Burnout Among Healthcare Professionals in Bosnia and Herzegovina

Abstract

Burnout, a state of stress-induced emotional, physical, and mental exhaustion, continues to be a topic of interest across a broad array of sciences. It is because burnout not only causes psychosomatic problems, but also has an effect on job performance, which is vital in high-stake professions. Therefore, exploring the level of healthcare professionals’ burnout, and understanding which work-place factors are correlated with it, is of outmost importance. For this purpose, the present correlational study explored this issue in a convenience sample of 209 MDs and nurses from primary healthcare institutions in Bosnia and Herzegovina, including, for the first time, a comprehensive number of psychosocial factors at work. Interestingly, the majority of healthcare professionals scored low on burnout measures of MBI. Nevertheless, one fifth of participants had potential early warning signs of burnout. Compared to their colleagues in other European countries, Bosnian-Herzegovinian doctors experience lower yet comparable levels of emotional exhaustion, lower depersonalization, and higher sense of personal achievement. Furthermore, nurses show an even more beneficial trend on all three burnout dimensions. In addition, the study established some significant positive predictors of burnout dimensions pertaining to the work environment. More precisely, quantitative workload and decision-making demands were found to be positive predictors of emotional exhaustion, while the strongest predictors of depersonalization were work-place support (from colleagues and superiors) and self-esteem. Significant predictors of personal accomplishment were perception of mastery and work centrality. This suggests that burnout among healthcare professionals arises both from the immediate workplace factors and individual ones, therefore implicating institutions in its prevention and reduction.