Empowerment and Burnout of Midwives at the End of Health Emergency From COVID-19

NCT06309186 — Unknown, 64 participants, IRCCS Burlo Garofolo

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Empowerment and Burnout of Midwives at the End of Health Emergency From SARS-CoV2: a Cross-sectional Observational Study in Friuli-Venezia Giulia Region

Registry	NCT06309186
Status	Unknown
Study type	Observational
Enrollment	64 (Estimated)
Sponsor	IRCCS Burlo Garofolo (Other)
Conditions	COVID-19
Interventions	Evaluation of midwifes' burnout (Other)
Dates	start 2023-01-09, primary completion 2024-12-31 (estimated), completion 2024-12-31 (estimated), first posted 2024-03-13, last updated 2024-06-13
Locations	2 sites in Italy

-Summary

As the fifth wave of COVID-19 comes to an end and the pandemic's countermeasures expire, there is a need to assess the impact of the pandemic on health care providers, especially midwives, as the professionals deputed to promote and protect women's holistic health, in all phases, physiological and otherwise, of the life cycle. The midwife considers the person as a whole, in which the mind-body-culture components interact profoundly. Prevention and containment measures have impacted on midwifery clinical and nursing practices with the mandatory continuous use of personal protective equipments (PPE) and social distancing to protect the patient and the practitioner, effectively hindering the intimacy of the woman-midwife relationship. The impact assessment focuses on two dimensions: learning, investigated as perceived empowerment, and perceived malaise, investigated as burnout. Empowerment has a positive connotation, which can offset burnout, a syndrome that affects the physical, psychological and emotional health of midwives and can have significant negative implications on midwife turnover, patient safety and outcomes, and the efficiency of healthcare organisations.

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+Arms and interventions

Arm	Type	Interventions	Description
Midwives		Other: Evaluation of midwifes' burnout	The study involves a convenience sample of midwives registered with the two Orders of the Midwifery Profession in Friuli-Venezia Giulia Region (Italy)

Evaluation of midwifes' burnout (Other): Burnout evaluated by questionnaires

+Outcome measures

Primary outcomes

Evaluation of empowerment of midwives [At enrolment]: Midwives empowerment will be evaluated with the italian validated version of the "Perceptions of empowerment in midwifery scale-revised" (PEMSR). It consists of 19 items, expressing 4 subscales divided into four subscales: autonomy/empowerment (4 items); manager support (5 items); professional recognition (5 items); and skills and resources (5 items). Total scores are calculated for each of the subscales by summing all the scores from each item, and then dividing by the number of items in the same subscale. Scores range from 1 (low level of empowerment), to 5 (high level of empowerment).
Number of midwives affected by burnout [At enrolment]: Burnout will be evaluated with the Maslach Burnout Inventory (MBI), an instrument of 22 Likert items of 7 points on feelings related to work. Respondents rate how often they experience these feelings on a 7-point Likert scale from 0 (never) to 6 (every day). The MBI includes 3 subscales or dimensions: emotional exhaustion (EE), depersonalization (DP, and personal accomplishment (PA). Higher item scores in EE and DP and low in PA correspond to high levels of burnout.

+Eligibility

Sex: All, ages: 21 Years to 65 Years

Inclusion Criteria:

1. Midwives registered in the orders of Friuli Venezia Giulia (FVG) region
2. Midwives in practice for at least one year
3. Midwives practicing in FVG region

Exclusion Criteria:

1. Consent not granted
2. Midwives in retirement for more than a year

+Locations (2)

Facility	City	Country	Status
Institute for Maternal and Child Health - IRCCS "Burlo Garofolo"	Trieste	Italy	Recruiting
Ordine delle ostrtriche di Trieste e Gorizia	Trieste	Italy	Recruiting