Staff burnout and its risk factors at King Faisal Hospital Rwanda: a cross-sectional survey.

IF 2.7 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
Gaston Nyirigira, Jonathan G Bailey, Felix Rutayisire, Kara L Neil, M Dylan Bould, Rulinda Kwizera, Jackson Kwizera Ndekezi, Michel R Gatera, Eugene Tuyishime, Belise S Uwurukundo, Rex Wong
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Abstract

Background: There is limited research on burnout among healthcare providers in sub-Saharan Africa. One prior study of Rwanda anesthesia providers found a moderate level of burnout, and several qualitative studies have highlighted significant stressors. This study aims to evaluate the prevalence of professional fulfillment, burnout, and fatigue among healthcare providers at King Faisal Hospital Rwanda (KFH), a tertiary-level teaching hospital in Kigali, Rwanda.

Methods: A cross-sectional, quantitative study was conducted from August to November 2023 at KFH. Participants included all staff employed at KFH at the time of survey distribution, including both non-clinical and clinical staff. Burnout, fatigue, and professional fulfillment were assessed using validated tools (Professional Fulfillment Index, Burnout Scale, and Fatigue Assessment Scale).

Findings: Two hundred ninety-four respondents completed the survey. 47.1% reported professional fulfillment, while over half (57.0%) experienced burnout, and the majority experienced fatigue (71.0%). Years of experience and profession were found to be risk factors for burnout and low fulfillment. Age and profession were risk factors for fatigue. The highest levels of burnout were among doctors, nurses, and midwives.

Discussion: Burnout rates and fatigue were high among healthcare providers. They were highest among those professions with direct patient contact. There are several evidence-based institutional interventions for burnout, but most evidence comes from settings outside of sub-Saharan Africa. Future research should assess the effectiveness of interventions specific to this setting.

卢旺达费萨尔国王医院工作人员职业倦怠及其风险因素:一项横断面调查。
背景:关于撒哈拉以南非洲医疗保健提供者倦怠的研究有限。先前对卢旺达麻醉提供者的一项研究发现了中等程度的倦怠,几项定性研究强调了重要的压力源。本研究旨在评估卢旺达费萨尔国王医院(KFH)医疗服务提供者的职业成就感、职业倦怠和疲劳的患病率,该医院是卢旺达基加利的一家三级教学医院。方法:于2023年8月至11月在KFH进行横断面定量研究。参与者包括调查分发时在KFH工作的所有员工,包括非临床和临床员工。使用经过验证的工具(职业实现指数、职业倦怠量表和疲劳评估量表)评估职业倦怠、疲劳和职业成就感。调查结果:294名受访者完成了调查。47.1%的人表示有职业成就感,超过一半(57.0%)的人感到倦怠,大多数人感到疲劳(71.0%)。研究发现,多年的工作经验和职业是职业倦怠和低成就感的危险因素。年龄和职业是疲劳的危险因素。职业倦怠程度最高的是医生、护士和助产士。讨论:医疗保健提供者的倦怠率和疲劳率很高。在与患者有直接接触的职业中,这一比例最高。针对职业倦怠,有几种基于证据的机构干预措施,但大多数证据来自撒哈拉以南非洲以外的地区。未来的研究应该评估针对这种情况的干预措施的有效性。
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来源期刊
BMC Health Services Research
BMC Health Services Research 医学-卫生保健
CiteScore
4.40
自引率
7.10%
发文量
1372
审稿时长
6 months
期刊介绍: BMC Health Services Research is an open access, peer-reviewed journal that considers articles on all aspects of health services research, including delivery of care, management of health services, assessment of healthcare needs, measurement of outcomes, allocation of healthcare resources, evaluation of different health markets and health services organizations, international comparative analysis of health systems, health economics and the impact of health policies and regulations.
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