Job adjustment predictive factors of healthcare midwives in health system reform in Iran

Archives of Public Health

Research

Rasool Entezarmahdi¹  Hamid Alavi Majd²  Sepideh Hajian³  Mohammadreza Rahbar⁴  Monireh Rezaee Moradali⁵ 

[1] Assistant Professor of Epidemiology, Social Determinant of Health Research Center, Clinical Research Institute, Biostatistics & Epidemiology Department, Medical School, Urmia University of Medical Sciences, Urmia, Iran;Department of Biostatistics, School of Allied Medical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran;Department of Midwifery, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Vali Asr Ave., Niayesh Cross Road, Niayesh Complex, 1996835119, Tehran, Iran;Skin and Stem Cell Research Center, Tehran University of Medical Sciences, Tehran, Iran;Student Research Committee, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran;

关键词: Adjustment;    Job satisfaction;    Work engagement;    Midwife;    Health care reform;   

DOI  :  10.1186/s13690-023-01193-1

 received in 2023-05-26, accepted in 2023-09-27,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundPossessing sensitive and multiple responsibilities in the country's health system, particularly after the implementation of the health reform in Iran, midwives must be able to optimally perform their duties in their new job as healthcare providers. This study aimed to identify the factors that predict job adjustment for Iranian midwives working in healthcare.MethodsIn this cross-sectional study, 310 midwives were recruited from 209 health centers in the Iranian province of West Azerbaijan using the census method and asked to complete research questionnaires. Data were collected using job adjustment, job satisfaction, and organizational commitment scales. SPSS version 25 was used to perform ANOVA and calculate multiple linear regression coefficients for data analysis. In addition, the AMOS software was employed for path analysis and the identification of predictive variables.ResultsThe mean age of the participants was 37.67 ± 7.1 years. Most participants (35.5%) were interested in their occupation as a midwife, and 27.1% were very interest. They had a moderate to strong tendency (76.1%) to remain in their new profession. In addition, 58.1% of participants experienced moderate job adjustment. For healthcare midwives, "desire to remain in the midwifery profession" and "organizational commitment" were significant predictors of job adjustment. "Desire to remain in the midwifery profession" directly affected midwives' job adjustment, while "interest in the new profession" had an indirect effect. Furthermore, "adequacy of income to expenses," "job satisfaction," and "organizational commitment" through the mediating role of "desire to remain in the profession" can, directly and indirectly, influence their job adjustment.ConclusionTo better prepare midwives for their role as healthcare providers, organizational managers should focus their efforts and plan primarily on providing incentives to increase the longevity of staying in the profession of midwifery increase job adjustment, job satisfaction, and organizational commitment, thereby improving the quality-of-service delivery.

【 授权许可】

CC BY   
© BioMed Central Ltd., part of Springer Nature 2023

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