荷兰助产士的职业倦怠

'Burnout' among Dutch midwives.

作者信息

Bakker R H, Groenewegen P P, Jabaaij L, Meijer W, Sixma H, de Veer A

机构信息

NIVEL (Netherlands Institute of Primary Health Care), Utrecht, The Netherlands.

出版信息

Midwifery. 1996 Dec;12(4):174-81. doi: 10.1016/s0266-6138(96)80004-0.

DOI:10.1016/s0266-6138(96)80004-0

PMID:9069910

Abstract

OBJECTIVE

to determine the effect of workload on 'burnout' having considered work capacity.

DESIGN

cross-sectional study.

SETTING

Dutch community midwives in independent practice.

PARTICIPANTS

200 Dutch community midwives.

MEASUREMENTS

three-week diary recordings, a questionnaire on practice and personal characteristics, and a questionnaire on 'burnout', social support and coping style.

FINDINGS

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.

KEY CONCLUSIONS

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.

IMPLICATIONS FOR PRACTICE

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.

摘要