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COVID-19 疫情期间助产士的同情疲劳与道德敏感性

Compassion fatigue and moral sensitivity in midwives in COVID-19.

机构信息

Department of Midwifery, Faculty of Health Sciences, Karabuk University, Turkey.

Department of Midwifery, Gulhane Faculty of Health Sciences, University of Health Sciences, Ankara, Turkey.

出版信息

Nurs Ethics. 2023 Sep;30(6):776-788. doi: 10.1177/09697330221146224. Epub 2023 Mar 17.

Abstract

BACKGROUND

The Covid-19 pandemic has impacted compassion fatigue and the mental health of health care providers, particularly midwives and nurses. Although there are studies involving health workers such as nurses and physicians affected by the pandemic's compassion fatigue, few studies include midwives.

RESEARCH OBJECTIVE

The present study seeks to investigate the effects of compassion fatigue experienced by midwives working under intense stress during the third wave of the COVID-19 pandemic on the level of moral sensitivity.

RESEARCH DESIGN

This is a descriptive-correlation study.

PARTICIPANTS

The statistical population consisted of all the midwives in Türkiye hospitals in 2021. This cross-sectional study was collected through a questionnaire using convenience sampling. Three hundred and ten midwives working in different units of the country participated in the study.

ETHICAL CONSIDERATIONS

Approval from the researcher's university Institutional Review Board for ethical review was obtained with the code of IRB 20/510.

FINDINGS

The average age of the midwives is 34.29 ± 8.39. It has been noticed that 43.5% of the midwives work in public hospitals and 38.1% in family health and community health centers. Midwives' mean MR-CS score is 67.11 ± 25.13, secondary trauma sub-dimension average 15.77 ± 6.23, and occupational burnout sub-dimension 40.69 ± 16.35. The mean moral sensitivity questionnaire score is determined as 93.86 ± 19.51. It has been observed that the working style and working time are effective on compassion fatigue. In the linear regression model, 98% of compassion fatigue was explained. Age, secondary trauma, and occupational burnout sub-dimensions affect the model.

DISCUSSION

Working year, working style, second trauma, age, and occupational burnout parameters may help explain some of the links between midwives' symptoms of compassion fatigue.

CONCLUSION

The pandemic affects the compassion fatigue of midwives. It is crucial to provide social support to midwives and health workers to prevent compassion fatigue and examine and control groups at risk in mental health.

摘要

背景

Covid-19 大流行影响了医护人员的同情疲劳和心理健康,尤其是助产士和护士。虽然有研究涉及受大流行同情疲劳影响的护士和医生等卫生工作者,但很少有研究包括助产士。

研究目的

本研究旨在调查在第三波 COVID-19 大流行期间承受巨大压力的助产士所经历的同情疲劳对道德敏感性水平的影响。

研究设计

这是一项描述性相关性研究。

参与者

统计人群由 2021 年土耳其医院的所有助产士组成。这项横断面研究通过使用便利抽样的问卷收集。该国不同单位的 310 名助产士参与了这项研究。

伦理考虑

通过研究人员所在大学的机构审查委员会获得了伦理审查批准,代码为 IRB 20/510。

结果

助产士的平均年龄为 34.29 ± 8.39 岁。注意到 43.5%的助产士在公立医院工作,38.1%在家庭健康和社区卫生中心工作。助产士的平均 MR-CS 得分为 67.11 ± 25.13,次级创伤子维度平均为 15.77 ± 6.23,职业倦怠子维度为 40.69 ± 16.35。道德敏感性问卷的平均得分为 93.86 ± 19.51。观察到工作方式和工作时间对同情疲劳有影响。在线性回归模型中,98%的同情疲劳得到解释。年龄、二级创伤和职业倦怠子维度影响模型。

讨论

工作年限、工作方式、二次创伤、年龄和职业倦怠参数可能有助于解释助产士同情疲劳症状之间的一些联系。

结论

大流行影响了助产士的同情疲劳。为助产士和卫生工作者提供社会支持以预防同情疲劳,并检查和控制心理健康风险群体至关重要。

相似文献

1
Compassion fatigue and moral sensitivity in midwives in COVID-19.COVID-19 疫情期间助产士的同情疲劳与道德敏感性
Nurs Ethics. 2023 Sep;30(6):776-788. doi: 10.1177/09697330221146224. Epub 2023 Mar 17.

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