Abstract
Aim
This study was conducted to determine midwives' professional belonging and burnout levels and the factors affecting these levels.
Subject and methods
This multicenter cross-sectional explorative study included 2013 midwives reached between January 1 and June 30, 2018. A stratified sampling method was applied to reach a sample distribution that adequately represented Turkey. An introductory information form, Copenhagen Burnout Inventory, and Midwifery Belonging Scale were used as data collection tools. Data were analyzed by simple and multiple linear regression analysis.
Results
It was found that the burnout levels of the midwives were affected by the work unit, work experience, and work schedule, while the levels of professional belonging among the midwives were affected by the burnout level, marital status, number of children, satisfaction of social circle with midwifery, reasons for choosing midwifery, work unit, and work experience.
Conclusion
Managerial plans and interventions are needed to increase midwives' sense of professional belonging and improve their burnout level.
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References
Alparslan O, Doganer G (2009) Relationship between levels of burnout of midwives who work in Sivas, Turkey province center and identified socio-demographic characteristics. Int J Nurs Midwifery 1(2):019–028
Attanasio LB, Alarid- Escudero F, Kozhimannil KB (2020) Midwife-led care and obstetrician- led care for low-risk pregnancies: A cost comparison. Birth 47(1):57–66. https://doi.org/10.1111/birt.12464
Bafei SEC, Chen J, Qian Y et al (2023) The Association between Burnout, Social Support, and Psychological Capital among Primary Care Providers in Togo: A Cross-Sectional Study. Medicina 59(1):175. https://doi.org/10.3390/medicina59010175
Bakoğlu R, Taştan Boz İ, Yiğit İ, Yıldız S (2009) Tükenmişliği ölçmede alternatif bir araç Kopenhag tükenmişlik envanterinin Marmara Üniversitesi akademik personeli üzerine uyarlanması. Yönetim Dergisi 63:77–98
Baskaya Y, Sayiner FD, Filiz Z (2020) How much do I belong to my profession? A scale development study: Midwifery Belonging Scale. Health Care Women Int 41(8):883–898. https://doi.org/10.1080/07399332.2020.1716765
Chang HY, Shyu YIL, Wong MK, Chu TL, Lo YY, Teng CI (2017) How does burnout impact the three components of nursing professional commitment? Scandinavian J Caring Sci 31(4):1003–1011. https://doi.org/10.1111/scs.12425
Clark RR, Lake E (2020) Burnout, job dissatisfaction and missed care among maternity nurses. J Nurs Manag 28(8):2001–2006. https://doi.org/10.1111/jonm.13037
Dawson K, Newton M, Forster D, McLachlan H (2018) Comparing caseload and non-caseload midwives’ burnout levels and professional attitudes: a national, cross-sectional survey of Australian midwives working in the public maternity system. Midwifery 63:60–67. https://doi.org/10.1016/j.midw.2018.04.026
Demirel Y, Tohum EU, Kartal Ö (2017) Tükenmişliğin Örgütsel Bağlılık Üzerine Etkisi: Bir Üniversite Hastanesinde Çalışan Hemşireler Üzerine Araştırma. Kastamonu Üniversitesi İktisadi ve İdari Bilimler Fakültesi Dergisi 18(1):442–459
Derin N, Şimşek Ilkım N, Yayan H (2017) Hemşirelerde Mesleki Bağlılığın Mesleki Prestijle Açıklanması. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi 4(3):24–37
Fenwick J, Lubomski A, Creedy DK, Sidebotham M (2018) Personal, professional and workplace factors that contribute to burnout in Australian midwives. J Adv Nurs 74(4):852–863. https://doi.org/10.1111/jan.13491
Kahraman G, Engin E, Dülgerler Ş, Öztürk E (2011) Yoğun bakım hemşirelerinin iş doyumları ve etkileyen faktörler. Dokuz Eylül Üniversitesi Hemşirelik Yüksekokulu Elektronik Dergisi 4(1):12–18
Kim B, Jee S, Lee J, An S, Lee SM (2018) Relationships between social support and student burnout: A meta-analytic approach. Stress Health 34(1):127–134. https://doi.org/10.1002/smi.2771
Kristensen TS, Borritz M, Villadsen E, Christensen KB (2005) The Copenhagen Burnout Inventory: A new tool for the assessment of burnout. Work Stress 19(3):192–207. https://doi.org/10.1080/02678370500297720
Lasebikan VO, Oyetunde MO (2012) Burnout among nurses in a Nigerian general hospital: Prevalence and associated factors. Int Scholarly Res Notices Nurs 1. https://doi.org/10.5402/2012/402157
Liu Y, Aungsuroch Y (2019) Work stress, perceived social support, self-efficacy and burnout among Chinese registered nurses. J Nurs Manag 27(7):1445–1453. https://doi.org/10.1111/jonm.12828
Lizano EL, Godoy AJ, Allen N (2019) Spirituality and worker well-being: examining the relationship between spirituality, job burnout, and work engagement. J Religion Spirituality Social Work: Social Thought 38(2):197–216. https://doi.org/10.1080/15426432.2019.1577787
Molero Jurado MM, Pérez-Fuentes MC, Gázquez Linares JJ, Barragán Martín AB (2018) Burnout in health professionals according to their self-esteem, social support, and empathy profile. Front Psychol 9(424):1–6. https://doi.org/10.3389/fpsyg.2018.00424
National Academies of Sciences Medicine (2019) Taking action against clinician burnout: a systems approach to professional well-being. National Academies Press
OECD (2019) OECD Health Statistics. https://www.oecd-ilibrary.org/sites/fa1f7281-en/index.html?itemId=/content/component/fa1f7281-en#:~:text=Across%20OECD%20countries%2C%2028%25%20of,were%20performed%20as%20caesarean%20sections. Accessed February 10 2020
Phillips C (2020) Relationships between workload perception, burnout, and intent to leave among medical–surgical nurses. JBI Evidence Implement 18(2):265–273. https://doi.org/10.1097/XEB.0000000000000220
Pinar SE, Ucuk S, Aksoy OD, Yurtsal ZB, Cesur B, Icer Yel H (2017) Job satisfaction and motivation levels of midwives/nurses working in family health centers: a survey from Turkey. Int J Caring Sci 10(2):802
Ryan C (1995) Researching Tourist Satisfaction: Issues, Concepts. Problems, Routledge
Skott J (2019) Changing experiences of being, becoming, and belonging: Teachers’ professional identity revisited. ZDM-Mathematics Educ 51(3):469–480. https://doi.org/10.1007/s11858-018-1008-3
Smith JG, Rogowski JA, Lake ET (2020) Missed care relates to nurse job enjoyment and intention to leave in neonatal intensive care. J Nurs Manag 28(8):1940–1947. https://doi.org/10.1111/jonm.12943
Tellefsen T, Thomas GP (2005) The antecedents and consequences of organizational and personal commitment in business service relationships. Indust Market Manag 34(1):23–37. https://doi.org/10.1016/j.indmarman.2004.07.001
Turkey Health Institue (2017) Doğum Şekli Tercihinin Multidisipliner İrdelenmesi Çalıştayı Sonuç Raporu. Ankara
UNFPA, WHO, ICM, (2021) The State of the World's Midwifery 2021. pp. 1-80
Voon ST, Lay JTS, San WTW et al (2017) Comparison of midwife-led care and obstetrician-led care on maternal and neonatal outcomes in Singapore: A retrospective cohort study. Midwifery 53:71–79. https://doi.org/10.1016/j.midw.2017.07.010
WHO (2015) WHO statement on cesarean section rates
WHO (2016) Midwives voices, midwives realities. Findings from a global consultation on providing quality midwifery care
Yuan Z, Wang J, Feng F, Jin M, Xie W, He H, Teng M (2023) The levels and related factors of mental workload among nurses: A systematic review and meta-analysis. Int J Nurs Pract e13148. https://doi.org/10.1111/ijn.13148
Zarshenas L, Sharıf F, Molazem Z, Ebadi A, Khayyer M, Zare N (2018) Development and psychometric properties of Professional belonging scale for nursing students. Int J Pharmaceut Res 10(3):131–135. https://doi.org/10.31838/ijpr/2018.10.03.062
Acknowledgments
The authors would like to acknowledge the midwives who willingly participated in this study.
Funding
This research is supported by the Eskisehir Osmangazi University Scientific Research Projects branch as the 2017-1550 project.
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Contributions
Y.H.B. conceived and designed the analysis, collected the data, analysis tools, performed the analysis and wrote the paper.
F.D.S. designed and directed the study and wrote the paper.
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Ethics approval
The ethics committee approval for starting the study was obtained from the Non-invasive Clinical Research Ethics Committee at Eskişehir Osmangazi University (Decision no. 80558721/G-155). The necessary written permissions for conducting the study were then obtained from the General Directorate of Public Hospitals and the General Directorate of Public Health under the Ministry of Health.
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Participants gave their consent to take part in this study. Participation was voluntary, and consent was collected as deemed appropriate by the ethics committee.
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When providing consent to take part in the study, participants acknowledged that de-identified data from the study would be published.
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Hamlaci Baskaya, Y., Sayıner, F.D. Turkish midwives’ professional belonging and burnout levels and influencing factors: a multicenter national study. J Public Health (Berl.) (2023). https://doi.org/10.1007/s10389-023-02031-y
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DOI: https://doi.org/10.1007/s10389-023-02031-y