Work motivation among midwives in medium-sized labour wards in Denmark – An interview study

This is the authors' abstract. We don't add key points for this paper.

INTRODUCTION: Midwives are essential in securing high-quality maternity care. Despite several calls to action to curb the attrition rates of midwives, it is a continuing worldwide problem. Little is known about midwiveś work motivation, and understanding this can be key to improving well-being among midwives and thus lowering attrition rates. This study specifically explored midwiveś work-life from a salutogenic perspective focusing on aspects contributing to work motivation rather reasons behind resignation rates. OBJECTIVE: To explore midwives' experiences and perceptions of work motivation from a salutogenic perspective. METHODS: A qualitative study was conducted with 15 female midwives working in two medium-sized labor wards (approximately 1600 childbirths annually). Participants were interviewed between December 2023 and April 2024. Data was synthesized using Reflexive Thematic Analysis. RESULTS: The analyses resulted in three themes: labor ward size, work-life balance and recognition. Participants elaborated on how workplace size, supportive relationships, self-awareness in work practice, and recognition from patients, peers, and management were key to work motivation. Notably, one of the labor wards had a significantly high proportion of midwives with over 15 years of experience. CONCLUSION: By exploring midwives' experiences through a salutogenic lens, this study highlights key aspects that foster work motivation and professional well-being. Key motivators included manageable ward size, supportive relationships, work-life balance, and recognition from patients, colleagues, and leadership. Notably, a labor ward with a high proportion of experienced midwives exemplified how these factors can foster long-term engagement. Future research could implement different strategies to test how they improve midwives' motivation.