Robinson Keisha A, Atlas Robert O, Storr Carla L, Gaitens Joanna M, Blanchard May, Ogbolu Yolanda
MCN Am J Matern Child Nurs. 2024;49(6):332-340. doi: 10.1097/NMC.0000000000001046. Epub 2024 Oct 15.
To describe the relationship between experiencing traumatic childbirth events and burnout.
This descriptive cross-sectional study used an anonymous online survey to assess traumatic childbirth event exposure and the three independent constructs of burnout: emotional exhaustion, depersonalization, and personal accomplishment. Participants were a convenience sample of registered nurses, obstetric residents, family medicine residents, and attending obstetricians across five hospitals from December 2020 through June 2021. The traumatic childbirth event questionnaire measured the frequency of traumatic childbirth event exposure, perception of severity, and perceived influence on the participant's professional practice and personal life.
Data were analyzed from 150 participants. Registered nurses represented the largest percentage of participants (66%). Components of burnout varied according to race and occupation. Asian/Pacific Islanders had significantly higher mean depersonalization scores at 10.1 (SD = 6.0). Resident physicians had the highest emotional exhaustion scores (M = 34.6, SD = 8.8). Traumatic childbirth events perceived influence on practice correlates with personal accomplishments. Yet, no relationship was observed between traumatic childbirth events, emotional exhaustion, and depersonalization. Linear mixed analysis revealed that hospitals account for 7.5% of the variance in emotional exhaustion scores, 11.1% in depersonalization scores, and 1.3% in personal accomplishments scores.
Maternity clinicians experience burnout at similar rates to those in other specialties. Although traumatic childbirth events are infrequent and not strongly correlated with emotional exhaustion and depersonalization, hospitals should implement effective strategies to support clinicians after such events. Educational interventions can enhance knowledge and resilience, whereas specialized training effectively alleviates burnout. Development of evidence-based strategies that prioritize the wellbeing of clinicians and patients is crucial.
描述经历创伤性分娩事件与职业倦怠之间的关系。
这项描述性横断面研究采用匿名在线调查，以评估创伤性分娩事件的暴露情况以及职业倦怠的三个独立构成要素：情感耗竭、去个性化和个人成就感。参与者是2020年12月至2021年6月期间来自五家医院的注册护士、产科住院医师、家庭医学住院医师和产科主治医师的便利样本。创伤性分娩事件问卷测量了创伤性分娩事件暴露的频率、严重程度感知以及对参与者专业实践和个人生活的感知影响。
对150名参与者的数据进行了分析。注册护士占参与者的比例最大（66%）。职业倦怠的构成要素因种族和职业而异。亚洲/太平洋岛民的平均去个性化得分显著更高，为10.1（标准差 = 6.0）。住院医师的情感耗竭得分最高（M = 34.6，标准差 = 8.8）。创伤性分娩事件对实践的感知影响与个人成就感相关。然而，未观察到创伤性分娩事件、情感耗竭和去个性化之间的关系。线性混合分析显示，医院在情感耗竭得分的方差中占7.5%，在去个性化得分中占11.1%，在个人成就感得分中占1.3%。
产科临床医生的职业倦怠发生率与其他专科类似。尽管创伤性分娩事件很少见，且与情感耗竭和去个性化没有强烈关联，但医院应在此类事件发生后实施有效的策略来支持临床医生。教育干预可以增强知识和恢复力，而专业培训能有效减轻职业倦怠。制定以临床医生和患者福祉为优先的循证策略至关重要。
