Liesbeth Kool

104 | Chapter 5 potentially leaving. Experienced midwives were significantly more likely to report that they were potentially planning to leave because they were dissatisfied with the organisation of maternity care. In addition, they significantly more often reported family commitments related to reasons for consideration to leave as compared to Newly Qualified Midwives. Table 2. Intention to leave the profession, reasons for consideration to leave (N=726), and the combination of reasons to leave. Split into the total group community midwives, experienced midwives (EM) and newly qualified midwives (NQM) Intention to leave midwifery practice Total N(%) 726 (100) EM n(%) 558 (76.9) NQM n(%) 168 (23.1) X2 (p)* Yes 245(33.7) 194(34.7) 51(30.4) 1.12(.29) Reasons for consideration to leave (n=245) Dissatisfaction with organisation of maternity care 103(14.2) 92(16.5) 11(6.5) 10.48(.00) Family commitments 88(12.0) 77(13.7) 11(6.5) 6.63(.01) Health 62(8.4) 54 (9.7) 8(4.8) 3.99(.05) Dissatisfaction with own organisation 55(7.6) 48 (8.6) 7(4.2) 3.63(.06) Dissatisfaction with my role as a midwife 44(6.1) 35 (6.3) 9(5.4) .19(.06) Dissatisfaction with my pay 33(4.5) 24 (4.3) 9(5.4) .33(.57) Planned change in career 23(3.2) 18(3.2) 5(3.0) .03(.87) Planned retirement 11(1.5) 11(2.0) 0(0) 1.10(.30) Planned location move 9(1.2) 5(0.9) 4(2.4) .33(.13) Other 95(13.1) 64(11.5) 31(18.5) 5.54(.02) Combinations of reasons to leave (n=245) Family commitments + Dissatisfaction with organisation of maternity care 44 Health + Dissatisfaction with organisation of maternity care 25 Dissatisfaction with organization of maternity care + Dissatisfaction with own organization 24 Dissatisfaction with own organisation + Family commitments 21 Family commitments + Health + Dissatisfaction with organisation of maternity care 15 EM=Experienced midwives (>3 years working experience), NQM is Newly Qualified Midwives (<3 years of working experience) * EM compared to NQM Reasons for consideration of leaving the profession (open-ended questions survey) In response to the open question, 91 respondents left a comment. These comments varied in length, from single-word comments to comments containing a few sentences.

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