116 | Chapter 5 CONCLUSION One third of midwives in the Netherlands have indicated that they wish to leave the profession. Although the international numbers regarding the intention to leave are higher, our findings are nonetheless a cause for concern. The intention to leave the job is an important indicator for actually leaving the profession. Furthermore, the mere intention to leave can lead to poorer job performance, which affects the quality of midwifery care. The intention to leave and the accumulation of more and more reasons ultimately leads to midwives leaving their profession. Based on our findings, the present challenge is the innovation of the organisational structure, which should focus on the continuity of care for women, job satisfaction for midwives and building a sustainable workforce. These innovations would ensure that women and their babies receive the best care possible.
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