Occupational autonomy is a key factor in regards to class positions.
These include providing continuity of care, forming relationships with women, and having occupational autonomy [ 8, 10, 12- 14, 22, 50, 51].
Reasons for the high levels of satisfaction include the provision of continuity of care [ 5], forming relationships with women [ 8, 10], occupational autonomy [ 5, 11- 14], personal investment [ 8], and making a difference to women [ 15].
Sandall argues that burnout is more likely in the presence of lack of peer and personal support, when midwives work in large groups, and where there are fragmented relationships with women, high workloads and a lack of occupational autonomy [ 12, 13, 21].
Burnout may be lower in models where the level of occupational autonomy and capacity to build relationships with women is high [ 12, 14, 21] and both of these factors were identified by the caseload midwives as positive features of the models in this study.
Key features that have been associated with sustainable caseload midwifery models are thus likely to include occupational autonomy [ 12, 14, 21, 22], regular time off work [ 12, 22], responsibility for clinical decision-making [ 21], the availability of social support [ 12, 14, 22], job satisfaction and developing relationships with women and their families [ 12, 14, 22].
Fewer and poorer quality studies were found in relation to interventions for comorbid substance misuse, occupational therapy, autonomy and clinical governance.
FAST includes the following six areas of functioning: autonomy, occupational functioning, cognitive functioning, financial issues, interpersonal relationships, and leisure time.
The reliability for domains regarding autonomy, occupational functioning, and cognitive functioning was excellent, whereas for domains regarding financial issues, interpersonal relationships, and leisure time, the reliability was good.
It assesses six functional domains: autonomy, occupational functioning, cognitive functioning, financial issues, interpersonal relationships, and leisure time.
It comprises 24 items that assess impairment or disability in six specific function domains: autonomy, occupational functioning, cognitive functioning, financial issues, interpersonal relationships and leisure time.
