Armour Susanne, Keedle Hazel, Gilkison Andrea, Dahlen Hannah Grace
School of Nursing and Midwifery, Western Sydney University, Penrith, New South Wales, Australia.
School of Clinical Sciences, Department of Midwifery, Auckland University of Technology, Auckland, New Zealand.
J Adv Nurs. 2025 Jun;81(6):3096-3109. doi: 10.1111/jan.16469. Epub 2024 Oct 3.
Assess the psychological impact that providing TOP care beyond 12 weeks gestation has on midwives in Australia and New Zealand, improve understanding of TOP care and explore what support midwives have and what they might need to deal with their work experiences.
Online survey.
A web-based, self-reported questionnaire with a total of 63 questions collected data from June to October 2022. Two validated psychometric tools were included to assess emotional well-being. Numerical data were analysed using descriptive statistics, frequencies, percentages and means. The STROBE guideline was used for reporting.
Most midwives felt unsupported and affected by their experiences of providing termination of pregnancy care. Recognition and regular post-care debriefing with management were minimal. Lack of staff impacted the ability to provide individualised care. Mental health support was not commonly offered to midwives. Psychometric tools showed burnout and high levels of compassion fatigue, but also compassion satisfaction. To feel supported midwives need a fully staffed workforce, the ability to provide one-on-one care, recognition from managers and team support.
Midwives who deliver termination of pregnancy care are unsupported and at high risk of burnout and compassion fatigue. Providing appropriate support is vital to increase midwives' well-being and sustain women's access to safe, high-quality care.
Study addresses a knowledge gap about midwives' support needs when caring for women undergoing termination of pregnancy beyond 12 weeks. Findings show the urgent need to recruit and retain midwifery staff, acknowledge the mental health risks of termination of pregnancy care and implement mental health strategies for midwives. Research benefits midwives who provide termination of pregnancy care, midwife managers, healthcare organisations and professional bodies.
No patient or public involvement.
评估在妊娠12周后提供终止妊娠护理对澳大利亚和新西兰助产士的心理影响，增进对终止妊娠护理的理解，并探讨助产士所拥有的支持以及应对其工作经历可能需要的支持。
在线调查。
一份基于网络的自填式问卷，共63个问题，于2022年6月至10月收集数据。纳入了两种经过验证的心理测量工具来评估情绪健康状况。使用描述性统计、频率、百分比和均值对数值数据进行分析。采用STROBE指南进行报告。
大多数助产士感到在提供终止妊娠护理的经历中未得到支持且受到影响。与管理层的认可和定期护理后汇报极少。人员短缺影响了提供个性化护理的能力。助产士通常得不到心理健康支持。心理测量工具显示存在职业倦怠和高度的同情疲劳，但也有同情满足感。为了获得支持，助产士需要人员配备齐全的工作团队、提供一对一护理的能力、来自管理者的认可和团队支持。
提供终止妊娠护理的助产士得不到支持，面临职业倦怠和同情疲劳的高风险。提供适当的支持对于提高助产士的幸福感以及维持女性获得安全、高质量护理的机会至关重要。
该研究填补了关于助产士在护理妊娠12周后终止妊娠的女性时支持需求方面的知识空白。研究结果表明迫切需要招聘和留住助产士人员，认识到终止妊娠护理的心理健康风险，并为助产士实施心理健康策略。该研究对提供终止妊娠护理的助产士、助产士管理者、医疗保健组织和专业机构有益。
无患者或公众参与。
