%0 Journal Article
%T The effects of midwives¡¯ job satisfaction on burnout, intention to quit and turnover: a longitudinal study in Senegal
%A Dominique Rouleau
%A Pierre Fournier
%A Aline Philibert
%A Betty Mbengue
%A Alexandre Dumont
%J Human Resources for Health
%D 2012
%I BioMed Central
%R 10.1186/1478-4491-10-9
%X A cohort of 226 midwives from 22 hospitals across Senegal participated in this longitudinal study. Their job satisfaction was measured from December 2007 to February 2008 using a multifaceted instrument developed in West Africa. Three expected effects were measured two years later: burnout, intention to quit and turnover. Descriptive statistics were reported for the midwives who stayed and left their posts during the study period. A series of multiple regressions investigated the correlations between the nine facets of job satisfaction and each effect variable, while controlling for individual and institutional characteristics.Despite nearly two thirds (58.9%) of midwives reporting the intention to quit within a year (mainly to pursue new professional training), only 9% annual turnover was found in the study (41/226 over 2£¿years). Departures were largely voluntary (92%) and entirely domestic. Overall the midwives reported themselves moderately satisfied; least contented with their ¡°remuneration¡± and ¡°work environment¡± and most satisfied with the ¡°morale¡± and ¡°job security¡± facets of their work. On the three dimensions of the Maslach Burnout Inventory, very high levels of emotional exhaustion (80.0%) and depersonalization (57.8%) were reported, while levels of diminished personal accomplishment were low (12.4%). Burnout was identified in more than half of the sample (55%). Experiencing emotional exhaustion was inversely associated with ¡°remuneration¡± and ¡°task¡± satisfaction, actively job searching was associated with being dissatisfied with job ¡°security¡± and voluntary quitting was associated with dissatisfaction with ¡°continuing education¡±.This study found that although midwives seem to be experiencing burnout and unhappiness with their working conditions, they retain a strong sense of confidence and accomplishment in their work. It also suggests that strategies to retain them in their positions and in the profession should emphasize continuing education.
%U http://www.human-resources-health.com/content/10/1/9/abstract