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Hälsa & medicin 4.4

Swedish midwives report triple surge in work-related burnout over decade

A decade-long study of Swedish midwives reveals work burnout more than tripled from 15.5% to 49.2% between 2012 and 2022. The findings signal a systemic crisis in maternal healthcare staffing that could impact patient safety and healthcare costs as experienced midwives exit the profession.

Originaltitel: Increasing levels of burnout in Swedish midwives: A ten-year comparative study

Abstrakt

<p>Problem</p><p>Midwives’ levels of burnout seem to be increasing worldwide.</p><p>Background</p><p>Previous research show a high prevalence of burnout in midwives.</p><p>Aim</p><p>To compare levels of burnout in two national Swedish samples of midwives completing a similar survey.</p><p>Methods</p><p>A comparative study of two cross-sectional national surveys directed at midwives in 2012 and 2022. To measure burnout in midwives, the Copenhagen Burnout Inventory with 19 items was used.</p><p>Findings</p><p>The sample consisted of 2209 midwives: 466 from 2012 and 1743 from 2022. <em>Personal burnout</em> showed an increase from 39.5 % to 53.6 % over the years; <em>work burnout</em> increased from 15.5 % to 49.2 % and <em>client burnout</em> increased from 15 % to 20.9 %. <em>Personal burnout</em> was associated with working shift. <em>Work burnout</em> was associated with length of work experience and working rotating shifts; and <em>client burnout</em> was associated with shorter work experience.</p><p>Discussion</p><p>The highest increase in burnout was found in the work domain in 2022 compared to 2012. Notable in the present study is the increase in client burnout, which could be a sign of midwives becoming less caring and more cynical.</p><p>Conclusion</p><p>This study showed that self-reported levels of burnout among Swedish midwives increased over the ten-year period studied. The largest increase was found in the subscale <em>work burnout</em>. Midwives with shorter work experience and those with shift work were the most vulnerable to burnout. Improved organisation of midwifery services needs to be designed to ensure healthy working conditions for midwives.</p>

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