Prevalence and determinants of burnout among South African doctors during the COVID-19 pandemic

被引：5
作者：
Khan, Saajida [1 ,2 ]
Ntatamala, Itumeleng [1 ,2 ]
Baatjies, Roslynn [3 ]
Adams, Shahieda [1 ,2 ]
机构：
[1] Univ Cape Town, Sch Publ Hlth, Div Occupat Med, Cape Town, South Africa
[2] Univ Cape Town, Ctr Environm & Occupat Hlth Res, Sch Publ Hlth, Cape Town, South Africa
[3] Cape Peninsula Univ Technol, Fac Appl Sci, Dept Environm & Occupat Studies, Cape Town, South Africa
来源：
SOUTH AFRICAN JOURNAL OF PSYCHIATRY | 2024年 / 30卷
关键词：
burnout; work-related stress; medical doctors; COVID-19; public hospital; South Africa; PHYSICIAN BURNOUT; JOB STRESS; DEPRESSION; WORKING;
D O I：
10.4102/sajpsychiatry.v30i0.2225
中图分类号：
R749 [精神病学];
学科分类号：
100205 ;
摘要：
Background: Burnout, resulting from chronic workplace stress that has been unsuccessfully managed, has previously been documented in doctors. The coronavirus disease 2019 (COVID-19) pandemic has increased occupational challenges faced by doctors, potentiating their risk for burnout. Aim: This study aimed to determine the prevalence and determinants of burnout among medical doctors during the COVID-19 pandemic. Setting: Three public sector hospitals in Gqeberha, South Africa. Methods: A cross-sectional study of 260 voluntary participants was conducted. Participants completed self-administered electronic questionnaires. Logistic regression analysis was performed to explore the determinants of burnout. Results: The prevalence of burnout in this study was 78 %. Burnout was significantly associated with being a medical intern or community -service medical officer (adjusted odd ratio [AOR] = 6.72, 1.71-26.40), being in the lowest income band (AOR = 10.78, 2.55-45.49), and using alcohol to manage work -related stress (AOR = 3.01, 1.12-8.04). Job -related factors associated with burnout were experiencing high conflict at work (AOR = 5.04, 1.92-13.20) and high role ambiguity and role conflict (AOR = 4.49, 1.98-10.18). Low support at work (AOR = 9.99, 3.66-27.23), medium job satisfaction (AOR = 5.38, 2.65-10.93) and medium support at work (AOR = 3.39, 1.71-6.73) were positively associated with burnout. Participants with medium (AOR = 0.28, 0.10-0.80) and high levels of resilience (AOR = 0.08, 0.03-0.25) were protected against burnout. Coronavirus disease 2019 -related factors were not significantly associated with burnout. Conclusion: The burnout prevalence among South African medical doctors at public hospitals during the COVID-19 pandemic was high and strongly associated with job stress factors. Contribution: Given the increased prevalence of burnout among doctors and the strong associations with job stress factors, mitigation of burnout requires targeted organisational interventions.
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页数：10
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