Prévalence et facteurs associés au syndrome d'épuisement professionnel chez le personnel de santé du service de pédiatrie du Centre Hospitalier Universitaire de Bouaké (Côte d'Ivoire) / Prevalence and factors associated with burnout syndrome among health personnel in the paediatric department of the university hospital of Bouaké (Côte d'Ivoire)

Contexte et objectif.: Le syndrome d'épuisement professionnel (SEP) est une pathologie particulièrement préoccupante en milieu hospitalier avec un impact négatif sur la qualité des soins. L'objectif de l'étude était de connaitre la prévalence et les principaux facteurs associés au SEP chez le personnel de santé en pédiatrie au CHU de Bouaké. Méthodes. Etude prospective, descriptive et analytique réalisée en pédiatrie au CHU de Bouaké du 05 octobre au 03 novembre 2022. Etaient inclus les agents dudit service, consentants, reconnus par la Direction des Ressources Humaines du CHU de Bouaké et présent durant la période de l'étude. Les variables étudiées étaient socioprofessionnelles et l'évaluation du SEP. Le SEP a été évalué à l'aide du Maslach Burnout Inventory (MBI). Résultats : Au total 70 participants dont 39 présentant un SEP (13 hommes, 26 femmes) soit une prévalence de 56%. Les facteurs signifi cativement associés au SEP étaient la situation matrimoniale (Célibataire) (p=0,004 ; OR 0,155 ; IC 0,043-0,563), et le statut d'agent journalier (p=0,024 ; OR 0,058 IC 0,005-687). Conclusion. Le SEP était très fréquent en pédiatrie du CHU de Bouaké. Il avait un lien étroit avec la situation matrimoniale et le statut d'agent journalier. Pour améliorer la situation nous recommandons un accompagnement psychologique du personnel ainsi que la revalorisation salariale et des conditions de travail des agents journaliers. Mots clés : -Syndrome d'épuisement professionnel; -Hôpital; -Pédiatrie, -Côte d'Ivoire. ABSTRACT Background and object

Background and objective. Burnout syndrome (BWS) is a particularly worrying pathology in the hospital environment with a negative impact on the quality of care. The objective of the study was to determine the prevalence and main factors associated with burnout among paediatric health care staff at the University Hospital of Bouaké. Methods. Prospective, descriptive and analytical study conducted in pediatrics at the University Hospital of Bouaké from October 5 to November 3, 2022. The study included consenting staff of the said department, recognised by the Human Resources Department of the University Hospital of Bouaké and present during the study period. The variables studied were socio-professional and SEP evaluation. The BWS was assessed using the Maslach Burnout Inventory (MBI). Results. A total of 70 participants, 39 of whom had MS (13 men, 26 women), representing a prevalence of 56%. The factors significantly associated with MS were marital status (single) (p=0.004; OR 0.155; CI 0.043-0.563), and day worker status (p=0.024; OR 0.058 CI 0.005-687). Conclusion. The SEP is very frequent in the paediatric ward of the University Hospital of Bouaké. It is closely related to marital status and day labourer status. To improve the situation, we recommend psychological support for the staff as well as an increase in the salary and working conditions of day workers.

A cross-sectional self-assessment of burnout amongst a sample of doctors in Ghana

Background: The occurrence of burnout amongst African health professionals has been widely anticipated, but there is a dearth of published data, especially amongst doctors. Burnout has been reported to be as high as 53% amongst doctors in the United States. If not detected, it can result in prescription errors, work-related accidents, substance abuse and depression. Aim: The aim of this study was to determine the prevalence of burnout and its associated factors amongst a sample of physicians in Ghana. Setting: This study was conducted in Kumasi amongst physicians attending a conference organised by the West African College of Physicians, Ghana Chapter. Method: A cross-sectional study. Of the 90 physicians who registered for the conference, 60 responded to a self-administered Maslach Burnout Inventory questionnaire. Data were analysed descriptively and inferentially using STATA® version 14. Results: Approximately 52% of respondents had been in medical practice for 10­19 years (mean 15.4 years). All the major medical specialties were represented. Internal Medicine had the highest number of participants (48.3%). With respect to the components of burnout, 5.5% of respondents experienced depersonalisation, 7.8% had a lack of personal achievement and 10.8% experienced emotional exhaustion. The association between burnout and age, sex, years of practice and clinical specialty was not found to be statistically significant. Conclusion: This pilot study has shown burnout to be common amongst physicians in Ghana. It is recommended that further studies are conducted, involving a larger cross-section of doctors in various parts of Africa

Prevalence and associated factors of burnout syndrome among healthcare workers in public and private hospitals in Mekelle City, Ethiopia

Introduction: Burnout syndrome, an occupational negative psychosomatic condition, has three components: emotional exhaustion, depersonalization and low personal achievement. This study aimed to assess the prevalence of burnout syndrome and associated factors among public and private healthcare workers in Mekelle City, Tigray, Ethiopia. Methods: A cross-sectional study was conducted among 229 healthcare workers in Mekelle, Kay Kalkidan and Ben Meskerem General Hospitals. An anonymous questionnaire was used for data collection. Pearson Chi-square test and Binary logistic regression analysis were employed. Both tests were conducted at 95% CI with p-value ≤ 0.05 as acceptance area. Result: Overall 109 (47.6%) of respondents had burnout syndrome. Workers in the private hospitals (65.8%) were more at risk compared to those in the public hospital (44.0%). The lower staff/patient ratio in the private hospitals compared with the public hospital might have contributed to the higher prevalence of burnout syndrome. Independent predictor factors were: being female, few years of work experience, working night shifts and long working hours each week. Conclusion: Prevalence of burnout syndrome was high among all respondents but particularly those working in private hospitals. Some socio demographic and occupational factors were also implicated

A cross-sectional survey of burnout amongst doctors in a cohort of public sector emergency centres in Gauteng, South Africa

Introduction:Working in emergency care is commonly regarded as highly stressful. This is also true in the African setting characterised by high patient loads and limited resources. As in other similarly demanding occupations, burnout can be anticipated. The aim of this study was to examine the level of burnout amongst doctors in a cohort of public sector emergency centres in Gauteng, South Africa.Methods:An observational, cross-sectional design was employed, using the Maslach Burnout Inventory-Human Services Survey (which has been tested and validated in similar settings elsewhere). The study included a cohort of doctors working in the emergency centres of public sector hospitals in Gauteng, South Africa.Results:One hundred participants completed the questionnaire out of a possible 124 doctors working at the five centres. Ninety-three met the inclusion criteria and was further analysed. Seven respondents were specialist emergency physicians (7.5%), 36 were emergency medicine registrars (38.7%) and 50 were medical officers (53.8%). Fifty one respondents were female (55.0%). Analysis of burnout component scores showed a mean emotional exhaustion score of 31.69 (standard deviation, SD = 10.32), with 62 respondents (66.7%) in the high-risk group ­ from 86 (92.5%) at moderate to high risk. The mean de-personalisation score was 13.39 (SD = 6.21), with 50 respondents (53.8%) in the high-risk group ­ from 75 (80.7%) at moderate to high risk of burnout. The mean personal accomplishment score was 34.87 (SD = 6.54), with 21 respondents (22.6%) in the high-risk group ­ from 65 (69.9%) at moderate to high risk of burnout.Discussion:The results indicate that a large proportion of the doctors who work in these emergency centres are at moderate to high risk of burnout. Based on our findings we recommend that interventions be introduced at the work place to reduce burnout in doctors and improve their mental well-being. This will ensure better service delivery to patients with emergencies. Further research into the causes of occupational burnout should be explored

The association between the levels of burnout and quality of life among fourth-year medical students at the University of the Free State

Background: Society invests huge financial resources in training medical students. However, the academic and personal demands placed on these students can be taxing and may be detrimental to students' quality of life leading to high levels of burnout and academic dropout rates. Aim: To determine the association between the levels of burnout and quality of life among fourth-year medical students at the University of the Free State (UFS). Setting: School of Medicine, UFS, Bloemfontein. Methods: All fourth-year medical students in their first semester of the clinical phase were included. Data were collected using anonymous self-report measures. The Maslach Burnout Inventory (MBI) measured the levels of burnout according to three subscales (emotional exhaustion, depersonalisation and personal achievement), and the World Health Organization Quality of Life Assessment (WHOQOL-BREF) measured the quality of life. Results: Of the 121 enrolled fourth-year medical students, 91 (75.2%) completed the questionnaires. The MBI personal achievement subscale had the highest number of participants (n = 53; 58.2%) with high levels of reported burnout. Significant associations were found between the psychological health subscale of the WHOQOL-BREF and all three subscales of the MBI, in particular emotional exhaustion. Conclusion: An association exists between the levels of burnout and quality of life among fourth-year medical students. This information could be of value to medical schools as they are in a position to implement interventions that promote students' well-being

Registrar wellness in Botswana: Measuring burnout and identifying ways to improve wellness

Background. Burnout during registrar training is high, especially in resource-limited settings where stressors are intensified. Burnout leads to decreased quality of life for doctors, poor job and patient satisfaction, and difficulty retaining doctors.Objectives. Primary: to measure burnout among registrars working at Princess Marina Hospital in Gaborone, Botswana. Secondary: to determine factors contributing to burnout and identify potential wellness interventions.Methods. The validated Maslach Burnout Inventory was used to measure the degree of emotional exhaustion, depersonalisation and personal accomplishment. Work-related difficulties and potential wellness interventions were explored through multiple-choice and open-ended questions.Results. Of 40 eligible registrars, 20 (50%) completed the survey. High levels of burnout were reported for emotional exhaustion in 65% (13/20), depersonalisation in 45% (9/20), and personal accomplishment in 35% (7/20) of registrars. A high degree of burnout was reported by 75% (15/20) of registrars in one or more domains. In the previous 7 days, registrars worked an average of 77 hours, took 1.5 overnight calls, slept 5.7 hours per night, and 53% (10/19) had ≥1 of their patients die. Five (25%) registrars considered leaving Botswana to work in another country, which correlated with those with the highest degree of burnout. The most common frustrations included insufficient salary and limited medical resources. Suggested interventions included improved mentorship and wellness lectures.Conclusions. There is a high degree of burnout, especially emotional exhaustion, among registrars. Encouragingly, most registrars have a desire to work in Botswana after training. Future research on improving registrar wellness in low-resource settings is urgently needed

Predictors of burnout among HIV nurses in the Western Cape

Background: Burnout has been implicated as one of the reasons for key healthcare personnel, such as nurses, leaving their profession, resulting in insufficient staff to attend to patients.Objective: We investigated the predictors of three dimensions of burnout, namely emotional exhaustion, depersonalisation and personal accomplishment, among nurses in South Africa attending to patients living with HIV.Method: Participants were recruited at a large tertiary hospital in the Western Cape region, with the help of the assistant director of nursing at the hospital. They completed the Maslach Burnout Inventory, the Quantitative Workload Inventory, the Interpersonal Conflict at Work Scale, the Organisational Constraints Scale, the Death and Dying subscale of the Nursing Stress Scale, and the HIV and AIDS Stigma Instrument ­ Nurse.Results: We found elevated levels of burnout among the sample. Workload, job status and interpersonal conflict at work significantly explained more than one-third of the variance in emotional exhaustion (R² = 0.39, F(7, 102) = 9.28, p = 0.001). Interpersonal conflict, workload, organisational constraints and HIV stigma significantly explained depersonalisation (R² = 0.33, F(7, 102) = 7.22, p = 0.001). Job status and organisational constraints significantly predicted personal accomplishment (R² = 0.18, F(7, 102) = 3.12, p = 0.001).Conclusion: Factors such as workload, job status and interpersonal conflict in the work context, organisational constraints and stigma associated with HIV were found to be predictors of burnout in the sample of nurses. Our recommendations include developing and testing interventions aimed at reducing burnout among nurses, including reducing workload and creating conditions for less interpersonal conflict at work

Burnout among paramedic students at a university in Johannesburg, South Africa

Background. Burnout has been studied in several emergency medical services contexts and has been found to be high compared with that found in other health professions. Although burnout among students has been described in several healthcare disciplines; this has not been done in the field of prehospital emergency care. Objectives. To determine the prevalence of burnout among students in a 4-year university paramedic degree programme and to assess whether there was any significant difference in the prevalence of burnout among students during the 4 years of study. Methods. In this cross-sectional survey all students enrolled in a 4-year university paramedic degree programme were invited to participate. The questionnaire consisted of 19 questions from the Copenhagen Burnout Inventory (CBI); combined with distractor questions. Responses were analysed descriptively and one-way analysis of variance was used to compare CBI scores across the 4 academic years of study. Results. An 85% (n=93) response rate was obtained. The overall prevalence of burnout was 31%. Mean CBI scores across all academic years of study were highest for personal burnout; followed by work-related burnout and patient care-related burnout.The highest prevalence of students with burnout was in the 4th year; as was the highest prevalence of work-related and personal burnout. The second highest prevalence of students with burnout was in the 1st year; as was the highest prevalence of patient care-related burnout. No significant difference was found in CBI total burnout scores across the 4 years of study. Conclusion. Although there are no directly comparable data; the prevalence of burnout in this group of students appears to be high; particularly in the 1st and 4th years of study. Steps should be taken to ensure access to social and psychological support to avoid a negative impact on academic success and student wellbeing