Paul Nicolas, Limprecht-Heusner Marcus, Eichenauer Jutta, Scheichenbauer Christel, Bärnighausen Till, Kohler Stefan
Heidelberg Institute of Global Health (HIGH), Faculty of Medicine and University Hospital, Heidelberg University, Heidelberg, Germany.
Hebammenverband Baden-Württemberg, Backnang, Germany.
Eur J Midwifery. 2022 Jul 29;6:46. doi: 10.18332/ejm/150582. eCollection 2022.
Midwifery services are a cornerstone of maternal care, but the mental health of midwives is at risk in many work settings. The aim of this study was to assess burnout and attitudes toward midwifery among midwives in Baden-Württemberg, Germany.
A cross-sectional online survey among midwives was conducted from 16 October to 10 December 2017. Burnout was assessed using the Copenhagen Burnout Inventory (CBI).
A total of 602 survey respondents were studied; 48.3%, 38.2%, and 23.3% of midwives reported moderate or high (CBI score ≥50) levels of personal burnout, work-related burnout, and client-related burnout, respectively. Midwives with moderate or high burnout in at least one CBI dimension worked more weekly hours, were more commonly employed, and worked more frequently in the hospital. In turn, midwives with low burnout levels worked fewer weekly hours, more commonly freelance, and more frequently community based (all p<0.001). Moderate or high burnout levels were associated with a reduced likelihood to recommend midwifery as a profession (OR=0.34; 95% CI: 0.23-0.49) and an increased likelihood to intent leaving the profession (OR=3.39; 95% CI: 2.0-5.9) in a multivariable regression adjusting for midwife characteristics and work practices.
Burnout symptoms were common among midwives. Burnout could be a health risk for midwives and a challenge to the profession by discouraging present and future midwives from practicing midwifery.
助产服务是孕产妇护理的基石，但在许多工作环境中，助产士的心理健康面临风险。本研究旨在评估德国巴登-符腾堡州助产士的职业倦怠情况以及对助产工作的态度。
于2017年10月16日至12月10日对助产士进行了一项横断面在线调查。使用哥本哈根职业倦怠量表（CBI）评估职业倦怠情况。
共对602名调查对象进行了研究；分别有48.3%、38.2%和23.3%的助产士报告称个人倦怠、工作相关倦怠和客户相关倦怠程度为中度或高度（CBI评分≥50）。在CBI至少一个维度上倦怠程度为中度或高度的助产士每周工作时长更多，受雇更为普遍，且更常在医院工作。相反，倦怠程度低的助产士每周工作时长较少，更多为自由职业者，且更常在社区工作（所有p<0.001）。在对助产士特征和工作实践进行多变量回归分析时，中度或高度倦怠水平与推荐助产作为职业的可能性降低（OR=0.34；95%CI：0.23-0.49）以及打算离开该职业的可能性增加（OR=3.39；95%CI：2.0-5.9）相关。
职业倦怠症状在助产士中很常见。职业倦怠可能对助产士构成健康风险，并对该职业构成挑战，因为它会使当前和未来的助产士不愿从事助产工作。
