The effects of midwives’ job satisfaction on burnout, intention to quit and turnover: a longitudinal study in Senegal

Human Resources for Health

Research

Aline Philibert¹  Dominique Rouleau¹  Pierre Fournier¹  Betty Mbengue²  Alexandre Dumont³ 

[1]Centre de Recherche du Centre Hospitalier de l’Université de Montréal (CRCHUM), 3875 St-Urbain street, H2W 1 V1, Montreal, Canada

[2]HYGEA, Dakar, Senegal

[3]Institut de Recherche pour le Développement, UMR 216 Mère et enfant face aux infections tropicales, Paris, France

关键词: Emotional Exhaustion;    Health Workforce;    Personal Accomplishment;    Maslach Burnout Inventory;    Voluntary Turnover;   

DOI  :  10.1186/1478-4491-10-9

 received in 2010-11-29, accepted in 2012-04-01,  发布年份 2012

来源: Springer

【 摘 要 】

BackgroundDespite working in a challenging environment plagued by persistent personnel shortages, public sector midwives in Senegal play a key role in tackling maternal mortality. A better understanding of how they are experiencing their work and how it is affecting them is needed in order to better address their needs and incite them to remain in their posts. This study aims to explore their job satisfaction and its effects on their burnout, intention to quit and professional mobility.MethodsA cohort of 226 midwives from 22 hospitals across Senegal participated in this longitudinal study. Their job satisfaction was measured from December 2007 to February 2008 using a multifaceted instrument developed in West Africa. Three expected effects were measured two years later: burnout, intention to quit and turnover. Descriptive statistics were reported for the midwives who stayed and left their posts during the study period. A series of multiple regressions investigated the correlations between the nine facets of job satisfaction and each effect variable, while controlling for individual and institutional characteristics.ResultsDespite nearly two thirds (58.9%) of midwives reporting the intention to quit within a year (mainly to pursue new professional training), only 9% annual turnover was found in the study (41/226 over 2 years). Departures were largely voluntary (92%) and entirely domestic. Overall the midwives reported themselves moderately satisfied; least contented with their “remuneration” and “work environment” and most satisfied with the “morale” and “job security” facets of their work. On the three dimensions of the Maslach Burnout Inventory, very high levels of emotional exhaustion (80.0%) and depersonalization (57.8%) were reported, while levels of diminished personal accomplishment were low (12.4%). Burnout was identified in more than half of the sample (55%). Experiencing emotional exhaustion was inversely associated with “remuneration” and “task” satisfaction, actively job searching was associated with being dissatisfied with job “security” and voluntary quitting was associated with dissatisfaction with “continuing education”.ConclusionsThis study found that although midwives seem to be experiencing burnout and unhappiness with their working conditions, they retain a strong sense of confidence and accomplishment in their work. It also suggests that strategies to retain them in their positions and in the profession should emphasize continuing education.

【 授权许可】

CC BY   
© Rouleau et al.; licensee BioMed Central Ltd. 2012