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Physician burnout in the context of the COVID-19 pandemic: prevalence and associated factors among resident doctors and consultants in Delta State, Nigeria
Nnamdi Moeteke
Ezinneamaka Erhirhie
Acceso Abierto
Atribución-NoComercial-SinDerivadas
https://doi.org/10.1101/2024.05.15.24307433
https://www.medrxiv.org/content/10.1101/2024.05.15.24307433v1
ABSTRACT Background Residents Doctors (RDs) and consultants carry out the most specialised medical care. The strain of their job predisposes them to the three domains of burnout: Emotional Exhaustion (EE), Depersonalisation (DP), and diminished Personal Accomplishment (PA). Globally, this public health crisis has worsened with the overwhelming effect of COVID-19 on health systems. Aim This study assessed the prevalence and associated factors of burnout among RDs and Consultants in tertiary hospitals in Delta State, Nigeria during the pandemic. Methods A cross-sectional design was employed. Previously validated instruments were used to collect data via an online survey. The questionnaire was sent to physicians selected by multistage sampling. The proportion of participants with a high grade in each of the domains of burnout was obtained. Stepwise analyses from bivariate to multivariate were done to obtain adjusted odds ratios. Results The prevalence of high-grade burnout in EE, DP, and PA was 35.1%, 13.2%, and 33.3% respectively. Relative to those ≤ 30 years, the age group 41 – 50 years had less likelihood of high EE (AOR 0.050; 95% CI 0.004 – 0.651). Other independent predictors of high EE were manageable workload (AOR 0.094; 95% CI 0.027 – 0.328), reward for work (AOR 0.427; 95% CI 0.205 – 0.892), and good leadership (AOR 0.525; 95% CI 0.113 – 0.929). Conclusion and Contribution This study suggests that the determinants of burnout among RDs and consultants are mainly contextual factors in the work setting. Promoting an institutional culture of leadership, a manageable workload, and appropriate rewards could help control physician burnout.
bioRxiv
16-05-2024
Preimpreso
Inglés
Público en general
VIRUS RESPIRATORIOS
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