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Experience with difficult situations in perinatology: impact of empathy and death-related behaviors on stress in nurses and midwives

Urbanska K, Naworska B, Bednarz K, Stojko R, Drosdzol-Cop A · Ginekologia Polska · 2026

Objectives: Caring for newborns with life-limiting conditions represents one of the most demanding professional and emotional challenges for healthcare staff, particularly nurses and midwives. The aim of this study was to examine the relationship between empathy levels, professional competence, occupational stress, and psychosomatic symptoms among professionals working in neonatal care settings. Material and methods: This quantitative, cross-sectional study was conducted in the second quarter of 2023 in level II and III referral centres in the Silesian region of Poland. A total of 307 nurses and midwives participated. Data were collected using a proprietary questionnaire comprising sociodemographic data, self-assessment of empathy and professional competence, factors shaping attitudes towards death, and the Perceived Stress Scale (PSS-10). Statistical analysis was performed using non-parametric tests and Spearman’s rank correlation. Results: Results indicated that higher self-reported empathy and professional preparedness were significantly associated with lower levels of stress and fewer psychosomatic symptoms. Respondents who felt unprepared to provide emotional support were more likely to report chronic fatigue, headaches, and gastrointestinal disturbances. Conclusions: These findings highlight the need for structured education focused not only on clinical skill but also on emotional preparedness. Psychological support systems should be integrated into neonatal care environments to mitigate occupational stress and prevent burnout. Copyright © 2026 PTGiP. This article is available in open access under Creative Common Attribution-Non-Commercial-No Derivatives 4.0 International (CC BY-NC-ND 4.0) license, allowing to download articles and share them with others as long as they credit the authors and the publisher, but without permission to change them in any way or use them commercially.

DOI
10.5603/gpl.108189

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