The Impact of the Workload and Traumatic Stress on the Presenteeism of Midwives: The Mediating Effect of Psychological Detachment

Objectives. Midwives are at high risk of presenteeism, which may impact the quality midwifery and maternal infant health outcomes. However, no research has been conducted to investigate relationship between workload, traumatic stress, psychological detachment, presenteeism among midwives. This study, therefore, aimed exploring mediating effects detachment on Method. A multicenter cross-sectional study was 547 midwives in Jiangsu Province. Participants completed National Aeronautics Space Administration task load index, stress subscale for midwives, scale, Stanford scale provided sociodemographic information. The were assessed using Mplus. Results. mean score midwives’ 17.09 ± 3.56. Presenteeism positively associated with both workload (both id="M2"> P < 0.01 ) negatively ( id="M3"> Psychological partially mediated relationships (a) id="M4"> β = 0.005, id="M5"> 0.05 (b) id="M6"> 0.006, id="M7"> ), 11.90% 10.00%, respectively. Conclusions. is moderately levels requires attention from nursing managers. a variable Implications Nursing Management. implications decreasing practical terms. Specifically, it crucial that care managers attempt adjust midwives' work patterns, reduce their provide organizational support work-related stress. Moreover, our findings also indicate probably an essential element worthy attention.