“Am I too emotional for this job?” An exploration of student midwives' experiences of coping with traumatic events in the labour ward

Coldridge, Liz; Davies, Sarah

doi:10.1016/j.midw.2016.11.008

Cited by 47 publications

(63 citation statements)

References 36 publications

(36 reference statements)

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“…Perinatal care, in particular, is often considered a joyous time of life, but perinatal care providers may also be present during intrapartum emergencies, traumatic births, or maternal and fetal deaths. 3,4 Adverse events resulting in patient harm can have a significant impact on the lives of patients and their families 5,6 and also adversely affect the lives of perinatal care providers involved in these events whether or not the event was preventable. [7][8][9][10][11][12] The term second victim describes the phenomenon of trauma experienced by a health care provider who is involved in an adverse health care-related event .…”

Section: Introductionmentioning

confidence: 99%

The Second Victim Phenomenon: How Are Midwives Affected?

McDaniel

Morris

2020

J Midwife Womens Health

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Perinatal care providers are likely to encounter adverse events such as intrapartum emergencies, traumatic births, or maternal or fetal deaths. As a result of being directly or indirectly involved in an adverse event, health care providers can be considered second victims. The experience of the second victim phenomenon can lead to significant physical, psychological, and psychosocial sequelae that can negatively impact the provider's personal and professional life for either a short or long duration of time. When health care providers experience an adverse event, they may manifest symptoms of guilt, shame, blame, flashbacks, nightmares, insomnia, isolation, helplessness, and hopelessness, thereby becoming the second victim. Following an adverse event, health care providers who experience second victim phenomenon experience stages of recovery that influence subsequent professional and personal well‐being. Persons who experience the second victim phenomenon can incorporate self‐care behaviors to assist with recovery. Health care organizations have a responsibility to implement efficacious support programs that promote the provider's recovery and a return to safe and full function in the workplace.

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Section: Introductionmentioning

confidence: 99%

The Second Victim Phenomenon: How Are Midwives Affected?

McDaniel

Morris

2020

J Midwife Womens Health

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“…Thirteen per cent of practising midwives in the Netherlands reported to having been involved in a traumatic work-related event, resulting in post-traumatic stress for some of them (2.2% of practising midwives) 10 . Studies among midwifery students reported high levels of involvement in traumatic work-related events [11][12][13] .…”

Section: Introductionmentioning

confidence: 99%

When your dream job can become a nightmare – Midwives’ reports of work-related traumatic events: a mixed-methods study

Fontein-Kuipers¹,

Duivis²,

Schamper³

et al. 2018

Eur J Midwifery

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INTRODUCTION There is limited evidence of the effect and impact on midwives of being involved or witnessing traumatic work-related events. We categorised midwives' selfreported traumatic work-related events and responses to an event and explored the impact on the midwives' professional and personal life. METHODS A sequential explanatory mixed-methods study, consisting of a questionnaire and semi-structured interviews for midwives who practised or who had practised in the Netherlands or Flanders. RESULTS In total, 106 questionnaires were completed. We categorised various workrelated traumatic events: witnessing birth trauma/complications (34%), death (28.3%), (mis)management of care (19.8%), events related to the perceived social norm of maternity services' practitioners (9.5%), events related to environmental and contextual issues (5.6%) and to (mis)communication (2.8%). Sharing the experience with colleagues, family and friends, a supervisor or the woman involved in the event, was the most common response. In all, 74.5% of the participants still experienced the influence of work-related events in day-today practice and 37.5% still experienced the effects in their personal life. The scores of three participants (3.2%) indicated the likelihood of post-traumatic stress. Twenty-four interviews were conducted. Four themes emerged from the content analysis: 1) Timeline, 2) Drawing up the balance of relations with others, 3) Fretting and worrying, and 4) Lessons learned. CONCLUSIONS Various work-related traumatic events can impact on midwives' professional and/or personal life. Although not all midwives reported experiencing (lasting) effects of the events, the impact was sometimes far-reaching. Therefore, midwives' experiences and impact of work-related traumatic events cannot be ignored in midwifery practice, education and in supervision or mentoring.

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“…Since health of midwives and midwifery students directly affects the quality of maternal care, these stresses must be adequately moderated by instructors' support [10]. The focus of instructors on the psychological complexities of midwifery role can be effective in adjusting and normalizing the inevitable tensions and inherent problems of this profession [7]. It seems the best way forward would be education for clinical instructors in how better to support the clinical learning of future midwives.…”

Section: Discussionmentioning

confidence: 99%

“…Learning and practice in health sciences including midwifery are intrinsically stressful [1][2][3][4]. Midwifery is an emotionally challenging profession, and midwifery education has its own specific challenges [5][6][7]. Stress is a pervasive problem in midwifery education which affects the theoretical and practical learning [2][3][4].…”

Section: Introductionmentioning

confidence: 99%

Stress, stressors and related factors in clinical learning of midwifery students in Iran: a cross sectional study

2020

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Background: Midwifery is an emotionally challenging profession, and academic education of midwifery especially clinical learning has its own specific challenges. Midwifery students face with stressful experiences, especially related to instructor and characteristics of clinical environment, which can affect their theoretical and practical abilities. There is insufficient evidence in this field. This study aimed to explore (1) the perceived stress and stressors of midwifery students and (2) the relationships between students' stress and related factors in clinical learning environment. Methods: A cross sectional, survey design was conducted at one university in Iran. A sample of 108 students was selected using Krejcie and Morgan table in 2016. Data was collected using Persian version of Cohen's perceived stress scale, Persian questionnaire of sources of stress and demographic form. Data was analyzed using independent t, ANOVA and correlation coefficient test (α < 0.05). Results: Participants returned 70 surveys (response rate, 64.8%). Approximately 56% of the students perceived a high level of stress. The most common dimensions of stressors were "unpleasant emotions" and "humiliating experiences". The highest stressors were included "feeling suffering due to seeing for patients with critical situation", "instructor's admonition in the presence of clinical staff" and "communication with instructor". The "interest in the field of study" had a negative impact on perception of stressors in dimensions of "clinical practices" and "interpersonal communication". Conclusions:The midwifery students reported their stress in severe level, especially in dimensions of "unpleasant emotions" and "humiliating experiences". The factors associated with the instructors have caused more stress in students. These findings will highlight need for supportive strategies by the clinical instructors. In this regard, the use of experienced instructors, the development of communication skills of the instructors, increasing coping skills of the students and the creation of a supportive environment may be helpful.

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“Am I too emotional for this job?” An exploration of student midwives' experiences of coping with traumatic events in the labour ward

Cited by 47 publications

References 36 publications

The Second Victim Phenomenon: How Are Midwives Affected?

The Second Victim Phenomenon: How Are Midwives Affected?

When your dream job can become a nightmare – Midwives’ reports of work-related traumatic events: a mixed-methods study

Stress, stressors and related factors in clinical learning of midwifery students in Iran: a cross sectional study

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