AimThe aim of this study was to review the existing evidence on burnout levels in midwives and the main related factors.DesignMixed studies systematic review.Data SourcesPubMed, Scopus and Web of Science were sourced from 2018 and 2023.Review MethodsInclusion criteria: quantitative cross‐sectional or qualitative articles published in English within the last 5 years. Exclusion criteria: studies with undergraduate or trainee midwives, studies examining the factors in a pandemic setting and those not answering the research question. Potential risk of bias was assessed using the Mixed Methods Assessment Tool (MMAT). A convergent synthesis design was followed through a thematic synthesis using Thomas and Harden's three‐step method: inductive coding of the text, development of descriptive themes and generation of analytical themes. Qualitative approaches adopted exploratory descriptive studies and participatory action research.ResultsThirty‐six studies were included, with a total of 17,364 participants. There were higher levels of burnout in midwives who were single, under 35–40 years of age, with less than 10 years of experience and those with young children. Stress, anxiety and depression, as well as the emotional impact of traumatic events, have been described as related psychological factors.ConclusionAlthough extrinsic work factors such as shifts, workload, pay and interpersonal relationships increase burnout, intrinsic factors such as lack of autonomy and recognition are the main factors related to it.ImpactWhat problem did the study address? Burnout among healthcare workers has been recognized as a global crisis requiring urgent attention, specifically in midwives. What were the main findings? There is a persistent shortage of midwives that is attributed in part to chronic retention difficulties related to job burnout expressed by these professionals. Where and on whom will the research have an impact? We seek to address the paucity of research on burnout in midwives in the current crisis in the profession. Work factors such as lack of autonomy or recognition in the profession carry an associated risk of burnout and job attrition. Understanding the factors that contribute to burnout will enable healthcare organizations to reduce the current problem.Reporting Method: PreferredReporting items for systematic review and meta‐analyses (PRISMA).Patient of Public contributionNo patient or public contribution.

中文翻译：

---

缺乏自主权和专业认可是助产士职业倦怠的主要因素：系统的混合方法综述


目的本研究的目的是回顾助产士职业倦怠水平的现有证据及其主要相关因素。设计混合研究系统回顾。数据来源PubMed、Scopus和Web of Science来源于2018年和2023年。回顾方法纳入标准：定量横断面或过去 5 年内以英文发表的定性文章。排除标准：与本科生或实习助产士一起进行的研究、检查大流行环境中因素的研究以及那些没有回答研究问题的研究。使用混合方法评估工具（MMAT）评估潜在的偏倚风险。采用托马斯和哈登的三步法进行主题综合，然后采用收敛综合设计：文本归纳编码、描述性主题的开发和分析性主题的生成。定性方法采用探索性描述性研究和参与性行动研究。结果纳入 36 项研究，共有 17,364 名参与者。单身助产士、35-40岁以下助产士、经验不足10年的助产士以及有幼儿的助产士的倦怠程度更高。压力、焦虑和抑郁，以及创伤事件的情绪影响，被描述为相关的心理因素。结论虽然轮班、工作量、薪酬和人际关系等外在工作因素会增加倦怠，但缺乏自主性和认可等内在因素与其相关的主要因素是什么。影响 该研究解决了哪些问题？医护人员的倦怠已被认为是一场需要紧急关注的全球危机，特别是助产士。主要发现是什么？ 助产士持续短缺，部分原因是这些专业人员表示，与工作倦怠有关的长期保留困难。研究将在哪里以及对谁产生影响？在当前的职业危机中，我们寻求解决助产士职业倦怠研究的缺乏问题。缺乏自主权或行业认可等工作因素会带来倦怠和工作流失的相关风险。了解导致倦怠的因素将使医疗保健组织能够减少当前的问题。报告方法：首选报告项目进行系统审查和荟萃分析（PRISMA）。公共贡献患者没有患者或公共贡献。