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Singh J, Poon DEO, Alvarez E, Anderson L, Verschoor CP, Sutton A, Zendo Z, Piggott T, Apatu E, Churipuy D, Culbert I, Hopkins JP. Burnout among public health workers in Canada: a cross-sectional study. BMC Public Health 2024; 24:48. [PMID: 38166742 PMCID: PMC10763416 DOI: 10.1186/s12889-023-17572-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2023] [Accepted: 12/23/2023] [Indexed: 01/05/2024] Open
Abstract
BACKGROUND This study presents the prevalence of burnout among the Canadian public health workforce after three years of the COVID-19 pandemic and its association with work-related factors. METHODS Data were collected using an online survey distributed through Canadian public health associations and professional networks between November 2022 and January 2023. Burnout was measured using a modified version of the Oldenburg Burnout Inventory (OLBI). Logistic regressions were used to model the relationship between burnout and work-related factors including years of work experience, redeployment to pandemic response, workplace safety and supports, and harassment. Burnout and the intention to leave or retire as a result of the COVID-19 pandemic was explored using multinomial logistic regressions. RESULTS In 2,079 participants who completed the OLBI, the prevalence of burnout was 78.7%. Additionally, 49.1% of participants reported being harassed because of their work during the pandemic. Burnout was positively associated with years of work experience, redeployment to the pandemic response, being harassed during the pandemic, feeling unsafe in the workplace and not being offered workplace supports. Furthermore, burnout was associated with greater odds of intending to leave public health or retire earlier than anticipated. CONCLUSION The high levels of burnout among our large sample of Canadian public health workers and its association with work-related factors suggest that public health organizations should consider interventions that mitigate burnout and promote recovery.
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Affiliation(s)
- Japteg Singh
- Niagara Region Public Health, Thorold, ON, Canada
| | - David E-O Poon
- Public Health and Preventive Medicine Residency Program, Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada
| | - Elizabeth Alvarez
- Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, ON, Canada
| | - Laura Anderson
- Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, ON, Canada
| | - Chris P Verschoor
- Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, ON, Canada
- Health Sciences North Research Institute, Sudbury, ON, Canada
| | - Arielle Sutton
- MD Program, Faculty of Medicine and Dentistry, Schulich School of Medicine, Western University, London, ON, Canada
| | - Zayya Zendo
- MD Program, Faculty of Medicine and Dentistry, Schulich School of Medicine, Western University, London, ON, Canada
| | - Thomas Piggott
- Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, ON, Canada
- Peterborough Public Health, Peterborough, ON, Canada
| | - Emma Apatu
- Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, ON, Canada
| | | | - Ian Culbert
- Canadian Public Health Association, Ottawa, ON, Canada
| | - Jessica P Hopkins
- Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, ON, Canada.
- Public Health Ontario, Toronto, ON, Canada.
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Helaß M, Haag GM, Bankstahl US, Gencer D, Maatouk I. Burnout among German oncologists: a cross-sectional study in cooperation with the Arbeitsgemeinschaft Internistische Onkologie Quality of Life Working Group. J Cancer Res Clin Oncol 2023; 149:765-777. [PMID: 35152317 PMCID: PMC8852884 DOI: 10.1007/s00432-022-03937-y] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2021] [Accepted: 01/29/2022] [Indexed: 11/08/2022]
Abstract
PURPOSE Oncologists are at an increased risk of developing burnout, leading to negative consequences in patient care and in professional satisfaction and quality of life. This study was designed to investigate exhaustion and disengagement among German oncologists and assess the prevalence of burnout among oncologists within different professional settings. Furthermore, we wanted to examine possible relations between sociodemographic factors, the oncological setting, professional experience and different aspects of burnout. METHODS In a cross-sectional study design, an Internet-based survey was conducted with 121 oncologists between April and July 2020 using the Oldenburg Burnout Inventory, which contains items on exhaustion, disengagement, and burnout. Furthermore, sociodemographic data of the participants were assessed. The participants were members of the Working Group Medical Oncology (Arbeitsgemeinschaft Internistische Onkologie) within the German Cancer Society. RESULTS The survey showed a burnout prevalence of 43.8%, which correlated with age and professional experience; that is, the prevalence is particularly high among younger oncologists. Exhaustion is closely related to employment status; that is, it was significantly higher among employed oncologists. There were remarkably low levels of disengagement among oncologists, highlighting the own demand to fulfil job requirements despite imminent or actual overburdening in daily work. CONCLUSION More support is necessary to mitigate the professional stressors in the healthcare system. To ensure quality medical care, employees should be offered preventive mental health services early in their careers.
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Affiliation(s)
- Madeleine Helaß
- grid.5253.10000 0001 0328 4908Department of General Internal Medicine and Psychosomatics, Heidelberg University Hospital, Heidelberg, Germany
| | - Georg Martin Haag
- grid.5253.10000 0001 0328 4908Department of Medical Oncology, National Centre for Tumour Diseases (NCT), Heidelberg University Hospital, Heidelberg, Germany
| | - Ulli Simone Bankstahl
- Institute for Clinical-Oncological Research (IKF), Krankenhaus Nordwest gGmbH, Frankfurt, Germany
| | - Deniz Gencer
- grid.7700.00000 0001 2190 4373Department of Medicine III, Medical Faculty Mannheim, University Medical Center Mannheim, Heidelberg University, Heidelberg, Germany
| | - Imad Maatouk
- Department of General Internal Medicine and Psychosomatics, Heidelberg University Hospital, Heidelberg, Germany. .,Section of Psychosomatic Medicine, Psychotherapy and Psycho-Oncology, Department of Internal Medicine II, Julius-Maximilian University Würzburg, Würzburg, Germany. .,Psychosomatics, Psychotherapy and Psychooncology, University Hospital Würzburg, Medical Clinic II, Oberdürrbacher Str. 6, 97080, Würzburg, Germany.
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Reis C, Tecedeiro M, Pellegrino P, Paiva T, Marôco JP. Psychometric Properties of the Oldenburg Burnout Inventory in a Portuguese Sample of Aircraft Maintenance Technicians. Front Psychol 2021; 12:725099. [PMID: 34975618 PMCID: PMC8716404 DOI: 10.3389/fpsyg.2021.725099] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2021] [Accepted: 11/08/2021] [Indexed: 11/13/2022] Open
Abstract
From its initial conceptualization as emotional exhaustion, cynicism, and reduced personal efficacy for the help professions, burnout has received increasing attention in modern times, especially after the 2019 WHO's inclusion of this syndrome in the ICD-11 list. Burnout can be measured using several psychometric instruments that range in dimensionality, number of items, copyrighted, and free use formats. Here, we report the psychometric properties of data gathered with the Oldenburg Burnout Inventory (OLBI) in a sample of Portuguese Aircraft maintenance technicians. As far as we know, this is the first study addressing the burnout syndrome in this occupational group. Data gathered with the OLBI displayed good evidence of validity related to internal structure, to other variables, with good evidence of reliability. We showed that burnout significantly correlated with mental and physical fatigue emphasizing the vital critical role that these variables play with safety in the aviation industry.
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Affiliation(s)
- Cátia Reis
- Universidade Católica Portuguesa, Católica Research Centre for Psychological - Family and Social Wellbeing, Lisbon, Portugal
- Instituto de Medicina Molecular João Lobo Antunes, Faculdade de Medicina de Lisboa, Universidade de Lisboa, Lisboa, Portugal
- Instituto de Saúde Ambiental, Faculdade de Medicina, Universidade de Lisboa, Lisboa, Portugal
| | - Miguel Tecedeiro
- William James Centre for Research, ISPA – Instituto Universitário, Lisboa, Portugal
| | - Pollyana Pellegrino
- UNISANTOS, Universidade Católica de Santos, Santos, Brasil
- CENC – Sleep Medicine Center, Lisbon, Portugal
| | - Teresa Paiva
- CENC – Sleep Medicine Center, Lisbon, Portugal
- Faculdade de Ciências Médicas, Nova Medical School, CHRC, Lisbon, Portugal
| | - João P. Marôco
- William James Centre for Research, ISPA – Instituto Universitário, Lisboa, Portugal
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Nwosu ADG, Ossai EN, Mba UC, Anikwe I, Ewah R, Obande BO, Achor JU. Physician burnout in Nigeria: a multicentre, cross-sectional study. BMC Health Serv Res 2020; 20:863. [PMID: 32928201 PMCID: PMC7489005 DOI: 10.1186/s12913-020-05710-8] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2020] [Accepted: 09/02/2020] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Healthcare workers are a burnout-prone occupational group and the prevalence is particularly high among physicians. With the prevailing low physician-patient ratio in Nigeria which has worsened with the recent wave of physician emigration, among other socio-economic constraints; a setting for high physician burnout may have been nurtured. Our survey set out to determine the prevalence of burnout among physicians practicing in Nigeria, ascertain the factors that were associated with the development of burnout and evaluate the respondents' perceived impact of physician burnout on patient safety. METHODS We used the Oldenburg burnout inventory as the measurement tool for burnout in the cross-sectional study conducted between November and December, 2019 among physicians in five tertiary health institutions in Nigeria. A 5- point Likert-type scale was used to evaluate the participants rating of their perceived impact of physician burnout on patient safety. Data entry and analysis were done using IBM Statistical package for social sciences software version 25 and the level of statistical significance was determined by a p value < 0.05. RESULTS The response rate was 61% (535/871), and burnout prevalence was 75.5% (404/535). Majority of the physicians (74.6%) perceive that physician burnout could impact patient safety. Physicians' professional grade, age and years in practice, but not specialty, gender or marital status were associated with the exhaustion domain, whereas only the physicians' age was associated with the disengagement domain of burnout. No socio-demographic or work-related characteristics determined overall burnout in our respondents. CONCLUSION Physician burnout in Nigeria is high and pervasive, and this should alert physicians to be wary of their general and mental health status. Public health policy should address this development which has implications for patient safety, physician safety and healthcare system performance.
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Affiliation(s)
- Arinze D G Nwosu
- Department of Anaesthesia, National Orthopaedic Hospital, Enugu, Nigeria.
| | - Edmund N Ossai
- Department of Community Medicine, College of Health Sciences, Ebonyi State University, Abakaliki, Nigeria
| | - Uwakwe C Mba
- Department of Plastic Surgery, College Of Medicine, ESUTH, Enugu, Nigeria
| | - Ifeanyi Anikwe
- Department of Orthopaedic Surgery, National Orthopaedic Hospital, Enugu, Nigeria
| | - Richard Ewah
- Department of Anaesthesia, FETHA, Abakaliki, Nigeria
| | - Bernard O Obande
- Department of Orthopaedic Surgery, Federal Medical Centre, Makurdi, Nigeria
| | - Justin U Achor
- Department of Psychiatry, Federal Neuropsychiatric Hospital, Enugu, Nigeria
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Njim T, Mbanga C, Mouemba D, Makebe H, Toukam L, Kika B, Mulango I. Determinants of depression among nursing students in Cameroon: a cross-sectional analysis. BMC Nurs 2020; 19:26. [PMID: 32327933 PMCID: PMC7165407 DOI: 10.1186/s12912-020-00424-y] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2019] [Accepted: 04/13/2020] [Indexed: 11/10/2022] Open
Abstract
Background Nursing students are highly susceptible to depression given the heavy workload and clinical demands of the curriculum. Depression has negative impacts on their health and academic performance. This study aimed to determine the determinants of depression amongst nursing students in the English-speaking regions of Cameroon. Methods A cross-sectional analysis of 447 nursing students recruited from a combination of state-owned and private nursing institutions in the English-speaking regions of Cameroon from January – April 2018 was carried out. Independent correlates of depression were determined using multivariable regression analysis, with the level of significance set at 95%. Results The overall prevalence of depression (Patient Health Questionnaire - 9 > 4) and major depressive disorder (Patient Health Questionnaire - 9 > 9) in these students was 69.57 and 26.40% respectively. Independent correlates of depression were found to be: total Oldenburg Burnout Inventory score (aOR: 1.18; 95% CI: 1.11, 1.25; p value < 0.01); level of studies (aOR: 0.72; 95% CI: 0.55, 0.94; p value = 0.02) and occurrence of a life-changing crises (aOR: 2.13; 95% CI: 1.28, 3.55, p value < 0.01). Conclusion The prevalence of depression amongst nursing students in Cameroon is high. Determinants proposed in this study require further assessment to facilitate early identification and management of depression in this high-risk group, in order to limit the negative effects linked with the condition.
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Affiliation(s)
- Tsi Njim
- Health and Human Development (2HD) Research Group, Douala, Littoral region Cameroon
| | - Clarence Mbanga
- Mankon Sub-divisional Hospital, Bamenda, North west region Cameroon
| | - Dave Mouemba
- Regional Hospital Annex Kousseri, Garoua, Far north region Cameroon
| | - Haman Makebe
- 4Faculty of Health Sciences, University of Buea, Buea, South west region Cameroon
| | - Louise Toukam
- 5Faculty of Health Sciences, University of Bamenda, Bamenda, North west region, Cameroon
| | - Belmond Kika
- District Hospital Ekondo-Titi, Ekondo-Titi, South west region Cameroon
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Mbanga C, Makebe H, Tim D, Fonkou S, Toukam L, Njim T. Burnout as a predictor of depression: a cross-sectional study of the sociodemographic and clinical predictors of depression amongst nurses in Cameroon. BMC Nurs 2019; 18:50. [PMID: 31695576 DOI: 10.1186/s12912-019-0377-4] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2018] [Accepted: 10/14/2019] [Indexed: 11/10/2022] Open
Abstract
Background Depression is a debilitating mental health condition which affects an estimated 350 million people worldwide annually. Nurses are twice as likely to suffer from depression than professionals in other professions. This leads to a considerable loss of efficiency and productivity. We sought to determine the prevalence and predictors of depression among nurses in Cameroon. Methods Cross-sectional analysis carried out over 6 months (January – June 2018) using nurses from public and private healthcare institutions sampled consecutively in the two English-speaking regions (North west and South west regions) of Cameroon. The nurses were handed a structured, printed, self-administered questionnaire to fill and hand in at their earliest convenience. Depression and burnout were assessed using the Patient Health Questionnaire – 9 and the Oldenburg Burnout Inventory respectively. Results A total of 143 nurses were recruited (mean age: 29.75 ± 6.55 years; age range: 20–55 years, 32.87% male). The overall prevalence of depression was 62.24%. Independent predictors of depression after multivariable analysis were: Number of night shifts a week (adjusted odds ratio: 1.58; p value: 0.045, 95% CI; 1.01, 2.48) and Total Oldenburg Burnout Inventory score (adjusted odds ratio: 1.21, p value: 0.001; 95% CI; 1.08, 1.35). Recreational drug use was also found to perfectly predict the outcome – depression. Conclusion Depression is highly prevalent among nurses in the English-speaking regions of Cameroon. Accurate predictors could prove vital for early detection and management of affected individuals. Predictors presented herein require further investigation via multicentric nationwide studies, to obtain more generalizable results.
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