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Physician burnout in Nigeria: a multicentre, cross-sectional study

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 settin...

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Autores principales: Nwosu, Arinze D. G., Ossai, Edmund N., Mba, Uwakwe C., Anikwe, Ifeanyi, Ewah, Richard, Obande, Bernard O., Achor, Justin U.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7489005/
https://www.ncbi.nlm.nih.gov/pubmed/32928201
http://dx.doi.org/10.1186/s12913-020-05710-8
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author Nwosu, Arinze D. G.
Ossai, Edmund N.
Mba, Uwakwe C.
Anikwe, Ifeanyi
Ewah, Richard
Obande, Bernard O.
Achor, Justin U.
author_facet Nwosu, Arinze D. G.
Ossai, Edmund N.
Mba, Uwakwe C.
Anikwe, Ifeanyi
Ewah, Richard
Obande, Bernard O.
Achor, Justin U.
author_sort Nwosu, Arinze D. G.
collection PubMed
description 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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spelling pubmed-74890052020-09-16 Physician burnout in Nigeria: a multicentre, cross-sectional study Nwosu, Arinze D. G. Ossai, Edmund N. Mba, Uwakwe C. Anikwe, Ifeanyi Ewah, Richard Obande, Bernard O. Achor, Justin U. BMC Health Serv Res Research Article 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. BioMed Central 2020-09-14 /pmc/articles/PMC7489005/ /pubmed/32928201 http://dx.doi.org/10.1186/s12913-020-05710-8 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Nwosu, Arinze D. G.
Ossai, Edmund N.
Mba, Uwakwe C.
Anikwe, Ifeanyi
Ewah, Richard
Obande, Bernard O.
Achor, Justin U.
Physician burnout in Nigeria: a multicentre, cross-sectional study
title Physician burnout in Nigeria: a multicentre, cross-sectional study
title_full Physician burnout in Nigeria: a multicentre, cross-sectional study
title_fullStr Physician burnout in Nigeria: a multicentre, cross-sectional study
title_full_unstemmed Physician burnout in Nigeria: a multicentre, cross-sectional study
title_short Physician burnout in Nigeria: a multicentre, cross-sectional study
title_sort physician burnout in nigeria: a multicentre, cross-sectional study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7489005/
https://www.ncbi.nlm.nih.gov/pubmed/32928201
http://dx.doi.org/10.1186/s12913-020-05710-8
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