References

Banks P, Kane H, Rae C, Atkinson J Support for nursing and midwifery students: A special case?. Nurs Educ Today. 2012; 32:(3)309-14 https://doi.org/https://doi.org/10.1016/j.nedt.2011.02.010

Barker R, Cornwell J, Gishen F Introducing compassion into the education of health care professionals; can Schwartz Rounds help?. J Compassionate Health Care. 2016; 3:(1) https://doi.org/https://doi.org/10.1186/s40639-016-0020-0

Beaumont E, Durkin M, Hollins Martin CJ, Carson J Compassion for others, self-compassion, quality of life and mental well-being measures and their association with compassion fatigue and burnout in student midwives: A quantitative survey. Midwifery. 2016; 34:239-44 https://doi.org/https://doi.org/10.1016/j.midw.2015.11.002

Begley CM Great fleas have little fleas: Irish student midwives views of the hierarchy in midwifery. J Adv Nurs. 2002; 38:(3)310-7 https://doi.org/https://doi.org/10.1046/j.1365-2648.2002.02181.x

Boorman SLondon: Department of Health; 2009

Brunetto Y, Xerri M, Shriberg A The impact of workplace relationships on engagement, well-being, commitment and turnover for nurses in Australia and the USA. J Adv Nurs. 2013; 69:(12)2786-99 https://doi.org/https://doi.org/10.1111/jan.12165

Cooper G Exploring and understanding online assistance for problem gamblers: The pathways disclosure model. International Journal of Mental Health and Addiction. 2004; 1:(2)32-8

Creedy DK, Gamble J A third of midwives who have experienced traumatic perinatal events have symptoms of post-traumatic stress disorder. Evid Based Nurs. 2016; 19:(2) https://doi.org/https://doi.org/10.1136/eb-2015-102095

Crowther S, Hunter B, McAra-Couper J Sustainability and resilience in midwifery: A discussion paper. Midwifery. 2016; 40:40-8 https://doi.org/https://doi.org/10.1016/j.midw.2016.06.005

Currie L, Richens Y Exploring the perceptions of midwifery staff about safety culture. British Journal of Midwifery. 2009; 17:(12)783-90 https://doi.org/https://doi.org/10.12968/bjom.2009.17.12.45548

Davies S, Coldridge L No Man's land: An exploration of the traumatic experiences of student midwives in practice. Midwifery. 2015; 31:(9)858-864 https://doi.org/https://doi.org/10.1016/j.midw.2015.05.001

Francis R Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry Executive summary.London: The Stationery Office; 2013

Happell B, Reid-Searl K, Dwyer T How nurses cope with occupational stress outside their workplaces. Collegian (Royal College of Nursing, Australia). 2013; 20:(3)195-9 https://doi.org/https://doi.org/10.1016/j.colegn.2012.08.003

Hood L, Fenwick J, Butt J A story of scrutiny and fear:Australian midwives' experiences of an external review of obstetric services, being involved with litigation and the impact on clinical practice. Midwifery. 2010; 26:(3)268-85

Horgan A, Sweeney J, Behan L, McCarthy G Depressive symptoms, college adjustment and peer support among undergraduate nursing and midwifery students. J Adv Nurs. 2016; https://doi.org/https://doi.org/10.1111/jan.13074

Hunter L Making time and space: the impact of mindfulness training on nursing and midwifery practice. A critical interpretative synthesis. J Clin Nurs. 2016; 25:(7-8)918-29 https://doi.org/https://doi.org/10.1111/jocn.13164

Hutchinson M Around half of nurses and midwives report workplace aggression in the past month: 36% report violence from patients or visitors and 32% report bullying by colleagues. Evidence-Based Nursing. 2014; 17:(1)26-7 https://doi.org/https://doi.org/10.1136/eb-2013-101232

Jarosova D, Gurkova E, Palese A Job satisfaction and leaving intentions of midwives: analysis of a multinational cross-sectional survey. Journal of Nursing Management. 2016; 24:(1)70-9 https://doi.org/https://doi.org/10.1111/jonm.12273

Kenworthy D, Kirkham MLondon: Radcliffe Publishing; 2011

Knezevic B, Milosevic M, Golubic R Work-related stress and work ability among Croatian university hospital midwives. Midwifery. 2011; 27:(2)146-53 https://doi.org/10.1016/j.midw.2009.04.002

Laschinger HK, Leiter MP The impact of nursing work environments on patient safety outcomes: the mediating role of burnout/engagement. JONA. 2006; 36:(5)259-67 https://doi.org/https://doi.org/10.1097/00005110-200605000-00019

Leinweber J, Creedy DK, Rowe H, Gamble J Responses to birth trauma and prevalence of posttraumatic stress among Australian midwives. Women and Birth; Journal of the Australian College of Midwives. 2016; https://doi.org/https://doi.org/10.1016/j.wombi.2016.06.006

Leinweber J, Rowe HJ The costs of being with the woman: secondary traumatic stress in midwifery. Midwifery. 2010; 26:(1)76-87 https://doi.org/https://doi.org/10.1016/j.midw.2008.04.003

McInnes RJ, Mc Intosh C What future for midwifery?. Nurse Education in Practice. 2012; 12:(5)297-300 https://doi.org/https://doi.org/10.1016/j.nepr.2012.04.011

Mollart L, Skinner VM, Newing C, Foureur M Factors that may influence midwives work-related stress and burnout. Women and Birth; Journal of the Australian College of Midwives. 2013; 26:(1)26-32 https://doi.org/https://doi.org/10.1016/j.wombi.2011.08.002

National Maternity Review. 2016. http://tinyurl.com/NMR2016 (accessed 14 October 2016)

Pezaro S, Clyne W Achieving Consensus in the Development of an Online Intervention Designed to Effectively Support Midwives in Work-Related Psychological Distress: Protocol for a Delphi Study. JMIR Research Protocols. 2015; 4:(3)e107-e107 https://doi.org/https://doi.org/10.2196/resprot.4766

Pezaro S, Clyne W, Turner A, Fulton EA, Gerada C ‘Midwives Overboard!’Inside their hearts are breaking, their makeup may be flaking but their smile still stays on. Women Birth. 2015; 29:(3)e59-66 https://doi.org/https://doi.org/10.1016/j.wombi.2015.10.006

Pezaro S, Clyne W Achieving Consensus for the Design and Delivery of an Online Intervention to Support Midwives in Work-Related Psychological Distress: Results From a Delphi Study. JMIR Mental Health. 2016; 3:(3) https://doi.org/https://doi.org/10.2196/mental.5617

Pezaro S, Clyne W, Gerada C Confidentiality, anonymity and amnesty for midwives in distress seeking online support - Ethical?. Nursing Ethics. 2016;

Rice H, Warland J Bearing witness: Midwives experiences of witnessing traumatic birth. Midwifery. 2013; 29:(9)1056-63 https://doi.org/https://doi.org/10.1016/j.midw.2012.12.003

Robertson JH, Thomson AM An exploration of the effects of clinical negligence litigation on the practice of midwives in England: A phenomenological study. Midwifery. 2015; 33:55-63 https://doi.org/https://doi.org/10.1016/j.midw.2015.10.005

London: RCP; 2015

Schrøder K, Jørgensen JS, Lamont RF, Hvidt NC Blame and guilt - a mixed methods study of obstetricians and midwives experiences and existential considerations after involvement in traumatic childbirth. Acta Obstetricia et Gynecologica Scandinavica. 2016; 95:(7)735-45 https://doi.org/https://doi.org/10.1111/aogs.12897

Sheen K, Spiby H, Slade P The experience and impact of traumatic perinatal event experiences in midwives: A qualitative investigation. International Journal of Nursing Studies. 2016; 53:61-72 https://doi.org/10.1016/j.ijnurstu.2015.10.003

Smith AHK, Dixon AL, Page LA Health-care professionals views about safety in maternity services: a qualitative study. Midwifery. 2009; 25:(1)21-31 https://doi.org/10.1016/j.midw.2008.11.004

Stone K, Traynor M, Gould D, Maben J The management of poor performance in nursing and midwifery: a case for concern. Journal Nursing Management. 2011; 19:(6)803-9

Suicide by clinicians involved in serious incidents in the NHS: a situational analysis. 2014. http://tinyurl.com/hmvlzrj (accessed 11 October 2016)

Wallbank S Effectiveness of individual clinical supervision for midwives and doctors in stress reduction: findings from a pilot study. Evidence Based Midwifery. 2010; 8:(2)65-70

Wallin EE, Mattsson S, Olsson EM The Preference for internet-based psychological interventions by individuals without past or current use of mental health treatment delivered online: a survey study with mixed-methods analysis. JMIR Mental Health. 2016; 3:(2)

West M, Dawson J Employee engagement and NHS performance.: The King's Fund; 2012

Wong G, Greenhalgh T, Westhorp G, Buckingham J, Pawson R RAMESES publication standards: realist syntheses. BMC Medicine. 2013; 11

Young CM, Smythe L, Couper JM Burnout: Lessons from the lived experience of case loading midwives. International Journal of Childbirth. 2015; 5:(3)154-65 https://doi.org/https://doi.org/10.1891/2156-5287.5.3.154

The case for developing an online intervention to support midwives in work-related psychological distress

02 November 2016
11 min read
Volume 24 · Issue 11

Abstract

Background:

Midwives experience episodes of work-related psychological distress owing to the emotionally difficult and traumatic work environments they endure. There is a need to develop interventions to effectively support midwives, as the wellbeing of midwives can be directly correlated with the quality and safety of maternity care.

Aims:

This project aims to make the case for the development of an online support intervention, designed to effectively support midwives in distress.

Methods:

Literature reviews were conducted, and midwives and other subject experts were recruited to participate in a Delphi study via a research blog.

Findings:

Following literature reviews and a structured consultation with 66 participants, it was found that the development of an online intervention designed to support midwives with work-related psychological distress should prioritise confidentiality and anonymity, along with 24-hour mobile access and a range of other components.

Conclusions:

This research makes the case for the development of an online intervention designed to support midwives in work-related psychological distress. The author invites all midwives to support and follow ongoing research in this area via The Academic Midwife page on Facebook.

Midwives can experience both organisational and occupational sources of work-related psychological distress, which can continue to affect them throughout their professional journey (Leinweber and Rowe, 2010; Rice and Warland, 2013; Leinweber et al, 2016; Sheen et al, 2016). In England, the recent National Maternity Review (2016) has highlighted that midwives are more likely to report feeling pressured at work than other NHS staff. This is significant because poor staff health and the disaffection and disengagement from work is intrinsically linked with poorer patient outcomes, increased infection rates, higher mortality rates and an increase in medical errors (Laschinger and Leiter, 2006; Boorman, 2009; West and Dawson, 2012; Francis, 2013; Royal College of Physicians, 2015).

Register now to continue reading

Thank you for visiting British Journal of Midwifery and reading some of our peer-reviewed resources for midwives. To read more, please register today. You’ll enjoy the following great benefits:

What's included

  • Limited access to our clinical or professional articles

  • New content and clinical newsletter updates each month