An exploration of midwives' attitudes to health promotion

Objective: to explore midwives' attitudes to health promotion. Design: quantitative study, data collected using self-completed postal questionnaires in 1996. Setting: the North West of England, UK. Participants: 182 senior midwives who were working in hospital and community settings. Key findings: the patterns of views towards health promotion approaches were complex as midwives stated that they preferred societal approaches but worked in approaches that focused on the individual. Health promotion methods that centre on the individual were also preferred. Clinical practice base, educational qualifications and age were influential in midwives'opinions. Implications for practice: there is a need for further clarification of the midwife's understanding of their role as a health promoter. Educators should ensure that health promotion is explained within its practical context and there should be opportunity for midwives to develop skills of lobbying, negotiating, implementing and policy planning. Liaison with other disciplines should be fostered to understand their roles and develop joint health promotion strategies.There is a need for further research exploring midwives' opinions from a qualitative perspective. © 2000 Harcourt Publishers Ltd.