In order to understand the cognitive and subjective perceptions of midwives' attitudes towards patient safety within the current nurse practice environment, in addition to providing new insights and guiding methods for patient safety. In this study, 10 midwives were selected using a purposive sampling method, who working in the obstetrics department of a Grade III A hospital, located in Baoding, from January to May 2018. Data were collected using semi-structured interviews, face-to-face nonverbal behavior observation, and analyzed using the Colaizzi 7-step analysis method. There were three themes: (1) Patient safety issues are important and when they occur make midwives feel very frustrated or even lose confidence in their work; (2) there are numerous safety hazards in obstetrics and delivery room work; and (3) when safety problems occur, senior medical or nursing staff or leaders are most desired to be present. Hospitals should pay attention to midwives' safety attitudes, establish a safety support system, do a good job of psychological counseling after safety problems occur, systematically assess existing safety problems in departments, eliminate safety hazards in a timely manner, formulate detailed emergency plans and improve coping mechanisms.

Shaohua Li, Chaoying Li, Na Lv, Pengjun Zhang, Jinming Guo. Midwives' attitudes toward safety: A qualitative study. International Journal of Frontiers in Medicine (2023), Vol. 5, Issue 5: 22-27. https://doi.org/10.25236/IJFM.2023.050504.

[1] Hua L., Zhongli L.,Yanhong Z.,. (2007) The practice and experience of nursing risk management in our hospital. Chinese Journal of Hospital Management,2,119-120.

[2] Fanglei C. (2008) Research on the evaluation of patient safety culture among hospital nursing staff. Second Military Medical University.6,109-121.

[3] Guo X.(2009)A preliminary study of the revised Chinese version of the safety attitude questionnaire. Shanxi Medical University.3,11-12.

[4] Ying H., Yue K., Yang SL. (2007) The current situation of surgical nurses' safety attitudes toward patients and their influencing factors. Journal of Liberation Army Nursing,34,1-5.

[5] Xiao SF. (2015)A study on the correlation between nursing staff patient safety attitudes and nursing work environment. Contemporary Nurse (Midterm Journal),2,176-178.

[6] Tunçer Ünver, G., Harmanci Seren AK.(2018)Defining the patient safety attitudes and influencing factors of health professionals working at maternity hospitals. J Nurs Manag.5,579-586.

[7] Wu QY, Feng SP., Chen P.(2018)A study on the current status of midwives' safety culture attitude and its influencing factors in a general hospital[J]. China Nursing Management,18,1362-1366.

[8] Fu M., Wang T., Hu S.(2022) Patient safety value, safety attitude and safety competency among emergency nurses in China: A structural equation model analysis. J Nurs Manag,14,10-14. 

[9] Alanazi FK., Sim J., Lapkin S. (2022) Systematic review: Nurses' safety attitudes and their impact on patient outcomes in acute-care hospitals. Nurs Open, 9,30-43.

[10] Stovall M., Hansen L., Van RM.(2020) A Critical Review: Moral Injury in Nurses in the Aftermath of a Patient Safety Incident. J Nurs Scholarsh. 2020,52,320-328. 

[11] Wu AW.(2000)Medical error: the second victim. West J Med, 172, 358-359.

[12]Jin YM., He XJ.(2019)Pediatric nurses' psychological experiences as secondary victims in adverse nursing events. China Nursing Management, 19, 1-50.

[13] Zhu GH.(2020) Analysis of hidden dangers of neonatal care in obstetric wards and discussion of preventive measures. Psychological Monthly, 15, 46-48.

[14] Villar VC.(2022)Rodrigues JLDSQ, Martins M, Rabello ET. Segurança do paciente na assistência ao parto: o que é debatido nos grupos de Facebook? [Patient safety in childbirth care: what is discussed in Facebook groups?]. Cad Saude Publica, 38, e00277421.

[15] Yang, YS. (2018)The impact of family participatory health education on cesarean delivery mothers. Qilu Journal of Nursing, 24, 103-105.

[16] Li YM., Song LL., Han CC., Fu Yahui., Zhao H.(2018)A study on the current situation of midwives' clinical decision-making awareness and its influencing factors[J]. Chinese Journal of Nursing, 53, 1482-1487.

[17] Xu Y., Zhao J., Wang JF., Zhao ZY., Chang Q., Li LY., Liu SH., Chen YT.(2018) Practice of improving obstetric management model based on workload distribution characteristics. China Nursing Management, 18, 995-998.