Compassion fatigue impacted by traumatic birth and psychological resilience among midwives in mainland China: an explanatory sequential mixed-methods
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Le résumé fourni par la source
Abstract Background Compassion fatigue (CF) among midwives threatens both their well-being and the quality of maternal care. This study examined how traumatic birth exposure, psychological resilience, and work-family factors influence CF among midwives in mainland China. Methods An explanatory sequential mixed-methods design was employed. Phase 1 involved a cross-sectional survey of 227 midwives from eight public hospitals in Guangzhou, using the Professional Quality of Life Scale (ProQOL) and Connor-Davidson Resilience Scale (CD-RISC). Multivariable ordinal logistic regression identified predictors of CF. Phase 2 included 15 in-depth interviews to contextualize quantitative findings, with data analyzed thematically. Results Nearly all participants (98.7%) reported some degree of CF, with over half experiencing moderate or higher levels. Higher psychological resilience significantly reduced CF severity (OR = 0.888, 95% CI: 0.851–0.926, p < 0.001), while sole childcare responsibility (OR = 4.442, 95% CI: 1.439–13.722, p = 0.010), longer professional experience, extended shifts, and frequent traumatic birth exposure (≥ 3 events/month) increased CF risk. Moderate traumatic exposure (1–2 events/month) was protective compared to no exposure. Qualitative data revealed mechanisms such as emotional burden, recovery needs, and organizational support. Conclusions CF is prevalent among Chinese midwives and influenced by traumatic birth exposure, resilience, and work-family demands. Interventions should integrate organizational reforms (e.g., shorter shifts, debriefing) with resilience training and peer support to mitigate CF and sustain care quality.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Compassion fatigue impacted by traumatic birth and psychological resilience among midwives in mainland China: an explanatory sequential mixed-methods
- Date Crossref
- 27/07/2026
- Éditeur
- Springer Science and Business Media LLC
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Guangzhou Medical University pays non établi dans la noticeUniversité ou école supérieure
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Xuzhou Medical College pays non établi dans la noticeUniversité ou école supérieure
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Second Affiliated Hospital of Xuzhou Medical College pays non établi dans la noticeÉtablissement de santé
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Shenzhen Bao'an District People's Hospital pays non établi dans la noticeÉtablissement de santé
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The First People's Hospital of Shunde pays non établi dans la noticeÉtablissement de santé
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Sun Yat-sen University State Key Laboratory of Ophthalmology pays non établi dans la noticeUniversité ou école supérieure
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The Second Affiliated Hospital of Xuzhou Medical University pays non établi dans la noticeUniversité ou école supérieure
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Shenzhen Baoan Women’s and Children’s Hospital pays non établi dans la noticeÉtablissement de santé
Guangzhou Medical University, Xuzhou Medical College et Second Affiliated Hospital of Xuzhou Medical College, avec 5 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.