Academic journal article Social Behavior and Personality: an international journal

Work-Related Stress, Burnout and Job Satisfaction in Turkish Midwives

Academic journal article Social Behavior and Personality: an international journal

Work-Related Stress, Burnout and Job Satisfaction in Turkish Midwives

Article excerpt

This descriptive and cross-sectional study was conducted to determine the levels of workrelated stress, burnout and job satisfaction in midwives. It was conducted between March 1 and April 30, 2005, in 35 public health clinics which provide primary health care in the city of Antalya. The research population consisted of 325 midwives who responded to a questionnaire about the sociodemographic characteristics of the subjects and their working places as well as the Work-Related Strain Inventory (Revicki, May, & Whitley, 1997) translated into Turkish by Asian, Alparslan, Asian, Kesepara, & Unal, 1998), the Maslach Burnout Inventory (Maslach & Jackson, 1981), adapted to Turkey by Ergin (1992) and the Minnesota Work Satisfaction Questionnaire. The midwives' Work-Related Strain Inventory mean score was at the moderate level and the burnout subcategory of emotional exhaustion mean score level was moderate. Depersonalization was low and personal accomplishment was moderate.

Keywords: midwifery, work-related stress, burnout, job satisfaction.

Professional satisfaction is one of the most significant requirements individuals need to be successful, happy and productive and is a feeling of contentment that is formed by how a job is perceived by individuals (Aksayan & Velioglu, 1992; Berns, 1984; Musal, Elci, & Ergin, 1995). Health care workers are the group with the highest risk for burnout, role conflict and job satisfaction (Piko, 2005).

In Turkey, midwives are the health care services' most important task force for the improvement and protection of the health of mothers and children, and for providing prenatal, natal and postpartum health care (Oztek, 2004). Such primary health care services are provided in public health clinics in Turkey. The quality of care provided by midwives is negatively affected by problems related to job satisfaction, work-related stress and burnout (A. Asian, R. Asian, Kesepara, & Unal, 1997; Gozum, 1997; Piyal, Celen, Sahin, & Y. Piyal, 2000). Heavy work load, long daily working hours, and perception of negative work conditions can lead to burnout (Maslach & Jackson, 1981a; Olkinuora, Asp, & Juntunen, 1990; Sutherland & Cooper, 1993). Studies conducted with health care personnel have shown that many factors such as inadequate payment, lack of harmony between education received and work done, inadequate ongoing education, lack of possibility of job advancement, and other negative working conditions affect employees' job satisfaction (Aksakal, Ozkan, Baykan, & Aycan, 1999; Asian et al., 1997; Gozum, 1997; Kiliç, Ergor, Gurpinar, & Demirel, 2004; Kuyurtar, Yamak, Kanic, & Yurdakul, 2002). We thought that in addition to these, other people may have an effect on work-related strain, burnout and job satisfaction in midwives. For this reason, this study was conducted to determine the levels of work-related stress, burnout and job satisfaction of midwives who work in preventive health care, and to determine the effect of coworkers and clients' opinions, whether positive or negative, about the midwifery profession on the midwives' job-related stress, burnout and job satisfaction.



This cross-sectional, descriptive study was conducted in Antalya between March 1 and April 30, 2005. The 450 midwives who worked in the 35 public health clinics in Antalya city center comprised the research population. Of these, 67 did not agree to participate, 58 were on sick leave or maternity leave, leaving a sample of 325 (72%).


Prior to conducting the research, official permission was obtained from the province Health Directorate which is administratively responsible for the Primary Health Care Centres. For the purpose of protecting the reliability of the data the Primary Health Care Centre visits were made unannounced. The midwives were seen in their health clinics and the purpose of the research, the method and the expected benefits were explained and permission was obtained from each participant. …

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