The experience and impact of traumatic perinatal event experiences in midwives: A qualitative investigation

Sheen, Kayleigh; Spiby, Helen; Slade, Pauline

doi:10.1016/j.ijnurstu.2015.10.003

Cited by 61 publications

(136 citation statements)

References 26 publications

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“…Collegial support is an important determinant of psychological adaptation in the workplace and highlights the necessity of a positive working culture that acknowledges the impact of events on staff and supports provision of effective support. The aversive impact of ‘gossiping’, or failure to acknowledge the impact of an event on a staff member is highlighted, which resonates those reported previously in the literature 4. This indicates utility at the systemic level for developing and incorporating pathways of support for staff.…”

Section: Commentarysupporting

confidence: 70%

Grounded theory approach describes individual and external factors implicated in processing a work-related traumatic event in midwives and obstetricians

Sheen

Slade

2019

Evid Based Nurs

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Section: Commentarysupporting

confidence: 70%

Grounded theory approach describes individual and external factors implicated in processing a work-related traumatic event in midwives and obstetricians

Sheen

Slade

2019

Evid Based Nurs

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“…An in-depth interview study with UK midwives ( n = 35) highlighted a lack of preparation for encountering trauma or developing PTSD responses (Sheen, Slade, & Spiby, 2016b). Midwives also reported an unhelpful organizational climate, and typically did not perceive responses from senior colleagues or managers to be emotionally supportive.…”

Section: Introductionmentioning

confidence: 99%

“…The Programme for the prevention of PTSD in midwifery (POPPY) was developed from primary research with midwives (Sheen et al, 2015, 2016, 2016b), integrated with psychological theory. After a traumatic event, stress responses develop indicative of normal memory processing.…”

Section: Introductionmentioning

confidence: 99%

A programme for the prevention of post-traumatic stress disorder in midwifery (POPPY): indications of effectiveness from a feasibility study

Slade

Sheen

Collinge

et al. 2018

European Journal of Psychotraumatology

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Background: Midwives can experience events they perceive as traumatic when providingcare. As a result, some will develop post-traumatic stress disorder (PTSD), with adverse implications for their mental health, the quality of care provided for women and the employing organizations. POPPY (Programme for the prevention of PTSD in midwifery) is a package of educational and supportive resources comprising an educational workshop, information leaflet, peer support and access to trauma-focused clinical psychology intervention. A feasibility study of POPPY implementation was completed. Objective: This study aimed to identify potential impacts of POPPY on midwives’ understandingof trauma, their psychological well-being and job satisfaction. Method: POPPY was implemented in one hospital site. Before taking part in the POPPY workshop (T1) midwives (N = 153) completed self-report questionnaires, which measured exposure to work-related trauma, knowledge and confidence of managing trauma responses, professional impacts, symptoms of PTSD, burnout and job satisfaction. Measures were repeated (T2) approximately 6 months after training (n = 91, 62%). Results: Midwives’ confidence in recognizing (p = .001) and managing early traumaresponses in themselves and their colleagues significantly improved (both p < .001). There was a trend towards reduced levels of PTSD symptomatology, and fewer midwives reported sub clinical levels of PTSD (from 10% at T1 to 7% at T2). The proportion of midwives reporting high and moderate levels of depersonalization towards care was reduced (33% to 20%) and midwives reported significantly higher levels of job satisfaction at T2 (p < .001). Reductions in self-reported stress-related absenteeism (12% to 5%), long-term changes to clinical allocation (10% to 5%) and considerations about leaving midwifery (34% to 27%) were identified. Conclusions: In conclusion, POPPY shows very positive potential to improve midwives’ mental health and the sensitivity of care they provide, and reduce service disruption and costs for trusts. Large-scale longitudinal evaluation is required.

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“…Globally, midwives can experience both organisational and occupational sources of workrelated psychological distress, which can continue to affect them throughout their professional journey (Leinweber, Rowe 2010, Leinweber, Creedy et al 2016, Rice, Warland 2013, Sheen, Spiby et al 2016. Within England, the recent National Maternity Review has highlighted this distress by recognising that midwives are more likely to report feeling pressured at work than other NHS staff (Cumberlege 2016).…”

Section: Introductionmentioning

confidence: 99%

The case for developing an online intervention to support midwives in work-related psychological distress

Pezaro

2016

British Journal of Midwifery

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Background: Midwives experience episodes of work-related psychological distress owing to the emotionally difficult and traumatic work environments they endure. There is a need to develop interventions to effectively support midwives, as the wellbeing of midwives can be directly correlated with the quality and safety of maternity care. Aims: This project aims to make the case for the development of an online support intervention, designed to effectively support midwives in distress. Methods: Literature reviews were conducted, and midwives and other subject experts were recruited to participate in a Delphi study via a research blog. Findings: Following literature reviews and a structured consultation with 66 participants, it was found that the development of an online intervention designed to support midwives with work-related psychological distress should prioritise confidentiality and anonymity, along with 24-hour mobile access and a range of other components. Conclusions: This research makes the case for the development of an online intervention designed to support midwives in work-related psychological distress. The author invites all midwives to support and follow ongoing research in this area via The Academic Midwife page on Facebook.

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The experience and impact of traumatic perinatal event experiences in midwives: A qualitative investigation

Abstract: Findings indicate a need to consider effective ways of promoting and facilitating access to support, at both a personal and organisational level, for midwives following the experience of a traumatic perinatal event.

Cited by 61 publications

References 26 publications

Grounded theory approach describes individual and external factors implicated in processing a work-related traumatic event in midwives and obstetricians

Grounded theory approach describes individual and external factors implicated in processing a work-related traumatic event in midwives and obstetricians

A programme for the prevention of post-traumatic stress disorder in midwifery (POPPY): indications of effectiveness from a feasibility study

The case for developing an online intervention to support midwives in work-related psychological distress

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