Midwives’ strategies for coping with barriers to providing quality maternal and neonatal care : A Glaserian grounded theory study

Journal article

Ismaila, Yakubu, Bayes, Sara and Geraghty, Sadie. (2021). Midwives’ strategies for coping with barriers to providing quality maternal and neonatal care : A Glaserian grounded theory study. BMC Health Services Research. 21(1), p. Article 1190. https://doi.org/10.1186/s12913-021-07049-0
AuthorsIsmaila, Yakubu, Bayes, Sara and Geraghty, Sadie
Abstract

Background
Midwives face direct and indirect barriers in their workplaces that have negative consequences on their ability to provide quality care to women and neonates, however, they still carry on with their duties. This study aimed at investigating the coping strategies that Ghanaian midwives adopt to be able to complete their work.

Methods
Glaserian Grounded theory was used in this study. Data were collected through non-participant observations and semi-structured interviews. The study participants included 29 midwives who worked in labour/birthing environments and a pharmacist, a social worker, a national Health Insurance Scheme manager and a health services manager.

Findings
The midwives’ motivation due to their strong desire to save the lives of women and neonates and their strong affection for the midwifery profession was identified to help them cope with the barriers that they faced in their workplaces. The midwives’ motivation was found to spur actions such as improvising, taking control of the birthing process and the birthing environment and the maintenance of social and professional networks to help them to complete their duties.

Conclusion
Ghanaian midwives face myriad barriers in their workplaces; however, they are able to adopt coping strategies that enable them to complete their duties. The provision of care resources for maternity services in the country will reduce the barriers that the midwives face and improve the quality of maternal and neonatal care. In the short term however, pre and post midwifery educational programmes should focus on developing resilience in the midwifery workforce to help midwives cope more effectively with the challenges that they face in their workplaces.

Keywordsmidwives; maternal health; neonatal health; quality care; psychological resilience; coping; Ghana; low and middle-income countries; developing countries
Year2021
JournalBMC Health Services Research
Journal citation21 (1), p. Article 1190
PublisherBioMed Central
ISSN1472-6963
Digital Object Identifier (DOI)https://doi.org/10.1186/s12913-021-07049-0
PubMed ID34732179
Scopus EID2-s2.0-85118750077
PubMed Central IDPMC8565049
Open accessPublished as ‘gold’ (paid) open access
Page range1-11
Publisher's version
License
File Access Level
Open
Output statusPublished
Publication dates
Online03 Nov 2021
Publication process dates
Accepted17 Sep 2021
Deposited24 Nov 2022
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