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前言：
The Impact of the Workload and Traumatic Stress on the Presenteeism of Midwives: The Mediating Effect of Psychological Detachment
Objective:
Midwives are at high risk of presenteeism, which may impact the quality of midwifery and maternal and infant health outcomes. However, no research has been conducted to investigate the relationship between workload, traumatic stress, psychological detachment and presenteeism among midwives. This study, therefore, aimed to explore the mediating effects of psychological detachment on workload, traumatic stress and presenteeism among midwives.
Methods:
A multicenter cross-sectional study recruited 547 midwives in Jiangsu Province. Participants completed the National Aeronautics and Space Administration Task Load Index, Traumatic Stress Impact Subscale for Midwives, Psychological Detachment Scale, and Stanford Presenteeism Scale as well as provided sociodemographic information. The mediating effect of psychological detachment was assessed using Mplus.
Results:
The mean score of midwives' presenteeism was (17.093.56). Presenteeism was positively associated with both workload and traumatic stress (both P<0.01), and negatively associated with psychological detachment (P<0.01) among midwives. Psychological detachment partially mediated the relationships between (a) workload and presenteeism (=0.005, P<0.05) and (b) traumatic stress and presenteeism (=0.006, P<0.05), with mediating effects of 11.90% and 10.00% respectively.
Conclusion:
Presenteeism among midwives is at moderately high levels and requires attention from nursing managers. Psychological detachment is a mediating variable of the relationship between workload, traumatic stress and presenteeism among midwives.
Implications for Nursing Management
This study has implications for decreasing midwives' presenteeism in practical terms. Specifically, it is crucial that care managers attempt to adjust midwives' work patterns, reduce their workload, and provide organizational support for work-related traumatic stress. Moreover, our findings also indicate that psychological detachment is probably an essential element that is worthy of attention.
全文链接：
Jiang WW, Wang YT, Zhang JH, Song DN, Pu CS, Shan CJ.The Impact of the Workload and Traumatic Stress on the Presenteeism of Midwives: The Mediating Effect of Psychological Detachment. J Nurs Manag,2023, 1-10. doi:10.1155/2023/1686151
补充参考文献：
[1] Alexander, C., Bogossian, F., & New, K. (2021). Australian midwives and clinical investigation: Exploration of the personal and professional impact. Women Birth, 34 (1), 38-47. http://doi.org/10.1016/j.wombi.2020.09.002
[2] Gillet, N., Huyghebaert-Zouaghi, T., Réveillère, C., Colombat, P., & Fouquereau, E. (2020). The effects of job demands on nurses' burnout and presenteeism through sleep quality and relaxation. Journal of Clinical Nursing, 29 (3-4), 583-592. http://doi.org/ 10.1111/jocn.15116
[3] Jin, Y., Bi, Q., Song, G., Wu, J., & Ding, H. (2022). Psychological coherence, inclusive leadership and implicit absenteeism in obstetrics and gynecology nurses: a multi-site survey. BMC Psychiatry, 22 (1), 525. http://doi.org/10.1186/s12888-022-04137-1
文 | 姜微微
图 | 单春剑
编辑 | 吴沁泽
审核 | 许勤