文献分享 | Exploring Emotional Well-Being and Support of Midwives Who Provide Termination of Pregnancy Care: An International Survey
来源： Journal of Advanced Nursing
DOI： 10.1111/jan.16469
IF：3.8
Abstract
Aims: Assess the psychological impact that providing TOP care beyond 12 weeks gestation has on midwives in Australia and New Zealand, improve understanding of TOP care and explore what support midwives have and what they might need to deal with their work experiences.
目的：评估澳大利亚和新西兰的助产士在妊娠 12 周后提供顶级护理对其心理造成的影响，增进对顶级护理的了解，并探讨助产士在处理其工作经历时可获得哪些支持以及可能需要哪些支持。
Design: Online survey.
设计：在线调查。
Methods: A web-based, self-reported questionnaire with a total of 63 questions collected data from June to October 2022. Two validated psychometric tools were included to assess emotional well-being. Numerical data were analysed using descriptive statistics, frequencies, percentages and means. The STROBE guideline was used for reporting.
调查方法：在 2022 年 6 月至 10 月期间，收集了一份基于网络的自我报告问卷，共有 63 个问题。其中包括两种经过验证的心理测量工具，用于评估情绪健康状况。数字数据采用描述性统计、频率、百分比和均值进行分析。报告采用 STROBE 指南。
Results: Most midwives felt unsupported and affected by their experiences of providing termination of pregnancy care. Recognition and regular post-care debriefing with management were minimal. Lack of staff impacted the ability to provide individualised care. Mental health support was not commonly offered to midwives. Psychometric tools showed burnout and high levels of compassion fatigue, but also compassion satisfaction. To feel supported midwives need a fully staffed workforce, the ability to provide one-on-one care, recognition from managers and team support.
结果：大多数助产士在提供终止妊娠护理的过程中感到得不到支持，并因此受到影响。管理层对她们的认可和定期护理后汇报微乎其微。人手不足影响了提供个性化护理的能力。助产士通常得不到心理健康支持。心理测量工具显示了职业倦怠和高度的同情疲劳，但也显示了同情满意度。要让助产士感觉到自己得到了支持，需要一支人员充足的工作队伍、提供一对一护理的能力、管理者的认可和团队的支持。
Conclusion: Midwives who deliver termination of pregnancy care are unsupported and at high risk of burnout and compassion fatigue. Providing appropriate support is vital to increase midwives' well-being and sustain women's access to safe, high-quality care.
结论：提供终止妊娠护理的助产士缺乏支持，极易产生职业倦怠和同情疲劳。提供适当的支持对提高助产士的幸福感和维持妇女获得安全、高质量的护理至关重要。
Impact: Study addresses a knowledge gap about midwives' support needs when caring for women undergoing termination of pregnancy beyond 12 weeks. Findings show the urgent need to recruit and retain midwifery staff, acknowledge the mental health risks of termination of pregnancy care and implement mental health strategies for midwives. Research benefits midwives who provide termination of pregnancy care, midwife managers, healthcare organisations and professional bodies.
影响：该研究填补了助产士在护理超过 12 周的终止妊娠妇女时所需要的支持方面的知识空白。研究结果表明，迫切需要招聘和留住助产士，承认终止妊娠护理的心理健康风险，并为助产士实施心理健康策略。这项研究对提供终止妊娠护理的助产士、助产士管理人员、医疗机构和专业团体都有益处。
Patient or public contribution: No patient or public involvement.
患者或公众的贡献：没有患者或公众参与。
Keywords: abortion; burnout; compassion fatigue; mental health; midwifery care; termination of pregnancy; workplace stress; workplace support.
关键词：堕胎；职业倦怠；同情疲劳；心理健康；助产护理；终止妊娠；工作场所压力；工作场所支持。
（译文仅供参考）
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