Exploring Perceptions of Moral Distress in German Midwifery Practice (EXPOSED)

Status:

ongoing

Aims:

The objective of the EXPOSED study is to generate initial insights into the phenomenon of 'moral distress' in the context of midwifery practice in both clinical and non-clinical settings in Germany. 'Moral distress' has been identified as a significant and hitherto under-researched factor influencing the health and working situation of midwives in Germany. The objectives are:

1. To provide an overview of the international state of research concerning moral distress among midwives.
2. Findings regarding the extent and significance of moral distress among midwives in Germany. They will be based on a comprehensive quantitative online survey conducted as part of the 'Healthy Midwives' study.
3. Investigating the situations that cause moral distress, the factors that contribute to it, and the strategies that can be used to protect against it. Qualitative interviews with midwives working in both clinical and non-clinical settings in Germany will be conducted.

Activities/Methods:

The EXPOSED study builds upon the findings of the 'Healthy Midwives' study on 'Moral Distress' through the use of qualitative methodology and an inductive approach to elucidating the conceptualisation of the phenomenon within German Midwifery Practice. Approximately 20 interviews will be conducted with midwives providing care during labour and childbirth. The study will include interviews with midwives who work in different settings, namely those who work in hospitals (clinical setting) and those who work in outpatient settings (non-clinical setting); additionally, midwives who have ceased their clinical or non-clinical work will be included in the study (n = 5-8). The interviews will be conducted using a semi-structured, problem-focused approach based on a pre-developed interview guide. The objective is to ascertain the views of the surveyed midwives on the relationship between 'moral distress' and job satisfaction, the desire to cease professional practice and mental and physical wellbeing. In addition, the research will investigate the situations in the workplace that give rise to 'moral distress', the conceptualisation of this phenomenon, potential coping strategies and structural and institutional solutions. The precise number of interviews will be determined during the course of the research process, contingent upon the theoretical saturation achieved.

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