Midwives’ work situation and job satisfaction in obstetric institutions across Switzerland : mapping the institutional landscape of birth care

Introduction: Switzerland's midwifery workforce might be facing uncertainties, with many midwives leaving the profession early. A shortage of midwives, as seen in many countries over the world, can impact the quality of maternity care. Understanding the factors influencing job satisfaction is crucial to ensuring sustainability in midwifery care . This ongoing dissertation project explores the current work and staff situation, as well as the job satisfaction of midwives in Swiss obstetric institutions, aiming to generate relevant recommendations. Methods: The dissertation project is linked to the SOCRATES-study, funded by the SNSF, and consists of cross-sectional observational surveys. The first study assesses midwives’ staff and work situation nationwide through surveys conducted with obstetric institutions. The Swiss Federation of Midwives (SHV) and experts with experience in various midwifery settings contributed to the development of this questionnaire. The second study examines job satisfaction and well-being among midwives working in intrapartum care across Switzerland. The linkage of data across both surveys allows for a comprehensive analysis within a third study. Findings will be statistically evaluated and visually represented. Results: This research identifies key factors influencing midwives’ job satisfaction and focusses their work and staff situations. The mapping of the institutional landscape of birth care across Switzerland (Figure 1) is a result of the study preparation. It highlights the institutional density and diversity and serves as a starting point for in-depth analyses of midwives' job satisfaction. Relevance: A deeper understanding of midwifery workplace and workforce dynamics is important for ensuring high quality care. This research’s recommendations will support obstetric institutions in enhancing job satisfaction, addressing possible staff shortages, and ultimately improving birth care in Switzerland.