Association between social support from workplace supervisors and symptoms of post-traumatic stress disorder among Japanese midwives who experienced trauma during perinatal care

IF 1.7 4区 医学 Q2 NURSING
Chizuru Higashi, Shigemi Iriyama, Yu Mon Saw
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Abstract

Aim

This study examined the association between workplace supervisors' perceptions of social support and the post-traumatic stress disorder (PTSD) symptoms among Japanese midwives who experienced trauma while providing perinatal care.

Methods

We employed a descriptive cross-sectional design and collected data using a self-reported questionnaire. Participants were 144 Japanese midwives working in hospitals. Data were analyzed using descriptive statistics, Spearman's correlation analysis, chi-square tests, and a binomial logistic regression analysis.

Results

Ninety-one midwives had experienced at least one traumatic event in the workplace within the past 12 months. Midwives in the high-PTSD-risk group (Impact of Event Scale–Revised [IES-R] score ≥25) comprised 11% of the sample. The total score of perceived social support from the supervisor was negatively associated with the IES-R total score (r = −0.213, p = .043). Social support from workplace supervisors was not associated with PTSD symptoms when adjusted for midwives experiencing verbal abuse or intimidating behavior from the mother or her family. Although not significant, midwives who had experienced verbal abuse or intimidation from mothers or their families were four times more likely to meet the criteria for the high-PTSD-risk group (odds ratio = 4.188, p = .07).

Conclusions

Perceived social support from workplace supervisors could reduce midwives' PTSD symptoms, but it was not effective for midwives traumatized by verbal abuse or intimidated from expectant mothers or their family members. It is important to establish an organizational and educational system that allows midwives to receive ongoing support from supervisors in the workplace.

在围产期护理中经历过创伤的日本助产士中,工作场所主管的社会支持与创伤后应激障碍症状之间的关系
目的:本研究考察了日本助产士在提供围产期护理时经历过创伤的工作场所主管对社会支持的感知与创伤后应激障碍(PTSD)症状之间的关系。方法:采用描述性横断面设计,采用自述问卷收集资料。参与者是144名在医院工作的日本助产士。数据分析采用描述性统计、Spearman相关分析、卡方检验和二项logistic回归分析。结果:91名助产士在过去12个月内至少经历过一次工作场所创伤事件。高ptsd风险组(事件影响量表-修订[IES-R]评分≥25)的助产士占样本的11%。主管感知社会支持总分与IES-R总分呈负相关(r = -0.213, p = 0.043)。当助产士经历来自母亲或其家人的言语虐待或恐吓行为时,来自工作场所主管的社会支持与PTSD症状无关。虽然不显著,但经历过母亲或其家人的言语虐待或恐吓的助产士达到高ptsd风险组标准的可能性是其他助产士的四倍(优势比= 4.188,p = 0.07)。结论:来自职场主管的感知社会支持可以减轻助产士的PTSD症状,但对于受到言语虐待或来自准妈妈及其家庭成员恐吓的助产士无效。重要的是要建立一个组织和教育系统,使助产士能够从工作场所的主管那里得到持续的支持。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
4.10
自引率
0.00%
发文量
55
审稿时长
>12 weeks
期刊介绍: The Japan Journal of Nursing Science is the official English language journal of the Japan Academy of Nursing Science. The purpose of the Journal is to provide a mechanism to share knowledge related to improving health care and promoting the development of nursing. The Journal seeks original manuscripts reporting scholarly work on the art and science of nursing. Original articles may be empirical and qualitative studies, review articles, methodological articles, brief reports, case studies and letters to the Editor. Please see Instructions for Authors for detailed authorship qualification requirement.
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