Needs of novice midwives in the management of obstetric emergencies: a qualitative study

Abstract

BackgroundMaintaining the health of mothers and neonates depends on the provision of high-quality, timely emergency care by competent health professionals. Obstetric emergencies are among the most challenging moments in a midwife's professional career, especially for novice midwives. Therefore, it is crucial to address the specific needs of novice midwives to ensure they are equipped to effectively and promptly manage such emergencies. The present study was conducted to explore the needs of midwives in the management of obstetric emergencies.MethodsIn this qualitative study, a conventional content analysis approach was employed. The study included a total of 26 participants, comprising 13 novice midwives, 8 experienced midwives, and 5 supervisor midwives. Participants were selected using purposive sampling method with the aim of achieving maximum diversity within the sample. Data collection was performed through in-depth and semi-structured individual interviews, and the process continued until data saturation was reached. Data analysis was conducted simultaneously with data collection, leading to the extraction of the main categories.ResultsTwo main categories were extracted from 26 interviews: (1) Promotion of professional empowerment in the management of obstetric emergencies with five categories, including familiarity with the clinical environment, promotion of professional competence, promotion of professional wisdom, promotion of professional care, and promotion of inter-professional competence; and (2) Promotion of organizational support that involves the two categories of creating a support platform for the healthcare team and strengthening organizational resources.ConclusionThe results of the present study indicated that professional development of individuals and organizational support were the primary needs of novice midwives in managing obstetric emergencies. Based on the findings of this study, it is recommended to develop and implement training-support programs focused on the professional development of midwives in emergency management.