Please use this identifier to cite or link to this item: https://doi.org/10.21256/zhaw-19769
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dc.contributor.authorGrylka, Susanne-
dc.contributor.authorBorner, Barbara-
dc.contributor.authorPehlke-Milde, Jessica-
dc.date.accessioned2020-03-13T12:25:40Z-
dc.date.available2020-03-13T12:25:40Z-
dc.date.issued2020-02-26-
dc.identifier.issn0948-2393de_CH
dc.identifier.issn1439-1651de_CH
dc.identifier.urihttps://digitalcollection.zhaw.ch/handle/11475/19769-
dc.descriptionCopyright 2020 Thiemede_CH
dc.description.abstractIntroduction: Compared to traditional models of care, midwife-led models of care provide better opportunities for midwives to make use of their full scope of practice. This has consequences for their professional satisfaction. The aim of this survey was to gain an overview of the occupational situation of midwives in the maternity units of a Swiss canton and to compare the situations between institutions with and without midwife-led care. Methods: An online-survey was developed based on a literature search. All 17 institutions with maternity units in the canton of Zurich were eligible to participate. Data was analysed descriptively using Stata 15. Results: 16 maternity units (94.1%) participated in the survey: 12 public hospitals, 2 private hospitals, and 2 midwifery-led birthing centres. A total of 5 units (31.3%) provided midwife-led births or were birthing centres. In institutions providing midwife-led care, women and midwives were more likely to know each other before admission to birth (60.0 vs. 9.1%, p=0.063), fewer routine interventions were carried out (e. g. venous access: 20.0 vs. 81.8%, p=0.036), midwives had more decision-making competences as well as responsibility (e. g. autonomous discharge check-up: 60.0 vs. 9.1%, p=0.063) and used supervisions more often (60.0 vs. 9.1%, p=0.013). Conclusion: Fostering midwife-led models of care increases continuity of care and decreases the application of routine interventions. It also fosters the independent assumption of tasks.de_CH
dc.language.isodede_CH
dc.publisherThiemede_CH
dc.relation.ispartofZeitschrift für Geburtshilfe und Neonatologiede_CH
dc.rightsLicence according to publishing contractde_CH
dc.subjectHebammengeleitete Geburtshilfede_CH
dc.subjectKontinuität in der Betreuungde_CH
dc.subjectBerufssituationde_CH
dc.subjectKompetenzde_CH
dc.subjectPhysiologischer Prozessde_CH
dc.subject.ddc618: Geburtsmedizin und Hebammenarbeitde_CH
dc.titleBerufssituation der Hebammen in Einrichtungen mit und ohne hebammengeleitete Geburtshilfe in einem Schweizer Kantonde_CH
dc.typeBeitrag in wissenschaftlicher Zeitschriftde_CH
dcterms.typeTextde_CH
zhaw.departementGesundheitde_CH
zhaw.organisationalunitInstitut für Hebammen (IHB)de_CH
dc.identifier.doi10.1055/a-1083-7028de_CH
dc.identifier.doi10.21256/zhaw-19769-
dc.identifier.pmid32102106de_CH
zhaw.funding.euNode_CH
zhaw.issue02de_CH
zhaw.originated.zhawYesde_CH
zhaw.pages.end102de_CH
zhaw.pages.start93de_CH
zhaw.publication.statusacceptedVersionde_CH
zhaw.volume224de_CH
zhaw.embargo.end2021-02-28de_CH
zhaw.publication.reviewPeer review (Publikation)de_CH
zhaw.webfeedFamilie und Aufwachsende_CH
zhaw.funding.zhawBerufszufriedenheit Hebammende_CH
zhaw.author.additionalNode_CH
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