{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T12:40:54Z","timestamp":1792500054801,"version":"4.5.0"},"reference-count":47,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T00:00:00Z","timestamp":1792454400000},"content-version":"vor","delay-in-days":292,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Nursing Management"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The loss of autonomy in midwives is associated with lower job satisfaction and consequently greater likelihood of leaving the profession. Given the international shortage of professionals, it is essential to explore how to increase their job satisfaction and reduce attrition.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To explore Spanish midwives\u2019 perceptions of the causes of their burnout and reasons for leaving the profession.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Descriptive qualitative study. Four discussion groups were held with a total of 21 participating midwives between October 10 and 29, 2024. A thematic analysis of the data was performed. The Ethics Committees of the University of Le\u00f3n (ETICA\u2010ULE\u2010033\u20102020) and the University Healthcare Complex of Le\u00f3n (Registration Number 20162) approved the study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 66.7% of the participants were women, 61.9% worked in hospital care, 47.6% were between 30 and 40\u2009years old, and 57.1% had between 10 and 20\u2009years of professional experience. The thematic analysis revealed several main themes: Causes (\u201cLoss of autonomy,\u201d \u201cExcessive medicalization of childbirth,\u201d \u201cConflict with gynecologists,\u201d \u201cTraumatic perinatal events,\u201d \u201cLack of representation in management,\u201d and \u201cWorking conditions\u201d) Solutions (\u201cIncreased professional autonomy,\u201d \u201cRecognition of competences,\u201d \u201cIndependent midwifery degree,\u201d and \u201cProfessional Recognition\u201d), and Consequences (\u201cDemotivation, Anxiety, and Frustration\u201d and \u201cLeaving the profession\u201d).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In addition to improving overall well\u2010being within the profession, improving midwives\u2019 mental health can have a positive impact on professional retention, which would help in the significant crisis caused by the international shortage of professionals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for Nursing Management<\/jats:title>\n                    <jats:p>Nursing and midwifery managers play a pivotal role in preventing burnout by creating organizational environments that support midwives\u2019 professional autonomy, meaningful participation in leadership and policy decisions, and respectful interprofessional relationships. Management should ensure access to structured debriefing and psychological support following traumatic perinatal events, promote safe staffing and sustainable workloads, and invest in professional development and supportive workplace cultures. These strategies may improve midwives\u2019 wellbeing, strengthen workforce retention, and ultimately enhance the quality and safety of maternity care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/jonm\/3839068","type":"journal-article","created":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T11:39:33Z","timestamp":1792496373000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Professional Autonomy, Burnout, and Intentions to Leave the Profession Among Spanish Midwives: A Qualitative Study"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7349-357X","authenticated-orcid":false,"given":"Rodr\u00edguez-Puente","family":"Zaida","sequence":"first","affiliation":[{"name":"Department of Nursing and Physiotherapy Universidad of Le\u00f3n  Le\u00f3n 24004 Spain"},{"name":"CECAVIS Research Group IBIOLE\u00d3N  Le\u00f3n Spain"},{"name":"Midwife Le\u00f3n Hospital  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