Who is at risk of burnout? A cross-sectional survey of midwives in a tertiary maternity hospital in Melbourne,Australia |
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| Institution: | 1. Judith Lumley Centre, La Trobe University, Bundoora, VIC 3086, Australia;2. School of Nursing & Midwifery, La Trobe University, Bundoora, VIC 3086, Australia;3. The Royal Women’s Hospital, Locked Bag 300, Cnr Grattan St and Flemington Rd, Parkville, VIC 3052, Australia;1. CNHS, Flinders University, Australia;2. Arctic University of Norway, Rural and Remote Arctic Health, Campus Hammersfest, Norway;1. Judith Lumley Centre, School of Nursing and Midwifery, La Trobe University, Melbourne, Victoria, Australia;2. School of Nursing and Midwifery, Griffith University, Meadowbrook, Queensland, Australia;3. School of Nursing and Midwifery, La Trobe University, Bundoora, 3086, Australia;4. Maternity Services, Royal Women’s Hospital, Parkville, Victoria, Australia;5. Global Obesity Centre (GLOBE), Institute for Health Transformation, Deakin University, Geelong, Victoria, Australia;6. Centre for Health Equity, The University of Melbourne, Melbourne, Victoria, Australia;7. Ngangk Yira: Murdoch University Research Centre for Aboriginal Health and Social Equity, Perth, Western Australia;8. The Lowitja Institute, Melbourne, Victoria, Australia;1. School of Nursing Midwifery and Social Work, University of Queensland, Level 3 Chamberlain Building, St Lucia, Queensland, Australia;2. Central Coast Local Health District, Holden Street, Gosford, NSW 2250, Australia;3. North Sydney Local Health District, Coronation Street, Mona Vale, NSW 1660, Australia;4. School of Health Sciences, University of Skovde, Box 408, SE541 28, Sweden;5. Molly Wardaguga Research Centre, College of Nursing & Midwifery, Charles Darwin University, Level 11, East Building, 410 Ann St, Brisbane, Queensland, 4000, Australia;1. Central Clinical School, Faculty of Medicine and Health, and Charles Perkins Centre, University of Sydney, Australia;2. Department of Women’s Health, Neonatology and Paediatrics, Royal Prince Alfred Hospital, Sydney Local Health District, Australia;3. Child Population and Translational Health Research, The Children’s Hospital at Westmead Clinical School, Faculty of Medicine and Health, The University of Sydney, Australia;4. Department of Endocrinology, Royal Prince Alfred Hospital, Sydney Local Health District, Australia;1. School of Nursing and Midwifery, Griffith University, Brisbane, Australia;2. Transforming Maternity Care Collaborative, Australia |
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| Abstract: | BackgroundBurnout is an occupational phenomenon with the potential to affect a person’s physical and mental health, job satisfaction and quality of work. There is evidence of burnout occurring in the midwifery profession, but inadequate data on the prevalence of, and the factors associated with, burnout.AimIdentify the prevalence of burnout in a population of midwives and explore what individual and workforce characteristics, and what occupational stressors, were associated with burnout.MethodsA cross-sectional survey of permanently employed midwives was conducted in a tertiary maternity service in Melbourne, Australia in 2017. Data collected included individual and workforce-related characteristics and occupational stressors. Burnout was explored using the Copenhagen Burnout Inventory. Univariate and multivariate analyses were conducted to ascertain associations between respondents’ characteristics, stressors, and burnout levels.FindingsA total of 257/266 midwives (97%) responded. There were significant levels of exhaustion and fatigue among respondents; 68% of midwives were experiencing personal burnout, 51% work-related burnout, and 10% were experiencing client-related burnout. Being aged ≤ 35 years, and/or having inadequate support was associated with personal and work-related burnout. Having inadequate acknowledgement was associated with client-related burnout.ConclusionHealth services need to understand the risk factors for burnout among midwives, identify and support groups that are most vulnerable, and address areas that are amenable to intervention. In our context this means ensuring midwives receive adequate acknowledgement and support, particularly younger midwives. These findings need to be tested in other settings to help inform a broader understanding and ensure the sustainability of the midwifery profession. |
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| Keywords: | Midwifery Midwife Burnout Prevalence Workforce |
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