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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
Objectives 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. Design Mixed methods: cross‐sectional surve...
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Published in: | BJOG : an international journal of obstetrics and gynaecology 2020-04, Vol.127 (5), p.600-608 |
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Main Authors: | , , , , , , |
Format: | Article |
Language: | English |
Subjects: | |
Citations: | Items that this one cites Items that cite this one |
Online Access: | Get full text |
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Summary: | Objectives
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.
Design
Mixed methods: cross‐sectional survey and in‐depth interviews.
Sample and setting
Fellows, members and trainees of the Royal College of Obstetricians and Gynaecologists (RCOG).
Methods
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.
Main outcome measures
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.
Results
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.
Conclusions
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.
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18% of obstetrics and gynaecology doctors experience post‐traumatic stress disorder after traumatic events at work.
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18% of obstetrics and gynaecology doctors experience post‐traumatic stress disorder after traumatic events at work. |
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ISSN: | 1470-0328 1471-0528 |
DOI: | 10.1111/1471-0528.16076 |