PMID- 35410189
OWN - NLM
STAT- MEDLINE
DCOM- 20220413
LR  - 20220429
IS  - 1471-2393 (Electronic)
IS  - 1471-2393 (Linking)
VI  - 22
IP  - 1
DP  - 2022 Apr 11
TI  - Group Clinical Supervision for midwives and burnout: a cluster randomized 
      controlled trial.
PG  - 309
LID - 10.1186/s12884-022-04657-4 [doi]
LID - 309
AB  - BACKGROUND: There are major shortfalls in the midwifery workforce which has been 
      exacerbated by the COVID 19 pandemic. Midwives have high levels of burnout and 
      many, often early career midwives, are planning to leave the profession. There 
      are reports of a poor workplace culture in maternity units, including bullying. 
      Support is essential for the welfare of the workforce to be able to cope with the 
      demands of their jobs. Supportive strategies, such as Clinical Supervision, a 
      recognised approach in healthcare, enable reflection in a facilitated, structured 
      way, and can enhance professional standards. The purpose of this research is to 
      study burnout levels in midwives, those exiting their workplace and perceptions 
      of workplace culture in relation to access to, and attendance of, monthly 
      Clinical Supervision. METHODS: This study will be a cluster randomised controlled 
      trial of maternity sites within Sydney and the surrounding districts. Twelve 
      sites will be recruited and half will receive monthly Clinical Supervision for up 
      to two years. Midwives from all sites will be requested to complete 6-monthly 
      surveys comprising validated measurement tools: the Copenhagen Burnout Inventory 
      (CBI), the Australian Midwifery Workplace Culture (AMWoC) tool and the Clinical 
      Supervision Evaluation Questionnaire (CSEQ) (the latter for intervention sites 
      only). Primary outcomes are the levels of burnout in midwives (using the CBI). 
      Secondary outcomes will be the quality of the intervention (using the CSEQ), 
      perceptions of workplace culture (using the AMWoC tool) and midwives' intention 
      to stay in their role/profession, as well as sick leave rates and numbers of 
      exiting staff. We will also determine the dose effect - ie the impact in relation 
      to how many Clinical Supervision sessions the midwives have attended, as well as 
      other supportive workplace strategies such as mentoring/coaching on outcomes. 
      DISCUSSION: Through attending monthly Clinical Supervision we hypothesise that 
      midwives will report less burnout and more positive perceptions of workplace 
      culture than those in the control sites. The potential implications of which are 
      a productive workforce giving high quality care with the flow-on effect of having 
      physically and psychologically well women and their babies. TRIAL REGISTRATION: 
      The ACTRN Registration number is ACTRN12621000545864p , dated 10/05/2021,.
CI  - (c) 2022. The Author(s).
FAU - Catling, Christine
AU  - Catling C
AD  - Centre for Midwifery, Child and Family Health, Faculty of Health, University of 
      Technology Sydney, Ultimo, Australia. christine.catling@uts.edu.au.
FAU - Donovan, Helen
AU  - Donovan H
AD  - Centre for Midwifery, Child and Family Health, Faculty of Health, University of 
      Technology Sydney, Ultimo, Australia.
FAU - Phipps, Hala
AU  - Phipps H
AD  - Sydney Institute for Women, Children & their Families, Sydney Local Health 
      District, Camperdown, Australia.
FAU - Dale, Simeon
AU  - Dale S
AD  - Nursing Research Institute, St Vincent's Health Network Sydney, St Vincent's 
      Hospital Melbourne and Australian Catholic University, Sydney, Australia.
AD  - School of Nursing, Midwifery and Paramedicine, Australian Catholic University, 
      Sydney, Australia.
FAU - Chang, Sungwon
AU  - Chang S
AD  - Centre for Improving Palliative, Aged and Chronic Care through Clinical Research 
      and Translation (IMPACCT), Faculty of Health, University of Technology Sydney, 
      Ultimo, Australia.
LA  - eng
GR  - APP1195732/National Health and Medical Research Council/
PT  - Journal Article
PT  - Randomized Controlled Trial
DEP - 20220411
PL  - England
TA  - BMC Pregnancy Childbirth
JT  - BMC pregnancy and childbirth
JID - 100967799
SB  - IM
MH  - Australia
MH  - *Burnout, Professional/prevention & control
MH  - *COVID-19
MH  - Female
MH  - Humans
MH  - *Midwifery
MH  - *Nurse Midwives
MH  - Preceptorship
MH  - Pregnancy
PMC - PMC8999988
OTO - NOTNLM
OT  - Burnout
OT  - Clinical supervision
OT  - Cluster randomised controlled trial
OT  - Midwifery
OT  - Support
OT  - Workplace culture
COIS- The authors declare that they have no competing interests.
EDAT- 2022/04/13 06:00
MHDA- 2022/04/14 06:00
PMCR- 2022/04/11
CRDT- 2022/04/12 05:08
PHST- 2022/03/17 00:00 [received]
PHST- 2022/04/05 00:00 [accepted]
PHST- 2022/04/12 05:08 [entrez]
PHST- 2022/04/13 06:00 [pubmed]
PHST- 2022/04/14 06:00 [medline]
PHST- 2022/04/11 00:00 [pmc-release]
AID - 10.1186/s12884-022-04657-4 [pii]
AID - 4657 [pii]
AID - 10.1186/s12884-022-04657-4 [doi]
PST - epublish
SO  - BMC Pregnancy Childbirth. 2022 Apr 11;22(1):309. doi: 10.1186/s12884-022-04657-4.