Date of Award


Degree Type


Degree Name

Master of Science


Health Promotion


Don Morrow

Second Advisor

Marilyn Evans

Third Advisor

Trish Tucker


This descriptive, exploratory study was designed to explore why Ontario midwives stay in clinical practice. All registered midwives in the province were invited to complete a Web based survey, and a response rate of 38%, was ascertained. Descriptive statistics were used to analyze quantitative data, while content analysis was employed to analyze qualitative data. Midwives enjoy their work, and are highly committed to the profession. Relationships with clients and making a difference through their work are key factors in staying in the profession. Midwives report that autonomy in their work is a mediator of job satisfaction. Important support mechanisms for midwives include relationships with their partner, colleagues and family. The stress related to being on-call and conflict with hospitals, colleagues, and other professionals were identified as barriers to job satisfaction. Midwives repeatedly described a need for greater flexibility in working patterns. Recommendations for future research are offered.



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