School of Nursing and Health, Zhengzhou University, Zhengzhou, China.
School of Nursing and Health, Zhengzhou University, Zhengzhou, China.
Midwifery. 2022 Oct;113:103427. doi: 10.1016/j.midw.2022.103427. Epub 2022 Jul 9.
Compassion fatigue can negatively affect not only healthcare professionals' physical and mental health but also the quality of care they provide and organizational outcomes. However, little is known about compassion fatigue among Chinese midwives working in the delivery room. This study aimed to examine compassion fatigue and compassion satisfaction levels among Chinese midwives working in the delivery room and correlate their compassion fatigue and compassion satisfaction.
A multisite cross-sectional study with a convenience sampling approach was conducted at 62 hospitals in Henan Province, central China, from May to July 2020. The participants were recruited through an online survey. A self-designed sociodemographic and work-related data sheet, the Social Support Rating Scale (SSRS), and the Professional Quality of Life Scale (ProQoL) were used to measure the participants'basic information, level of social support, compassion fatigue(consists of burnout and secondary traumatic stress) and compassion satisfaction. Descriptive analysis was used to describe the characteristics of the participants' social support, compassion fatigue and compassion satisfaction. Multiple linear regression analysis was employed to identify associations with the participants' sociodemographic and professional characteristics, compassion fatigue and compassion satisfaction.
A total of 213 questionnaires were completed, 206 of which were valid (96.71%). The majority of the participants reported moderate risks for compassion satisfaction (75.24%) and burnout (59.71%) and low risks for secondary traumatic stress (61.65%). Higher job satisfaction as a midwife, lower average working hours per week in the past year, higher social support, extroverted personality, and work recognition in the past month were positively associated with compassion satisfaction, explaining 48.7% of the total variance. Always considering giving up a midwifery career, lower social support, working a day-night shift, poor health condition, more exposure to traumatic birth events per month on average in recent years, and lower job satisfaction as a midwife were negative factors for burnout, explaining 35.3% of the total variance. Four factors, including more exposure to traumatic birth events per month on average in recent years, always considering giving up a midwifery career, working a day-night shift and poor sleep quality, were negatively related to secondary traumatic stress, explaining 14.2% of the variance.
In this study, midwives showed moderate levels of compassion satisfaction and burnout and low levels of secondary traumatic stress which should attract the attention of health institutions. A healthy and supportive work environment is crucial to midwives' health, well-being and job satisfaction. Tailored strategies such as trauma management, emotional literacy, peer and social support networks should be implemented to support midwives' compassion satisfaction, while prevent and lower midwives' burnout and secondary traumatic stress.
同情心疲劳不仅会影响医护人员的身心健康，还会影响他们提供的护理质量和组织结果。然而，目前对于中国产房助产士的同情心疲劳知之甚少。本研究旨在调查中国产房助产士的同情心疲劳和同情心满足水平，并探讨它们之间的相关性。
采用便利抽样的多中心横断面研究方法，于 2020 年 5 月至 7 月在河南省 62 家医院进行。通过在线调查招募参与者。使用自设的社会人口学和工作相关数据表、社会支持评定量表（SSRS）和职业生活质量量表（ProQoL）测量参与者的基本信息、社会支持水平、同情心疲劳（包括倦怠和二次创伤应激）和同情心满足感。采用描述性分析描述参与者的社会支持、同情心疲劳和同情心满足感的特征。采用多元线性回归分析确定参与者的社会人口学和专业特征、同情心疲劳和同情心满足感的相关性。
共完成 213 份问卷，其中 206 份有效（96.71%）。大多数参与者报告同情心满足感（75.24%）和倦怠感（59.71%）中等风险，二次创伤应激（61.65%）低风险。更高的助产士工作满意度、过去一年每周平均工作时间更少、更高的社会支持、外向性格以及过去一个月的工作认可与同情心满足感呈正相关，解释了总方差的 48.7%。总是考虑放弃助产士职业、较低的社会支持、上日夜班、健康状况较差、近年来每月平均接触创伤性分娩事件较多以及作为助产士的工作满意度较低是倦怠的负面因素，解释了总方差的 35.3%。过去一年每周平均工作时间较少、每年每月平均接触创伤性分娩事件较多、总是考虑放弃助产士职业、上日夜班和睡眠质量较差等四个因素与二次创伤应激呈负相关，解释了方差的 14.2%。
在这项研究中，助产士表现出中等水平的同情心满足感和倦怠感，以及较低水平的二次创伤应激，这应该引起医疗机构的关注。健康和支持性的工作环境对助产士的健康、幸福和工作满意度至关重要。应实施针对性策略，如创伤管理、情绪素养、同伴和社会支持网络，以支持助产士的同情心满足感，同时预防和降低助产士的倦怠感和二次创伤应激。
