Interactive Role of Personal and Work Related Factors in Psychological Burnout: A Study of Pakistani Doctors

Ashraf, Farzana; Ahmad, Hassaan; Aftab, Sana

doi:10.5455/jpma.35303

Cited by 5 publications

(11 citation statements)

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“…Our study confirmed previous findings by multiple researchers of the high rates of burnout in healthcare workers. [4][5][6] In our study 38.9% of the medical teachers surveyed showed high burnout scores on the 'EE' subscale of the aMBI while 31.5% showed high burnout scores on the 'DP' subscale. When we interviewed some of these medical teachers, the major themes related to burnout were as expected: high work load, lack of time for leisure, recreation and family matters, family and social attitudes towards their work (especially in women) and personal feelings of inadequacy, regret, mental and physical fatigue and self-doubt.…”

Section: Discussionmentioning

confidence: 51%

“…Multiple studies have documented the high rates of burnout in healthcare professionals. [4][5][6] but none, to our knowledge have attempted an indepth exploration of this phenomenon especially in medical teachers in the public setting. This is important since medical institutions are the 'petri dishes' which are cultivating, grooming and training the next generation of healthcare professionals.…”

Section: Discussionmentioning

confidence: 99%

“…There is now a significant amount of published literature on this phenomenon including in Pakistan. 4 - 6 but no researcher, to our knowledge, has attempted an in-depth exploration of the phenomenon of burnout in medical teachers especially in the public setting.…”

Section: Introductionmentioning

confidence: 99%

“…There is now a significant amount of published literature on this phenomenon including in Pakistan. [4][5][6] but no researcher, to our knowledge, has attempted an in-depth exploration of the phenomenon of burnout in medical teachers especially in the public setting. Unsurprisingly, given the challenges facing doctors and healthcare professionals in a low and middle income country like Pakistan, most previous studies reported a high prevalence of burnout ranging between 35% to 80% in doctors and nurses.…”

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confidence: 99%

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The challenge of Burnout in Public Medical Teachers in Pakistan: A mixed methods study

Hashmi

2021

Pak J Med Sci

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Background and Objectives: Burnout is common in healthcare workers and affects multiple domains of functioning. The objective of this study was to assess burnout in medical teachers in a large public medical university in Lahore, Pakistan and explore the factors behind it. Methods: Using an explanatory sequential mixed methods design, we first sent out the abbreviated Maslach Burnout Inventory (aMBI) to all teaching faculty of basic and clinical science at King Edward Medical University (KEMU) Lahore. Descriptive analysis was performed on the 203 respondents who returned the survey. Of those who scored higher on the aMBI, 10 respondents (8 clinical science faculty and two basic science faculty) were selected for detailed semi-structured interviews exploring possible reasons for burnout. Thematic analysis of interview transcripts was performed using Interpretive Phenomenological Analysis. Triangulation and member checking was used for validation. Results: About 38.9% of respondents scored high on the Emotional Exhaustion subscale and 31.5% scored high on the Depersonalization subscale. There were statistically significant differences on the mean Emotional Exhaustion scores (p <0.001) between Basic and Clinical Sciences Departments with respondents from the Clinical Departments having higher scores (7.84 ± 4.32). Four main themes and multiple sub-themes emerged around burnout after qualitative analysis of the data. These included 1. Work-related factors 2. Family and social factors including challenges related specifically to women 3. Feelings and emotions and 4. Personal Qualities. Conclusion: A significant proportion of medical faculty experiences burnout related to their professional and personal responsibilities. The reasons are varied. Policy planners and University/College administrators must acknowledge the negative effects of burnout on medical teachers and take steps to ameliorate it in the interests of improving medical education and training. doi: https://doi.org/10.12669/pjms.37.5.4429 How to cite this:Hashmi AM. The challenge of Burnout in Public Medical Teachers in Pakistan: A mixed methods study. Pak J Med Sci. 2021;37(5):---------. doi: https://doi.org/10.12669/pjms.37.5.4429 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Section: Discussionmentioning

confidence: 51%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

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The challenge of Burnout in Public Medical Teachers in Pakistan: A mixed methods study

Hashmi

2021

Pak J Med Sci

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“…The monetary compensation provided by any field is a factor that cannot be ignored when it comes to opting for a career [31][32][33]. A study conducted by Khan AH identified low pays and lack of promotions as primary contributors to high employee turnover rate and lack of job satisfaction [34].…”

Section: Discussionmentioning

confidence: 99%

Perceptions of oncology as a career choice among the early career doctors in Pakistan

et al. 2022

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Background Lack of oncologists is a growing global concern. With the rise in cancer burden across the world, the supply–demand mismatch of the oncology workforce is projected to increase. Furthermore, oncology is a low-ranked field of choice among medical students, and without understanding the perceptions and concerns of early-career doctors regarding oncology, any investments made in cancer care will be futile. This study aims to determine the opinions of young doctors and the factors most affecting their preferences in order to devise focused strategies to attract more doctors into oncology. Methods A cross-sectional study was conducted on 300 early-career doctors across various public and private hospitals in Pakistan, from March to November 2019. A close-ended, self-administered questionnaire was used to assess their opinions in terms of the workplace environment, scope, and the emotional and financial aspects of oncology. Data was analyzed using SPSS version 23 and the influence (positive or negative) of the perceptions on the choice of oncology as a career was determined by binary logistic regression analysis. Results Almost three-quarters of the participants did not want a career in oncology. The top positive perceptions about oncology in descending order were: progressive field, gender-neutral, stable working hours, financially healthy, and work-family balance. Top negative perceptions were: lack of oncologic facilities in hospitals, radiation exposure, need for private practice, poor patient prognosis, high patient load, and depressing environment. Participants who attended private medical school (p < 0.10), planned to live abroad (p < 0.10), had an oncologist (p < 0.05), cancer survivor or death due to cancer in the family (p < 0.05), were more likely to adopt oncology as a career. Those who believed that poor patient prognosis can have an impact on career choice were less likely to prefer oncology (p < 0.05). Conclusion Despite the rising cancer burden, early career doctors are reluctant to join oncology. Curricular, infrastructural and policy changes are needed at the level of medical school, oncology training and practice to recruit more young doctors and minimize the existing paucity of the oncologic workforce.

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Burnout Mediates the Association between Workplace Bullying and Mental Health Problems of Health Practitioners in Cancer Units

Ashraf,

Tariq,

Farooqi

et al. 2024

ijph

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Background: Medical health practitioners, particularly those working in cancer units, are vulnerable to poor psychological outcomes. The present study was designed to examine the influence of workplace bullying on the mental health of medical and paramedical staff by testing workplace burnout as a mediating factor. Methods: Utilizing a cross-sectional survey, 220 Muslim medical staff officers from the cancer units of three hospitals in Lahore, Pakistan, were assessed for workplace bullying, mental health, and workplace burnout using the standardized psychometric measures (i.e., Negative Act Questionnaire; Depression, Anxiety, Stress Scale; and Maslach Burnout Inventory). Data were collected from 2019-2020. Results: Workplace bullying and workplace burnout were directly related to mental health problems, including depression, anxiety, and stress symptoms. Moreover, workplace burnout significantly mediated the paths between workplace bullying and mental health (i.e., depression, anxiety, and stress symptoms), suggesting that workplace burnout increases vulnerability to other mental health issues. Conclusion: A need for counseling and suitable management strategies to support medical staff working in cancer units is required.

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Interactive Role of Personal and Work Related Factors in Psychological Burnout: A Study of Pakistani Doctors

Cited by 5 publications

References 0 publications

The challenge of Burnout in Public Medical Teachers in Pakistan: A mixed methods study

The challenge of Burnout in Public Medical Teachers in Pakistan: A mixed methods study

Perceptions of oncology as a career choice among the early career doctors in Pakistan

Burnout Mediates the Association between Workplace Bullying and Mental Health Problems of Health Practitioners in Cancer Units

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