The work of midwives : The socio-institutional theory of the meaning of midwives’ work-life balance

Journal article

Buchanan, Kate, Dawson, Kate, Taylor, Jacqueline and Bayes, Sara. (2025). The work of midwives : The socio-institutional theory of the meaning of midwives’ work-life balance. Midwifery. 140, p. Article 104240. https://doi.org/10.1016/j.midw.2024.104240
AuthorsBuchanan, Kate, Dawson, Kate, Taylor, Jacqueline and Bayes, Sara
Abstract

Background
Globally, midwifery is facing a potential workforce crisis. A significant number of midwives intending to leave the profession often cite burnout as contributing to this decision. While it has been reported that work-life balance is a key element in deciding to stay in midwifery, little is known about what constitutes work-life balance and the barriers to achieving this.

Aim
The aim of this study was to explore what work-life balance means to Australian midwives, and to determine its crucial features.

Methods
Qualitative Description methodology was used for this study. Data were collected from 31 midwives in Australia working in hospital settings, and different models of care. Data were collected using open ended questions via an online survey. Thematic analysis with a socio-institutional lens was applied to the data.

Findings
The findings were organised to three themes: ‘Tipping the balance: The socio-institutional factors that shape midwives’ work-life balance; ‘Taking it home: The unique occupational characteristics of midwifery emotion work’ and ‘Finding harmony: Midwifery agency fosters presence and joy’. Together these explain the macro-, meso- and micro- level factors that characterise midwives’ work-life balance.

Conclusion
The concept of work-life ‘blending’ is proposed as a more accurate depiction for midwifery than ‘balance’, where integration of work and life can be beneficial if autonomy and midwifery role and professional identity are valued. The majority of midwives are women who carry a significant domestic burden outside of work, and gender affirming structural changes to better support the role and full scope of the midwives to facilitate blending of work and life in a way that works for them are recommended.

Keywordsmidwifery; work-life balance; midwifery workforce; midwifery scope; professional issues; burnout
Year2025
JournalMidwifery
Journal citation140, p. Article 104240
PublisherElsevier Ltd
ISSN0266-6138
Digital Object Identifier (DOI)https://doi.org/10.1016/j.midw.2024.104240
PubMed ID39550814
Scopus EID2-s2.0-85209132229
Open accessPublished as ‘gold’ (paid) open access
Page range1-7
Publisher's version
License
File Access Level
Open
Output statusPublished
Publication dates
Online16 Nov 2024
Publication process dates
Accepted12 Nov 2024
Deposited09 May 2025
Additional information

© 2024 The Authors. Published by Elsevier Ltd. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

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Wang, Carol Chunfeng, Whitehead, Lisa and Bayes, Sara. (2016). Nursing education in China : Meeting the global demand for quality healthcare. International Journal of Nursing Studies. 3(1), pp. 131-136. https://doi.org/10.1016/j.ijnss.2016.02.009
Implementing caseload midwifery : Exploring the views of maternity managers in Australia - A national cross-sectional survey
Dawson, Kate, McLachlan, Helen, Newton, Michelle and Forster, Della. (2016). Implementing caseload midwifery : Exploring the views of maternity managers in Australia - A national cross-sectional survey. Australian Midwifery. 29(3), pp. 214-222. https://doi.org/10.1016/j.wombi.2015.10.010
Readiness for practice change : Evaluation of a tool for the Australian midwifery context
Bayes, Sara, Fenwick, Jennifer and Jennings, David. (2016). Readiness for practice change : Evaluation of a tool for the Australian midwifery context. Women and Birth. 29(3), pp. 240-244. https://doi.org/10.1016/j.wombi.2015.11.001
Parents' experiences of caring for preterm infants after discharge from Neonatal Intensive Care Unit : A meta-synthesis of the literature
Adama, Esther Abena, Bayes, Sara and Sundin, Deborah. (2016). Parents' experiences of caring for preterm infants after discharge from Neonatal Intensive Care Unit : A meta-synthesis of the literature. Journal of Neonatal Nursing. 22(1), pp. 27-51.
Exploring midwives' perception of confidence around facilitating water birth in Western Australia : A qualitative descriptive study
Nicholls, Sarah, Hauck, Yvonne L., Bayes, Sara and Butt, Janice. (2016). Exploring midwives' perception of confidence around facilitating water birth in Western Australia : A qualitative descriptive study. Midwifery. 33, pp. 73-81. https://doi.org/10.1016/j.midw.2015.10.010
The relationship is everything : Women’s reasons for choosing a privately practising midwife in Western Australia
Davison, Clare, Hauck, Yvonne L., Bayes, Sara J., Kuliukas, Lesley J. and Wood, Jennifer. (2015). The relationship is everything : Women’s reasons for choosing a privately practising midwife in Western Australia. Midwifery. 31(8), pp. 772-778. https://doi.org/10.1016/j.midw.2015.04.012
Exploring midwifery students' views and experiences of caseload midwifery : A cross-sectional survey conducted in Victoria, Australia
Dawson, Kate, Newton, Michelle, Forster, Della and McLachlan, Helen. (2015). Exploring midwifery students' views and experiences of caseload midwifery : A cross-sectional survey conducted in Victoria, Australia. Midwifery. 31(2), pp. e7-e15. https://doi.org/10.1016/j.midw.2014.09.007
Australian midwifery students’ views about profession-specific peer mentoring
Bayes, Sara Jayne, Collyer, Doreen, Dobbs, Kirsten and Walsh, Laura. (2014). Australian midwifery students’ views about profession-specific peer mentoring. Eculture. 7, pp. 1-10.
Effectiveness of a mindfulness-based childbirth education pilot study on maternal self-efficacy and fear of childbirth
Byrne, Jean, Hauck, Yvonne, Fisher, Colleen, Bayes, Sara and Schutze, Robert. (2014). Effectiveness of a mindfulness-based childbirth education pilot study on maternal self-efficacy and fear of childbirth. Journal of Midwifery & Womens Health. 59(2), pp. 192-197. https://doi.org/10.1111/jmwh.12075