Characteristics and predictors of burnout among healthcare professionals: a cross-sectional study in two tertiary hospitals

Background The pattern and impact of burnout among the medical staff are not yet well defined. However, the consequences of burnout are not limited to the healthcare providers but also may affect their family, colleagues and patients in a negative manner. We aimed to assess the characteristics and predictors of burnout among health professionals at two large tertiary hospitals. Methods We conducted a cross-sectional study during the period from July 2018 to 31 December 2018. Data, via Maslach Burnout Inventory survey, were collected from physicians and other healthcare workers in two hospitals. Results A total of 624 responses to questionnaires were analysed. Half of the respondents were physicians, and men constituted the majority. About 10% (95% CI, 7.8 to 12.5) of the respondents satisfied the criteria of burnout. Emotional exhaustion (EE) was observed in 45.7%, depersonalisation (DP) in 26.9% and personal accomplishment (PA) in 41.2% of the respondents. There was a positive correlation between EE and DP (r=0.627, p=0.001), and a weak negative correlation between DP and PA (r=−0.195, p=0.001). Young age, less experience, trauma surgery, lack of habits and getting depressed ≥1 time/week were predictors of burnout. Conclusions Burnout affects one-tenth of the health professionals in the tertiary hospitals in Qatar. Physicians are more likely to have higher DP and lower PA, whereas nurses prone to have higher EE. In this study, no gender discrepancy is appreciated and the junior medical staff is at a higher risk of burnout.

[1]  C. Sinclair,et al.  Prevalence and Predictors of Burnout among Hospice and Palliative Care Clinicians in the US. , 2019, Journal of pain and symptom management.

[2]  J. Moskowitz,et al.  Discrimination, Abuse, Harassment, and Burnout in Surgical Residency Training. , 2019, The New England journal of medicine.

[3]  J. Chacón,et al.  Prevalence of Burnout Among Pain Medicine Physicians and Its Potential Effect upon Clinical Outcomes in Patients with Oncologic Pain or Chronic Pain of Nononcologic Origin , 2018, Pain medicine.

[4]  Lisa S. Rotenstein,et al.  Prevalence of Burnout Among Physicians: A Systematic Review , 2018, JAMA.

[5]  P. Vedsted,et al.  Empathy, burn-out and the use of gut feeling: a cross-sectional survey of Danish general practitioners , 2018, BMJ Open.

[6]  L. Godderis,et al.  Burnout in Belgian physicians and nurses. , 2017, Occupational medicine.

[7]  T. Loney,et al.  Prevalence of and factors associated with burnout among health care professionals in Arab countries: a systematic review , 2017, BMC Health Services Research.

[8]  L. Perkins-Porras,et al.  Coping With Staff Burnout and Work-Related Posttraumatic Stress in Intensive Care* , 2017, Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies.

[9]  T. Cascino,et al.  Burnout, career satisfaction, and well-being among US neurologists in 2016 , 2017, Neurology.

[10]  Colin P West,et al.  Interventions to prevent and reduce physician burnout: a systematic review and meta-analysis , 2016, The Lancet.

[11]  P. Mayta-Tristán,et al.  Prevalencia del síndrome de burnout en médicos y enfermeras del Perú, Ensusalud 2014 , 2016 .

[12]  S. Swensen,et al.  Longitudinal Study Evaluating the Association Between Physician Burnout and Changes in Professional Work Effort. , 2016, Mayo Clinic proceedings.

[13]  A. Abernethy,et al.  Prevalence and Predictors of Burnout Among Hospice and Palliative Care Clinicians in the U.S. , 2016, Journal of pain and symptom management.

[14]  P. Vedsted,et al.  Risky alcohol use in Danish physicians: Associated with alexithymia and burnout? , 2016, Drug and alcohol dependence.

[15]  F. O'Kelly,et al.  Rates of self‐reported ‘burnout’ and causative factors amongst urologists in Ireland and the UK: a comparative cross‐sectional study , 2016, BJU international.

[16]  S. Riedel-Heller,et al.  Burnout among young physicians and its association with physicians’ wishes to leave: results of a survey in Saxony, Germany , 2016, Journal of Occupational Medicine and Toxicology.

[17]  Christine A. Sinsky,et al.  Changes in Burnout and Satisfaction With Work-Life Balance in Physicians and the General US Working Population Between 2011 and 2014. , 2015, Mayo Clinic proceedings.

[18]  G. Dumanian,et al.  Burnout Phenomenon in U.S. Plastic Surgeons: Risk Factors and Impact on Quality of Life , 2015, Plastic and reconstructive surgery.

[19]  Y. Saijo,et al.  Effects of work burden, job strain and support on depressive symptoms and burnout among Japanese physicians , 2014, International journal of occupational medicine and environmental health.

[20]  S. Matsuda,et al.  Cross-Sectional Survey of Workload and Burnout Among Japanese Physicians Working in Stroke Care: The Nationwide Survey of Acute Stroke Care Capacity for Proper Designation of Comprehensive Stroke Center in Japan (J-ASPECT) Study , 2014, Circulation. Cardiovascular quality and outcomes.

[21]  W. Gradishar,et al.  Burnout and career satisfaction among US oncologists. , 2014, Journal of clinical oncology : official journal of the American Society of Clinical Oncology.

[22]  Zhenyu Xie,et al.  Physician Burnout and Its Associated Factors: A Cross‐sectional Study in Shanghai , 2014, Journal of occupational health.

[23]  C. M. Andersen,et al.  Risk of Burnout in Danish GPs and Exploration of Factors Associated with Development of Burnout: A Two-Wave Panel Study , 2013, International journal of family medicine.

[24]  Wen-Ta Chiu,et al.  Burnout, Job Satisfaction, and Medical Malpractice among Physicians , 2013, International journal of medical sciences.

[25]  S. Berjot,et al.  Burnout among occupational physicians: a threat to occupational health systems?--A nationwide cross-sectional survey. , 2013, The Annals of occupational hygiene.

[26]  J. Jund,et al.  Burnout among French GPs in training: a cross-sectional study. , 2013, The British journal of general practice : the journal of the Royal College of General Practitioners.

[27]  T. Shanafelt,et al.  Association of resident fatigue and distress with occupational blood and body fluid exposures and motor vehicle incidents. , 2012, Mayo Clinic proceedings.

[28]  J. Sloan,et al.  Burnout and satisfaction with work-life balance among US physicians relative to the general US population. , 2012, Archives of internal medicine.

[29]  Christy M. Y. Siu,et al.  Burnout among public doctors in Hong Kong: cross-sectional survey. , 2012, Hong Kong medical journal = Xianggang yi xue za zhi.

[30]  L. Dyrbye,et al.  Physician burnout: a potential threat to successful health care reform. , 2011, JAMA.

[31]  J. Freischlag,et al.  Burnout and Medical Errors Among American Surgeons , 2010, Annals of surgery.

[32]  K. Rampal,et al.  Prevalence and Associated Factors of Burnout among Doctors in Yemen , 2010, Journal of occupational health.

[33]  T. Habermann,et al.  Association of resident fatigue and distress with perceived medical errors. , 2009, JAMA.

[34]  J. Freischlag,et al.  Burnout and Career Satisfaction Among American Surgeons , 2009, Annals of surgery.

[35]  T. Rummans,et al.  Career fit and burnout among academic faculty. , 2009, Archives of internal medicine.

[36]  M. Johns,et al.  Burnout in Academic Faculty of Otolaryngology—Head and Neck Surgery , 2008, The Laryngoscope.

[37]  T. Shanafelt,et al.  Physician well-being and professionalism. , 2007, Minnesota medicine.

[38]  T. Nakano,et al.  Burnout and psychiatric morbidity among physicians engaged in end-of-life care for cancer patients : A cross-sectional nationwide survey in Japan , 2007 .

[39]  O. Hayran,et al.  Predictors of burnout and job satisfaction among Turkish physicians. , 2006, QJM : monthly journal of the Association of Physicians.

[40]  B. Künzi,et al.  Psychosocial and professional characteristics of burnout in Swiss primary care practitioners: a cross-sectional survey. , 2005, Swiss medical weekly.

[41]  D. Katz Factors Affecting Social Change: A Social-Psychological Interpretation , 1974 .

[42]  P. Mayta-Tristán,et al.  [Prevalence of burnout syndrome in peruvian physicians and nurses, ENSUSALUD 2014]. , 2016, Revista peruana de medicina experimental y salud publica.

[43]  T. Rummans,et al.  Special report: suicidal ideation among American surgeons. , 2011, Archives of surgery.

[44]  A. Sappino,et al.  Prevalence of burnout among Swiss cancer clinicians, paediatricians and general practitioners: who are most at risk? , 2008, Supportive Care in Cancer.

[45]  H. Freudenberger Staff burn-out , 1974 .