Professional Quality of Life and Associated Factors Among Ugandan Midwives Working in Mubende and Mityana Rural District
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Professional Quality of Life and Associated Factors Among Ugandan Midwives Working in Mubende and Mityana Rural Districts Rhoda Suubi Muliira1 • Vito Bosco Ssendikadiwa2
Published online: 2 November 2015 Springer Science+Business Media New York 2015
Abstract Objective To explore the professional quality of life and associated factors among Ugandan midwives working in Mubende and Mityana rural district to recommend interventions to improve professional well-being and outcomes of midwifery care. Background Professional quality of life of midwives working in rural areas may be influenced by several personal and work setting factors of care professionals often impacting the quality and outcomes of patient care. Methods A cross-sectional study design was used to collect data from 224 midwives working in two rural districts of Uganda. Findings The majority of participants were female (80 %), with an associate degree in midwifery (92 %). The mean age and years of experience were 34 ± 6.3 and 4 ± 2.1 years, respectively. The mean scores on the professional quality of life scale showed average compassionate satisfaction (19 ± 4.88), burnout (36.9 ± 6.22) and secondary traumatic stress (22.9 ± 6.69). The midwives’ compassion satisfaction was related to psychological well-being (p \ 0.01) and job satisfaction (p \ 0.01). Conversely, their burnout levels and secondary traumatic stress were associated with education level (p \ 0.01), marital status (p \ 0.01), involvement in non-midwifery health care activities (p \ 0.01), and physical well-being (p \ 0.01). Conclusion and Implication to practice Midwives working & Rhoda Suubi Muliira [email protected] Vito Bosco Ssendikadiwa [email protected] 1
College of Nursing, Sultan Qaboos University, P.O. Box 66, AlKhod, Muscat, Oman
2
Mubende District Local Government, P.O. Box 93, Mubende, Uganda
in rural areas of resourcepoor countries have moderate professional quality of life and tend to experience moderate to high levels of burnout, secondary traumatic stress and compassion satisfaction in their professional work. Therefore, employers need to provide deliberate work based services such as counselling, debriefing, training and social support to enhance midwives professional quality of life and quality of midwifery care and practice. Keywords Midwives Professional quality of life Wellbeing Rural
Significance Midwifery practices in underprivileged areas of developing countries is often affected by factors such as poor working conditions, and poor remuneration that can have adverse effects on health and quality of professional work. The study examines the professional quality of life and associated factors among Ugandan midwives working in Mubende and Mityana rural districts. This study demonstrates that midwives working in rural areas have moderate or high levels of burnout and secondary traumatic stress. Also, working in impoverished rural settings negatively impacts midwives professional quality of life. Employers need to provide social support to enhance midwives pr
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