Bakker R H, Groenewegen P P, Jabaaij L, Meijer W, Sixma H, de Veer A
NIVEL (Netherlands Institute of Primary Health Care), Utrecht, The Netherlands.
Midwifery. 1996 Dec;12(4):174-81. doi: 10.1016/s0266-6138(96)80004-0.
to determine the effect of workload on 'burnout' having considered work capacity.
cross-sectional study.
Dutch community midwives in independent practice.
200 Dutch community midwives.
three-week diary recordings, a questionnaire on practice and personal characteristics, and a questionnaire on 'burnout', social support and coping style.
differences in 'burnout' can be explained partly by the midwife's workload and partly by her work capacity. A high workload may lead to 'burnout' when a midwife is unable to handle stressful situations.
when a higher percentage of the supervised births occurred at the client's own home instead of during a short-stay hospital visit, the chances of 'burnout' are lower.
changes in the organisation of Dutch community midwifery care may contribute to the reduction of 'burnout'. 'Burnout' is a complex phenomenon influenced both by individual and organisational factors. When formulating policy to reduce 'burnout' among midwives specific work-related factors must be considered and emphasis be placed on the importance of personal resources.
在考虑工作能力的情况下，确定工作量对“职业倦怠”的影响。
横断面研究。
独立执业的荷兰社区助产士。
200名荷兰社区助产士。
为期三周的日记记录、一份关于执业和个人特征的问卷，以及一份关于“职业倦怠”、社会支持和应对方式的问卷。
“职业倦怠”的差异部分可由助产士的工作量解释，部分可由其工作能力解释。当助产士无法应对压力情况时，高工作量可能导致“职业倦怠”。
当受监督分娩中较高比例发生在产妇家中而非短期住院时，“职业倦怠”的几率较低。
荷兰社区助产护理组织的变革可能有助于减少“职业倦怠”。“职业倦怠”是一种复杂现象，受个人和组织因素影响。在制定减少助产士“职业倦怠”的政策时，必须考虑特定的工作相关因素，并强调个人资源的重要性。
