Theme | Baseline caseload (n = 16) | Baseline standard care (n = 110) | Total baseline (n = 126) | Two year caseload (n = 20) | Two year standard care (n = 117) | Total survey two (n = 137) | ||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
 | n | % | n | % | n | % | n | % | n | % | n | % |
On-call (uncertain, unpredictable) | 14 | 88 | 68 | 62 | 82 | 65 | 17 | 85 | 61 | 52 | 78 | 57 |
Impact on personal life (social, family, work/life balance) | 2 | 13 | 28 | 25 | 31 | 25 | 3 | 15 | 18 | 15 | 21 | 15 |
Demanding role (adjustment, exhausting, stressful, hard to switch off, takes commitment) | 6 | 38 | 15 | 14 | 21 | 17 | 1 | 5 | 12 | 10 | 13 | 9 |
Lack of support and respect | 2 | 12 | 17 | 15 | 19 | 15 | 3 | 15 | 13 | 11 | 17 | 12 |
Burnout | - | - | 18 | 16 | 18 | 14 | - | - | 4 | 3 | 4 | 3 |
Challenges of relationships with women (demands, personality conflict) | - | Â | 14 | 13 | 14 | 11 | 1 | 5 | 4 | 3 | 5 | 4 |
Long hours | 4 | 25 | 10 | 9 | 14 | 11 | 4 | 20 | 18 | 15 | 22 | 16 |
Isolation | 1 | 6 | 9 | 8 | 10 | 8 | 3 | 15 | 11 | 9 | 14 | 10 |
Being pioneers (establishing the model, being under scrutiny, implementation) | 2 | 13 | 6 | 5 | 8 | 6 | - | - | - | - | - | - |
Issues with remuneration/annualised salary | 1 | 6 | 5 | 5 | 6 | 5 | 2 | 10 | 5 | 4 | 7 | 5 |
Skills and knowledge required | 1 | 6 | 3 | 3 | 4 | 3 | 1 | 5 | 2 | 2 | 3 | 2 |
Higher workload in caseload | - | - | 4 | 4 | 4 | 3 | - | - | 5 | 4 | 5 | 4 |
Increased workload for other midwives (including providing care for caseload women) | - | Â | 3 | 3 | 3 | 2 | - | - | 19 | 16 | 19 | 14 |
Issues with team work | - | - | 3 | 3 | 3 | 2 | - | - | 2 | 2 | 2 | 1 |
Constraints within the hospital (space, rules) | 2 | 13 | 1 | 1 | 3 | 2 | 2 | 10 | 1 | 1 | 3 | 2 |
Leave not replaced (sick leave, annual leave) | 1 | 6 | 1 | 1 | 2 | 2 | - | - | 6 | 5 | 6 | 4 |
Being unavailable for women | - | - | 1 | 1 | 1 | 1 | 2 | 10 | 12 | 10 | 14 | 10 |