Exploring values and ideologies of Dutch community midwives, a qualitative study
Bibliographic record
Abstract
AIM: To investigate potential conflicting values and ideologies among Dutch community midwives, aiming to develop practical, organizational, and educational strategies to reduce attrition. DESIGN: Qualitative research within a constructivist paradigm METHODS: Semi-structured interviews with community midwives from both group and solo practices in Dutch midwifery care were conducted to achieve maximum sample variation. Data collection and thematic analysis took place iteratively from March to June 2023. RESULTS: Participants identified core values and ideologies in Dutch community midwifery: client-centered care, autonomy, empowerment, connections, tailored care, and professional development. They prioritize high-quality care, reflection, continuous professional growth, and well-being. Internal or ideological conflicts with colleagues or parents can challenge these values. CONCLUSION: Our findings emphasize the ideologies and core values that guide community midwifery in the Netherlands. Navigating complex value conflicts and resource limitations necessitates continuous reflection on their effects on professional well-being and sustainable practice. IMPLICATIONS: Midwives worldwide need to be aware of and consistently reflect on their professional values to reduce conflicts and improve the quality of care. These values are fundamental to the profession, making it crucial for midwives to adjust their practice accordingly. The ideology of Dutch midwifery, emphasizing client-centered, personalised care and the physiological process of pregnancy and birth, may face challenges during interprofessional collaboration and when resources are limited. Understanding midwives' ideologies is essential for reducing miscommunication and misalignment within the profession. Professional values are fundamental to midwifery and should be taken into account during organisational changes. Engaging in discussions about these values in education and practice enables midwives to remain committed and satisfied, enhancing professional retention.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.014 | 0.018 |
| Meta-epidemiology (narrow) | 0.000 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.001 | 0.002 |
| Science and technology studies | 0.008 | 0.007 |
| Scholarly communication | 0.006 | 0.003 |
| Open science | 0.001 | 0.004 |
| Research integrity | 0.001 | 0.002 |
| Insufficient payload (model declined to judge) | 0.003 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".