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Table 7 Midwives’ views of the negative aspects of caseload for midwives

From: Comparing satisfaction and burnout between caseload and standard care midwives: findings from two cross-sectional surveys conducted in Victoria, Australia

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)

-

 

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)

-

 

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