Personal, professional and workplace factors that contribute to burnout in Australian midwives

Fenwick, Jennifer; Lubomski, Anna; Creedy, Debra; Sidebotham, Mary

doi:10.1111/jan.13491

Cited by 52 publications

(61 citation statements)

References 33 publications

(110 reference statements)

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“…In their sample of 56 Australian midwives, Mollart et al 11 found 60.7% to have moderate to high levels of emotional exhaustion, higher than in other studies from the US (41.8 %) 30 and Iran (41.9 %) 31 but lower than those reported by midwives in Senegal (80%) 37 . A similar pattern emerged amongst studies using the CBI: 'personal burnout' was the most prevalent dimension of burnout, followed closely by 'work-related' burnout, and then 'client-related' burnout in a distant third-place 3,7,[19][20][21]27 . Stoll and Gallagher 3 reported the moderate-to-severe burnout prevalence of these subscales amongst Canadian midwives as 74.9%, 42.5%, and 20.3%, respectively, compared to Fenwick et al 20 who reported these figures as 64.9%, 43.8%, and 10.4%, respectively, among Australian midwives.…”

Section: Measuring Burnoutsupporting

confidence: 54%

“…A similar pattern emerged amongst studies using the CBI: 'personal burnout' was the most prevalent dimension of burnout, followed closely by 'work-related' burnout, and then 'client-related' burnout in a distant third-place 3,7,[19][20][21]27 . Stoll and Gallagher 3 reported the moderate-to-severe burnout prevalence of these subscales amongst Canadian midwives as 74.9%, 42.5%, and 20.3%, respectively, compared to Fenwick et al 20 who reported these figures as 64.9%, 43.8%, and 10.4%, respectively, among Australian midwives.…”

Section: Measuring Burnoutsupporting

confidence: 54%

“…With respect to study location, the 27 studies spanned 17 countries. Seven studies were set in Australia 11,14,[17][18][19][20][21] , and two studies were from each of the following countries: United Kingdom 22,23 , Japan 24,25 , Denmark 13,26 , and Sweden 27,28 . See Table 1 for more details on study settings.…”

Section: Resultsmentioning

confidence: 99%

“…Scores on the Maslach Burnout Inventory were lowest among midwives in Turkey (mean score on the emotional exhaustion (EE) subscale was 13.9) and the Netherlands (mean score 19.9) 29 , and highest among midwives in Senegal (80% scored in the moderate to high range on the EE subscale) 16 . Prevalence of burnout varied by model of care, with case loading midwives consistently reporting less burnout than midwives who work in other models 13,15,17,18,20,21 . Most of this evidence comes from Australia and New Zealand.…”

Section: Measuring Burnoutmentioning

confidence: 99%

“…The most commonly used measures to assess burnout were the Maslach Burnout Inventory (MBI), utilized in 11 of the studies 11,16,[22][23][24][29][30][31][32][33][34] , and the Copenhagen Burnout Inventory (CBI), which was used in 12 of the 27 studies 3,7,[13][14][15][17][18][19][20][21]27,28 . See Table 1 for a full list of instruments that were used to assess burnout.…”

Section: Measuring Burnoutmentioning

confidence: 99%

See 4 more Smart Citations

Prevalence of and factors associated with burnout in midwifery: A scoping review

Sidhu¹,

Su²,

Shapiro³

et al. 2020

Eur J Midwifery

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INTRODUCTION Midwifery care meets the triple aims of health system improvement, i.e. good health outcomes, high client satisfaction, and low per capita costs. Scaling up access to midwifery care is a global priority yet the growth and sustainability of the profession is threatened by high levels of burnout and attrition. This scoping review provides a comprehensive review of the existing literature on burnout in midwifery, with a focus on prevalence, associated factors and potential solutions. METHODS Four electronic databases were searched to locate relevant literature up to July 2019. A total of 1034 articles were identified and reduced to 27 articles that met inclusion criteria. We summarize sample sizes, settings, study designs, burnout measures, prevalence of burnout, associated factors and potential solutions, and recommendations. RESULTS Prevalence of burnout was highest among Australian, Western Canadian and Senegalese midwives and lowest among Dutch and Norwegian midwives. Midwives working in caseload/continuity models reported significantly lower burnout compared to midwives working in other models. We identified 26 organizational and personal factors that were significantly associated with burnout, such as high workload, exposure to traumatic events, and fewer years in practices. Organizational support to improve work-life balance and emotional well-being, as well as more continuing education to raise awareness about burnout and how to cope with it, emerged as common strategies to prevent and address burnout. CONCLUSIONS Burnout is a serious and complex occupational phenomenon. More qualitative research is needed in this area, to better understand the lived experience of burnout. AFFILIATION

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Section: Measuring Burnoutsupporting

confidence: 54%

Section: Measuring Burnoutsupporting

confidence: 54%

Section: Resultsmentioning

confidence: 99%

Section: Measuring Burnoutmentioning

confidence: 99%

Section: Measuring Burnoutmentioning

confidence: 99%

See 3 more Smart Citations

Prevalence of and factors associated with burnout in midwifery: A scoping review

Sidhu¹,

Su²,

Shapiro³

et al. 2020

Eur J Midwifery

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show abstract

Norwegian midwives' perceptions of their practice environment: A mixed methods study

Lukasse

Henriksen

2019

Nursing Open

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AimTo investigate Norwegian midwives’ perceptions of their working environment.DesignA nationwide postal survey in 2014 collected information from 489 midwives, including the Practice Environment Scale and seven open‐ended questions concerning the workplace.MethodsPsychometric‐, descriptive‐ and comparative analysis was used for the quantitative data and content analysis for the qualitative data.ResultsPsychometric analyses yielded five subscales: Quality of management; Resource adequacy; Midwife‐doctor relations; Opportunities for development; and Midwifery foundation for care. Content analyses identified four main themes: Lack of resources; Insufficient support; Staying in midwifery; and Lack of influence. Subthemes only found in the qualitative analysis were as follows: Fear of adverse events and The strain of shift work. Most midwives rated the PES subscales Midwife‐doctor relations and Quality of management favourable. In contrast, the theme Lack of influence showed that midwives felt powerless in a constantly changing work environment and ruled by the medical model of care.

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The prevalence of burnout, depression, anxiety and stress in the Lithuanian midwifery workforce and correlation with sociodemographic factors

et al. 2021

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Aim To investigate the prevalence of burnout, depression, anxiety and stress of Lithuanian midwives. Design A descriptive, cross‐sectional survey design. Methods The Work Health and Emotional Wellbeing of Midwives (WHELM) survey instrument developed within the Australian maternity context was adapted and used in this research. The survey collects country‐specific demographic data and incorporates several validated measures including the Copenhagen Burnout Inventory (CBI), Depression, Anxiety and Stress Scale (DASS‐21). Results Three hundred and thirty‐eight completed surveys were received. Results obtained using a CBI subscale showed that 84.9% experienced personal burnout, 70.1% reported work‐related burnout and 41.1% had client‐related burnout. The results indicate that the midwives reported moderate to extreme levels of depression (16.3%), anxiety (28.4%) and stress (13.9%) symptoms.

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Personal, professional and workplace factors that contribute to burnout in Australian midwives

Cited by 52 publications

References 33 publications

Prevalence of and factors associated with burnout in midwifery: A scoping review

Prevalence of and factors associated with burnout in midwifery: A scoping review

Norwegian midwives' perceptions of their practice environment: A mixed methods study

The prevalence of burnout, depression, anxiety and stress in the Lithuanian midwifery workforce and correlation with sociodemographic factors

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