Factors that may influence midwives work-related stress and burnout |
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| Authors: | Lyndall Mollart Virginia M Skinner Carol Newing Maralyn Foureur |
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| Institution: | 1. Maternity Services, Central Coast Local Health District, PO Box 360, Gosford, New South Wales, Australia;2. School of Nursing and Midwifery, Newcastle University, University Drive, Callaghan, New South Wales 2308, Australia;3. Centre for Midwifery, Child and Family Health, University of Technology Sydney, PO Box 123, Broadway, New South Wales 2007 Australia;1. Department of Midwifery Science, AVAG and the EMGO Institute for Health and Care Research, VU University Medical Centre, Amsterdam, The Netherlands;2. Midwifery Academy Amsterdam Groningen, The Netherlands;3. Netherlands Institute for Health Services Research (NIVEL), Utrecht, The Netherlands;4. Faculty of Health Sciences, McMaster University, Hamilton, Canada;1. School of Nursing and Midwifery, Edith Cowan University, 270 Joondalup Drive, Joondalup, Western Australia 6027, Australia;2. Nursing and Midwifery Office, Department of Health WA, PO Box 8172, Perth Business Centre, Western Australia 6849, Australia;3. Faculty of Computing, Health and Science, Edith Cowan University, 270 Joondalup Drive, Joondalup, Western Australia 6027, Australia;1. Institute of Psychology, Health and Society, University of Liverpool, Liverpool, UK;2. School of Health Sciences, University of Nottingham, Nottingham, UK;1. University College of Northern Denmark, Selma Lagerløfs Vej 2, 9220 Aalborg Øst, Denmark;2. Clinical Nursing Research, Aalborg University Hospital, Sdr. Skovvej 15, 9000 Aalborg, Denmark;3. Department of Clinical Medicine, Aalborg University, Sdr. Skovvej 15, 9000 Aalborg, Denmark;4. Section for Epidemiology, Department of Public Health, Bartholins Alle 2, Aarhus University, 8000 Aarhus C, Denmark;5. Centre for Midwifery, Child and Family Health, Faculty of Health, University of Technology Sydney, Australia;6. Research Unit for Gynaecology and Obstetrics, Institute of Clinical Research, University of Southern Denmark, Sdr Boulevard 29, 5000 Odense C, Denmark;1. Faculty of Health & Life Sciences, Coventry University, United Kingdom;2. Research Development Lead in Health, Faculty of Health & Life Sciences, Coventry University, United Kingdom;3. Centre for Technology Enabled Health Research, Children and Families Research, Faculty of Health & Life Sciences, Coventry University, United Kingdom;4. Centre for Technology Enabled Health Research, Faculty of Health & Life Sciences, Coventry University, United Kingdom;5. The Hurley Group, London, United Kingdom |
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| Abstract: | Research questionTo determine the incidence and level of work-related stress and burnout in midwives and contributing and protective demographic factors that may influence those levels.Participants and methodAll registered midwives (152) working in two public hospital maternity units within the same health service district in NSW completed the Maslach Burnout Inventory Human Services Survey and a demographic survey including care model, shift work, lifestyle data and exercise level.FindingsThere was a response rate of 36.8% with 56 (56/152) midwives completing the surveys. Almost two thirds (60.7%) of midwives in this sample experienced moderate to high levels of emotional exhaustion, a third (30.3%) scoring low personal accomplishment and a third (30.3%) experiencing depersonalization related to burnout. Significant differences were found among groups of midwives according to years in the profession, shifts worked, how many women with multiple psychosocial issues were included in the midwife's workload and the midwife's uptake of physical exercise. Those midwives who had spent longer in the profession and exercised scored low burnout levels.ConclusionThe impact of years in the profession, shifts worked, how many women with multiple psychosocial issues were included in their workload and the midwife's level of exercise significantly affected how these midwives dealt with burnout and provided care for women. As the response rate was low, and the study cannot be generalised to the entire midwifery workforce but provides important insights for further research. Understanding factors related to burnout can benefit health care institutions financially and in terms of human costs, especially in view of consistent international shortages of midwives. |
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