Teffo Mantshi E, Levin Jonathan, Rispel Laetitia C
School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Division of Epidemiology and Biostatistics, School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
J Obstet Gynaecol Res. 2018 Jul;44(7):1202-1210. doi: 10.1111/jog.13665. Epub 2018 May 23.
Focusing on compassion satisfaction, burnout and secondary traumatic stress (STS) among termination of pregnancy (TOP) providers, a cross - sectional study was conducted among these providers in Gauteng and North West provinces of South Africa during 2014 and 2015. During 2014 and 2015, a cross-sectional study was conducted among TOP service providers in Gauteng and North West provinces. Consented providers completed a self-administered professional quality of life (PRoQOL) questionnaire, sociodemographic information and possible reasons for working as TOP providers. STATA 13 was used for data analysis. We recruited 105 TOP providers, obtaining 98% response rate. Participants mean age was 43.4 (standard deviation [SD] = 8.7), majority were nurses (70.9%), female (82%), married (47.6%) and 63% were working in hospitals. The overall mean score for compassion satisfaction was high at 42 (SD 5.5). Predictors of compassion satisfaction were finding work stimulating, belief in making a difference, enjoying relationships with other nurses and years of TOP service (P < 0.05). Province and gender were significant, with significant interaction. Burnout mean scores were average at 33 (SD = 4.0), with belief in helping women to make informed choices a marginally significant predictor of burnout. The overall STS mean score was average with a mean of 23 (SD = 6.8). Significant predictors of STS scores were finding work stimulating, belief in women's rights, belief in allowing informed choices, age and gender. Health policy makers and managers should endeavor to provide employee assistance programs that enhance compassion satisfaction and reduce burnout and STS among TOP providers.
以妊娠终止（TOP）服务提供者的同情满意度、职业倦怠和继发性创伤压力（STS）为重点，于2014年至2015年期间在南非豪登省和西北省的这些服务提供者中开展了一项横断面研究。2014年至2015年期间，在豪登省和西北省的TOP服务提供者中开展了一项横断面研究。同意参与的服务提供者完成了一份自我管理的职业生活质量（PRoQOL）问卷、社会人口统计学信息以及从事TOP服务提供者工作的可能原因。使用STATA 13进行数据分析。我们招募了105名TOP服务提供者，获得了98%的回应率。参与者的平均年龄为43.4岁（标准差[SD]=8.7），大多数是护士（70.9%），女性（82%），已婚（47.6%），63%在医院工作。同情满意度的总体平均得分较高，为42分（SD 5.5）。同情满意度的预测因素包括发现工作具有刺激性、相信能有所作为、享受与其他护士的关系以及TOP服务年限（P<0.05）。省份和性别具有显著性，存在显著交互作用。职业倦怠平均得分中等，为33分（SD=4.0），相信帮助女性做出明智选择是职业倦怠的一个边缘显著预测因素。STS的总体平均得分中等，平均为23分（SD=6.8）。STS得分的显著预测因素包括发现工作具有刺激性、相信妇女权利、相信允许做出明智选择、年龄和性别。卫生政策制定者和管理者应努力提供员工援助计划，以提高TOP服务提供者的同情满意度，减少职业倦怠和STS。
