School of Nursing and Midwifery, Griffith University, Meadowbrook, Qld, Australia.
Maternity, Newborn and Families Research Collaborative, Menzies Health Institute, Griffith University, Qld, Australia.
J Adv Nurs. 2018 Apr;74(4):852-863. doi: 10.1111/jan.13491. Epub 2017 Nov 27.
This study aimed to identify personal, professional and workplace factors that contribute to burnout in midwives.
Burnout is prevalent in the midwifery workforce. Burnout adversely affects the well-being of midwives, diminishes the quality of care they provide and can shorten career duration.
Self-administered online survey. The survey included the Copenhagen Burnout Inventory and personal and professional variables related to age, children, years of experience, role, model of care and satisfaction with work life. Midwives were invited to participate via an email sent from the Australian College of Midwives and through professional networks between June and July 2014. Variables associated with burnout were entered in a multinomial logistic regression.
A total of 1,037 responses were received and 990 analysed. The prevalence of moderate to severe personal (N = 643; 64.9%) and work-related burnout (N = 428; 43.8%) were high. Having children, providing caseload midwifery care and working in a regional area were associated with low burnout. However, midwives registered for 5-10 years were more likely to report work and client-related burnout. Similarly, midwives reporting a lack of satisfaction with work-life balance were also more likely to report personal and work-related burnout.
Family-friendly work environments that facilitate work-life balance can help to reduce the personal and organizational costs of burnout. Similarly, providing continuity of midwifery care in a caseload model can facilitate work-life balance and provide significant mental health benefits to participating midwives.
本研究旨在确定导致助产士倦怠的个人、专业和工作场所因素。
倦怠在助产士劳动力中很普遍。倦怠会对助产士的健康产生不利影响,降低他们提供的护理质量,并缩短职业寿命。
自我管理的在线调查。该调查包括哥本哈根倦怠量表以及与年龄、子女、工作年限、角色、护理模式和工作生活满意度相关的个人和专业变量。澳大利亚助产士学院通过电子邮件向助产士发出邀请,并在 2014 年 6 月至 7 月通过专业网络邀请他们参与。将与倦怠相关的变量输入多项逻辑回归。
共收到 1037 份回复,分析了 990 份。中度至重度个人倦怠(N=643;64.9%)和与工作相关的倦怠(N=428;43.8%)的患病率很高。有子女、提供病例助产护理和在地区工作与低倦怠相关。然而,注册 5-10 年的助产士更有可能报告工作和客户相关的倦怠。同样,报告工作与生活平衡满意度低的助产士也更有可能报告个人和工作相关的倦怠。
促进工作与生活平衡的家庭友好型工作环境可以帮助降低倦怠的个人和组织成本。同样,在病例模式中提供连续的助产护理可以促进工作与生活平衡,并为参与的助产士提供重要的心理健康益处。