery care in the task shifting context: a meta-ethnography approach |
| title_short | Midwives’ views and experiences of providing midwifery care in the task shifting context: a meta-ethnography approach |
| title_sort | midwives views and experiences of providing midwifery care in the task shifting context a meta ethnography approach |
| topic | Midwifery care Midwives Meta-ethnography Qualitative study Task shifting |
| url | http://www.sciencedirect.com/science/article/pii/S2414644720300361 |
| work_keys_str_mv | AT chunyigu midwivesviewsandexperiencesofprovidingmidwiferycareinthetaskshiftingcontextametaethnographyapproach AT xiaojiaowang midwivesviewsandexperiencesofprovidingmidwiferycareinthetaskshiftingcontextametaethnographyapproach AT linglingli midwivesviewsandexperiencesofprovidingmidwiferycareinthetaskshiftingcontextametaethnographyapproach AT yanding midwivesviewsandexperiencesofprovidingmidwiferycareinthetaskshiftingcontextametaethnographyapproach AT xuqian midwivesviewsandexperiencesofprovidingmidwiferycareinthetaskshiftingcontextametaethnographyapproach |