181 Realist review of Midwife-Led Continuity of Care implementation Personal and professional boundaries Theory Context Mechanism Proximal outcome Supporting references Resource Response Work-life balance In a society with a patriarchal norm, there is a disproportionate division of responsibilities for domestic tasks, where women are expected to take on more tasks and are primarily responsible for caregiving roles. As midwifery is a female-dominated profession, the extent to which female midwives are relieved of personal responsibilities such as childcare or informal care determines how the midwife can organise her work. Providing MLCC is associated with the need to be more available for on-call duties, leading to a greater need for flexibility and shared care for personal obligations. Feelings of empowerment and autonomy for midwives who experience flexibility. Those experiencing flexibility report reduced levels of burnout, improved job satisfaction, and increased motivation to continue providing MLCC. 7 9 10 12 18 20 22-24 27 31 33 38 44 Feelings of frustration, stress, and internal conflict for those who do not experience flexibility. Midwives lacking flexibility tend to experience increased levels of burnout. These midwives will explore other ways in which she can perform her work, which will be easier to combine with her personal life. 6
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