Urbańska Katarzyna A, Naworska Beata M, Bednarz Karolina, Stojko Szymon, Drosdzol-Cop Agnieszka B
Neonatal Unit, BCM The Guardian Angels Hospital of the Brothers Hospitallers of St. John of God in Katowice, Katowice, Poland.
Department of Perinatology and Oncological Gynecology, School of Health Sciences in Katowice, Medical University of Silesia in Katowice, Poland, Poland.
Ginekol Pol. 2025 Apr 14. doi: 10.5603/gpl.104634.
The nursing and midwifery professions are potential influences on life satisfaction and self-efficacy, especially in obstetric settings dealing with fetal demise or severe congenital anomalies. This study aimed to assess how sociodemographic factors (e.g., workplace, marital status, financial situation, occupation, and tenure) and specific job exposures (frequency of neonatal death and caregiving for newborns with lethal defects) impact life satisfaction and self-efficacy among nurses and midwives. The study further explored the role of employer-provided psychological support in influencing job satisfaction and self-efficacy.
A diagnostic survey with a custom questionnaire, supplemented by the General Self-Efficacy Life satisfaction and self-efficacy (GSES) and Satisfaction with Life Scale (SWLS), was conducted in level II and III referral centers in Poland's Silesian region in 2023. Participants included nurses and midwives in various neonatal and obstetric departments. Statistical analyses encompassed descriptive statistics, chi-square tests, and Spearman correlations, with significance set at p < 0.05.
A majority of participants reported moderate to high life satisfaction (41.7%) and self-efficacy (59.0%). Key factors impacting life satisfaction included marital status, financial situation, education, tenure, and caregiving frequency for newborns with lethal defects. High self-efficacy was significantly associated with job satisfaction, tenure, and workplace environment but was unaffected by marital status, financial situation, or psychological support.
The findings highlight the emotional burden on nurses and midwives in neonatal care. Enhanced psychological support, stress-coping training, and policy adjustments are recommended to support this workforce. Further studies should broaden regional scope and examine links between life satisfaction, self-efficacy, and job satisfaction.
护理和助产职业可能会对生活满意度和自我效能感产生影响，尤其是在处理胎儿死亡或严重先天性异常的产科环境中。本研究旨在评估社会人口学因素（如工作场所、婚姻状况、财务状况、职业和任期）以及特定的工作暴露（新生儿死亡频率和对患有致命缺陷新生儿的护理）如何影响护士和助产士的生活满意度和自我效能感。该研究还进一步探讨了雇主提供的心理支持在影响工作满意度和自我效能感方面的作用。
2023年在波兰西里西亚地区的二级和三级转诊中心进行了一项诊断性调查，采用定制问卷，并辅以一般自我效能量表（GSES）、生活满意度量表（SWLS）。参与者包括各个新生儿科和产科的护士和助产士。统计分析包括描述性统计、卡方检验和斯皮尔曼相关性分析，显著性设定为p < 0.05。
大多数参与者报告生活满意度为中度至高度（41.7%），自我效能感为中度至高度（59.毛）。影响生活满意度的关键因素包括婚姻状况、财务状况、教育程度、任期以及对患有致命缺陷新生儿的护理频率。高自我效能感与工作满意度、任期和工作场所环境显著相关，但不受婚姻状况、财务状况或心理支持的影响。
研究结果凸显了新生儿护理中护士和助产士的情感负担。建议加强心理支持、压力应对培训和政策调整，以支持这一劳动力群体。进一步的研究应扩大区域范围，并研究生活满意度、自我效能感和工作满意度之间的联系。
