dc.contributor.author | Leinweber, Julia | |
dc.contributor.author | Creedy, Debra K | |
dc.contributor.author | Rowe, Heather | |
dc.contributor.author | Gamble, Jenny | |
dc.date.accessioned | 2017-07-18T00:19:15Z | |
dc.date.available | 2017-07-18T00:19:15Z | |
dc.date.issued | 2017 | |
dc.identifier.issn | 0266-6138 | |
dc.identifier.doi | 10.1016/j.midw.2016.12.001 | |
dc.identifier.uri | http://hdl.handle.net/10072/342010 | |
dc.description.abstract | Objective: to develop a comprehensive model of personal, trauma event-related and workplace-related risk
factors for posttraumatic stress subsequent to witnessing birth trauma among Australian midwives.
Design: a descriptive, cross-sectional design was used.
Participants: members of the Australian College of Midwives were invited to complete an online survey.
Measurements: the survey included items about witnessing a traumatic birth event and previous experiences of
life trauma. Trauma symptoms were assessed with the Posttraumatic Stress Disorder Symptom Scale SelfReport
measure. Empathy was assessed with the Interpersonal Reactivity Index. Decision authority and
psychological demand in the workplace were measured with the Job Content Questionnaire. Variables that
showed a significant univariate association with probable posttraumatic stress disorder were entered into a
multivariate logistic regression model.
Findings: 601 completed survey responses were analysed. The multivariable model was statistically significant
and explained 27.7% (Nagelkerke R square) of the variance in posttraumatic stress symptoms and correctly
classified 84.1% of cases. Odds ratios indicated that intention to leave the profession, a peritraumatic reaction of
horror, peritraumatic feelings of guilt, and a personal traumatic birth experience were strongly associated with
probable Posttraumatic Stress Disorder.
Conclusions: risk factors for posttraumatic stress following professional exposure to traumatic birth events
among midwives are complex and multi-factorial. Posttraumatic stress may contribute to attrition in midwifery.
Trauma-informed care and practice may reduce the incidence of traumatic births and subsequent posttraumatic
stress reactions in women and midwives providing care. | |
dc.description.peerreviewed | Yes | |
dc.language | English | |
dc.language.iso | eng | |
dc.publisher | Elsevier | |
dc.relation.ispartofpagefrom | 7 | |
dc.relation.ispartofpageto | 13 | |
dc.relation.ispartofjournal | Midwifery | |
dc.relation.ispartofvolume | 45 | |
dc.subject.fieldofresearch | Nursing | |
dc.subject.fieldofresearch | Health services and systems | |
dc.subject.fieldofresearch | Public health | |
dc.subject.fieldofresearch | Reproductive medicine | |
dc.subject.fieldofresearch | Midwifery | |
dc.subject.fieldofresearchcode | 4205 | |
dc.subject.fieldofresearchcode | 4203 | |
dc.subject.fieldofresearchcode | 4206 | |
dc.subject.fieldofresearchcode | 3215 | |
dc.subject.fieldofresearchcode | 4204 | |
dc.title | A socioecological model of posttraumatic stress among Australian midwives | |
dc.type | Journal article | |
dc.type.description | C1 - Articles | |
dc.type.code | C - Journal Articles | |
gro.hasfulltext | No Full Text | |
gro.griffith.author | Gamble, Jenny A. | |
gro.griffith.author | Creedy, Debra K. | |