Background
Methods
Study design, settings and participants
Sample size
Measurements of job satisfaction and D&A
Data collection and analysis
Results
Characteristics of participants and study settings
Variable | Response | Measure |
---|---|---|
Age in years, Mean (SD) | 34.3 (±8.4) | |
Sex, n (%) | Male | 54 (12.3) |
Female | 385 (87.7) | |
Living with family members, n (%) | Yes | 375 (85.4) |
No | 64 (14.6) | |
Having to care for other persons in household, n (%) | Yes | 363 (82.7) |
No | 76 (17.3) | |
Having a house keeper at home, n (%) | Yes | 287 (65.4) |
No | 152 (34.6) | |
Level of educational attainment, n (%) | College graduates or lower | 390 (88.8) |
University graduates or higher | 49 (11.2) | |
Job status level | Head / In-charge nurse | 129 (29.4) |
Staff nurse / assistant | 310 (70.6) | |
Length of nursing experience in years, Mean (SD) | 8.7 (±8.0) | |
Commute time to work (minutes), Mean (SD) | 77.8 (±51.2) | |
Working hours per week (hours), Mean (SD) | 49.4 (±22.4) | |
Working in night shift, n (%) | Yes | 299 (68.1) |
No | 140 (31.9) | |
Working overtime, n (%) | Yes | 192 (43.7) |
No | 247 (56.3) | |
Number of births conducted in the last month, Mean (SD) | 25.0 (±27.9) | |
Number of days off per month (days), n (%) | less than 8 days | 134 (30.5) |
8 days or more | 305 (69.5) | |
Taking a break during evening shift | Morning shift (6 h: 7・8 am - 1・2 pm), Mean (SD) (Range: 1=never - 5=always) | 1.7 (0.7) |
Evening shift (6 h: 1・2 pm - 7・8 pm), Mean (SD) (Range: 1=never - 5=always) | 1.8 (0.7) | |
Night shift (12 h: 7・8 pm - 7・8 am), Mean (SD) (Range: 1=never - 5=always) | 1.1 (1.0) | |
Monthly salary (USD), Mean (SD) | 238 (±110.6) | |
IWSa total score (Range: 44 - 308) | 179.8 (26.2) |
Reported D&A behaviors
Enacted | Not enacted | |||||
---|---|---|---|---|---|---|
Total N (%) | Always n (%) | Often n (%) | Sometimes n (%) | Seldom n (%) | Never N (%) | |
Not draping women's legs when preforming vaginal examination | 290 (66.0) | 140 (31.9) | 67 (15.4) | 42 (9.6) | 40 (9.1) | 149 (34.0) |
Not obtaining consent for performing episiotomy | 203 (46.2) | 16 (3.6) | 44 (10.0) | 58 (13.1) | 85 (19.4) | 236 (53.8) |
Conducting deliveries even when many staff or students are present | 189 (43.1) | 37 (8.5) | 37 (8.3) | 32 (7.3) | 83 (19.0) | 250 (56.9) |
Not telling the results of blood pressure reading | 169 (38.6) | 4 (0.9) | 29 (6.6) | 39 (8.9) | 97 (22.2) | 270 (61.4) |
Blaming adolescent girls for being too young to get pregnant | 164 (37.3) | 14 (3.2) | 17 (3.8) | 47 (10.8) | 86 (19.5) | 275 (62.7) |
Not using anesthesia for episiotomy or suturing the perineal tears | 155 (35.4) | 29 (6.6) | 26 (5.9) | 19 (4.4) | 81 (18.5) | 284 (64.6) |
Scolding when women do not comply | 122 (27.8) | 7 (1.6) | 6 (1.4) | 38 (8.7) | 71 (16.1) | 317 (72.2) |
Threatening when women do not comply | 121 (27.6) | 13 (3.0) | 19 (4.4) | 28 (6.4) | 61 (13.8) | 318 (72.4) |
Not offering words of sympathy for women who suffer from labor pains | 118 (27.0) | 7 (1.6) | 6 (1.4) | 10 (2.3) | 95 (21.7) | 321 (73.0) |
Preventing discharge until women completed payment | 108 (24.5) | 14 (3.2) | 21 (4.7) | 29 (6.6) | 44 (10.1) | 331 (75.5) |
Asking women about their private information in public | 104 (23.7) | 58 (13.2) | 22 (5.0) | 6 (1.4) | 18 (4.1) | 335 (76.3) |
Not obtaining consent for performing vaginal examination | 102 (23.2) | 2 (0.5) | 9 (2.1) | 17 (3.9) | 74 (16.8) | 337 (76.8) |
Slapping women's legs to open during second stage of labor | 92 (21.0) | 5 (1.1) | 4 (0.9) | 31 (7.1) | 52 (11.9) | 347 (79.0) |
Prohibiting eating or drinking even when labor progress is normal | 76 (17.2) | 11 (2.5) | 7 (1.6) | 20 (4.6) | 37 (8.5) | 363 (82.8) |
Ignoring women yelling for help | 68 (15.6) | 9 (2.1) | 7 (1.6) | 18 (4.0) | 35 (7.9) | 371 (84.4) |
Fail to arrive in time to conduct delivery | 50 (11.4) | 5 (1.1) | 2 (0.5) | 7 (1.5) | 36 (8.2) | 389 (88.6) |
Not checking fetal heart rate until neonate is born | 45 (10.3) | 12 (2.7) | 10 (2.3) | 4 (0.9) | 19 (4.4) | 394 (89.7) |
Using fragment of broken glass ampule or needles for AROMa | 35 (7.9) | 5 (1.1) | 2 (0.4) | 12 (2.8) | 16 (3.6) | 404 (92.1) |
Charting false results to complete partograph | 25 (5.7) | 1 (0.2) | 1 (0.2) | 5 (1.1) | 18 (4.1) | 414 (94.3) |
Pushing abdomen to rush delivery even when not an emergency | 25 (5.7) | 1 (0.2) | 1 (0.2) | 3 (0.7) | 20 (4.6) | 414 (94.3) |
Refusing to take care of HIV-positive women | 14 (3.2) | 7 (1.6) | 2 (0.5) | 1 (0.2) | 4 (0.9) | 425 (96.8) |
Asking for bribes for their own services | 5 (1.1) | 1 (0.2) | 0 (0.0) | 0 (0.0) | 4 (0.9) | 434 (98.9) |
Independent variables | Dependent variable | |
---|---|---|
D & A attitude questionnaire total | ||
β | (95% CI) | |
Working hours per week | 0.067 | (- 0.019 ― 0.154) |
Taking a break during evening shifts | 0.185** | ( 0.096 ― 0.273) |
Professional status | - 0.171** | (- 0.266 ― - 0.076) |
Interaction between nurses | - 0.153* | (- 0.248 ― - 0.058) |
Any type of supervision for new nurse-midwives | - 0.091* | (- 0.177 ― - 0.006) |
R2 | 0.132 |