Judith Lumley Centre, La Trobe University, Bundoora, VIC 3086, Australia; The Royal Women's Hospital, Locked Bag 300, Cnr Grattan St and Flemington Rd, Parkville, VIC 3052, Australia.
Judith Lumley Centre, La Trobe University, Bundoora, VIC 3086, Australia; School of Nursing & Midwifery, La Trobe University, Bundoora, VIC 3086, Australia; The Royal Women's Hospital, Locked Bag 300, Cnr Grattan St and Flemington Rd, Parkville, VIC 3052, Australia.
Women Birth. 2022 Nov;35(6):e615-e623. doi: 10.1016/j.wombi.2022.02.010. Epub 2022 Mar 2.
Burnout is an occupational phenomenon with the potential to affect a person's physical and mental health, job satisfaction and quality of work. There is evidence of burnout occurring in the midwifery profession, but inadequate data on the prevalence of, and the factors associated with, burnout.
Identify the prevalence of burnout in a population of midwives and explore what individual and workforce characteristics, and what occupational stressors, were associated with burnout.
A cross-sectional survey of permanently employed midwives was conducted in a tertiary maternity service in Melbourne, Australia in 2017. Data collected included individual and workforce-related characteristics and occupational stressors. Burnout was explored using the Copenhagen Burnout Inventory. Univariate and multivariate analyses were conducted to ascertain associations between respondents' characteristics, stressors, and burnout levels.
A total of 257/266 midwives (97%) responded. There were significant levels of exhaustion and fatigue among respondents; 68% of midwives were experiencing personal burnout, 51% work-related burnout, and 10% were experiencing client-related burnout. Being aged ≤ 35 years, and/or having inadequate support was associated with personal and work-related burnout. Having inadequate acknowledgement was associated with client-related burnout.
Health services need to understand the risk factors for burnout among midwives, identify and support groups that are most vulnerable, and address areas that are amenable to intervention. In our context this means ensuring midwives receive adequate acknowledgement and support, particularly younger midwives. These findings need to be tested in other settings to help inform a broader understanding and ensure the sustainability of the midwifery profession.
burnout 是一种职业现象，有可能影响个人的身心健康、工作满意度和工作质量。证据表明，助产士行业存在 burnout 现象，但 burnout 的流行程度和相关因素的数据不足。
确定助产士人群中 burnout 的流行程度，并探讨哪些个体和劳动力特征以及哪些职业压力源与 burnout 相关。
2017 年，在澳大利亚墨尔本的一家三级产科服务机构对永久性雇佣的助产士进行了横断面调查。收集的数据包括个体和劳动力相关特征以及职业压力源。使用哥本哈根倦怠量表（Copenhagen Burnout Inventory）探讨 burnout。进行单变量和多变量分析，以确定受访者特征、压力源与 burnout 水平之间的关联。
共有 257/266 名助产士（97%）做出了回应。受访者中存在明显的疲惫和疲劳；68%的助产士经历个人 burnout，51%经历工作相关 burnout，10%经历与客户相关的 burnout。年龄≤35 岁和/或支持不足与个人和工作相关的 burnout 相关。缺乏认可与客户相关的 burnout 相关。
卫生服务机构需要了解助产士 burnout 的风险因素，识别和支持最脆弱的群体，并解决可干预的领域。在我们的背景下，这意味着确保助产士得到充分的认可和支持，特别是年轻的助产士。这些发现需要在其他环境中进行测试，以帮助更全面地了解并确保助产士职业的可持续性。
