Work-related post-traumatic stress symptoms in obstetricians and gynaecologists: findings from INDIGO, a mixed-methods study with a cross-sectional survey and in-depth interviews.
Adult
Burnout, Professional
/ epidemiology
Compassion Fatigue
/ epidemiology
Cross-Sectional Studies
Depersonalization
Female
Gynecology
Humans
Interviews as Topic
Male
Middle Aged
Minority Groups
/ psychology
Obstetrics
Occupational Stress
/ epidemiology
Physicians
/ psychology
Sick Leave
Stress Disorders, Post-Traumatic
/ epidemiology
Surveys and Questionnaires
United Kingdom
/ epidemiology
Obstetrics and gynaecology
post-traumatic stress disorder
trauma
work place
Journal
BJOG : an international journal of obstetrics and gynaecology
ISSN: 1471-0528
Titre abrégé: BJOG
Pays: England
ID NLM: 100935741
Informations de publication
Date de publication:
04 2020
04 2020
Historique:
accepted:
17
12
2019
pubmed:
28
1
2020
medline:
24
3
2020
entrez:
28
1
2020
Statut:
ppublish
Résumé
To explore obstetricians' and gynaecologists' experiences of work-related traumatic events, to measure the prevalence and predictors of post-traumatic stress disorder (PTSD), any impacts on personal and professional lives, and any support needs. Mixed methods: cross-sectional survey and in-depth interviews. Fellows, members and trainees of the Royal College of Obstetricians and Gynaecologists (RCOG). A survey was sent to 6300 fellows, members and trainees of RCOG. 1095 people responded. Then 43 in-depth interviews with trauma-exposed participants were completed and analysed by template analysis. Exposure to traumatic work-related events and PTSD, personal and professional impacts, and whether there was any need for support. Interviews explored the impact of trauma, what helped or hindered psychological recovery, and any assistance wanted. Two-thirds reported exposure to traumatic work-related events. Of these, 18% of both consultants and trainees reported clinically significant PTSD symptoms. Staff of black or minority ethnicity were at increased risk of PTSD. Clinically significant PTSD symptoms were associated with lower job satisfaction, emotional exhaustion and depersonalisation. Organisational impacts included sick leave, and 'seriously considering leaving the profession'. 91% wanted a system of care. The culture in obstetrics and gynaecology was identified as a barrier to trauma support. A strategy to manage the impact of work-place trauma is proposed. Exposure to work-related trauma is a feature of the experience of obstetricians and gynaecologists. Some will suffer PTSD with high personal, professional and organisational impacts. A system of care is needed. 18% of obstetrics and gynaecology doctors experience post-traumatic stress disorder after traumatic events at work.
Identifiants
pubmed: 31986555
doi: 10.1111/1471-0528.16076
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
600-608Subventions
Organisme : Department of Health
ID : PB-PG-0215-36037
Pays : United Kingdom
Organisme : Wellbeing of Women
ID : RG1912
Pays : International
Commentaires et corrections
Type : CommentIn
Type : CommentIn
Type : CommentIn
Informations de copyright
© 2020 Royal College of Obstetricians and Gynaecologists.
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