目标:英国助产士报告高工作压力,这会对他们的健康和福祉产生负面影响,许多人考虑离开这个行业。
背景:职业压力审核指导压力管理干预措施的实施,通过确定哪些压力源具有最大的负面影响以及原因,并突出“有风险”群体。
目的:在NHS信托基金中与英国助产士进行并发混合方法压力审核。
方法:71名助产士(Mage=39岁,SD=11)完成了一项评估压力源的调查(例如,关系),压力评估(即,挑战vs.威胁),应对策略(例如,以回避为重点),和结果(即,心理健康,性能,并打算离开)。十个助产士(法师=42岁,SD=10)参加半结构化访谈。
结果:定量数据显示,更多与工作相关的需求,较差的同伴支持和关系,威胁评估预测心理健康会恶化。此外,更少的控制和更多的工作相关需求预示着更差的性能,虽然控制较少,较差的经理支持,更多与变化相关的需求,威胁评估预测离开的意图更大。定性数据产生了三个主题:意外变化加剧了组织压力;个性化的反应,但很大程度上是令人沮丧的情绪;以及个人应对和社会支持的力量。
结论:这项研究为英国助产士的压力经历提供了全面而新颖的见解,突出未来压力管理干预措施的目标,包括关键压力源(例如,经理支持),潜在机制(例如,压力评估),和“风险”组(例如,夜班工人)。为在多个层面运作的利益相关者提供了实用建议(例如,助产士,信任,政策)以更好地支持与工作相关的压力的助产士。
OBJECTIVE: UK midwives report high work-related stress, which can negatively impact their health and wellbeing, with many considering leaving the profession.
BACKGROUND: An occupational stress audit guides the implementation of stress management intervention, by identifying which stressors have the most negative impact and why, and highlighting \"at risk\" groups.
OBJECTIVE: To conduct a concurrent mixed-methods stress audit with UK midwives in an NHS Trust.
METHODS: Seventy-one midwives (Mage= 39 years, SD = 11) completed a survey assessing stressors (e.g., relationships), stress appraisals (i.e., challenge vs. threat),
coping strategies (e.g., avoidance-focused), and outcomes (i.e., mental health, performance, and intention to leave). Ten midwives (Mage = 42 years, SD = 10) participated in semi-structured interviews.
RESULTS: Quantitative data revealed that more work-related demands, poorer peer support and relationships, and threat appraisals predicted worse mental health. Moreover, less control and more work-related demands predicted poorer performance, while less control, poorer manager support, more change-related demands, and threat appraisals predicted greater intention to leave. Qualitative data generated three themes: organisational pressures exacerbated by unexpected changes; individualised responses but largely debilitative emotions; and personal
coping and power of social support.
CONCLUSIONS: This study offered a comprehensive and novel insight into the stress experiences of UK midwives, highlighting targets for future stress management interventions, including key stressors (e.g., manager support), underlying mechanisms (e.g., stress appraisals), and \"at-risk\" groups (e.g., night shift workers). Practical recommendations are provided for stakeholders operating at multiple levels (e.g., midwife, trust, policy) to better support midwives with work-related stress.