Burnout level and associated factors in a sub-Saharan African medical setting: prospective cross-sectional survey

Mackanga, Jean-Rodolphe; Mouloungui, E.G. Mouendou; Ibaba, J.; Pottier, P.; Kombila, Jean-Baptiste Moussavou; Boguikouma, J. B.

doi:10.1186/s12909-020-02194-2

Cited by 7 publications

(9 citation statements)

References 15 publications

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“…A total of 42 (76.3%) studies used an MBI scale composed of 22 items [ 21 - 32 , 34 - 39 , 41 , 42 , 45 , 46 , 48 - 58 , 60 , 62 - 64 , 66 , 68 , 69 , 71 , 72 ]. Additionally, 11 (20%) studies did not describe which MBI items were used [ 33 , 43 , 47 , 59 , 61 , 65 , 68 , 70 , 73 - 75 ].…”

Section: Resultsmentioning

confidence: 99%

“…Answers to the MBI were distributed on a Likert-type scale, and most studies used a 0 to 6 score (26/55, 47.2%) [ 21 , 23 - 25 , 28 , 30 - 32 , 36 , 37 , 41 - 44 , 48 , 49 , 51 , 54 , 57 - 59 , 62 , 64 , 66 , 67 , 69 , 74 ]. A total of 16 (29%) studies did not describe how they rated the scores [ 22 , 27 , 33 , 38 , 46 , 47 , 50 , 53 , 55 , 56 , 61 , 65 , 68 , 71 , 75 ].…”

Section: Resultsmentioning

confidence: 99%

“…Depersonalization was considered high (≥10), medium (from 6 to 9), and low (≤6). Personal accomplishment was also represented as high (≤33), medium (from 34 to 39), and low (≥40) [ 27 , 31 , 34 , 38 , 58 , 59 , 61 , 65 , 71 , 75 ].…”

Section: Resultsmentioning

confidence: 99%

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Use of the Maslach Burnout Inventory Among Public Health Care Professionals: Scoping Review

Soares¹,

Lopes²,

Mendonça³

et al. 2023

JMIR Ment Health

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Background Work can be considered a source of living, well-being, and socioeconomic development. When the work environment negatively influences individuals, it may trigger emotional disturbances, behavioral problems, chronic stress conditions, and illnesses such as burnout syndrome (BS). Recently, studies on BS have increased and placed a special focus on health care professionals. The prevalence of BS among health professionals is associated with their chronic exposure to human hardship and long working hours without proper rest. These factors have contributed to greater stress and high physical and emotional exhaustion levels. Objective This study aims to identify and map studies using the Maslach Burnout Inventory (MBI) scale to identify burnout syndrome in health professionals working in public health services. Methods This scoping review was developed based on the Joanna Briggs Institute (JBI) Reviewers Manual and reported according to the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews). A total of 6 databases were searched to identify relevant studies: Embase, LILACS, MEDLINE or PubMed, PsycInfo, Scopus, and Web of Science. Gray literature was consulted on ProQuest Dissertations and Theses Global, Google Scholar, Brazilian Digital Library of Theses and Dissertations, and Open Access Theses and Dissertations. Additionally, the reference lists were searched to retrieve studies not previously selected. The steps followed in this study were proposed by Arskey and O’Malley and Levac, Colquhoun, and O’Brien: identification of research questions, identification of potential studies, study selection, data extraction and imputation, data analyses and interpretation, and consultation with stakeholders. The detailed methodology was published in a protocol. Results A total of 55 articles were identified after screening for eligibility criteria, published between 1999 and 2021 in 32 countries. Most reports were published in Brazil, Spain, and China. A total of 22 versions of the MBI were identified, presenting different items, scores, and cutoff points. The included studies had recommendations and implications for clinical practice. The consultation with stakeholders allowed knowledge translation for those interested in BS. Conclusions Studies mostly included physicians (34/55, 61.8%) and nurses (24/55, 43.6%), and the original version of MBI was predominantly used. Divergences in BS classification were highlighted, which may be related to MBI cross-cultural adaptations and applications in other countries. This study contributes to the advancement of research regarding burnout syndrome as an occupational illness since it has harmful consequences for workers, health care services, and the quality of care provided to the population.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Use of the Maslach Burnout Inventory Among Public Health Care Professionals: Scoping Review

Soares¹,

Lopes²,

Mendonça³

et al. 2023

JMIR Ment Health

View full text Add to dashboard Cite

show abstract

“…While it is unsurprising that clinicians carry negative emotions surrounding traumatic patient deterioration events, this finding is critical in our recognition of the profound emotional toll that deteriorating patients have on clinicians. This emotional toll contributes to increased moral distress, clinician burnout and higher staff turnover in both highand limited-resource settings (11,21). The fact that participants across all disciplines at both hospitals discussed negative emotions also demonstrates how widespread and universal these responses are in the context of patient deterioration and critical illness.…”

Section: Discussionmentioning

confidence: 99%

Clinician Emotions Surrounding Pediatric Oncology Patient Deterioration

et al. 2021

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BackgroundPediatric oncology patients have a high rate of clinical deterioration frequently requiring critical care. Patient deterioration events are distressing for clinicians, but little is known about how Pediatric Early Warning Systems (PEWS) impact clinicians’ emotional responses to deterioration events.MethodsSemi-structured interviews were conducted with 83 nurses, pediatricians, oncologists, and intensive care clinicians who had recently participated in a patient deterioration event at two pediatric oncology hospitals of different resource-levels: St. Jude Children’s Research Hospital (N = 42 participants) in Memphis, Tennessee or Unidad Nacional de Oncología Pediátrica (N = 41 participants) in Guatemala City, Guatemala. Interviews were conducted in the participants’ native language (English or Spanish), transcribed, and translated into English. Each transcript was coded by two researchers and analyzed for thematic content.ResultsEmotions around patient deterioration including concern, fear, and frustration were reported across all disciplines at both hospitals. Concern was often triggered by an elevated PEWS score and usually resulted in increased attention, which reassured bedside clinicians that patients were receiving necessary interventions. However, persistently elevated PEWS scores, particularly at St. Jude Children’s Research Hospital, occasionally resulted in a false sense of relief, diminishing clinician attention and negatively impacting patient care. Nurses at both institutions described how PEWS amplified their voices, engendering confidence and empowerment, two of the only positive emotions described in the study.ConclusionClinicians experienced a range of emotions while caring for high-risk patients in the setting of clinical deterioration. These emotions have the potential to contribute to compassion fatigue and burnout, or to resilience. Acknowledgment and further investigation of the complex interplay between PEWS and clinician emotions are necessary to maximize the impact of PEWS on patient safety while simultaneously supporting staff wellbeing.

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“…This cross-sectional study displayed a moderately high prevalence of burnout in Tanzanian physicians. A recent study from Central Africa similarly showed that almost 50% of surveyed practitioners manifested burnout, displaying the magnitude and scope of this problem on the African continent [ 3 ].…”

Section: Discussionmentioning

confidence: 99%

Risk factors for physician burnout: a perspective from Tanzania

Iyer¹,

Suleman²,

Qiu³

et al. 2022

Pan Afr Med J

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Introduction while physician burnout has been studied in high-income countries, more research is necessary on burnout in lesser-income regions such as Tanzania. This study aimed to determine levels of burnout in Tanzanian physicians and to understand the contributing risk factors for burnout in this region. Methods the Maslach Burnout Inventory (MBI-HSS) was adapted to assess burnout in Tanzanian physicians. Utilizing a cross-sectional design, we studied two distinct cohorts: 1) Emergency Medicine (EM) trained physicians in Tanzania and; 2) specialists at Bugando Medical Centre. We surveyed demographic, personal, and workplace data to identify risk factors for burnout. Results seventy-seven percent (30/39) of Tanzanian EM providers and 39% (37/94) of Bugando specialists completed the survey. We identified burnout in 67% of Tanzanian EM providers and in 70% of specialists at Bugando. Burnout risk factors in EM physicians included dissatisfaction with career choice, considering switching institutions, working in an urban setting, inadequate coverage for emergencies/leave, and financial housing responsibilities. In Bugando specialists, risk factors were unnecessary administrative paperwork, working overnight shifts, pressure to achieve patient satisfaction or decrease length of stay, meaningful mentorship, and not having a close friend/family member die. Conclusion this study reports a high prevalence of burnout in Tanzanian physicians. Risk factors for burnout were multifactorial but mainly related to institutional and workplace constituents. Targeting these risk factors provides opportunities to boost physician wellness and guides important areas for future research in this African region.

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Burnout level and associated factors in a sub-Saharan African medical setting: prospective cross-sectional survey

Cited by 7 publications

References 15 publications

Use of the Maslach Burnout Inventory Among Public Health Care Professionals: Scoping Review

Use of the Maslach Burnout Inventory Among Public Health Care Professionals: Scoping Review

Clinician Emotions Surrounding Pediatric Oncology Patient Deterioration

Risk factors for physician burnout: a perspective from Tanzania

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