Occupational burnout and work factors in community and hospital midwives: A survey analysis
Occupational burnout and work factors in community and hospital midwives: A survey analysis
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DOI：
10.1016/j.midw.2012.11.002
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发表时间：
2013-08-01
期刊：
影响因子：
2.7
通讯作者：
Sandall, Jane
中科院分区：
文献类型：
--
作者：
Yoshida, Yukiko;Sandall, Jane
背景：过去十年来，英国生育政策中提倡以社区为基础的助产实践，作为提高护理连续性的一种手段。然而，越来越多的人担心，由于随叫随到的工作增加导致助产士的职业倦怠程度很高，因此基于社区的连续性模式可能不可持续。 目的：本文试图确定与社区助产士与医院助产士相比职业倦怠水平相关的工作因素，旨在促进组织可持续助产护理的辩论。 方法：根据对 2017 年一家医院信托基金工作的所有助产士的调查数据进行统计分析。英格兰（n=238）。使用 Maslach 倦怠量表 (MBI) 测量职业倦怠。结果：样本助产士 (n=128, 54%) 与参考组相比，倦怠水平明显更高。多元回归分析得出以下结论：（1）高水平的职业自主性是职业倦怠的关键保护因素，并且在社区中更为普遍；（2）工作时间与职业倦怠呈正相关，社区助产士更有可能具有较高的压力识别水平；（3）信托基金对工作与生活平衡的支持对职业倦怠水平具有显着的保护作用。助产护理。 (c) 2012 Elsevier Ltd. 保留所有权利。
Background: community-based midwifery practice has been promoted in the UK maternity policy over the last decade as a means of increasing continuity of care. However, there have been growing concerns to suggest that the community-based continuity model may not be sustainable due to the high levels of occupational burnout in midwives resulted by increased on-call work.Aims: this paper attempted to identify work factors associated with the levels of burnout in community midwives as compared to hospital midwives, aiming at contributing to the debate of organising sustainable midwifery care.Methods: a statistical analysis was conducted drawing on data from a survey of all midwives working at one Hospital Trust in England (n=238). Occupational burnout was measured using the Maslach Burnout Inventory (MBI).Results: the sample midwives (n=128, 54%) had significantly higher levels of burnout compared to the reference groups. Multiple regression analysis identified as follows: (1) high levels of occupational autonomy were a key protective factor of burnout, and more prevalent in the community, (2) working hours were positively associated with burnout, and community midwives were more likely to have higher levels of stress recognition, and (3) support for work-life-balance from the Trust had a significant protective effect on the levels of burnout.Conclusion: the results should be taken into account in the maternity policy in order to incorporate continuity of care and sustainable organisation of midwifery care. (c) 2012 Elsevier Ltd. All rights reserved.