Occupational sources of stress, coping, perceived professionalism and mental well-being among Hong Kong midwives

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Occupational sources of stress, coping, perceived professionalism and mental well-being among Hong Kong midwives

 

Author: Yeung, Yun-wah
Title: Occupational sources of stress, coping, perceived professionalism and mental well-being among Hong Kong midwives
Degree: M.Sc.
Year: 2009
Subject: Hong Kong Polytechnic University -- Dissertations.
Midwives -- Job stress -- China -- Hong Kong -- Job stress.
Midwives -- China -- Hong Kong -- Psychology.
Department: School of Nursing
Pages: xii, 134 p. : ill. ; 30 cm.
Language: English
InnoPac Record: http://library.polyu.edu.hk/record=b2318149
URI: http://theses.lib.polyu.edu.hk/handle/200/3921
Abstract: Background: Previous literatures suggested that mental well-being in nurses is associated with work stress and a local study found that more than one-third of Hong Kong nurses were considered of having poor mental well-being. Midwives are professionals possess important role in women childbirth and midwives encounter occupational stress everyday from their hospital work. It is important to raise midwives" awareness on their own health as improvement in midwives" mental well-being may better assure the provision of quality midwifery care. Objectives: The objectives of this study were to investigate the occupational sources of stress, coping, perceived professionalism, and mental well-being among Hong Kong midwives. The associations between the above variables were examined and study variables that affect the mental well-being of midwives were also identified. Method: A cross-sectional study with convenience sample of 216 registered midwives recruited from one private and three public hospitals in Hong Kong. Respondents completed a self-administered questionnaire which included the Chinese Nurse Stress Scale (CNSS), the Chinese Simplified Ways of Coping Checklist (CSWCC), the General Health Questionnaire (GHQ-12), the self-developed Perceived Professionalism Scale (PPS) and socio-demographic information. Findings: Respondents experienced moderate level of occupational stress. Main stressors came from the "patient care issues" as well as "workload and time issues". Direct coping strategies were adopted more frequently than palliative coping. Respondents perceived positive views towards professionalism. About 57% (n=124) of respondents were indicated of having poor mental well-being. Pearson correlation found that GHQ-12 score was correlated with CNSS score (r = 0.76, p < 0.01) and PPS score (r = -0.72, p < 0.01). It suggested that better mental well-being was correlated with lower stress level and higher perceived professionalism. Stepwise regression model showed that occupational stress, perceived professionalism, types of hospital working, and total monthly household income explained 67% of the variance in mental well-being of midwives in Hong Kong (R2=0.67, F=105.08, p<0.001). Conclusion: Occupational stress and perceived professionalism were two predictors had the largest contributions towards midwives" mental well-being. Measures on occupational stress reduction and reinforcement of positive views towards professionalism may be considered to improve the mental well-being status in hospital midwives of Hong Kong.

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