{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T16:02:47Z","timestamp":1780070567757,"version":"3.54.0"},"reference-count":47,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,9,3]],"date-time":"2024-09-03T00:00:00Z","timestamp":1725321600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Birth"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The work of midwives is emotionally challenging. Midwives share moments of joy, when a baby is born, and attend complex events of loss and trauma. Exposure to childbirth complications, emergencies, and loss can affect their professional quality of life and functioning. This aspect of midwives' practice has not been sufficiently researched.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>To examine the associations between exposures to traumatic events, post\u2010traumatic symptoms, and personal resilience with professional quality of life and organizational commitment among hospital midwives.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Participants in this cross\u2010sectional study conducted in 2020 included 131 midwives from three large hospitals in central Israel. Data were collected using a structured self\u2010administered questionnaire that examined socio\u2010demographic characteristics, exposure to traumatic events during childbirth, personal resilience, post\u2010traumatic symptoms, professional quality of life, and organizational commitment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The three most traumatic events for midwives were: neonatal death or feared death, maternal death or feared death, and stillbirth. The more frequent the exposure to traumatic events, the more numerous and intense the post\u2010traumatic symptoms. The more numerous and intense the post\u2010traumatic symptoms, the higher the level of professional burnout and compassion fatigue and the lower the compassion satisfaction. Higher compassion satisfaction and lower professional burnout were associated with higher organizational commitment. Personal resilience, country of birth, post\u2010traumatic symptoms, and organizational commitment predicted compassion satisfaction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Midwives' exposure to traumatic events is associated with the onset of post\u2010traumatic symptoms, impaired professional quality of life, and reduced organizational commitment, and is accompanied by burnout and compassion fatigue. There is a need to address this issue in training programs and to develop organizational support and policies to improve midwives' well\u2010being and quality of care.<\/jats:p><\/jats:sec>","DOI":"10.1111\/birt.12868","type":"journal-article","created":{"date-parts":[[2024,9,3]],"date-time":"2024-09-03T12:25:49Z","timestamp":1725366349000},"page":"112-122","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Traumatic experiences, quality of life, and organizational commitment among midwives: A cross\u2010sectional study"],"prefix":"10.1111","volume":"52","author":[{"given":"Kinneret","family":"Segal","sequence":"first","affiliation":[{"name":"Beilinson Women's Hospital, Rabin Medical Center Clalit Health Services  Tel Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2298-0308","authenticated-orcid":false,"given":"Ilya","family":"Kagan","sequence":"additional","affiliation":[{"name":"Nursing Department Ashkelon Academic College  Ashkelon Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,9,3]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2005.11.002"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2008.04.003"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2017.03.009"},{"key":"e_1_2_10_5_1","unstructured":"StammBH.The Concise ProQOL Manual.2010 (2nd Ed)."},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425787"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sbspro.2013.07.003"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/jnu.12229"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2015.05.001"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.13m08374"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1552-6909.2012.01386.x"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/NMC.0b013e3182623e71"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/jmwh.12221"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/jmwh.12946"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wombi.2016.06.006"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/jonm.12293"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nedt.2018.10.002"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.4103\/nms.nms_13_18"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/jnr.0000000000000286"},{"issue":"1","key":"e_1_2_10_20_1","article-title":"Job satisfaction and occupational stress in organizational commitment among midwives working in the maternity wards; Mashhad, Iran, 2014","volume":"6","author":"Talasaz ZH","year":"2017","journal-title":"Health Scope"},{"key":"e_1_2_10_21_1","unstructured":"Nursing Division.Post\u2010basic training course in midwifery.2023https:\/\/www1.health.gov.il\/nursing\/study\/training\u2010courses\/training\u2010list\/obstetrics\/"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.3758\/BRM.41.4.1149"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049731503254106"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1478951517000487"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/0001-8791(79)90072-1"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1177\/009102609802700304"},{"issue":"3","key":"e_1_2_10_27_1","first-page":"129","article-title":"Subcultural research on organizational commitment with the 15 OCQ invariant instrument","volume":"20","author":"Mathieu A","year":"2000","journal-title":"J Pers Sell Sales Manag"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.1002\/da.10113"},{"key":"e_1_2_10_29_1","doi-asserted-by":"publisher","DOI":"10.1002\/jts.20271"},{"key":"e_1_2_10_30_1","doi-asserted-by":"publisher","DOI":"10.1037\/pas0000254"},{"key":"e_1_2_10_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.comppsych.2018.11.004"},{"key":"e_1_2_10_32_1","unstructured":"Ministry of Health (MOH).Infant births and deaths in Israel. The information department has a mother child and adolescent department2023https:\/\/www.gov.il\/he\/departments\/publications\/reports\/live\u2010birth\u2010in\u2010israel"},{"key":"e_1_2_10_33_1","doi-asserted-by":"publisher","DOI":"10.1111\/jep.13487"},{"key":"e_1_2_10_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2014.11.006"},{"key":"e_1_2_10_35_1","doi-asserted-by":"publisher","DOI":"10.1080\/20008198.2018.1518069"},{"key":"e_1_2_10_36_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2018.00364"},{"key":"e_1_2_10_37_1","doi-asserted-by":"publisher","DOI":"10.1037\/pro0000293"},{"key":"e_1_2_10_38_1","volume-title":"Resources for Community Suicide Prevention","author":"Stamm BH","year":"2012"},{"key":"e_1_2_10_39_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-017-2726-x"},{"key":"e_1_2_10_40_1","doi-asserted-by":"publisher","DOI":"10.4037\/ajcc2020406"},{"key":"e_1_2_10_41_1","doi-asserted-by":"publisher","DOI":"10.17795\/semj39253"},{"key":"e_1_2_10_42_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2015.01.004"},{"key":"e_1_2_10_43_1","doi-asserted-by":"publisher","DOI":"10.1891\/9780826155214"},{"key":"e_1_2_10_44_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wombi.2018.11.010"},{"key":"e_1_2_10_45_1","doi-asserted-by":"publisher","DOI":"10.5172\/conu.2013.45.1.134"},{"key":"e_1_2_10_46_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nedt.2019.05.012"},{"key":"e_1_2_10_47_1","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare10122473"},{"key":"e_1_2_10_48_1","doi-asserted-by":"publisher","DOI":"10.12968\/bjom.2021.29.1.26"}],"container-title":["Birth"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/birt.12868","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,15]],"date-time":"2025-02-15T11:11:15Z","timestamp":1739617875000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/birt.12868"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,9,3]]},"references-count":47,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,3]]}},"alternative-id":["10.1111\/birt.12868"],"URL":"https:\/\/doi.org\/10.1111\/birt.12868","archive":["Portico"],"relation":{},"ISSN":["0730-7659","1523-536X"],"issn-type":[{"value":"0730-7659","type":"print"},{"value":"1523-536X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,9,3]]},"assertion":[{"value":"2023-06-27","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-08-08","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-09-03","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}