Abstract
As general observations it may be said that most nurse-midwives are not satisfied with their work, and that a significant reason it the generally low level of recognition for this type of work._??_?Recognition_??_?, as defined here, refers to recognition of the work and services performed by nurse-midwives, as well as the affirmative conception of duties by nurse-midwives themselves. From these premises it is possible to explore various ways to raise the satisfaction level of nurse-midwives.
The purpose of this study is to clarify the concept of recognition as applied to the scope of work of nurse-midwives, and to identify the elements relevant to recognition. With this objective, a survey and study was conducted among 460 nurse-midwives currently working in hospitals. Results of the survey are summarized below.
1) Recognition of work performed by nurse-midwives is composed of five factors. These are: a) nurse-midwives are trusted by and given authority by their superiors; b) they are respected by medical doctors; c) they have the endorsement and backing of co-workers; d) they maintain close relationships with patients and their families; e) they are not subjected to intimidation in any way. It was clear, in particular, the trust of superiors and transfer of authority contributed greatly to an enhanced level of recognition for nurse-midwives.
2) Work satisfaction, self-esteem, and number of years of service are all variables related to recognition. It was clear that in order to attain a high degree of satisfaction, it is necessary to have high levels of work satisfaction and self-esteem and sufficiently long experience in maternity nursing.
3) Primary nursing and supervising of labor and delivery by nurse-midwives are major work factors in elevating recognition. The survey showed the primary nursing group has gained higher recognition in statistical significance than the team nursing group, and the supervision of labor and delivery by nurse-midwives has gained higher appreciation from doctors than for labor supervised by doctors.
