Midwives’ occupational wellbeing and its determinants. A cross-sectional study among newly qualified and experienced Dutch midwives | 79 Table 2 shows the frequencies and median scores on exhaustion, cynicism, burnout symptoms and work engagement. In total, 19 percent of midwives scored high on exhaustion and 10 percent scored high on cynicism, with about 7 percent of midwives having burnout symptoms. Table 2. Frequencies (percentages) and Median (25th – 75th percentile) of Exhaustion, Cynicism, Burn-out symptoms and Work Engagement on, Newly Qualified Midwives (NQM), Experienced Midwives, and total midwives (EM) Variables NQM (n=182) EM(n=714) Total: NQM+EM N=896) n(%) Median (25th ,75th ) n(%) Median (25th, 75th ) n(%) Median (25th, 75th ) Exhaustion Low High 153(84.1) 29(15.9) 1.44(0.88, 2.00) 573(80.3) 141(19.7) 1.50(1.00, 2.00.) 726(81) 170(19) 1.50(1.00, 2.13) Cynicism Low High 163(89.6) 19(10.4) 0.60(0.20, 1.00) 641(89.8) 73(10.2) 0.60(0.20, 1.00) 804(89.7) 92(10.3) 0.60(0.20, 1.00) Burnout symptoms Low High 166(91.2) 16(8.8) 665(93.1) 49(6.9) 831(92.7) 65(7.3) Work Engagement Low High 94(51.6) 88(48.8) 4.67(4.00, 5.11) 466(65.3) 248(34.7) 4.33(3.56, 4.89) 560(62.5) 336(37.5) 4.33(3.56, 5.00) Exhaustion: a high score on exhaustion based on UBOS-C scores for healthcare professionals (scores ≥ 2.5) and Cynicism (scores ≥ 1.6) points, Burn-out symptoms (high scores on exhaustion and high scores on cynicism).32 Work Engagement: a high score on Work Engagement based on the norm scores (UWES scores ≥ 4.67).33 The results of the associations between midwives’ experience levels and both burnout symptoms and work engagement were shown in table 3. Experience level was not associated with burnout symptoms: NQMs did not have significantly higher odds of burnout symptoms than EMs (OR=1.31, 95% CI: 0.73-2.34). Table 3 Associations between midwives’ experience levels (NQM, EM) and Work Engagement / Burnout symptoms Variables ORa (95% CI) p-value Corrected ORb (95% CI) p-value Work Engagement Burnout symptoms 1.76(1.27, 2.44) 1.31(0.73, 2.34) <.001 0.38 2.09(1.31, 3.31) 1.31(0.68, 2.51) <.001 0.42 OR=odds ratio, CI=confidence interval,a EM = reference group, b corrected for workplace, marital status, autonomy, variety, collaboration with colleagues.
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