Exploring values and ideologies of Dutch community midwives, a qualitative study

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.