Centre for Midwifery, Child and Family Health, Faculty of Health, University of Technology Sydney, Ultimo, Australia.
Sydney Institute for Women, Children & their Families, Sydney Local Health District, Camperdown, Australia.
BMC Pregnancy Childbirth. 2022 Apr 11;22(1):309. doi: 10.1186/s12884-022-04657-4.
There are major shortfalls in the midwifery workforce which has been exacerbated by the COVID 19 pandemic. Midwives have high levels of burnout and many, often early career midwives, are planning to leave the profession. There are reports of a poor workplace culture in maternity units, including bullying. Support is essential for the welfare of the workforce to be able to cope with the demands of their jobs. Supportive strategies, such as Clinical Supervision, a recognised approach in healthcare, enable reflection in a facilitated, structured way, and can enhance professional standards. The purpose of this research is to study burnout levels in midwives, those exiting their workplace and perceptions of workplace culture in relation to access to, and attendance of, monthly Clinical Supervision.
This study will be a cluster randomised controlled trial of maternity sites within Sydney and the surrounding districts. Twelve sites will be recruited and half will receive monthly Clinical Supervision for up to two years. Midwives from all sites will be requested to complete 6-monthly surveys comprising validated measurement tools: the Copenhagen Burnout Inventory (CBI), the Australian Midwifery Workplace Culture (AMWoC) tool and the Clinical Supervision Evaluation Questionnaire (CSEQ) (the latter for intervention sites only). Primary outcomes are the levels of burnout in midwives (using the CBI). Secondary outcomes will be the quality of the intervention (using the CSEQ), perceptions of workplace culture (using the AMWoC tool) and midwives' intention to stay in their role/profession, as well as sick leave rates and numbers of exiting staff. We will also determine the dose effect - ie the impact in relation to how many Clinical Supervision sessions the midwives have attended, as well as other supportive workplace strategies such as mentoring/coaching on outcomes.
Through attending monthly Clinical Supervision we hypothesise that midwives will report less burnout and more positive perceptions of workplace culture than those in the control sites. The potential implications of which are a productive workforce giving high quality care with the flow-on effect of having physically and psychologically well women and their babies.
The ACTRN Registration number is ACTRN12621000545864p , dated 10/05/2021,.
由于 COVID-19 大流行，助产士劳动力严重短缺，而且许多助产士（通常是早期职业的助产士）都计划离开这个行业。据报道，产妇单位的工作场所文化很差，包括欺凌行为。为了能够应对工作需求，支持对于员工的福利至关重要。支持性策略，如临床监督，这是一种在医疗保健中得到认可的方法，能够以促进和结构化的方式进行反思，并可以提高专业标准。这项研究的目的是研究助产士的倦怠水平、那些离开工作场所的人的倦怠水平，以及他们对获得和参加每月临床监督的看法，以了解工作场所文化。
这将是一项在悉尼及其周边地区的产妇单位进行的集群随机对照试验。将招募 12 个地点，其中一半将在最多两年的时间内接受每月的临床监督。所有地点的助产士都将被要求完成每 6 个月一次的调查，调查内容包括经过验证的测量工具：哥本哈根倦怠量表（CBI）、澳大利亚助产士工作场所文化（AMWoC）工具和临床监督评估问卷（CSEQ）（仅用于干预地点）。主要结果是助产士的倦怠水平（使用 CBI）。次要结果将是干预措施的质量（使用 CSEQ）、对工作场所文化的看法（使用 AMWoC 工具）以及助产士留在其角色/职业中的意愿，以及病假率和离职人数。我们还将确定剂量效应——即与助产士参加多少次临床监督会议有关的影响，以及其他支持性工作场所策略，如指导/辅导对结果的影响。
通过参加每月的临床监督，我们假设助产士报告的倦怠程度低于对照组，对工作场所文化的看法更为积极。这可能会带来一个富有成效的劳动力队伍，提供高质量的护理，其结果是身体和心理健康的妇女及其婴儿。
ACTRN 注册号为 ACTRN12621000545864p，日期为 2021 年 5 月 10 日。
