Clinical Determinants of Burnout among Health Care Professionals Working in Emergency Department of a Tertiary Care Hospital

Anam Jamil; Khalid Hayat Khan; Sawera Mansoor; Usama Bin Zubair; Zarrar Jehangir; Sahar Riaz

doi:10.51253/pafmj.v76iSUPPL-7.11044

Authors

Anam Jamil Department of Psychiatry, North Dublin Mental Health Services, HSE, Ireland
Khalid Hayat Khan Department of Psychiatry, Fauji Foundation Hospital, Rawalpindi Pakistan
Sawera Mansoor Department of Psychiatry, Foundation University Islamabad Pakistan
Usama Bin Zubair Department of Psychiatry, Pakistan Institute of Mental Health, Rawalpindi Pakistan
Zarrar Jehangir Department of Psychiatry, Fauji Foundation Hospital, Rawalpindi Pakistan
Sahar Riaz Department of Psychiatry, Beaumont hospital/ Royal College of Surgeons, Ireland

DOI:

https://doi.org/10.51253/pafmj.v76iSUPPL-7.11044

Keywords:

Burnout, Emergency, Health care professionals, Pakistan

Abstract

Objective: To look for clinical determinants of burnout among health care professionals working in emergency department of a tertiary care hospital

Study Design: Comparative Cross-sectional study.

Place and Duration of Study: Emergency and Psychiatry department, Fauji Foundation Hospital, Rawalpindi Pakistan, from Jun 2022 to May 2023.

Methodology: All the health professionals including doctors, nurses and paramedical staff members working as full time staff in emergency department of our hospital for more than 3 months were recruited in the study. Maslach burnout inventory (MBI) was administered to all the participants and they were divided into two Groups for the sake of comparison. Group-I with no significant burnout while Group-II with significant burn out. Relevant clinical determinants were compared in both he Groups.

Results: A total of 200 health care professionals with various job descriptions at emergency department were enrolled. Mean age of the professionals was 33.76±7.69 years. Out of 200, 80(40%) health care professionals were male while 120(60%) professionals were female. A total of 80(40%) study participants showed significant burnout while 120(60%) did not show significant burnout. Female gender and living alone without family were the factors found significantly more in Group of individuals who had significant burn out (p-value<0.05).

Conclusion: Burnout was found in significant number of healthcare professionals working in emergency department of a teaching hospital of Rawalpindi. Individuals not living with family and females were found more in Group which were having significant burnout as compared to those who did not had significant burn out.

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References

1. Driesen BEJM, van Riet BHG, Verkerk L, Bonjer HJ, Merten H, Nanayakkara PWB. Long length of stay at the emergency department is mostly caused by organisational factors outside the influence of the emergency department: A root cause analysis. PLoS One 2018; 13(9): e0202751.

http://doi.org/10.1371/journal.pone.0202751

2. Al-Ghabeesh SH, Thabet A, Rayan A, Abu-Snieneh HM. Qualitative study of challenges facing emergency departments nurses in Jordan. Heliyon 2023; 9(3): e14141.

http://doi.org/10.1016/j.heliyon.2023.e14141

3. Hansen KL, Bratholm Å, Pradhan M, Mikkelsen S, Milling L. Physicians' experiences and perceived challenges working in an emergency setting in Bharatpur, Nepal: a qualitative study. Int J Emerg Med 2022; 15(1): 61.

http://doi.org/10.1186/s12245-022-00466-w

4. Sigurdsson EL. The wellbeing of health care workers. Scand J Prim Health Care 2021; 39(4): 389-390.

http://doi.org/10.1080/02813432.2021.2012352

5. Okazaki E, Nishi D, Susukida R, Inoue A, Shimazu A, Tsutsumi A. Association between working hours, work engagement, and work productivity in employees: A cross-sectional study of the Japanese Study of Health, Occupation, and Psychosocial Factors Relates Equity. J Occup Health 2019; 61(2): 182-188.

http://doi.org/10.1002/1348-9585.12023

6. Loreto BBL, de Azevedo SC, da Silva AG, Malloy-Diniz LF, Ornel F, Trés LMAM, et al. Well-being at work, productivity, and coping with stress during the COVID-19 pandemic. Trends Psychiatry Psychother 2022; 44(3): e20210250.

http://doi.org/10.47626/2237-6089-2021-0250

7. Moukarzel A, Michelet P, Durand AC. Burnout Syndrome among Emergency Department Staff: Prevalence and Associated Factors. Biomed Res Int 2019; 2019(1): 6462472.

http://doi.org/10.1155/2019/6462472

8. Bouillon-Minois JB, Trousselard M, Mulliez A, Adeyemi OJ, Schmidtet J, Thivel D, et al. A cross-sectional study to assess job strain of emergency healthcare workers by Karasek questionnaire: The SEEK study. Front Psychiatry 2023; 13(3): 1043110. http://doi.org/10.3389/fpsyt.2022.1043110

9. Durand AC, Bompard C, Sportiello J, Michelet P, Gentile S. Stress and burnout among professionals working in the emergency department in a French university hospital: Prevalence and associated factors. Work 2019; 63(1): 57-67.

http://doi.org/10.3233/WOR-192908

10. Zafar W, Khan UR, Siddiqui SA, Jamali S, Razzak JA. Workplace Violence and Self-reported Psychological Health: Coping with Post-traumatic Stress, Mental Distress, and Burnout among Physicians Working in the Emergency Departments Compared to Other Specialties in Pakistan. J Emerg Med 2016; 50(1): 167-77.

http://doi.org/10.1016/j.jemermed.2015.02.049

11. Boutou A, Pitsiou G, Sourla E, Kioumis I. Burnout syndrome among emergency medicine physicians: an update on its prevalence and risk factors. Eur Rev Med Pharmacol Sci 2019; 23(20): 9058-9065.

http://doi.org/10.26355/eurrev_201910_19308

12. Soares JP, Lopes RH, Mendonça PBS, Silva CRDV, Rodrigues CCFM, Castro JL. Use of the Maslach Burnout Inventory Among Public Health Care Professionals: Scoping Review. JMIR Ment Health 2023; 10(3): e44195.

http://doi.org/10.2196/44195

13. Okwaraji FE, Aguwa EN. Burnout and psychological distress among nurses in a Nigerian tertiary health institution. Afr Health Sci 2014; 14(1): 237-245.

http://doi.org/10.4314/ahs.v14i1.37

14. Saleem SG, Haider KF, Yasin Z, Rybarczyk M. Bridging the Gap in Emergency Medicine in Pakistan. Pak J Med Sci 2020; 36(1): S101. http://doi.org/10.12669/pjms.36.ICON-Suppl.1726

15. Van Puyvelde M, Van Herck J, Van den Bossche J, Goethals F, Gijbels D, Detaille F, et al. Walk the line: a systemic perspective on stress experienced by emergency medical personnel by comparing military and civilian prehospital settings. Front Public Health 2023; 11(3): 1136090.

http://doi.org/10.3389/fpubh.2023.1136090

16. Baruah A, Das S, Dutta A, Das B, Sharma T, Hazarika M. Degree and factors of burnout among emergency healthcare workers in India. Int J Sci Res 2019; 8(4): 41-45.

http://doi.org/10.15373/22778179

17. Yuguero O, Rius N, Soler-González J, Esquerda M. Increase of burnout among emergency department professionals due to emotional exhaustion during the SARS-Cov2 pandemic: Evolution from 2016 to 2021. Medicine 2022; 101(47): e31887.

http://doi.org/10.1097/MD.0000000000031887

18. Alanazy ARM, Alruwaili A. The Global Prevalence and Associated Factors of Burnout among Emergency Department Healthcare Workers and the Impact of the COVID-19 Pandemic: A Systematic Review and Meta-Analysis. Healthcare 2023; 11(15): 2220. http://doi.org/10.3390/healthcare11152220