This study explored the relationship between professional quality of life and emotion work and the major stress factors related to abortion care in Japanese obstetric and gynecological nurses and midwives. Between October 2011 and January 2012, questionnaires that included questions concerning eight stress factors, the Professional Quality of Life Scale, and the Japanese version of the Frankfurt Emotional Work Scale, were answered by 255 nurses and midwives working in abortion and childbirth services. Professional Quality of Life scores (compassion fatigue, compassion satisfaction, burnout) were significantly associated with stress factors and emotion work. Multiple regression analysis revealed that of all the evaluated variables, the Japanese version of the Frankfurt Emotional Work Scale score for negative emotions display was the most significant positive predictor of compassion fatigue and burnout. The stress factors “thinking that the aborted fetus deserved to live” and “difficulty in controlling emotions during abortion care” were associated with compassion fatigue. These findings indicate that providing abortion services is a highly distressing experience for nurses and midwives.
MizunoM. Confusion and ethical issues surrounding the role of Japanese midwives in childbirth and abortion: a qualitative study. Nurs Health Sci2011; 13: 502–506.
3.
ConradDKellar-GuentherY. Compassion fatigue, burnout, and compassion satisfaction among Colorado child protection workers. Child Abuse Negl2006; 30: 1071–1080.
4.
AdamsREBoscarinoJAFigleyCR. Compassion fatigue and psychological distress among social workers: a validation study. Am J Orthopsychiatry2006; 76: 103–108.
5.
MaslachCSchaufeliWBLeiterMP. Job burnout. Annu Rev Psychol2001; 52: 397–422.
6.
KovácsMKovácsEHegedusK. Emotion work and burnout: cross-sectional study of nurses and physicians in Hungary. Croat Med J2010; 51: 432–442.
7.
OgrestaJRusacSZorecL. Relation between burnout syndrome and job satisfaction among mental health workers. Croat Med J2008; 49: 364–374.
8.
YangFHChangCC. Emotional labor, job satisfaction and organizational commitment amongst clinical nurses: a questionnaire survey. Int J Nurs Stud2008; 45: 879–887.
9.
MannSCowburnJ. Emotional labor and stress within mental health nursing. J Psychiatr Ment Health Nurs2005; 12: 154–162.
10.
JoinsonC. Coping with compassion fatigue. Nursing1992; 22: 116–120.
11.
FigleyCR. Compassion fatigue: coping with secondary traumatic stress disorder in those who treat the traumatized. New York: Brunner-Mazel Press, 1995.
12.
MedlandJHoward-RubenJWhitakerE. Fostering psychosocial wellness in oncology nurses: addressing burnout and social support in the workplace. Oncol Nurs Forum2004; 31: 47–54.
13.
LeiterMPHarviePFrizzellC. The correspondence of patient satisfaction and nurse burnout. Soc Sci Med1998; 47: 1611–1617.
14.
Le BlancPMBakkerABPeetersMCWEmotional job demands and burnout among oncology care providers. Anxiety Stress Coping2001; 14: 243–263.
15.
ZapfDVogtCSeifertCEmotion work as a source of stress: the concept and development of an instrument. Eur J Work Organ Psy1998; 8: 371–400.
16.
McClureRMurphyC. Contesting the dominance of emotional labor in professional nursing. J Health Organ Manag2007; 21: 101–120.
17.
MusgraveCFSoudryI. An exploratory pilot study of nurse-midwives’ attitudes toward active euthanasia and abortion. Int J Nurs Stud2000; 37: 505–512.
18.
HannaDR. The lived experience of moral distress: nurses who assisted with elective abortions. Res Theory Nurs Pract2005; 19: 95–124.
19.
CignaccoE. Between professional duty and ethical confusion: midwives and selective termination of pregnancy. Nurs Ethics2002; 9: 179–191.
20.
MarekMJ. Nurses’ attitudes toward pregnancy termination in the labor and delivery setting. J Obstet Gynecol Neonatal Nurs2004; 33: 472–479.
21.
LindströmMJacobssonLWulffMMidwives’ experiences of encountering women seeking an abortion. J Psychosom Obstet Gynaecol2007; 28: 231–237.
22.
NicholsonJSladePFletcherJ. Termination of pregnancy services: experiences of gynecological nurses. J Adv Nurs2010; 66: 2245–2256.
23.
StammBH. Secondary traumatic stress: self care issues for clinicians, research and educators. Lutherville, MD: Sidran Press, 1999.
24.
FujiokaT.On the construction of support program for care givers in child welfare facilities on the standpoint of compassion fatigue. Issues in Social Work: Study Report of the Japan College of Social Work2011; 57: 201–237.
25.
HochschildAR. Emotion work, feeling rules, and social structure. Am J Sociol1979; 85: 555–575.
26.
MorrisJAFeldmanDC. The dimensions, antecedents, and consequences of emotional labor. Acad Manage J1996; 21: 989–1010.
27.
ZapfDHolzM. On the positive and negative effects of emotion work in organizations. Eur J Work Organ Psy2006; 15: 1–28.
28.
OginoKTakigasakiTInakiK. Effects of emotion work on burnout and stress among human service professionals. Shinrigaku Kenkyu2004; 75: 371–377.
29.
StammBH. The ProQOL manual. Boise, IA: Sidran Press, 2010.
30.
PotterPDeshieldsTDivanbeigiJ. Compassion fatigue and burnout: prevalence among oncology nurses. Clin J Oncol Nurs2010; 14: E56–E62.
31.
NajjarNDavisLWBeck-CoonKCompassion fatigue: a review of the research to date and relevance to cancer-care providers. J Health Psychol2009; 14: 267–277.
32.
CorleyMC. Nurse moral distress: a proposed theory and research agenda. Nurs Ethics2002; 9: 636–650.
33.
BernadettePColleenV. Registered nurses’ perceptions of moral distress and ethical climate. Nurs Ethics2009; 16: 561–573.
34.
BreslauNChilcoatHDKesslerRCPrevious exposure to trauma and PTSD effects of subsequent trauma: results from the Detroit Area Survey of Trauma. Am J Psychiatry1999; 156: 902–907.
35.
SmithPPeasonPRossF. Emotions at work is the link to patient and staff safety? Implications for nurse managers in the NHS. J Nurs Manag2009; 7: 230–237.
