Cargando…

Burnout among labor and birth providers in northern Tanzania: A mixed-method study

Burnout, characterized by emotional exhaustion, depersonalization, and a diminished sense of accomplishment, is a serious problem among healthcare workers. Burnout negatively impacts provider well-being, patient outcomes, and healthcare systems globally, and is especially worrisome in settings with...

Descripción completa

Detalles Bibliográficos
Autores principales: Marchand, Virginie, Watt, Melissa H., Minja, Linda M., Barabara, Mariam L., Mlay, Janeth, Stephens, Maya J., Hanson, Olivia, Mmbaga, Blandina T., Cohen, Susanna R.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cold Spring Harbor Laboratory 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10312826/
https://www.ncbi.nlm.nih.gov/pubmed/37398023
http://dx.doi.org/10.1101/2023.05.28.23290395
_version_ 1785066994564857856
author Marchand, Virginie
Watt, Melissa H.
Minja, Linda M.
Barabara, Mariam L.
Mlay, Janeth
Stephens, Maya J.
Hanson, Olivia
Mmbaga, Blandina T.
Cohen, Susanna R.
author_facet Marchand, Virginie
Watt, Melissa H.
Minja, Linda M.
Barabara, Mariam L.
Mlay, Janeth
Stephens, Maya J.
Hanson, Olivia
Mmbaga, Blandina T.
Cohen, Susanna R.
author_sort Marchand, Virginie
collection PubMed
description Burnout, characterized by emotional exhaustion, depersonalization, and a diminished sense of accomplishment, is a serious problem among healthcare workers. Burnout negatively impacts provider well-being, patient outcomes, and healthcare systems globally, and is especially worrisome in settings with a shortage of healthcare workers and resources. The goal of this study is to explore the experience of burnout in a population of labor and delivery (L&D) providers in Tanzania. We examined burnout using three data sources. A structured assessment of burnout was collected at four time points from a sample of 60 L&D providers in six clinics. The same providers participated in an interactive group activity from which we drew observational data on burnout prevalence. Finally, we conducted in-depth interviews (IDIs) with a subset of 15 providers to further explore their experience of burnout. At baseline, prior to any introduction to the concept, 18% of respondents met criteria for burnout. Immediately after a discussion and activity on burnout, 62% of providers met criteria. One- and three- months later, 29% and 33% of providers met criteria, respectively. In IDIs, participants saw the lack of understanding of burnout as the cause for low baseline rates and attributed the subsequent decrease in burnout to newly acquired coping strategies. The activity helped providers realize they were not alone in their experience of burnout. High patient load, low staffing, limited resources, and low pay emerged as contributing factors. Burnout was prevalent among a sample of L&D providers in northern Tanzania. However, a lack of exposure to the concept of burnout leads to providers being unaware of the issue as a collective burden. Therefore, burnout remains rarely discussed and not addressed, thus continuing to impact provider and patient health. Previously validated burnout measures cannot adequately assess burnout without a discussion of the context.
format Online
Article
Text
id pubmed-10312826
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher Cold Spring Harbor Laboratory
record_format MEDLINE/PubMed
spelling pubmed-103128262023-07-01 Burnout among labor and birth providers in northern Tanzania: A mixed-method study Marchand, Virginie Watt, Melissa H. Minja, Linda M. Barabara, Mariam L. Mlay, Janeth Stephens, Maya J. Hanson, Olivia Mmbaga, Blandina T. Cohen, Susanna R. medRxiv Article Burnout, characterized by emotional exhaustion, depersonalization, and a diminished sense of accomplishment, is a serious problem among healthcare workers. Burnout negatively impacts provider well-being, patient outcomes, and healthcare systems globally, and is especially worrisome in settings with a shortage of healthcare workers and resources. The goal of this study is to explore the experience of burnout in a population of labor and delivery (L&D) providers in Tanzania. We examined burnout using three data sources. A structured assessment of burnout was collected at four time points from a sample of 60 L&D providers in six clinics. The same providers participated in an interactive group activity from which we drew observational data on burnout prevalence. Finally, we conducted in-depth interviews (IDIs) with a subset of 15 providers to further explore their experience of burnout. At baseline, prior to any introduction to the concept, 18% of respondents met criteria for burnout. Immediately after a discussion and activity on burnout, 62% of providers met criteria. One- and three- months later, 29% and 33% of providers met criteria, respectively. In IDIs, participants saw the lack of understanding of burnout as the cause for low baseline rates and attributed the subsequent decrease in burnout to newly acquired coping strategies. The activity helped providers realize they were not alone in their experience of burnout. High patient load, low staffing, limited resources, and low pay emerged as contributing factors. Burnout was prevalent among a sample of L&D providers in northern Tanzania. However, a lack of exposure to the concept of burnout leads to providers being unaware of the issue as a collective burden. Therefore, burnout remains rarely discussed and not addressed, thus continuing to impact provider and patient health. Previously validated burnout measures cannot adequately assess burnout without a discussion of the context. Cold Spring Harbor Laboratory 2023-06-03 /pmc/articles/PMC10312826/ /pubmed/37398023 http://dx.doi.org/10.1101/2023.05.28.23290395 Text en https://creativecommons.org/licenses/by/4.0/This work is licensed under a Creative Commons Attribution 4.0 International License (https://creativecommons.org/licenses/by/4.0/) , which allows reusers to distribute, remix, adapt, and build upon the material in any medium or format, so long as attribution is given to the creator. The license allows for commercial use.
spellingShingle Article
Marchand, Virginie
Watt, Melissa H.
Minja, Linda M.
Barabara, Mariam L.
Mlay, Janeth
Stephens, Maya J.
Hanson, Olivia
Mmbaga, Blandina T.
Cohen, Susanna R.
Burnout among labor and birth providers in northern Tanzania: A mixed-method study
title Burnout among labor and birth providers in northern Tanzania: A mixed-method study
title_full Burnout among labor and birth providers in northern Tanzania: A mixed-method study
title_fullStr Burnout among labor and birth providers in northern Tanzania: A mixed-method study
title_full_unstemmed Burnout among labor and birth providers in northern Tanzania: A mixed-method study
title_short Burnout among labor and birth providers in northern Tanzania: A mixed-method study
title_sort burnout among labor and birth providers in northern tanzania: a mixed-method study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10312826/
https://www.ncbi.nlm.nih.gov/pubmed/37398023
http://dx.doi.org/10.1101/2023.05.28.23290395
work_keys_str_mv AT marchandvirginie burnoutamonglaborandbirthprovidersinnortherntanzaniaamixedmethodstudy
AT wattmelissah burnoutamonglaborandbirthprovidersinnortherntanzaniaamixedmethodstudy
AT minjalindam burnoutamonglaborandbirthprovidersinnortherntanzaniaamixedmethodstudy
AT barabaramariaml burnoutamonglaborandbirthprovidersinnortherntanzaniaamixedmethodstudy
AT mlayjaneth burnoutamonglaborandbirthprovidersinnortherntanzaniaamixedmethodstudy
AT stephensmayaj burnoutamonglaborandbirthprovidersinnortherntanzaniaamixedmethodstudy
AT hansonolivia burnoutamonglaborandbirthprovidersinnortherntanzaniaamixedmethodstudy
AT mmbagablandinat burnoutamonglaborandbirthprovidersinnortherntanzaniaamixedmethodstudy
AT cohensusannar burnoutamonglaborandbirthprovidersinnortherntanzaniaamixedmethodstudy