Table 2 The exploratory factors extracted from the PEMS

Effective management

8. I do not have a supportive manager

0.899

0.809

16.54

2.818

α (CI95%): 0.870 (0.848 to 0.890)

Ω: 0.873

AIC: .0.626

3.16

0.89

1. I have the back-up of my manager

0.862

0.712

5. I am valued by my manager

0.830

0.752

6. I am not recognized for my contribution to the care of birthing women by my manager

0.757

0.616

Professional Practice

15. I am accountable for my practice

0.779

0.560

9.97

1.695

α (CI95%): 0.709 (0.658 to 0.754)

Ω: 0.719

AIC: 0.384

4.36

0.43

17. I have control over my practice

0.756

0.630

3. I am involved in midwife-led practice

0.719

0.572

4. I do not have the skills required to carry out my role

0.699

0.557

Authority

21. I am not listened to by members of the multidisciplinary team

0.779

0.611

8.97

1.525

α (CI95%): 0.719 (0.715 to 0.721)

Ω: 0.728

AIC: 0.365

3.1

0.73

20. I have autonomy in my practice

0.745

0.550

19. I do not have access to adequate resources for staff education and training

0.603

0.425

Advocacy

2. I am an advocate for birthing women

0.863

0.659

10.11

1.720

α (CI95%): 0.736 (0.702 to 0.738)

Ω: 0.740

AIC: 0.346

3.61

0.66

13. I am able to say no when I judge it to be necessary

0.697

0.590

12. I have support from my colleagues

0.489

0.365

Professional informant

10. I am not informed about changes in my organization that will affect my practice

0.846

0.670

7.48

1.272

α (CI95%): 0.736 (0.732 to 0.741)

Ω: 0.745

AIC: 0.380

3.46

0.71

14. I do not know what my scope of practice is

0.552

0.514

16. I am recognized as a professional by the medical profession

0.502

0.520