Burnout in oncology: Magnitude, risk factors and screening among professionals from Middle East and North Africa (BOMENA study)

Abusanad, Atlal; Bensalem, A.; Shash, Emad; Mula‐Hussain, Layth; Benbrahim, Zinab; Khatib, Sami; Abdelhafiz, Nafisa; Ansari, Jawaher; Jradi, Hoda; Alkattan, Khaled; Jazieh, Abdul Rahman

doi:10.1002/pon.5624

Cited by 11 publications

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“…A total of 2015 hits were retrieved. After deleting duplicates (N = 386), irrelevant papers (N = 580), and exclusions (N = 915), we found 17 studies eligible to be included in this scoping review as shown in Figure 1 (3,15,(32)(33)(34)(35)(36)(37)(38)(39)(40)(41)(42)(43)(44)(45)(46).…”

Section: Results Of the Database Searchmentioning

confidence: 99%

Mitigating Burnout in an Oncological Unit: A Scoping Review

Alabi

Hietanen

Elmusrati

et al. 2021

Front. Public Health

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Objectives: The purpose of this study was to provide a scoping review on how to address and mitigate burnout in the profession of clinical oncology. Also, it examines how artificial intelligence (AI) can mitigate burnout in oncology.Methods: We searched Ovid Medline, PubMed, Scopus, and Web of Science, for articles that examine how to address burnout in oncology.Results: A total of 17 studies were found to examine how burnout in oncology can be mitigated. These interventions were either targeted at individuals (oncologists) or organizations where the oncologists work. The organizational interventions include educational (psychosocial and mindfulness-based course), art therapies and entertainment, team-based training, group meetings, motivational package and reward, effective leadership and policy change, and staff support. The individual interventions include equipping the oncologists with adequate training that include—communication skills, well-being and stress management, burnout education, financial independence, relaxation, self-efficacy, resilience, hobby adoption, and work-life balance for the oncologists. Similarly, AI is thought to be poised to offer the potential to mitigate burnout in oncology by enhancing the productivity and performance of the oncologists, reduce the workload and provide job satisfaction, and foster teamwork between the caregivers of patients with cancer.Discussion: Burnout is common among oncologists and can be elicited from different types of situations encountered in the process of caring for patients with cancer. Therefore, for these interventions to achieve the touted benefits, combinatorial strategies that combine other interventions may be viable for mitigating burnout in oncology. With the potential of AI to mitigate burnout, it is important for healthcare providers to facilitate its use in daily clinical practices.Conclusion: These combinatorial interventions can ensure job satisfaction, a supportive working environment, job retention for oncologists, and improved patient care. These interventions could be integrated systematically into routine cancer care for a positive impact on quality care, patient satisfaction, the overall success of the oncological ward, and the health organizations at large.

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Section: Results Of the Database Searchmentioning

confidence: 99%

Mitigating Burnout in an Oncological Unit: A Scoping Review

Alabi

Hietanen

Elmusrati

et al. 2021

Front. Public Health

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“…The odd of developing burnout was increased by 12-folds when the thought was “always” recurring. The recurring thought of quitting oncology was explored as a potential screening question in a previous study ( Abusanad et al, 2021 ). The desire of quitting can be explained either by career-choice regret that potentially resulted in burnout or it can be described as a consequence of burnout whereas causality cannot be ascertained.…”

Section: Discussionmentioning

confidence: 99%

“…A recent large study from the Middle East and North Africa (MENA) evaluated BO among oncologists of both genders showed that being an early-career physician, being from north African countries and having the thought of quitting oncology are associated with increased likelihood to report BO. Likewise, a high level of BO was reported among oncology professionals from different continents ( Abusanad et al, 2021 ).…”

Section: Introductionmentioning

confidence: 97%

“…The female gender has been described as a risk factor for developing burnout, attributed to the female gender’s psychological and physiological nature, and societal factors ( Artz et al, 2021 ). As per the BOMENA study, women made up nearly 50% of the oncology workforce across the MENA region where the prevalence of BO for participants of both genders was estimated at 68%, collectively ( Abusanad et al, 2021 ). However, Female oncologists reported a higher non-significant numerical BO prevalence in the same study.…”

Section: Introductionmentioning

confidence: 99%

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Prevalence and Risk Factors of Burnout Among Female Oncologists From the Middle East and North Africa

et al. 2022

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BackgroundBurnout (BO) is a recognized challenge among the oncology workforce. It affects both genders with a higher frequency among women. This study examined the factors contributing to the development of burnout among female oncologists from the Middle East and North Africa (MENA).MethodsAn online cross-sectional survey was distributed to oncology professionals from different countries in the MENA region. The validated Maslach Burnout Inventory (MBI) of emotional exhaustion (EE), Depersonalization (DE), and Personal Achievement (PA) plus questions about demography/work-related factors and attitudes toward oncology were included. Data were analyzed to measure BO prevalence and related factors.ResultsBetween 10 February and 15 March 2020, 545 responses were submitted by female oncologists. The responses pre-dated the COVID-19 pandemic emergence in the region. BO prevalence was 71% among female professionals. Women aged <44 years represented 85% of the cohort. Sixty-two percent were married, 52% with children and one-third practiced a hobby. Two-thirds worked in medical oncology, worked for <10 years and 35% worked in academia. The majority (73%) spent >25% on administrative work daily. Nearly half of the respondents (49%) expressed a recurring thought of quitting oncology and 70% had no burnout support or education. Inability to deliver optimal care was reported as distressing for career development in 82%. Factors significantly influencing the BO risk were identified. Marital status, having children, academia and years in practice did not impact the risk of BO among female oncologists from MENA.ConclusionFemale oncologists from the Middle East and North Africa (MENA) were found to have a high prevalence of BO. In this cohort, the majority of women oncology workers were young and in their early to mid-career stages. Burnout was linked to being younger, practicing in North African nations, having a heavy administrative load, and having persistent thoughts of quitting. Practicing a hobby and engaging in oncology communication, on the other hand, reduced the chance of BO. Burnout support and education, specifically for oncology women, is required.

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“…In a study conducted in the United States [ 9 ] in 2017 showed a significant level of burnout among healthcare professionals with a prevalence increased over the years estimated at 45.6%. A systematic review of 182 studies from 45 countries showed a prevalence of burnout of up to 80.5% [ 10 ]. A recent survey conducted in 2020 among health professionals in the Middle East and North Africa (MENA) region showed a prevalence of burnout at 68% with significantly high scores of EE and DE (35% and 57%, respectively) with lower scores of professional accomplishments (49%) [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

Burnout among physicians and caregivers in oncology: the Moroccan experience

Benhaddouch¹,

Khalfi²,

Benmaamar³

et al. 2022

ecancer

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Purpose: Caregivers in radiation oncology are exposed to a high risk of burnout which sometimes causes serious consequences for their health, which can in turn affect patient care. In this study, we investigated the prevalence of burnout and its psychological impact on health professionals and determined the factors that predispose to the risk of burnout. Methods and materials:A cross-sectional survey was conducted with descriptive and analytical purposes among the different teams within the oncology and radiotherapy departments in different hospitals (CHU and regional hospitals) in Morocco, through an online self-questionnaire composed of sociodemographic data, professional data, working conditions, an assessment of interfering factors, the Maslach Burnout Inventory (MBI), the Generalised Anxiety Disorder-7 (GAD-7) scale and the Patient Health Questionnaire-9 (PHQ-9) scale.Results: One hundred and eighteen caregivers participated in this evaluation. 62.7% were physicians, 75.4% worked in university hospitals and 53.4% were in radiotherapy departments. Analysis of the three dimensions of the Maslach Burnout Inventory -Human Services Survey (MBI-HSS) score found high scores in the dimensions of emotional exhaustion (81.4%) and depersonalisation (79.7%), and low scores in decreased personal accomplishment (46.6%). The evaluation of the impacts of burnout in the latter found a mean of the Patient Health Questionnaire-9 (PHQ-9) at 12.45 + 7.84 and the mean of the GAD-7 at 9.73 + 5.98. Conclusion:Our results are in line with those found in the literature, hence the need for screening and active prevention of burnout among radiation oncology caregivers.

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Burnout in oncology: Magnitude, risk factors and screening among professionals from Middle East and North Africa (BOMENA study)

Cited by 11 publications

References 54 publications

Mitigating Burnout in an Oncological Unit: A Scoping Review

Mitigating Burnout in an Oncological Unit: A Scoping Review

Prevalence and Risk Factors of Burnout Among Female Oncologists From the Middle East and North Africa

Burnout among physicians and caregivers in oncology: the Moroccan experience

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