The influence of burnout on skills retention of junior doctors at Red Cross War Memorial Children’s Hospital: A case study

Stodel, J M; Stewart-Smith, A

doi:10.7196/samj.4431

Cited by 33 publications

(48 citation statements)

References 11 publications

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“…[8][9][10][11][12] Locally conducted studies have been small in size, and have used a wide variety of measuring instruments, limiting the extrapolation of findings and comparisons across studies. [13][14][15][16][17][18][19][20] A national survey on randomly selected South African medical practitioners (n = 402 doctors) conducted in 2003, documented high levels of burnout (emotional exhaustion and depersonalisation). 17 A cross-sectional study performed on anxiety or depression in doctors working in Tygerberg Hospital found that 2% of doctors reported severe symptoms of depression and anxiety, 21% had moderate symptoms and 47% were symptom free.…”

Section: Introductionmentioning

confidence: 99%

The prevalence of burnout and depression in medical doctors working in the Cape Town Metropolitan Municipality community healthcare clinics and district hospitals of the Provincial Government of the Western Cape: a cross-sectional study

Rossouw

Seedat

Emsley

et al. 2013

South African Family Practice

107

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Aim: This study investigated burnout and depression in medical doctors in the context of work-related conditions and the role of resilience as a modifiable factor. Method:A cross-sectional, observational study was conducted on consenting medical doctors (n = 132) working at Cape Town Metropolitan Municipality primary healthcare facilities of the Provincial Government of the Western Cape. Data were collected from doctors at 27 facilities by means of a self-administered questionnaire battery, containing socio-demographic information, the Beck Depression Inventory (BDI), the Maslach Burnout Inventory (MBI) and the Connor-Davidson Resilience Scale (CD-RISC).Results: Of 132 doctors included in the analysis, 76% experienced burnout, as indicated by high scores in either the emotional exhaustion or depersonalisation subscales. In addition, 27% of doctors had cut-off scores on the BDI indicating moderate depression, while 3% were identified to have severe depression. The number of hours, work load, working conditions and system-related frustrations were ranked as the most important contributing factors to burnout. More experienced doctors and those with higher resilience scores had lower levels of burnout, as evident by their lower scores in the emotional exhaustion and depersonalisation domains of the MBI.Conclusion: Both burnout and depression are prevalent problems in doctors working at district level and in communities. Resilience appears to be protective and may be a useful target for future intervention.Peer reviewed.

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Section: Introductionmentioning

confidence: 99%

The prevalence of burnout and depression in medical doctors working in the Cape Town Metropolitan Municipality community healthcare clinics and district hospitals of the Provincial Government of the Western Cape: a cross-sectional study

Rossouw

Seedat

Emsley

et al. 2013

South African Family Practice

107

View full text Add to dashboard Cite

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“…In sub-Saharan Africa, HIV has added to the workload, with a higher burden, acuity, and complexity of disease, and has increased the number of patient deaths. [10,11] These added stressors of doctors working in resource-limited settings may lead to higher rates of burnout. [9,10] There are only a few published reports on registrar burnout from subSaharan Africa, with the majority from South Africa (SA).…”

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confidence: 99%

“…[10,11] These added stressors of doctors working in resource-limited settings may lead to higher rates of burnout. [9,10] There are only a few published reports on registrar burnout from subSaharan Africa, with the majority from South Africa (SA). One study of 22 junior doctors in Cape Town, SA, described that 100% experienced a high degree of burnout, and all but one expressed the intention to leave the public hospital where they were working after completing training.…”

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confidence: 99%

“…One study of 22 junior doctors in Cape Town, SA, described that 100% experienced a high degree of burnout, and all but one expressed the intention to leave the public hospital where they were working after completing training. [10] A second study from SA found that 26% of registrars and medical officers working at a public healthcare facility experienced a high degree of burnout. [12] A third study in SA reported that 27% of anaesthesia registrars experienced a high degree of burnout, which was significantly higher when compared with the consultants.…”

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confidence: 99%

“…[1,4,6,8] In resource-limited settings, work-related stresses are amplified compared with those of doctors working in resource-rich settings. [9,10] Registrars in resource-limited settings often work in overcrowded hospitals with inadequate medical supplies and equipment, have fewer mentoring and career-building opportunities, are paid less, and are faced with high patient mortality rates. In sub-Saharan Africa, HIV has added to the workload, with a higher burden, acuity, and complexity of disease, and has increased the number of patient deaths.…”

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confidence: 99%

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Registrar wellness in Botswana: Measuring burnout and identifying ways to improve wellness

Westmoreland

Lowenthal

Finalle

et al. 2017

AJHPE

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Background. Burnout during registrar training is high, especially in resource-limited settings where stressors are intensified. Burnout leads to decreased quality of life for doctors, poor job and patient satisfaction, and difficulty retaining doctors. Objectives. Primary: to measure burnout among registrars working at Princess Marina Hospital in Gaborone, Botswana. Secondary: to determine factors contributing to burnout and identify potential wellness interventions. Methods. The validated Maslach Burnout Inventory was used to measure the degree of emotional exhaustion, depersonalisation and personal accomplishment. Work-related difficulties and potential wellness interventions were explored through multiple-choice and open-ended questions. Results. Of 40 eligible registrars, 20 (50%) completed the survey. High levels of burnout were reported for emotional exhaustion in 65% (13/20), depersonalisation in 45% (9/20), and personal accomplishment in 35% (7/20) of registrars. A high degree of burnout was reported by 75% (15/20) of registrars in one or more domains. In the previous 7 days, registrars worked an average of 77 hours, took 1.5 overnight calls, slept 5.7 hours per night, and 53% (10/19) had ≥1 of their patients die. Five (25%) registrars considered leaving Botswana to work in another country, which correlated with those with the highest degree of burnout. The most common frustrations included insufficient salary and limited medical resources. Suggested interventions included improved mentorship and wellness lectures. Conclusions. There is a high degree of burnout, especially emotional exhaustion, among registrars. Encouragingly, most registrars have a desire to work in Botswana after training. Future research on improving registrar wellness in low-resource settings is urgently needed. This open-access article is distributed under Creative Commons licence CC-BY-NC 4.0. Afr J Health Professions Educ

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Role of Occupational Burnout Among Health Care Professionals: A Systematic Review

Far

Korhan

2022

Lecture Notes in Management and Industrial Engineering

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The influence of burnout on skills retention of junior doctors at Red Cross War Memorial Children’s Hospital: A case study

Cited by 33 publications

References 11 publications

The prevalence of burnout and depression in medical doctors working in the Cape Town Metropolitan Municipality community healthcare clinics and district hospitals of the Provincial Government of the Western Cape: a cross-sectional study

The prevalence of burnout and depression in medical doctors working in the Cape Town Metropolitan Municipality community healthcare clinics and district hospitals of the Provincial Government of the Western Cape: a cross-sectional study

Registrar wellness in Botswana: Measuring burnout and identifying ways to improve wellness

Role of Occupational Burnout Among Health Care Professionals: A Systematic Review

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