A participatory action research study exploring midwives’ understandings of the concept of burnout in Ireland |
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| Institution: | 1. National Maternity Hospital, Holles Street, Dublin 2, Ireland;2. School of Nursing, Midwifery & Health Systems, University College Dublin, Belfield, Dublin 4, Ireland;1. La Trobe University, Melbourne, Australia;2. Australian Catholic University, Melbourne, Australia;3. Western Health, Melbourne, Australia;1. NHMRC Centre of Research Excellence in Stillbirth, Mater Research Institute — The University of Queensland (MRI-UQ), South Brisbane, Australia;2. Charles Perkins Centre, University of Sydney, Sydney, NSW, Australia;3. Institute for Social Science Research, The University of Queensland, Brisbane, Australia;4. Griffith University, School of Medicine and Gold Coast University Hospital, Gold Coast, QLD, Australia;5. SAHMRI Women and Kids, South Australian Health and Medical Research Institute, Adelaide, Australia;6. University of Auckland and Counties Manukau Health, Auckland, New Zealand;1. Faculty of Health, School of Nursing, Midwifery and Paramedicine, University of Sunshine Coast, 90 Sippy Downs Drive, Sippy Downs, QLD 4556, Australia;2. Faculty of Arts, Business and Law, Engage Research Lab, University of Sunshine Coast, 90 Sippy Downs Drive, Sippy Downs, QLD 4556, Australia;1. Centenary Hospital for Women and Children, ACT and University of Canberra, Kirinari St., Bruce, ACT 2617, Australia;2. ACT Government Health Directorate and University of Canberra, Kirinari St., Bruce, ACT 2617, Australia;1. School of Nursing and Midwifery Western Sydney University, Locked Bag 1797 Penrith NSW 2751 Australia;2. School of Business Western Sydney University, Locked Bag 1797 Penrith NSW 2751 Australia;3. Molly Wardaguga Research Centre, Charles Darwin University, 815 George Street Haymarket NSW 2000 Australia;1. College of Medicine and Public Health, Flinders University, Australia;2. School of Nursing and Midwifery, Deakin University, Australia;3. Centre for Quality and Patient Safety Research, Western Health Partnership, Australia |
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| Abstract: | IntroductionIn depth exploration of the burnout phenomenon among midwives is sparse. The concept has been extensively studied, but predominantly reports rates and evaluates interventions to reduce burnout. A definition has yet to be offered in the literature from a midwifery perspective.AimsTo explore midwives’ understandings of burnout, professionally and personally, in the context of contemporary maternity care in Ireland.MethodsThis was a Two-phase Participatory Action Research study. Five co-operative inquiry meetings were held with practising midwives (n = 21) over a six-month period between October 2018 and March 2019, in a large, urban teaching maternity hospital in Dublin, Ireland.FindingsWe found that multiple factors contributed to midwives’ perceptions and understandings of the concept of burnout. Midwives defined burnout as persistent stress and exhaustion, with an associated reduction of their individual coping abilities, motivation, empathy and/or efficacy, is unique to the individual and is primarily, in the midwifery context, caused and inextricably linked to excessive workload.ConclusionBurnout is a complex concept with many entities and its significance and impact within the midwifery profession highlights the importance of its exploration and understanding. This study is the first of its kind to explore, with midwives, the concept of burnout. The elements of stress and exhaustion in the definition mirror existing definitions in the literature. |
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| Keywords: | Midwife burnout Burn out Midwives |
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