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Health care providers' perspectives on the mistreatment towards women during maternity care: Do perceptions of the working environment and empathy level matter?
Kasaye, Habtamu; Scarf, Vanessa; Sheehy, Annabel; Baird, Kathleen.
Afiliación
  • Kasaye H; Collective for Midwifery, Child and Family Health, Faculty of Health, University of Technology Sydney, New South Wales, Australia; Department of Midwifery, Institute of Health Sciences, Wollega University, Nekemte, Ethiopia. Electronic address: habtekebe@gmail.com.
  • Scarf V; Collective for Midwifery, Child and Family Health, Faculty of Health, University of Technology Sydney, New South Wales, Australia.
  • Sheehy A; Collective for Midwifery, Child and Family Health, Faculty of Health, University of Technology Sydney, New South Wales, Australia.
  • Baird K; Collective for Midwifery, Child and Family Health, Faculty of Health, University of Technology Sydney, New South Wales, Australia.
Women Birth ; 37(3): 101601, 2024 May.
Article en En | MEDLINE | ID: mdl-38518578
ABSTRACT

BACKGROUND:

Mistreatment of women in maternity care violates human rights, erodes trust and disrupts the continuity of maternal healthcare services. Investigating Health Care Providers' (HCPs) perspectives is indispensable in uncovering drivers and designing targeted interventions.

AIM:

To identify the roles of HCPs' perceptions of the working environment and levels of empathy on the mistreatment of women during maternity care.

METHODS:

We conducted a self-administered survey among 148 maternal HCPs practising in ten health centres and four hospitals in the East Wollega Zone, Western Ethiopia, from June to September 2022.

FINDINGS:

Most providers reported seeing other HCPs mistreating women (93.2%), while three-fourths (75.7%) admitted it as their actions. Violation of privacy and confidentiality was the most frequently reported category of mistreatment (44.6%), followed by physical abuse (37.1%) and verbal abuse (35.8%). The likelihood of mistreating women was reduced by 65% (AOR=0.35, 95% CI [0.14, 0.86]) among individuals with positive perceptions of their working environment compared to those with negative perceptions. A unit increase in providers' empathy also led to a five per cent decrease in mistreatment (AOR=0.95, 95% CI [0.91, 0.98].

CONCLUSIONS:

HCPs' perceptions of their working environment and enhanced empathy levels were associated with the reduction of the odds of mistreatment of women. While empathic care should be cultivated as a component of HCPs' competencies, efforts should be made to improve the conditions of the demanding health system to realise a resilient, motivated, competent, and compassionate workforce. The interplay between gender, profession, and mistreatment level requires further investigation.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Parto Obstétrico / Servicios de Salud Materna Límite: Female / Humans / Pregnancy Idioma: En Revista: Women Birth Asunto de la revista: ENFERMAGEM / OBSTETRICIA Año: 2024 Tipo del documento: Article Pais de publicación: Países Bajos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Parto Obstétrico / Servicios de Salud Materna Límite: Female / Humans / Pregnancy Idioma: En Revista: Women Birth Asunto de la revista: ENFERMAGEM / OBSTETRICIA Año: 2024 Tipo del documento: Article Pais de publicación: Países Bajos