Labour ward midwives' perceptions of stress.

Labour ward midwives' perceptions of stress.
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产房助产士对压力的看法。

DOI:
10.1046/j.1365-2648.1998.t01-1-00571.x
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发表时间:
1998
影响因子:
3.8
通讯作者:
M. Sinclair
M. Sinclair
中科院分区:
医学3区
文献类型:
--
作者:
P. Mackin;M. Sinclair

文献摘要

被引文献

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本研究旨在探讨产房助产士对压力的感受。它使用了两个自我报告问卷的组合,一个是由麦格拉思等人设计的,另一个是GHQ 12。通过询问助产士对最近压力事件的叙述来收集额外的定性数据。43名助产士的方便样本形成了研究人群,达到了77%的应答率。定量数据进行了分析,使用描述性统计和定性叙述内容分析。在这项研究中,助产士表现出他们在工作和个人生活中对压力的认识,许多人采取积极措施,通过锻炼、爱好和与同事交谈来纠正负面影响。然而,研究显示,78%的助产士表示,没有足够的时间履行职责是非常紧张的,除了他们认为无法影响基于工作的决定。这项研究表明,医疗和助产士的同事们在努力改变不令人满意的状况时都遇到了挫折。GHQ 12显示,30%的助产士得分高于阈值水平2,表明精神病发病率,这是一个主要问题。叙述显示,专业人员之间缺乏沟通决策是压力的主要来源,由于这项研究的努力,以改善多学科沟通,通过发展杂志俱乐部和计划的社会活动正在考虑的单位。总的来说,这项研究的结果强调了压力作为一个潜在的职业健康问题,在一些产房助产士的工作生活。
This exploratory study set out to examine labour ward midwives' perceptions of stress. It utilized a combination of two self-report questionnaires, one devised by McGrath et al. and the GHQ12. Additional qualitative data were collected by asking midwives to produce narratives about recent stressful events. A convenience sample of the 43 midwives formed the study population and a response rate of 77% was achieved. Quantitative data were analysed using descriptive statistics and qualitative narratives were explored for content analysis. Midwives in this study demonstrated their awareness of stress in their working and personal lives and many took active steps to redress the negative effects with exercise, hobbies and talking with colleagues. However, the study revealed that 78% of the midwives indicated that having insufficient time to perform their duties was very stressful, paralleled by their perceived inability to influence work-based decisions. The study revealed that both medical and midwifery colleagues frustrated their endeavours to change an unsatisfactory condition. The GHQ12 revealed 30% of the midwives had scores above the threshold level of 2 indicating psychiatric morbidity and this is of major concern. The narratives revealed that lack of communication between the professionals about decision making was a major source of stress and as a result of this study efforts to improve multidisciplinary communication through the development of journal clubs and planned social activities is under consideration by the unit. Overall, the findings from this study highlight stress as a potential, occupational health problem in the working lives of some labour ward midwives.