Barbounaki Stavroula, Vivilaki Victoria G
Department of Midwifery, School of Health and Care Sciences, University of West Attica, Athens, Greece.
Eur J Midwifery. 2021 Feb 14;6:7. doi: 10.18332/ejm/143363. eCollection 2022.
Midwives' burnout affects their effectiveness and the quality of the services they provide to pregnant women as well as the quality of the collaboration with medical staff. The burnout depends on a number of factors that can exhibit high variability over time. This creates the necessity of introducing intelligent approaches that assess changes in behavior, environmental factors, working conditions, and to make decisions to optimize the physical and mental health of midwives. The aim of this study was to employ fuzzy logic to design a Fuzzy Intelligent or Inference System (FIS) that assesses midwives' burnout level by emulating the reasoning of human experts.
The proposed FIS addresses the assessment of midwives' burnout comprehensively since it incorporates findings following a thorough analysis of the relevant literature, as well as assimilates experts' knowledge elicited through semi-structured interviews. Additionally, fuzzy rules are more intuitive and thus easier to understand and modify by human users than dealing and translating numerical results. The FIS performance is compared and evaluated against experienced midwives.
Findings confirm the ability of the proposed FIS to produce judgments that are closer to experts' consensus, as expressed by their aggregated assessment.
The proposed FIS is evaluated by comparing its results with judgments made by experts, suggesting that fuzzy logic allows precise and personalized assessment of midwives' burnout levels. The proposed FIS can be used to evaluate burnout, support organizations to develop burnout policies as well as used as a research instrument to investigate interrelationships of burnout factors.
助产士的职业倦怠会影响她们的工作效率、为孕妇提供的服务质量以及与医护人员的协作质量。职业倦怠取决于许多因素,这些因素会随时间呈现出很大的变化性。这就需要引入智能方法来评估行为变化、环境因素、工作条件,并做出决策以优化助产士的身心健康。本研究的目的是运用模糊逻辑设计一个模糊智能或推理系统(FIS),通过模拟人类专家的推理来评估助产士的职业倦怠水平。
所提出的FIS全面地解决了助产士职业倦怠的评估问题,因为它纳入了对相关文献进行深入分析后的研究结果,还吸收了通过半结构化访谈获得的专家知识。此外,模糊规则更直观,因此与处理和翻译数值结果相比,人类用户更容易理解和修改。将FIS的性能与经验丰富的助产士进行比较和评估。
研究结果证实了所提出的FIS能够做出更接近专家共识的判断,这一点通过他们的综合评估得以体现。
通过将所提出的FIS的结果与专家的判断进行比较来对其进行评估,这表明模糊逻辑能够对助产士的职业倦怠水平进行精确且个性化的评估。所提出的FIS可用于评估职业倦怠,支持组织制定职业倦怠政策,也可作为一种研究工具来调查职业倦怠因素之间的相互关系。