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Predictors of burnout: the role of agency among obstetric providers in Kumasi, Ghana
Burnout rates among sub-Saharan African healthcare providers are high. In particular, obstetric providers experience unique stressors surrounding poor neonatal and maternal outcomes. This study explores predictors of burnout among obstetric providers at the Komfo Anokye Teaching Hospital (KATH) in K...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Taylor & Francis
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8491728/ https://www.ncbi.nlm.nih.gov/pubmed/34586033 http://dx.doi.org/10.1080/16549716.2021.1978662 |
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author | Lawrence, Emma R. Yeboah, Michael Arthur-Komeh, Johnny Stabnick, Anna Rominski, Sarah D. |
author_facet | Lawrence, Emma R. Yeboah, Michael Arthur-Komeh, Johnny Stabnick, Anna Rominski, Sarah D. |
author_sort | Lawrence, Emma R. |
collection | PubMed |
description | Burnout rates among sub-Saharan African healthcare providers are high. In particular, obstetric providers experience unique stressors surrounding poor neonatal and maternal outcomes. This study explores predictors of burnout among obstetric providers at the Komfo Anokye Teaching Hospital (KATH) in Kumasi, Ghana. A survey was electronically distributed to midwives, house officers, and Obstetrician Gynecologists (OBGYNs) at KATH in Ghana. Demographic and clinical practice information was collected. Burnout was assessed using a 4-point Likert scale. To evaluate perceived agency caring for critically ill obstetric patients, participants responded to three statements and responses were summed to create an Agency Scale. Logistic regression was used to evaluate predictors of burnout. Marginal effects were calculated for factors significantly associated with burnout. Participants were 48 physicians and 222 midwives. Mean age was 32.4 years, mean years in practice was 6.5 years, and 83% had completed their medical training. Nearly half (49.6%) have personal experience with maternal mortality and 28.3% manage more than 5 maternal mortalities annually. The majority of participants (n = 152, 62%) reported feeling burned out from their work. After adjusting for role, number of annual maternal mortalities managed, and personal experience with maternal mortality, participants with more years in practice were 15.8% more likely to report being burned out (marginal effect = 0.158). Even after adjusting for years in practice, participants who scored higher on the Agency Scale had a significantly lower likelihood of reporting burnout (OR 0.76, 95% CI 0.66–0.88, p < 0.001). For each step up the Agency Scale, participants were 6.4% less likely to report they felt burned out. Rates of burnout are high among obstetric providers, particularly among providers who have practiced longer. Supporting provider agency to manage critically ill patients may reduce burnout rates. |
format | Online Article Text |
id | pubmed-8491728 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Taylor & Francis |
record_format | MEDLINE/PubMed |
spelling | pubmed-84917282021-10-06 Predictors of burnout: the role of agency among obstetric providers in Kumasi, Ghana Lawrence, Emma R. Yeboah, Michael Arthur-Komeh, Johnny Stabnick, Anna Rominski, Sarah D. Glob Health Action Short Communication Burnout rates among sub-Saharan African healthcare providers are high. In particular, obstetric providers experience unique stressors surrounding poor neonatal and maternal outcomes. This study explores predictors of burnout among obstetric providers at the Komfo Anokye Teaching Hospital (KATH) in Kumasi, Ghana. A survey was electronically distributed to midwives, house officers, and Obstetrician Gynecologists (OBGYNs) at KATH in Ghana. Demographic and clinical practice information was collected. Burnout was assessed using a 4-point Likert scale. To evaluate perceived agency caring for critically ill obstetric patients, participants responded to three statements and responses were summed to create an Agency Scale. Logistic regression was used to evaluate predictors of burnout. Marginal effects were calculated for factors significantly associated with burnout. Participants were 48 physicians and 222 midwives. Mean age was 32.4 years, mean years in practice was 6.5 years, and 83% had completed their medical training. Nearly half (49.6%) have personal experience with maternal mortality and 28.3% manage more than 5 maternal mortalities annually. The majority of participants (n = 152, 62%) reported feeling burned out from their work. After adjusting for role, number of annual maternal mortalities managed, and personal experience with maternal mortality, participants with more years in practice were 15.8% more likely to report being burned out (marginal effect = 0.158). Even after adjusting for years in practice, participants who scored higher on the Agency Scale had a significantly lower likelihood of reporting burnout (OR 0.76, 95% CI 0.66–0.88, p < 0.001). For each step up the Agency Scale, participants were 6.4% less likely to report they felt burned out. Rates of burnout are high among obstetric providers, particularly among providers who have practiced longer. Supporting provider agency to manage critically ill patients may reduce burnout rates. Taylor & Francis 2021-09-29 /pmc/articles/PMC8491728/ /pubmed/34586033 http://dx.doi.org/10.1080/16549716.2021.1978662 Text en © 2021 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Short Communication Lawrence, Emma R. Yeboah, Michael Arthur-Komeh, Johnny Stabnick, Anna Rominski, Sarah D. Predictors of burnout: the role of agency among obstetric providers in Kumasi, Ghana |
title | Predictors of burnout: the role of agency among obstetric providers in Kumasi, Ghana |
title_full | Predictors of burnout: the role of agency among obstetric providers in Kumasi, Ghana |
title_fullStr | Predictors of burnout: the role of agency among obstetric providers in Kumasi, Ghana |
title_full_unstemmed | Predictors of burnout: the role of agency among obstetric providers in Kumasi, Ghana |
title_short | Predictors of burnout: the role of agency among obstetric providers in Kumasi, Ghana |
title_sort | predictors of burnout: the role of agency among obstetric providers in kumasi, ghana |
topic | Short Communication |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8491728/ https://www.ncbi.nlm.nih.gov/pubmed/34586033 http://dx.doi.org/10.1080/16549716.2021.1978662 |
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