Although distinct conditions, symptoms of more severe burnout mimic major depression.
RESILIENCE 1.8 HACKED CLIENT PROFESSIONAL
They argued that depression was a pervasive disorder affecting most aspects of life whereas burnout tended to be restricted to nurses’ professional environment. found a weak relationship between burnout and depression in Greek nurses. Research on burnout and psychological morbidity has predominantly been conducted with nurses and other health professionals. It is unclear, if burnout has unique aetiology, if burnout precipitates depression and anxiety, or if burnout is a consequence of common depressive symptoms such as fatigue, self-deprecation, negative thoughts and social withdrawal. Furthermore, the interplay of burnout and other psychological conditions in the midwifery workforce is under-researched. Depression and anxiety are well-established co-morbid conditions with anxiety often contributing to the development of depression.
Less attention has been given to relationships between burnout, depression and anxiety. Some researchers have found associations between burnout in midwives and conditions such as traumatic stress self-appraisal positive and negative states, emotional intelligence, as well as stress symptoms. The prevalence of moderate to high burnout in midwives varies from 20 to 59% in countries such as Sweden Norway, United Kingdom (UK) and Australia. Given midwives’ role in promoting the perinatal health of mothers, the well-being of the midwifery workforce warrants close and regular scrutiny. Furthermore, the wellbeing of midwives may be compromised by a range of workplace and personal stress factors. Working closely with distressed women may contribute to a sense of emotional burden in midwives.
Increasingly, midwives provide care to women experiencing a complex range of anxiety, pain, fear, grief and trauma symptoms. The work of midwives is acknowledged as emotionally demanding. Some researchers have conceptualised burnout according to potential sources of psychological fatigue such as personal, client, and work related domains. Further research is needed to support the personal well-being of midwives and minimize workplace burnout by developing short and long term strategies.īurnout occurs as a result of chronic stress and is characterized by symptoms of emotional and physical fatigue. The physical and psychological exhaustion associated with the different types of burnout were reflected in symptoms of depression, anxiety and stress symptoms. Prevalence of personal and work-related burnout in Australian midwives was high. Mann-Whitney U tests revealed significant differences between groups with depression ( r = .43), anxiety ( r = .41) and stress ( r = 48) having a medium size effect on burnout. Around 20% of midwives reported moderate/ severe/ extreme levels of depression (17.3%) anxiety (20.4%), and stress (22.1%) symptoms. All burnout subscales were significantly correlated with depression, anxiety and stress, particularly personal and work-related burnout with Spearman’s rho correlations ranging from. Using a CBI subscale cut-off score of 50 and above (moderate and higher), 64.9% ( n = 643) reported personal burnout 43.8% ( n = 428) reported work-related burnout and 10.4% ( n = 102) reported client-related burnout. Respondents were predominantly female (98%), with an average age of 46.43 years, and 16.51 years of practice. One thousand thirty-seven surveys were received. Effect size statistics were calculated and judged according to Cohen’s guidelines. The sample was collapsed into two groups according to DASS clinical cut-offs (normal/mild versus moderate/severe/extreme). Standard measures included the Copenhagen Burnout Inventory (CBI) (Personal, Work and Client subscales), and Depression, Anxiety, and Stress Scale (DASS). The survey sought personal and professional details. Participants were recruited through the Australian College of Midwives and professional networks.
MethodsĪn online survey was conducted in September 2014. We investigated the prevalence of burnout, depression, anxiety and stress in Australian midwives. The occurrence and relationships among mental health conditions such as burnout and depression have received little attention. The health and wellbeing of midwives are important considerations for workforce retention and quality care.
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