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dc.contributor.authorLeinweber, Julia
dc.contributor.authorCreedy, Debra K
dc.contributor.authorRowe, Heather
dc.contributor.authorGamble, Jenny
dc.date.accessioned2017-07-18T00:19:15Z
dc.date.available2017-07-18T00:19:15Z
dc.date.issued2017
dc.identifier.issn0266-6138
dc.identifier.doi10.1016/j.midw.2016.12.001
dc.identifier.urihttp://hdl.handle.net/10072/342010
dc.description.abstractObjective: 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.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherElsevier
dc.relation.ispartofpagefrom7
dc.relation.ispartofpageto13
dc.relation.ispartofjournalMidwifery
dc.relation.ispartofvolume45
dc.subject.fieldofresearchNursing
dc.subject.fieldofresearchHealth services and systems
dc.subject.fieldofresearchPublic health
dc.subject.fieldofresearchReproductive medicine
dc.subject.fieldofresearchMidwifery
dc.subject.fieldofresearchcode4205
dc.subject.fieldofresearchcode4203
dc.subject.fieldofresearchcode4206
dc.subject.fieldofresearchcode3215
dc.subject.fieldofresearchcode4204
dc.titleA socioecological model of posttraumatic stress among Australian midwives
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.hasfulltextNo Full Text
gro.griffith.authorGamble, Jenny A.
gro.griffith.authorCreedy, Debra K.


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