kinneret segal
Beilinson Women's Hospital, IsraelTitle: The relationship between exposure to traumatic events in the delivery room, post-traumatic stress symptoms, personal resilience, organizational commitment, and professional quality of life among midwives
Abstract
Background: The work of midwives is emotionally challenging. Midwives share moments of joy when a baby is born and attend difficult events of loss and trauma. Childbirth complications and exposure to emergencies and loss can affect their professional quality of life and functioning. This aspect of midwives' practice has not been sufficiently researched.
Aim: To examine the associations between exposure to traumatic events, post-traumatic symptoms, and personal resilience, with professional quality of life and organizational commitment among hospital midwives.
Methods: Participants in this cross-sectional study conducted in 2020 comprised 131 midwives from three general hospitals in Israel. Data were collected using a structured self-administered questionnaire that examined socio-demographic characteristics, exposure to traumatic events during childbirth, personal resilience, post-traumatic symptoms, professional quality of life, and organizational commitment.
Results: The three most traumatic events for midwives were: neonatal death or feared death, maternal death or feared death, and stillbirth. The more frequent the exposure to traumatic events, the more numerous and intense the post-traumatic symptoms. The more numerous and intense the post-traumatic symptoms, the higher the level of professional burnout and/or compassion fatigue and/or the lower the compassion satisfaction. Higher compassion satisfaction and lower professional burnout were associated with higher organizational commitment. Personal resilience, country of birth, post-traumatic symptoms, and organizational commitment predicted compassion satisfaction.
Conclusions: Midwives' exposure to traumatic events is associated with the onset of post-traumatic symptoms, impaired professional quality of life, and reduced organizational commitment, and is accompanied by burnout and compassion fatigue. There is a need to address this issue in training programs and to develop organizational support and policies to improve midwives' well-being and quality of care.
Biography
Kinneret Segal has completed her Master degree at the age of 30 years from Bar Ilan University, in Israel and in 2022 finished to wright her thesis on traumatic event in the delivery room and its impact on the midwives. She is a midwife for 17 years and the head nurse of Beilinson Women's Hospital, in Rabin Medical Center, Clalit Health Services for the last 5 years. She is now in her first year as a PhD student at Ariel university.
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