Ojo, Adegboyega and Rizun, Nina and Walsh, Grace S. and Przychodzen, Wojciech and Mashinchi, Mona Isazad and Foley, Conor and Rohde, Daniela
(2023)
Building confidence and trust in Ireland's National Maternity Services Workforce –What matters most and how?
Health Policy, 138.
p. 104947.
ISSN 0168-8510
Abstract
National surveys on care experiences are increasingly adopted as regulatory mechanisms for improving care
quality and increasing public trust in healthcare services. Based on data collected as part of Ireland’s 2020
National Maternity Experience Survey, this study investigates care-related factors that contribute most to confidence and trust in the professional workforce (or carers) within Irish maternity services. The survey covered the
full spectrum of maternity care and received 3,206 responses which were analysed using structural equation
modelling. Results show that trust in carers may be enhanced through greater attention to the quality of
interpersonal aspects of maternity care in a few core areas. We found that factors related to dignity and respect
(β=0.270), involvement in decision-making (β=0.186), pain management (β=0.172), and communication (β=0.151)
are core determinants of confidence and trust in the professional workforce of maternity services. Perceived
quality of care in these four aspects increased on average, with the women’s age. Women under 29 rated their
experiences in these areas as significantly lower than the average. Women with a disability also rated their experiences significantly lower than average in three core areas. Our results suggest that trustworthy, equitable,
and high-quality maternity care requires ongoing development of interpersonal skills within the maternity services professional workforce particularly in caring for younger women (under 29 years) and those with a
disability.
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