Perceived effects of burnout on patients and its management among nurses in the Intensive Care Unit and Emergency Department of a Rwandan University Teaching Hospital

Cishahayo, Emeline U.; Tuyisenge, Marie Jeanne; Mwiseneza, Marie Josée; Sego, Ruth; Bhengu, Busisiwe

doi:10.4314/rjmhs.v2i2.10

Cited by 5 publications

(6 citation statements)

References 29 publications

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“…While there is paucity of studies examining physicians' perception of burnout's impact on patient safety, a majority of burnout-prone healthcare workers surveyed in a tertiary health institution in Rwanda aver to suboptimal patient care, medical errors and poor outcome which they attributed to burnout [22].…”

Section: Discussionmentioning

confidence: 99%

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

Nwosu¹,

Ossai

Uwakwe³

et al. 2020

BMC Health Serv Res

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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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Section: Discussionmentioning

confidence: 99%

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

Nwosu¹,

Ossai

Uwakwe³

et al. 2020

BMC Health Serv Res

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“…Among healthcare workers, burnout has been indicated to influence suboptimal patient care, medical errors and adverse outcomes. 11,12 We found that high exhaustion was reported in 65.6% of study participants, while high disengagement was noted in 47.3%. Frequency of burnout was reported in 40.9% of study participants.…”

Section: Discussionmentioning

confidence: 73%

“…8 These cut-off scores were adopted from previous research done. 12 The main outcome measured was burnout. Burnout was described as "high exhaustion" and "high disengagement".…”

Section: Methodsmentioning

confidence: 99%

Determinants of Burnout Among Healthcare Professionals Working in the Labour Room of a Tertiary Care Hospital in South Punjab, Pakistan

Zahoor,

Javed

et al. 2023

PAFMJ

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Objective: To find out the frequency and determinants of burnout among healthcare workers and staff working in a labour room of a Gynaecology unit of a tertiary care hospital in South Punjab, Pakistan. Study Design: Cross-sectional study. Place and Duration of the Study: Department of Obstetrics and Gynaecology, Shaikh Zayed Hospital, Rahim Yar Khan, Pakistan, from Mar to May 2022. Methodology: A total of 93 healthcare workers, including doctors and nurses from the labour room of the study centre, were included. Possible causes of burnout were noted. The 16-item instrument OLBI was utilized. Results: Of the 93 study participants, 35(37.6%) were post-graduate residents. High exhaustion was reported by 61(65.6%) study participants, while high disengagement was noted in 44(47.3%). Burnout was reported by 38(40.9%) study participants. Age (p=0.006), marital status as married (p=0.004), designation as post-graduate resident (p<0.001), patient expectations unfulfilled (p<0.001), litigation anxiety (p<0.001), lack of control of processes (p=0.017), role conflict (p=0.001) and communication gap among workers (p<0.001) were found to have a significant association with burnout. Conclusion: The frequency of burnout among healthcare professionals and nurses working in the labour room of a tertiary care hospital in a developing country was high. Age, marital status as married, post-graduate residents, patients' expectations unfulfilled, litigation anxiety, lack of control of processes, role conflict and communication gap among workers were found to have a significant association with burnout.

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“…25 Conversely, systematic guidelines lead to improvement in providing quality care, enhance appropriateness of clinical procedures and decisions, increase patients' safety and outcomes of clinical care, and decrease the cost and time. 26,27 The current study suggested some strategies to minimise the delay in TR band removal to prevent complications associated with prolonged compression. These include inservice training of staff nurses, policy development, and ensuring an adequate nurse-to-patient ratio.…”

Section: Discussionmentioning

confidence: 90%

Experiences of cardiac care nurses related to the management and delayed removal of trans-radial band of patients at a private tertiary care hospital, Islamabad

Ahad,

Idrees,

Dhamani

et al. 2024

J Pak Med Assoc

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Objective: To explore the experiences of cardiac care nurses in managing transradial band of patients in a tertiary care setting. Method: The exploratory, descriptive, qualitative study was conducted at a private-sector tertiary care hospital in Islamabad, Pakistan, from March to September 2021, and comprised registered cardiac care nurses with >6 months of relevant experience. Data was collected through face-to-face interviews using a semi-structured interview guide. Data was analysed qualitatively using the Creswell and Creswell framework. Results: Of the 10 nurses, 5(50%) were males and 5(50%) were females. In terms of age, 5(50%) were aged <25 years. Cardiac specialisation had been done by 2(20%) nurses, and none of the subjects had formal training related to transradial band. The main theme that emerged from the data was nurses’ management of patients with transradial band, and the three categories were nurses’ knowledge and practices about transradial band, reasons for delayed transradial band removal, and strategies to minimise complications. Conclusion: To minimise transradial band-related complications, in-service training of nurses and ensuring a safe nurse-patient ratio are necessary. Key Words: Assessment, Complications, Cardiac care nurses, Radial angiography, Transradial band.

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Perceived effects of burnout on patients and its management among nurses in the Intensive Care Unit and Emergency Department of a Rwandan University Teaching Hospital

Cited by 5 publications

References 29 publications

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

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

Determinants of Burnout Among Healthcare Professionals Working in the Labour Room of a Tertiary Care Hospital in South Punjab, Pakistan

Experiences of cardiac care nurses related to the management and delayed removal of trans-radial band of patients at a private tertiary care hospital, Islamabad

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