Evidence map›Paper›PMID 38297253›Full record

ArticleBMC psychiatry2024

Psychological pathway to emotional exhaustion among nurses and midwives who provide perinatal bereavement care in China: a path analysis.

Jialu Qian, Gaoyan Wu, Cecilia Jevitt, Shiwen Sun, Man Wang, Xiangyu Sun, Xiaoyan Yu

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC psychiatry, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 pooled it
3.8field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 2 syntheses or guidelines pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 2 countries.

Jialu Qian *Zhejiang University School of Medicine, Hangzhou, China.
Gaoyan Wu *Surgery Department of Thyroid and Breast, Huashan Hospital Fudan University, Shanghai, China.
Cecilia JevittMidwifery Division, Department of Family Medicine, Faculty of Medicine, University of British Columbia, Vancouver, Canada.
Shiwen SunDepartment of Obstetrics, Women's Hospital School of Medicine, Zhejiang University, Hangzhou, China, 1st Xueshi Road, Zhejiang Province, 310006.
Man WangZhejiang University School of Medicine, Hangzhou, China.
Xiangyu SunZhejiang University School of Medicine, Hangzhou, China.
Xiaoyan YuDepartment of Obstetrics, Women's Hospital School of Medicine, Zhejiang University, Hangzhou, China, 1st Xueshi Road, Zhejiang Province, 310006. yuxy@zju.edu.cn.
Zhejiang University · CNWomen's Hospital, School of Medicine, Zhejiang University · CNHuashan Hospital · CNUniversity of British Columbia · CA

Funding

China Scholarship Council 202106320274Medical and Health Research Project of Zhejiang Province 2022KY859
6 · The paper itself

Abstract

backgroundA lack of confidence in perinatal bereavement care (PBC) and the psychological trauma experienced by nurses and midwives during bereavement care leads to their strong need for sufficient organisational support. The current study intended to test a hypothesised model of the specific impact paths among organisational support, confidence in PBC, secondary traumatic stress, and emotional exhaustion among nurses and midwives.

methodsA descriptive, cross-sectional survey was conducted in sixteen maternity hospitals in Zhejiang Province, China, from August to October 2021. The sample (n = 779) consisted of obstetric nurses and midwives. A path analysis was used to test the relationships among study variables and assess model fit.

resultsOrganisational support directly and positively predicted confidence in PBC and demonstrated a direct, negative, and significant association with secondary traumatic stress and emotional exhaustion. Confidence in PBC had a positive direct effect on secondary traumatic stress and a positive indirect effect on emotional exhaustion via secondary traumatic stress. Secondary traumatic stress exhibited a significant, direct effect on emotional exhaustion.

conclusionsThis study shows that nurses' and midwives' confidence in PBC and mental health were leadingly influenced by organisational support in perinatal bereavement practice. It is worth noting that higher confidence in PBC may lead to more serious psychological trauma symptoms in nurses and midwives. Secondary traumatic stress plays an essential role in contributing to emotional exhaustion. The findings suggest that support from organisations and self-care interventions were required to improve confidence in PBC and reduce negative psychological outcomes among those providing PBC. The development of objective measures for assessing competence in PBC and organizational support are essential.

Indexed as

BereavementBurnout, ProfessionalCompassion FatigueHospice CareMidwiferyChinaCross-Sectional StudiesEmotional ExhaustionFemaleHumansPregnancySurveys and QuestionnairesBurnoutCross-sectionalOrganisational supportPath analysisPerinatal bereavement careSecondary traumatic stress

Identifiers

PMID38297253
PMCPMC10832229
OpenAlexW4391445580

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.