Person-centered exploration of work-related stress patterns, predictors, and their association with subhealth in midwives: A cross-sectional study.

Autor: Wang Y; Postnatal Care Center (Department of Postpartum Rehabilitation), Zhuhai Center for Maternal and Child Health Care, Zhuhai, Guangdong, China; Faculty of Medicine, Macau University of Science and Technology, Macao Special Administrative Region of China., Chen H; Department of Maternal and Child Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China., Li X; Department of Obstetrics, Zhuhai Center for Maternal and Child Health Care, Zhuhai, Guangdong, China., Zhao X; Department of Nursing, Zhuhai Center for Maternal and Child Health Care, Zhuhai, Guangdong, China., Yang X; Department of Nursing, the Fifth Affiliated Hospital of Sun Yat-Sen University, Zhuhai, Guangdong, China., Zhang H; Zhuhai Center for Maternal and Child Health Care, Zhuhai, Guangdong, China., Zhang J; Department of Maternal and Child Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China; Key Laboratory of Environment and Health, Ministry of Education & Ministry of Environmental Protection, and State Key Laboratory of Environmental Health (Incubation), School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China. Electronic address: jd_zh@hust.edu.cn., Liu J; School of Marxism, Guangzhou Medical University, Guangzhou, China. Electronic address: 2001990024@gzhmc.edu.cn.
Jazyk: angličtina
Zdroj: Women and birth : journal of the Australian College of Midwives [Women Birth] 2024 Sep; Vol. 37 (5), pp. 101655. Date of Electronic Publication: 2024 Jul 17.
DOI: 10.1016/j.wombi.2024.101655
Abstrakt: Background: Midwives experience elevated levels of work-related stress. However, there is limited understanding of the patterns of this stress, its sociodemographic and work-related determinants, and its association with sub-health.
Method: This multi-center cross-sectional study, conducted in 21 hospitals in Zhuhai City, Guangdong Province, China, involved 300 midwives. Work-related stress levels in midwives were evaluated using the Chinese version of the Nursing Stress Scale, while social, physical and mental sub-health status was measured with the Sub-Health Measurement Scale. Utilizing latent profile analysis, the study aimed to categorize midwives into homogeneous profiles based on patterns of work-related stress.
Results: Among the 300 midwives examined, three distinct profiles were identified: profile 1 (n=57, 19 %), characterized by low work-related stress; profile 2 (n=149, 50 %), representing the moderate work-related stress class; and profile 3 (n=94, 31 %), indicative of high work-related stress. Midwives in the high work-related stress profile tended to be younger, with lower monthly income, lower professional titles, and a higher likelihood of night shift work (all P<0.01). Significant and noteworthy trends were observed in sociodemographic characteristics (age, monthly income, and professional title) and work-related characteristics (night shift status). After controlling for confounders, the work-related stress profile demonstrated a negative association with social, physical and mental sub-health status.
Conclusion: This study highlights integrating stress domains and adopting a person-centered approach to examine midwives' work-related stress. Identifying predictors of profile membership and their relationship with sub-health can inform tailored interventions to reduce stress and improve midwives' well-being.
Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2024 Australian College of Midwives. Published by Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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