<p>Characteristics of sampled papers (n = 51).</p>

Health workers providing maternal and newborn care can experience burnout and emotional distress, which harms their well-being and, consequently, their ability to deliver respectful care. The World Health Organization (WHO) Compendium on respectful maternal and newborn care identifies health workers’ well-being as a critical area for intervention, but no specific definition or domains of well-being exist for this group. We conducted a qualitative evidence synthesis to synthesise key domains of well-being for health workers providing maternal and newborn care, by exploring health workers’ perceptions and experiences about their well-being. We searched MEDLINE, CINAHL and MIDIRS from 2010 to 20 August 2025 to identify studies reporting health workers’ perceptions and experiences of well-being while providing routine maternal and newborn care in any context. Using maximum variation purposive sampling, we sampled papers for data extraction. Thematic synthesis was employed for analysis, with GRADE-CERQual assessing confidence in findings. A mixed inductive-deductive approach informed the development of well-being domains. Potential implementation strategies to improve well-being were developed using Theoretical Domains Framework (TDF); Capability, Opportunity, and Motivation Model of Behaviour (COM-B); and Behaviour Change Wheel (BCW). Consultations with health workers validated findings and implementation strategies. We analysed 51 papers from five WHO regions, except the South-East Asia Region, with 61% from high-income and 39% from low-middle-income countries. We identified 18 findings on factors influencing health workers’ well-being. Eight key domains of well-being identified: 1) physical health and access to care and support, 2) emotional and psychological health and access to care and support, 3) fair, safe, and supportive environment, 4) fair and equitable remuneration, 5) adequate housing and a safe community, 6) strong professional identity, 7) positive relationship with women and their families, and 8) work and personal life harmony. The TDF, COM-B, and BCW mapping suggest that interventions should address motivation and external influences.提供孕产妇与新生儿照护的卫生工作者可能出现职业倦怠与情绪困扰，这不仅损害其自身福祉，还会削弱其提供尊重式照护的能力。世界卫生组织（World Health Organization, WHO）发布的《尊重式孕产妇与新生儿照护纲要》将卫生工作者福祉列为关键干预领域，但目前尚未针对该群体制定明确的福祉定义与维度框架。本研究采用质性证据整合方法，通过探索卫生工作者对自身福祉的感知与经历，梳理提供孕产妇与新生儿照护的卫生工作者福祉的核心维度。本研究检索了2010年至2025年8月20日期间MEDLINE、CINAHL及MIDIRS数据库，旨在筛选所有情境下报告卫生工作者在提供常规孕产妇与新生儿照护过程中福祉感知与经历的相关研究。研究采用最大变异目的抽样法选取文献进行数据提取；分析环节采用主题合成法，并通过GRADE-CERQual工具对研究结果的可信度进行评估。福祉维度框架的构建采用归纳-演绎混合研究方法。本研究借助理论领域框架（Theoretical Domains Framework, TDF）、行为能力-机会-动机模型（Capability, Opportunity, and Motivation Model of Behaviour, COM-B）以及行为改变轮（Behaviour Change Wheel, BCW），制定了旨在改善卫生工作者福祉的潜在实施策略。研究通过与卫生工作者开展咨询，对研究结果与实施策略进行了验证。本研究共分析了来自世界卫生组织除东南亚区域外的5个区域的51篇文献，其中61%来自高收入国家，39%来自中低收入国家。本研究共提炼出18项与卫生工作者福祉影响因素相关的研究结论。本研究明确了8项卫生工作者福祉核心维度：1）身体健康及照护与支持资源可及性；2）情绪与心理健康及照护与支持资源可及性；3）公平、安全且具备支持性的工作环境；4）公平合理的薪酬待遇；5）充足的住房条件与安全的社区环境；6）坚定的职业认同感；7）与产妇及其家属的良好互动关系；8）工作与个人生活的和谐平衡。基于TDF、COM-B与BCW框架的映射分析显示，相关干预措施应聚焦于动机与外部影响因素的改善。