A Mixed Methods Investigation of the Prevalence and Influencing Factors of Compassion Fatigue among Midwives in Different Areas of China

Author:

Liang Xin1ORCID,Yuan Ping2ORCID,Su Xingyan3ORCID,Xing Yuanyuan4,Qiang Kejiao1ORCID,Gao Zumei5ORCID,Wang Jun6ORCID

Affiliation:

1. Nanyang The First People’s Hospital, Nanyang 473000, China

2. The Second Affiliated Hospital of Chongqing Medical University, Chongqing 400010, China

3. The Central Hospital Of Enshi Tujia And Miao Autonomous Prefecture, Enshi 445000, China

4. The Seventh Affiliated Hospital, Sun Yat-sen University, Shenzhen 518107, China

5. The First Affiliated Hospital of Yangtze University, Jingzhou 434020, China

6. West China Hospital of Sichuan University, Chengdu 610000, China

Abstract

Objective. Exploring the influencing factors of compassion fatigue among midwives to prevent compassion fatigue from occurring and improve their mental health. Methods. A method integrating the quantitative research method and qualitative research method is used. For the quantitative research, a cross-sectional study was carried out. State-run hospitals from three economic areas in China were selected as investigation scope from June 2018 to May 2021. A total of 515 midwives were chosen randomly from three economic areas. SPSS 22.0 was used for data cleaning and statistical description and analysis. The influencing factors of compassion fatigue among midwives were analyzed by fitting these two-level logistic models. For qualitative research, purposive sampling and maximum variation strategy were used to select midwives with mild or above compassion fatigue in the questionnaire survey. Field study and interviews were used to collect data. Results. The results in the quantitative research showed that 515 valid questionnaires were received with 82.14% of midwives whose compassion fatigue were moderate or above. Multilevel statistical model analysis demonstrated that hospital level, children situation, area, working atmosphere, experiences of traumatic delivery, sleep quality, and social support level had impacts on the degree of midwives’ compassion fatigue ( p < 0.05 ). The result in the qualitative research showed that 34 midwives were interviewed, and 7 topic ideas were refined. Conclusion. Overall, the incidence of compassion fatigue among midwives is high. Risk factors influencing the degree of midwives’ compassion fatigue include lower social support, disharmonious working atmosphere, toddler situation, huge workload, experiences of traumatic delivery, and poor quality of sleep.

Publisher

Hindawi Limited

Subject

Biochemistry (medical),Clinical Biochemistry,Genetics,Molecular Biology,General Medicine

Reference31 articles.

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