MELLAN LIVETS MIRAKEL OCH ARBETSLIVETS KRAV En systematisk litteraturöversikt om barnmorskors upplevelser av arbetsmiljön på förlossningsavdelning.

Abstract

Background: The midwifery profession is often described as meaningful and characterized by a strong professional identity. However, earlier research shows that the working environment in labour wards is marked by high work demands, time pressure, and limited opportunities for recovery. These conditions may affect midwives’ health, professional sustainability and their ability to provide safe and woman-centred care. Aim: The aim of this study was to describe midwives’ experiences of the working environment in labour wards. Method: A systematic literature review with a qualitative approach was conducted. A total of 15 research articles with qualitative design were included. Literature searches were performed in the databases CINAHL and PubMed. Results: The results showed that midwives’ experiences of the work environment were influenced by an interaction between organizational, structural, and professional factors. High workload, inadequate staffing, and insufficient opportunities for recovery contributed to stress, ethical strain, and emotional exhaustion. At the same time, supportive leadership, effective collegial collaboration, and opportunities to work autonomously within the profession emerged as important protective factors. The physical work environment, a structured introduction for newly graduated midwives, and access to continuous professional development were also found to be important for perceived safety, professional identity, and long-term sustainability in the profession. Conclusion: The literature review showed that midwives’ experiences of the working environment in labour wards affected both professional sustainability and the quality of care. The findings suggested that organisational conditions that supported recovery, professional development, and a woman-centred approach were important for safe and sustainable maternity care.