Prevalence of burnout among nurses in sub-Saharan Africa: a systematic review

Owuor, Rosebenter Awuor; Mutungi, Koki; Anyango, Ruth; Mwita, Clifford

doi:10.11124/jbisrir-d-19-00170

Cited by 32 publications

(55 citation statements)

References 48 publications

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“…It is also comparable with the study conducted in Iran; the overall prevalence of burnout among Iranian nurses was 36% [ 30 ]. Similarly, our finding was also consistent with the study done in sub-Saharan Africa which was 33% [ 9 ].…”

Section: Discussionsupporting

confidence: 93%

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Burnout among Nurses Working in Ethiopia

Hailay

Aberhe

Mebrahtom

et al. 2020

Behavioural Neurology

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Background. Burnout is a condition of emotional exhaustion, depersonalization, and low personal accomplishment that can occur among individuals who work with people in some capacity. Nursing is a stressful profession that deals with human aspects of health and illness and can ultimately lead to job dissatisfaction and burnout. Although burnout among nurses has been addressed in previous research, the heterogeneous nature of the result findings highlights the need for a detailed meta-analysis in Ethiopia. Thus, this review is aimed at identifying the prevalence of burnout among nurses in Ethiopia. Methods. A search strategy was implemented using electronic databases (PubMed/MEDLINE, Google Scholar, Web of Science, Cochrane Library, Africa-Wide Information, and African Index Medicus) which were systematically searched online to retrieve related articles using keywords. Studies which were included in this review were written in the English language because writing articles in other languages in Ethiopia is uncommon. The combination of key terms including “burnout”, “nurse” and “Ethiopia”, “systematic review” and protocols was used. The Preferred Reporting Items for Systematic Reviews and Meta-Analysis checklist guideline was followed stepwise. All published articles starting from inception to February 2020 were included, and we did not find unpublished studies. Heterogeneity across the included studies was evaluated by the inconsistency index. All statistical analysis was done using R and RStudio software for Windows, and a random-effects model was applied to estimate the overall prevalence of burnout among nurses in Ethiopia. It is registered in PROSPERO (CRD42020188092). Results. The database searched produced 1060 papers. After adjustment for duplicates and inclusion and exclusion criteria, seven articles with 1654 total nurses were found suitable for the review. Except for one cohort study, all studies were cross-sectional. The overall pooled prevalence of burnout among Ethiopian nurses was estimated to be 39% (95% CI: 27%-50%). Conclusions. Burnout affects two out of five nurses in Ethiopia. Therefore, effective interventions and strategies are required to reduce burnout among nurses.

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Section: Discussionsupporting

confidence: 93%

“…The sub-Saharan African region had the highest burnout symptom prevalence rate while Europe and Central Asia region had the lowest [ 7 ]. A systematic review conducted in sub-Saharan Africa showed that the prevalence of burnout among nurses was 33% [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

Burnout among Nurses Working in Ethiopia

Hailay

Aberhe

Mebrahtom

et al. 2020

Behavioural Neurology

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“…Several systematic reviews and meta‐analyses have already shown that nurses present moderate to high levels of burnout syndromes (Adriaenssens et al, 2015; De la Fuente‐Solana et al, 2019; Gómez‐Urquiza et al, 2016; López‐López et al, 2019; Owuor et al, 2020; Pradas‐Hernández et al, 2018; Woo et al, 2020). The prevalence of burnout syndromes is different between geographical regions and specialties.…”

Section: Introductionmentioning

confidence: 99%

“…The prevalence of burnout syndromes is different between geographical regions and specialties. In particular, Central Asia and Europe had the lowest burnout symptoms prevalence, while the Sub‐Saharan Africa region had the highest (Owuor et al, 2020; Woo et al, 2020). Also, paediatric, oncology and emergency nurses had the highest burnout symptoms prevalence (Gómez‐Urquiza et al, 2016, 2017; Parola et al, 2017; Pradas‐Hernández et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

Nurses' burnout and associated risk factors during the COVID‐19 pandemic: A systematic review and meta‐analysis

Galanis

Vraka

Fragkou

et al. 2021

Journal of Advanced Nursing

612

501

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Aims To examine the nurses' burnout and associated risk factors during the COVID‐19 pandemic. Design We followed the Cochrane criteria and the Preferred Reporting Items for Systematic Reviews and Meta‐Analysis guidelines for this systematic review and meta‐analysis. Data Sources PubMed, Scopus, ProQuest, Cochrane COVID‐19 registry, CINAHL and pre‐print services (medRχiv and PsyArXiv) were searched from January 1 to November 15, 2020 and we removed duplicates. Review Methods We applied a random effect model to estimate pooled effects since the heterogeneity between results was very high. Results Sixteen studies, including 18,935 nurses met the inclusion criteria. The overall prevalence of emotional exhaustion was 34.1%, of depersonalization was 12.6% and of lack of personal accomplishment was 15.2%. The main risk factors that increased nurses' burnout were the following: younger age, decreased social support, low family and colleagues readiness to cope with COVID‐19 outbreak, increased perceived threat of Covid‐19, longer working time in quarantine areas, working in a high‐risk environment, working in hospitals with inadequate and insufficient material and human resources, increased workload and lower level of specialized training regarding COVID‐19. Conclusion Nurses experience high levels of burnout during the COVID‐19 pandemic, while several sociodemographic, social and occupational factors affect this burnout. Impact We found that burnout among nurses is a crucial issue during the COVID‐19 pandemic. There is an urgent need to prepare nurses to cope better with COVID‐19 pandemic. Identification of risk factors for burnout could be a significant weapon giving nurses and health care systems the ability to response in a better way against the following COVID‐19 waves in the near future.

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“…8 In a systematic review of 12 studies from seven African countries, using the Maslach Burnout Inventory, the prevalence of emotional exhaustion was 66%, depersonalization was 37%, and low personal achievement was 49%. 9 Several studies have been carried out on burnout among nurses in Nigeria. For example, in a study carried out in a General Hospital in Oyo state, 39.1% of the respondents had burnout in the area of emotional exhaustion, 29.2% in the area of depersonalization and 40.0% in the area of reduced personal accomplishment.…”

Section: Introductionmentioning

confidence: 99%

Burnout and quality of life among nurses working in selected mental health institutions in South West Nigeria

Alabi¹,

Ishola²,

Onibokun³

et al. 2021

Afr H. Sci.

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Background: Burnout remains a huge public health problem among nurses. Methods: A cross-sectional descriptive study assessed 259 nurses from two Neuropsychiatric hospitals in Nigeria. Data was collected using a sociodemographic/ job related questionnaire, the Maslach Burnout Inventory (MBI), and the Short-Form health survey (SF-12). The associations between sociodemographic characteristic and burnout was anaysed using Chi square test, between burnout and quality of life using Spearman correlation statistics. Predictors of burnout were determined using binary regression analysis Results: Prevalence of emotional exhaustion (EE) was 44.4%, depersonalization (DEP) 31.7% and reduced personal ac- complishment was 98.8%. Predictors of EE were: poor funding from management, OR = 0.38 (95% CI 0.15-0.95) and role conflict, OR = 2.44 (95% CI 1.03-5.78), while the predictors of DEP, were age group, 31-40 years, OR = 0.37 (95% CI 0.18-0.77), male gender, OR = 2.55 (95% CI 1.40-4.65), role conflict, OR = 6.53 (95% CI 0.88-7.81) and working at more urban city, OR = 3.07 (95% CI 1.54-6.16). The mean total Quality of life (QOL) scores were significantly higher among respondents who had no EE and DEP p < 0.001. Conclusion: Burnout is high among mental health nurses and is associated with poor quality of life. Keywords: Nurses; burnout; quality of life; workplace; organizational factors; more-urban.

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Prevalence of burnout among nurses in sub-Saharan Africa: a systematic review

Cited by 32 publications

References 48 publications

Burnout among Nurses Working in Ethiopia

Burnout among Nurses Working in Ethiopia

Nurses' burnout and associated risk factors during the COVID‐19 pandemic: A systematic review and meta‐analysis

Burnout and quality of life among nurses working in selected mental health institutions in South West Nigeria

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