目的:评估意大利COVID-19Omicron期助产士的应激和倦怠水平。次要目的是探索大流行对助产士个人维度和专业活动的影响以及潜在的支持策略。
方法:2022年7月至12月进行了混合方法研究。
方法:使用全国在线观察调查收集数据。进行了描述性和推断性分析来评估压力,职业倦怠以及大流行对个人和职业层面的影响。采用演绎定性方法分析开放式反应,采用收敛混合方法与定量数据合并。
结果:共有1944名助产士参加了调查。压力汇总得分平均值为10.34,有562名助产士(28.91%)出现职业倦怠。202名助产士报告有意减少工作时间(10.39%),60.40%(n=122)的人经历倦怠。239(12.29%)报告了在接下来的2年内离开临床实践的意图,其中68.20%(n=163)的人经历倦怠。超过一半的助产士将所考虑的所有个人维度和专业活动定义为“中度”或“在很大程度上”受到大流行的影响。当助产士对大流行影响的感知较高时,压力和倦怠频率会增加。助产士描述的潜在支持策略是提高其应对大流行的能力的最重要的是\'妇女\'对助产士\'角色\'的认识(n=1072;55.14%)和\'家人和朋友\'情感支持\'(n=746;38.38%)。
结论:我们的研究结果提出了在大流行紧急情况下支持助产士积极安全工作环境的策略,当缺乏人力资源时,具有向类似环境的潜在可转移性。建议产妇服务为安全和支持性的工作环境提供必要的资源,以防止高压力水平和慢性倦怠。
结论:在第一波COVID-19大流行期间进行的研究表明,压力水平增加,焦虑,倦怠,医疗保健专业人员经历的创伤后应激障碍和抑郁症;此外,助产士经历了护理途径和政策的急剧变化,在大流行限制后,在提供高质量的以女性为中心的护理时发现了挣扎.虽然建议,对COVID-19对助产士的长期心理影响缺乏了解。我们的研究强调,在Omicron波助产士经历了高水平的压力和倦怠,对个人维度和专业活动产生了影响。他们的压力和倦怠受到几个因素的影响,包括现有的限制,缺乏组织认可,工作超负荷,需要额外的育儿保障。产妇服务应为安全和支持性的工作环境提供必要的资源,以防止高压力水平和慢性倦怠。建议如何促进这一点。
■在写作过程中,我们提到了“加强观察性研究流行病学报告声明”,赤道网络观测研究报告指南。
■没有患者或公众捐款。这篇文章对更广泛的全球临床社区有什么贡献?:超负荷工作条件对产妇服务的质量产生了负面影响。改善组织方面,减少工作时间,促进家人和朋友的情感支持和提高妇女对助产士角色的认识是助产士报告的主要策略。这些关于在大流行紧急情况下确保助产士积极和安全的工作环境的建议可能适用于缺乏人力资源的类似情况。
OBJECTIVE: To evaluate midwives\' level of stress and burnout during the COVID-19 Omicron phase in Italy. Secondary aims were to explore the impact of the pandemic on midwives\' personal dimensions and professional activities and potential supporting strategies.
METHODS: A mixed-methods study was undertaken from July to December 2022.
METHODS: Data were collected using a national online observational survey. Descriptive and inferential analyses were performed to evaluate stress, burnout and the impact of the pandemic on personal and professional dimensions. A deductive qualitative approach was used to analyse open-ended responses, that were merged with quantitative data following a convergent mixed-methods approach.
RESULTS: A total of 1944 midwives participated in the survey. The stress summary score mean was 10.34, and 562 midwives (28.91%) experienced burnout. The intention to reduce working hours was reported by 202 midwives (10.39%), with 60.40% (n = 122) of them experiencing burnout. The intention to leave clinical practice within the following 2 years was reported by 239 (12.29%), with 68.20% (n = 163) of them experiencing burnout. All the personal dimensions and professional activities considered were defined by more than half of midwives as being impacted \'Moderately\' or \'To a great extent\' by pandemic. Stress and burnout frequencies increased when the midwives\' perception of the pandemic effects was higher. Potential supporting strategies described by midwives as the most important in increasing their ability to cope with the pandemic were \'Women\'s awareness of the midwives\' role\' (n = 1072; 55.14%) and \'Family and friends\' emotional support\' (n = 746; 38.38%).
CONCLUSIONS: Our findings suggested strategies to support a positive and safe working environment for midwives during a pandemic emergency, with potential transferability to similar contexts when human resources are lacking. It is recommended that maternity services provide the necessary resources for a safe and supportive working environment to prevent high stress levels and chronic burnout.
CONCLUSIONS: Studies conducted during the first COVID-19 pandemic wave showed an increased level of stress, anxiety, burnout, post-traumatic stress disorder and depression experienced by healthcare professionals; moreover, midwives experienced drastic changes in care pathways and policies with struggles identified when providing high-quality woman-centred care following pandemic restrictions. Although it is recommended, there is lack of knowledge about long-term psychological effects of COVID-19 for midwives. Our study highlights that during the Omicron wave midwives experienced a high level of stress and burnout with an impact on individual dimensions and professional activities. Their stress and burnout were influenced by several factors, including restrictions in place, lack of organizational acknowledgement, work overload and need for extra childcare cover. Maternity services should provide the necessary resources for a safe and supportive working environment to prevent high stress levels and chronic burnout. Recommendations on how to facilitate this are suggested.
UNASSIGNED: During the writing process, we referred to \'The Strengthening the Reporting of Observational Studies Epidemiology Statement\', the guidelines for reporting observational studies from the Equator network.
UNASSIGNED: No patient or public contribution. WHAT DOES THIS PAPER CONTRIBUTE TO THE WIDER GLOBAL CLINICAL COMMUNITY?: Work overload conditions negatively impacted on the quality of maternity services. Improving organizational aspects, reducing working hours, promoting family and friends\' emotional support and improving women\'s awareness of midwife\'s role were the main strategies reported by midwives. These suggestions for ensuring a positive and safe working environment for midwives during a pandemic emergency could potentially be applied to similar situations where human resources are lacking.