Givers Feel the Heat, Too: Experience of Burning out under Fire of Psychological Distress among Healthcare Workers during COVID-19 Pandemic
International Neuropsychiatric Disease Journal,
Background: Burnout is considered a condition of great public concern due to its biopsychosocial consequences which include poor quality of life. Healthcare providers have been described as high-risk population for experiencing burnout. Psychological distress is also considered a strong predictor of experience of burnout among healthcare workers who are burdened with the demand of the healthcare system. This is particularly so with healthcare workers in sub-Saharan Africa. The period of COVID-19 might have impacted on the burden of burnout experienced by healthcare professionals.
Objective: This study was to determine the burden of burnout and its relationship with psychosocial variables among healthcare workers in a tertiary health care facility.
Methods: The sample for this study was from a population of healthcare workers in a tertiary healthcare facility in southwest Nigeria. The questionnaire comprised three sections: information on socio-demographic work-related characteristics of the respondents; Maslach-Burnout-Inventory (MBI), and Kessler Psychological Distress Scale (K10) used in screening mental distress among the respondents. Student t-test and one-way ANOVA were used to compare the means scores of respondents on both the MBI and K-10 scales.
Results: A total of 214 healthcare workers with mean age of 36.49±9.05 participated in the study. Seventy-six (35.5%) of the respondents had high burnout level on MBI. There was statistically significant difference in the mean score emotional exhaustion subscale of burnout experience for gender The mean score on emotional exhaustion dimension in doctors was significantly higher than the nurses. Emotional exhaustion correlated negatively with respondents’ years of experience at work (r = -0.181, p = 0.008). Thirty-seven (17.3%) of the respondents suffered mild to severe psychological distress as indicated by their scores on the Kessler scale of psychological distress.
Conclusion: The study brought to the fore the relevant correlates of burnout in the high-risk group of essential healthcare providers.
- psychological distress
- healthcare workers
How to Cite
Dyrbye LN, West CP, Satele D, et al. Burnout among US medical students, residents, and early career physicians relative to the general US population. Academic medicine. 2014;89:443–451.
[Landrigan CP, Fahrenkopf AM, Lewin D, et al. Effects of the accreditation council for graduate medical education duty hour limits on sleep, work hours, and safety. Pediatrics. 2008;122:250–258.
Maslach C, Leiter MP. Early predictors of job burnout and engagement. Journal of applied psychology. 2008;93:498.
Eckleberry-Hunt J, Lick D, Boura J, et al. An exploratory study of resident burnout and wellness. Academic Medicine. 2009; 84:269–277.
Carod-Artal FJ, Vázquez-Cabrera C. Burnout syndrome in an International setting. In: Burnout for experts. Springer. 2013;15–35.
Nwosu AD, Ossai EN, Mba UC, et al. Physician burnout in Nigeria: A multicentre, cross-sectional study. BMC Health Services Research. 2020;20:1–9.
Lasebikan VO, Oyetunde MO. Burnout among nurses in a Nigerian general hospital: Prevalence and associated factors. International Scholarly Research Notices; 2012.
Ozumba LN, Alabere ID. Burnout among doctors and nurses at university of Port Harcourt teaching hospital, South-South Nigeria. Archives of Medicine and Health Sciences. 2019;7:61.
Orsini A, Corsi M, Pedrinelli V, et al. Post-traumatic stress, anxiety, and depressive symptoms in caregivers of children tested for COVID-19 in the acute phase of the Italian outbreak. Journal of Psychiatric Research. 2021;135:256–263.
Bender A, Farvolden P. Depression and the workplace: a progress report. Current psychiatry reports. 2008;10:73–79.
Morse G, Salyers MP, Rollins AL, et al. Burnout in mental health services: A review of the problem and its remediation. Administration and Policy in Mental Health and Mental Health Services Research. 2012;39:341–352.
Gelsema TI, Van Der Doef M, Maes S, et al. A longitudinal study of job stress in the nursing profession: causes and consequences. Journal of nursing management 2006; 14: 289–299.
Woo T, Ho R, Tang A, et al. Global prevalence of burnout symptoms among nurses: A systematic review and meta-analysis. Journal of psychiatric research. 2020;123:9–20.
Williams ES, Konrad TR, Scheckler WE, et al. Understanding physicians’ intentions to withdraw from practice: the role of job satisfaction, job stress, mental and physical health. Health care management review. 2001;26:7–19.
Kasper J, Bajunirwe F. Brain drain in sub-Saharan Africa: contributing factors, potential remedies and the role of academic medical centres. Archives of disease in childhood. 2012;97:973–979.
Salyers MP, Bonfils KA, Luther L, et al. The relationship between professional burnout and quality and safety in healthcare: a meta-analysis. Journal of general internal medicine. 2017;32:475–482.
Gan Y, Jiang H, Li L, et al. Prevalence of burnout and associated factors among general practitioners in Hubei, China: a cross-sectional study. BMC Public Health. 2019;19:1–9.
Ogungbamila B. Occupational Burnout among Employees in Some Service Occupations in Nigeria: Are Health Workers Different?
Khasne RW, Dhakulkar BS, Mahajan HC, et al. Burnout among healthcare workers during COVID-19 pandemic in India: Results of a questionnaire-based survey. Indian Journal of Critical Care Medicine: Peer-reviewed, Official Publication of Indian Society of Critical Care Medicine. 2020;24:664.
Pindar SK, Coker AO, Wakil MA, et al. Comparison of burnout syndrome among clinical and non-clinical staff of two tertiary health institutions in Maiduguri, Nigeria. Transnatl J Sci Technol. 2012;2:58–73.
Matsuo T, Kobayashi D, Taki F, et al. Prevalence of health care worker burnout during the coronavirus disease 2019 (COVID-19) pandemic in Japan. JAMA network open. 2020;3:e2017271–e2017271.
Olley BO. A comparative study of burnout syndrome among health professionals in a Nigerian teaching hospital.
Lasalvia A, Amaddeo F, Porru S, et al. Levels of burn-out among healthcare workers during the COVID-19 pandemic and their associated factors: a cross-sectional study in a tertiary hospital of a highly burdened area of north-east Italy. BMJ open. 2021;11:e045127.
Chemali Z, Ezzeddine FL, Gelaye B, et al. Burnout among healthcare providers in the complex environment of the Middle East: a systematic review. BMC public health. 2019;19:1–21.
Okwaraji FE, En A. Burnout and psychological distress among nurses in a Nigerian tertiary health institution. African health sciences. 2014;14:237–245.
Rashedi V, Rezaei M, Gharib M. Burnout and socio-demographic characteristics of nurses in Iran. Galen Medical Journal. 2014;3:232–7.
Demir A, Ulusoy M, Ulusoy MF. Investigation of factors influencing burnout levels in the professional and private lives of nurses. International journal of nursing studies. 2003;40:807–827.
Hamaideh SH. Burnout, social support, and job satisfaction among Jordanian mental health nurses. Issues in Mental Health Nursing. 2011;32:234–242.
Letvak S, Ruhm C, Gupta S. Differences in health, productivity and quality of care in younger and older nurses. Journal of Nursing Management. 2013;21:914–921.
Decety J, Cowell JM. Empathy, justice, and moral behavior.AJOB neuroscience. 2015;6:3–14.
Gleichgerrcht E, Decety J. Empathy in clinical practice: how individual dispositions, gender, and experience moderate empathic concern, burnout, and emotional distress in physicians. PloS one. 2013;8:e61526.
Li W, Kou C. Prevalence and correlates of psychological stress among teachers at a national key comprehensive university in China. International journal of occupational and environmental health. 2018;24:7–16.
Kabito GG, Mekonnen TH. Psychological distress symptoms among healthcare professionals are significantly influenced by psychosocial work context, Ethiopia: A cross-sectional analysis. PloS one. 2020; 15: e0239346.
Jayawardene W, YoussefAgha A, LaJoie S, et al. Psychological distress among nurses caring for victims of war in Sri Lanka. Disaster Med Public Health Prep. 2013;7:278–286.
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