Compassion fatigue and moral sensitivity in midwives in COVID-19

• Published in: Nursing ethics Vol. 30; no. 6; pp. 776 - 788
• Main Authors: Aydin Dogan, Reyhan, Huseyinoglu, Sebahat, Yazici, Saadet
• Format: Journal Article
• Language: English
• Published: London, England SAGE Publications 01.09.2023; SAGE PUBLICATIONS, INC
• Subjects: Age; At risk populations; Averages; Burnout; Community health services; Compassion; COVID-19; Cross-sectional studies; Empirical Paper; Ethics; Fatigue; Health care industry; Health facilities; Hospitals; Medical personnel; Mental health; Mental health care; Mental health services; Midwifery; Midwives; Nurses; Pandemics; Questionnaires; Research design; Review boards; Social support; Sympathy; Trauma; Vicarious trauma; Workers; Working style; moral sensitivity; midwifery; covid-19 pandemic; Compassion fatigue
• ISSN: 0969-7330; 1477-0989
• DOI: 10.1177/09697330221146224

Background The Covid-19 pandemic has impacted compassion fatigue and the mental health of health care providers, particularly midwives and nurses. Although there are studies involving health workers such as nurses and physicians affected by the pandemic’s compassion fatigue, few studies include midwives. Research objective The present study seeks to investigate the effects of compassion fatigue experienced by midwives working under intense stress during the third wave of the COVID-19 pandemic on the level of moral sensitivity. Research design This is a descriptive-correlation study. Participants The statistical population consisted of all the midwives in Türkiye hospitals in 2021. This cross-sectional study was collected through a questionnaire using convenience sampling. Three hundred and ten midwives working in different units of the country participated in the study. Ethical considerations Approval from the researcher’s university Institutional Review Board for ethical review was obtained with the code of IRB 20/510. Findings The average age of the midwives is 34.29 ± 8.39. It has been noticed that 43.5% of the midwives work in public hospitals and 38.1% in family health and community health centers. Midwives’ mean MR-CS score is 67.11 ± 25.13, secondary trauma sub-dimension average 15.77 ± 6.23, and occupational burnout sub-dimension 40.69 ± 16.35. The mean moral sensitivity questionnaire score is determined as 93.86 ± 19.51. It has been observed that the working style and working time are effective on compassion fatigue. In the linear regression model, 98% of compassion fatigue was explained. Age, secondary trauma, and occupational burnout sub-dimensions affect the model. Discussion Working year, working style, second trauma, age, and occupational burnout parameters may help explain some of the links between midwives’ symptoms of compassion fatigue. Conclusion The pandemic affects the compassion fatigue of midwives. It is crucial to provide social support to midwives and health workers to prevent compassion fatigue and examine and control groups at risk in mental health.