Kool Liesbeth, Feijen-de Jong Esther I, Mastenbroek Nicole J J M, Schellevis François G, Jaarsma Debbie A D C
University of Groningen, University Medical Center Groningen, Department of Primary and Long-term Care, PO Box 196, 9700 AD, Groningen, the Netherlands; Midwifery Academy Amsterdam Groningen, InHolland, Groningen, the Netherlands; Midwifery Science, Amsterdam UMC location Vrije Universiteit Amsterdam, De Boelelaan 1117, Amsterdam, the Netherlands.
University of Groningen, University Medical Center Groningen, Department of Primary and Long-term Care, PO Box 196, 9700 AD, Groningen, the Netherlands; Midwifery Academy Amsterdam Groningen, InHolland, Groningen, the Netherlands; Midwifery Science, Amsterdam UMC location Vrije Universiteit Amsterdam, De Boelelaan 1117, Amsterdam, the Netherlands.
Midwifery. 2023 Oct;125:103776. doi: 10.1016/j.midw.2023.103776. Epub 2023 Jul 24.
Internationally, about 40 percent of midwives report symptoms of burnout, with young and inexperienced midwives being most vulnerable. There is a lack of recent research on burnout among Dutch midwives. The aim of this study was to examine the occupational wellbeing and its determinants of newly qualified and inexperienced midwives in the Netherlands. The majority of practicing Dutch midwives are aged under 40, which could lead to premature turnover.
A cross-sectional study was conducted using an online questionnaire that consisted of validated scales measuring job demands, job and personal resources, burnout symptoms and work engagement. The Job Demands-Resources model was used as a theoretical model.
We recruited Dutch midwives who were actually working in midwifery practice. A total of N=896 midwives participated in this study, representing 28 percent of practicing Dutch midwives.
Data were analysed using regression analysis. Seven percent of Dutch midwives reported burnout symptoms and 19 percent scored high on exhaustion. Determinants of burnout were all measured job demands, except for experience level. Almost 40 percent of midwives showed high work engagement; newly qualified midwives had the highest odds of high work engagement. Master's or PhD-level qualifications and employment status were associated with high work engagement. All measured resources were associated with high work engagement.
A relatively small percentage of Dutch midwives reported burnout symptoms, the work engagement of Dutch midwives was very high. However, a relatively large number reported symptoms of exhaustion, which is concerning because of the risk of increasing cynicism levels leading to burnout. In contrast to previous international research findings, being young and having less working experience was not related to burnout symptoms of Dutch newly qualified midwives.
The recognition of job and personal resources for midwives' occupational wellbeing must be considered for a sustainable midwifery workforce. Midwifery Academies need to develop personal resources of their students that will help them in future practice.
在国际上，约40%的助产士报告有职业倦怠症状，年轻且经验不足的助产士最为脆弱。目前缺乏关于荷兰助产士职业倦怠的最新研究。本研究的目的是调查荷兰新获得资格且经验不足的助产士的职业幸福感及其决定因素。大多数执业荷兰助产士年龄在40岁以下，这可能导致过早离职。
采用在线问卷进行横断面研究，问卷包括经过验证的量表，用于测量工作需求、工作和个人资源、职业倦怠症状及工作投入度。工作需求-资源模型被用作理论模型。
我们招募了实际从事助产工作的荷兰助产士。共有N = 896名助产士参与了本研究，占执业荷兰助产士的28%。
数据采用回归分析进行分析。7%的荷兰助产士报告有职业倦怠症状，19%的人在疲惫程度上得分较高。职业倦怠的决定因素是所有测量的工作需求，但经验水平除外。近40%的助产士表现出高度的工作投入；新获得资格的助产士工作投入度高的几率最高。硕士或博士学历以及就业状况与高度的工作投入相关。所有测量的资源都与高度的工作投入相关。
报告有职业倦怠症状的荷兰助产士比例相对较小，荷兰助产士的工作投入度非常高。然而，有相对较多的人报告有疲惫症状，这令人担忧，因为愤世嫉俗情绪增加有导致职业倦怠的风险。与之前的国际研究结果相反，年轻且工作经验较少与荷兰新获得资格的助产士的职业倦怠症状无关。
为了建立可持续的助产士队伍，必须考虑认识到工作和个人资源对助产士职业幸福感的重要性。助产士学院需要培养学生的个人资源，这将有助于他们未来的实践。
