PDF(Pubmed)
Abstract：
BACKGROUND: A lack of confidence in perinatal bereavement care (PBC) and the psychological trauma experienced by nurses and midwives during bereavement care leads to their strong need for sufficient organisational support. The current study intended to test a hypothesised model of the specific impact paths among organisational support, confidence in PBC, secondary traumatic stress, and emotional exhaustion among nurses and midwives.
METHODS: A descriptive, cross-sectional survey was conducted in sixteen maternity hospitals in Zhejiang Province, China, from August to October 2021. The sample (n = 779) consisted of obstetric nurses and midwives. A path analysis was used to test the relationships among study variables and assess model fit.
RESULTS: Organisational support directly and positively predicted confidence in PBC and demonstrated a direct, negative, and significant association with secondary traumatic stress and emotional exhaustion. Confidence in PBC had a positive direct effect on secondary traumatic stress and a positive indirect effect on emotional exhaustion via secondary traumatic stress. Secondary traumatic stress exhibited a significant, direct effect on emotional exhaustion.
CONCLUSIONS: This study shows that nurses\' and midwives\' confidence in PBC and mental health were leadingly influenced by organisational support in perinatal bereavement practice. It is worth noting that higher confidence in PBC may lead to more serious psychological trauma symptoms in nurses and midwives. Secondary traumatic stress plays an essential role in contributing to emotional exhaustion. The findings suggest that support from organisations and self-care interventions were required to improve confidence in PBC and reduce negative psychological outcomes among those providing PBC. The development of objective measures for assessing competence in PBC and organizational support are essential.
METHODS: A descriptive, cross-sectional survey was conducted in sixteen maternity hospitals in Zhejiang Province, China, from August to October 2021. The sample (n = 779) consisted of obstetric nurses and midwives. A path analysis was used to test the relationships among study variables and assess model fit.
RESULTS: Organisational support directly and positively predicted confidence in PBC and demonstrated a direct, negative, and significant association with secondary traumatic stress and emotional exhaustion. Confidence in PBC had a positive direct effect on secondary traumatic stress and a positive indirect effect on emotional exhaustion via secondary traumatic stress. Secondary traumatic stress exhibited a significant, direct effect on emotional exhaustion.
CONCLUSIONS: This study shows that nurses\' and midwives\' confidence in PBC and mental health were leadingly influenced by organisational support in perinatal bereavement practice. It is worth noting that higher confidence in PBC may lead to more serious psychological trauma symptoms in nurses and midwives. Secondary traumatic stress plays an essential role in contributing to emotional exhaustion. The findings suggest that support from organisations and self-care interventions were required to improve confidence in PBC and reduce negative psychological outcomes among those providing PBC. The development of objective measures for assessing competence in PBC and organizational support are essential.
摘要：
背景：对围产期丧亲护理（PBC）缺乏信心，以及护士和助产士在丧亲护理期间经历的心理创伤，导致他们强烈需要足够的组织支持。当前的研究旨在测试组织支持之间特定影响路径的假设模型，对中国人民银行的信心，继发性创伤应激,护士和助产士的情绪疲惫。
方法：描述性，在浙江省16家妇产医院进行了横断面调查，中国,2021年8月至10月。样本（n=779）由产科护士和助产士组成。使用路径分析来测试研究变量之间的关系并评估模型拟合度。
结果：组织支持直接和积极地预测了对PBC的信心，负,与继发性创伤应激和情绪衰竭显著相关。对PBC的信心对继发性创伤压力有积极的直接影响，对继发性创伤压力的情绪衰竭有积极的间接影响。继发性创伤应激表现出显著的，对情绪衰竭的直接影响。
结论：这项研究表明，在围产期丧亲实践中，护士和助产士对PBC和心理健康的信心受到组织支持的影响。值得注意的是，对PBC较高的信心可能导致护士和助产士更严重的心理创伤症状。继发性创伤压力在导致情绪衰竭中起着至关重要的作用。研究结果表明，需要组织的支持和自我护理干预措施来提高对PBC的信心，并减少提供PBC的人的负面心理后果。制定客观的措施来评估PBC的能力和组织支持至关重要。
方法：描述性，在浙江省16家妇产医院进行了横断面调查，中国,2021年8月至10月。样本（n=779）由产科护士和助产士组成。使用路径分析来测试研究变量之间的关系并评估模型拟合度。
结果：组织支持直接和积极地预测了对PBC的信心，负,与继发性创伤应激和情绪衰竭显著相关。对PBC的信心对继发性创伤压力有积极的直接影响，对继发性创伤压力的情绪衰竭有积极的间接影响。继发性创伤应激表现出显著的，对情绪衰竭的直接影响。
结论：这项研究表明，在围产期丧亲实践中，护士和助产士对PBC和心理健康的信心受到组织支持的影响。值得注意的是，对PBC较高的信心可能导致护士和助产士更严重的心理创伤症状。继发性创伤压力在导致情绪衰竭中起着至关重要的作用。研究结果表明，需要组织的支持和自我护理干预措施来提高对PBC的信心，并减少提供PBC的人的负面心理后果。制定客观的措施来评估PBC的能力和组织支持至关重要。
