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Burn Out Among Healthcare Workers (HCWs) at Middle Stage of COVID-19 Pandemic in Addis Ababa, Ethiopia: A Multicentre Cross-Sectional Study

Received: 6 June 2022    Accepted: 4 July 2022    Published: 13 July 2022
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Abstract

Background: The COVID-19 pandemic has challenged healthcare systems worldwide, including Ethiopia. Since HCWs are involved in the direct care of patients, they are more likely to be infected than the general population. A large numbers of frontline HCWs face high adversity, workloads, and stress, making them vulnerable to burnout. The aim of this study was to assess the magnitude of personal and pandemic related burnout and factors associated with pandemic related burnout. Method: A multicentre cross-sectional study design was conducted. A total of 544 HCWs was drawn by a systematic sampling technique. Frequency tables and graphs were used to describe the study variables. A logistic regression model was used to measure the association between the predictors and the outcome variable, and a P-value < 0.05 was accepted as statistically significant. OR and 95% CI were used to express the direction and strength of the association. Result. From total of 544 HCWs, 273 (53.8%) of the participants had received training related to COVID-19 and 354 (68.5%) were perceived COVID-19 is a sever disease. Two hundred forty two (46.8%) and 241 (46.6%) of HCWs were developed personal and pandemic related burnout respectively. HCWs that experienced flulike symptoms (AOR = 2.20, 95% CI: 1.25, 3.86), being tested positives for COVID-19 (AOR = 1.44, 95% CI: 1.78, 11.67), satisfied with the current working condition (AOR = 0.41, 95% CI: 0.12, 0.67) and having personal burnout (AOR = 0.07, 95% CI: 0.03, 0.16) were significantly associated with pandemic related burnout. Conclusion: Proportion of HCWs who developed personal and pandemic related burnout was high. Experiencing flue like symptom, tested for COVID-19, satisfied with current working condition and personal related burnout were significantly associated with pandemic related burnout. This study has highlighted that burnout is a problem that needs to be addressed at the health facilities. Providing incentives, shortening the rotation of the shift, and give leave for HCWs are way to reduce burnout.

Published in Pathology and Laboratory Medicine (Volume 6, Issue 2)
DOI 10.11648/j.plm.20220602.11
Page(s) 11-20
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Burnout, Healthcare Workers, COVID-19 Pandemic, Addis Ababa, Ethiopia

References
[1] Maslach C, Schaufeli WB, Leiter MP. Job burnout. Annual review of psychology. 2001; 52 (1): 397-422.
[2] Freudenberger HJ. The staff burn-out syndrome in alternative institutions. Psychotherapy: Theory, Research & Practice. 1975; 12 (1): 73.
[3] Barnett CW, Hopkins WA, Jr Jackson RA. Burnout experienced by recent pharmacy graduates of Mercer University. American Journal of Hospital Pharmacy. 1986; 43 (11): 2780-4.
[4] Corrado B, Ciardi G, Fortunato L, Servodio Iammarrone C. Burnout syndrome among Italian physiotherapists: a cross-sectional study. European Journal of Physiotherapy. 2019; 21 (4): 240-5.
[5] De Hert S. Burnout in Healthcare Workers: Prevalence, Impact and Preventative Strategies. Local Reg Anesth. 2020; 13: 171-83.
[6] Bekele F, Mechessa DF, Sefera B. Prevalence and associated factors of the psychological impact of COVID-19 among communities, health care workers and patients in Ethiopia: A systematic review. Annals of Medicine and Surgery. 2021; 66: 102403.
[7] Chekole YA, Yimer Minaye S, Mekonnen Abate S, Mekuriaw B. Perceived stress and its associated factors during COVID-19 among healthcare providers in Ethiopia: a Cross-Sectional Study. Advances in Public Health. 2020; 2020.
[8] Xiang Y-T, Yang Y, Li W, Zhang L, Zhang Q, Cheung T, et al. Timely mental health care for the 2019 novel coronavirus outbreak is urgently needed. The lancet psychiatry. 2020; 7 (3): 228-9.
[9] Wu P, Fang Y, Guan Z, Fan B, Kong J, Yao Z, et al. The psychological impact of the SARS epidemic on hospital employees in China: exposure, risk perception, and altruistic acceptance of risk. The Canadian Journal of Psychiatry. 2009; 54 (5): 302-11.
[10] Elhadi M, Msherghi A, Elgzairi M, Alhashimi A, Bouhuwaish A, Biala M, et al. Psychological status of healthcare workers during the civil war and COVID-19 pandemic: A cross-sectional study. J Psychosom Res. 2020; 137: 110221.
[11] Zahid N, Syed M, Hersi S, Danish SH, F A. Assessment of Burnout in Healthcare Professionals of Pakistan Amid COVID-19 – A Cross-Sectional Study. IJTDH 2021.
[12] Si MY, Su XY, Jiang Y, Wang WJ, Gu XF, Ma L, et al. Psychological impact of COVID-19 on medical care workers in China. Infect Dis Poverty. 2020; 9 (1): 113.
[13] Khasne RW, Dhakulkar BS, Mahajan HC, Kulkarni AP. Burnout among Healthcare Workers during COVID-19 Pandemic in India: Results of a Questionnaire-based Survey. Indian J Crit Care Med. 2020; 24 (8): 664-71.
[14] Teshome A, Glagn M, Shegaze M, Tekabe B, Getie A, Assefa G, et al. Generalized Anxiety Disorder and Its Associated Factors Among Health Care Workers Fighting COVID-19 in Southern Ethiopia. Psychol Res Behav Manag. Psychol Res Behav Manag 2020; 13: 907-17.
[15] Muller AE, Hafstad EV, Himmels JPW, Smedslund G, Flottorp S, Stensland S, et al. The mental health impact of the COVID-19 pandemic on healthcare workers, and interventions to help them: A rapid systematic review. Psychiatry Res. 2020; 293: 113441.
[16] Asnakew S, Amha H, Kassew T. Mental Health Adverse Effects of COVID-19 Pandemic on Health Care Workers in North West Ethiopia: A Multicenter Cross-Sectional Study. Neuropsychiatr Dis Treat. 2021; 17: 1375-84.
[17] Ayalew M, Deribe B, Abraham Y, Reta Y, Tadesse F, Defar S, et al. Prevalence and determinant factors of mental health problems among healthcare professionals during COVID-19 pandemic in southern Ethiopia: multicentre cross-sectional study. BMJ Open. 2021; 11 (12): e057708.
[18] WHO. Burn-out an "occupational phenomenon": International Classification of Diseases. 2019.
[19] Elghazally SA, Alkarn AF, Elkhayat H, Ibrahim AK, Elkhayat MR. Burnout Impact of COVID-19 Pandemic on Health-Care Professionals at Assiut University Hospitals, 2020. International Journal of Environmental Research and Public Health. 2021; 18 (10): 5368.
[20] Girma B, Nigussie J, Molla A, Mareg M. Occupational stress and associated factors among health care professionals in Ethiopia: a systematic review and meta-analysis. BMC Public Health. 2021; 21 (1): 539.
[21] Zarei E, Ahmadi F, Sial MS, Hwang J, Thu PA, Usman SM. Prevalence of Burnout among Primary Health Care Staff and Its Predictors: A Study in Iran. Int J Environ Res Public Health. 2019; 16 (12).
[22] Umutoni E, Nankundwa E, Sego R, Bhengu B. Burnout among nurses working in critical care settings: a case of a selected tertiary hospital in Rwanda. International Journal of Research in Medical Sciences. 2017; 5: 5121.
[23] Pharasi S, Patra S. Burnout in medical students of a tertiary care Indian medical center: How much protection does resilience confer? Indian J Psychiatry. 2020; 62 (4): 407-12.
[24] Biksegn A, Kenfe T, Matiwos S, Eshetu G. Burnout Status at Work among Health Care Professionals in aTertiary Hospital. Ethiop J Health Sci. 2016; 26 (2): 101-8.
[25] Bhagavathula AS, Abegaz TM, Belachew SA, Gebreyohannes EA, Gebresillassie BM, Chattu VK. Prevalence of burnout syndrome among health-care professionals working at Gondar University Hospital, Ethiopia. J Educ Health Promot. 2018; 7: 145.
[26] Abdo SA, El-Sallamy RM, El-Sherbiny AA, Kabbash IA. Burnout among physicians and nursing staff working in the emergency hospital of Tanta University, Egypt. East Mediterr Health J. 2016; 21 (12): 906-15.
[27] Simuyemba MC, Mathole T. A Study of Burnout Amongst Doctors at the University Teaching Hospital in Lusaka, Zambia. Medical Journal of Zambia,. 2019; 46.
[28] Latif MH, mad M, Qasim M, Mushtaq M, Ferdoos A, Naeem H. Impact of employee's job satisfaction on organizational performance. European Journal of Business and Management. 2013; 5: 166-71.
[29] Ebling M, Carlotto M. Burnout syndrome and associated factors among health professionals of a public hospital. Trends in Psychiatry and Psychotherapy. 2011; 34: 93-100.
[30] Kabir MJ, Heidari A, Etemad K, Gashti AB, Jafari N, Honarvar MR, et al. Job Burnout, Job Satisfaction, and Related Factors among Health Care Workers in Golestan Province, Iran. Electron Physician. 2016; 8 (9): 2924-30.
[31] Ali S, Noreen S, Farooq I, Bugshan A, Vohra F. Risk Assessment of Healthcare Workers at the Frontline against COVID-19. Pak J Med Sci. 2020; 36 (COVID-19-s4): S99-s103.
[32] Gordon CTA. Use of personal protective equipment during the COVID-19 pandemic. British Journal of Nursing. 2020; 29 (13).
Cite This Article
  • APA Style

    Ephrem Mamo, Trhas Tadesse, Alemu Kibret, Getachew Weldeyohanes, Aman Yesuf, et al. (2022). Burn Out Among Healthcare Workers (HCWs) at Middle Stage of COVID-19 Pandemic in Addis Ababa, Ethiopia: A Multicentre Cross-Sectional Study. Pathology and Laboratory Medicine, 6(2), 11-20. https://doi.org/10.11648/j.plm.20220602.11

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    ACS Style

    Ephrem Mamo; Trhas Tadesse; Alemu Kibret; Getachew Weldeyohanes; Aman Yesuf, et al. Burn Out Among Healthcare Workers (HCWs) at Middle Stage of COVID-19 Pandemic in Addis Ababa, Ethiopia: A Multicentre Cross-Sectional Study. Pathol. Lab. Med. 2022, 6(2), 11-20. doi: 10.11648/j.plm.20220602.11

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    AMA Style

    Ephrem Mamo, Trhas Tadesse, Alemu Kibret, Getachew Weldeyohanes, Aman Yesuf, et al. Burn Out Among Healthcare Workers (HCWs) at Middle Stage of COVID-19 Pandemic in Addis Ababa, Ethiopia: A Multicentre Cross-Sectional Study. Pathol Lab Med. 2022;6(2):11-20. doi: 10.11648/j.plm.20220602.11

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  • @article{10.11648/j.plm.20220602.11,
      author = {Ephrem Mamo and Trhas Tadesse and Alemu Kibret and Getachew Weldeyohanes and Aman Yesuf and Getabalew Endazenaw},
      title = {Burn Out Among Healthcare Workers (HCWs) at Middle Stage of COVID-19 Pandemic in Addis Ababa, Ethiopia: A Multicentre Cross-Sectional Study},
      journal = {Pathology and Laboratory Medicine},
      volume = {6},
      number = {2},
      pages = {11-20},
      doi = {10.11648/j.plm.20220602.11},
      url = {https://doi.org/10.11648/j.plm.20220602.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.plm.20220602.11},
      abstract = {Background: The COVID-19 pandemic has challenged healthcare systems worldwide, including Ethiopia. Since HCWs are involved in the direct care of patients, they are more likely to be infected than the general population. A large numbers of frontline HCWs face high adversity, workloads, and stress, making them vulnerable to burnout. The aim of this study was to assess the magnitude of personal and pandemic related burnout and factors associated with pandemic related burnout. Method: A multicentre cross-sectional study design was conducted. A total of 544 HCWs was drawn by a systematic sampling technique. Frequency tables and graphs were used to describe the study variables. A logistic regression model was used to measure the association between the predictors and the outcome variable, and a P-value Result. From total of 544 HCWs, 273 (53.8%) of the participants had received training related to COVID-19 and 354 (68.5%) were perceived COVID-19 is a sever disease. Two hundred forty two (46.8%) and 241 (46.6%) of HCWs were developed personal and pandemic related burnout respectively. HCWs that experienced flulike symptoms (AOR = 2.20, 95% CI: 1.25, 3.86), being tested positives for COVID-19 (AOR = 1.44, 95% CI: 1.78, 11.67), satisfied with the current working condition (AOR = 0.41, 95% CI: 0.12, 0.67) and having personal burnout (AOR = 0.07, 95% CI: 0.03, 0.16) were significantly associated with pandemic related burnout. Conclusion: Proportion of HCWs who developed personal and pandemic related burnout was high. Experiencing flue like symptom, tested for COVID-19, satisfied with current working condition and personal related burnout were significantly associated with pandemic related burnout. This study has highlighted that burnout is a problem that needs to be addressed at the health facilities. Providing incentives, shortening the rotation of the shift, and give leave for HCWs are way to reduce burnout.},
     year = {2022}
    }
    

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  • TY  - JOUR
    T1  - Burn Out Among Healthcare Workers (HCWs) at Middle Stage of COVID-19 Pandemic in Addis Ababa, Ethiopia: A Multicentre Cross-Sectional Study
    AU  - Ephrem Mamo
    AU  - Trhas Tadesse
    AU  - Alemu Kibret
    AU  - Getachew Weldeyohanes
    AU  - Aman Yesuf
    AU  - Getabalew Endazenaw
    Y1  - 2022/07/13
    PY  - 2022
    N1  - https://doi.org/10.11648/j.plm.20220602.11
    DO  - 10.11648/j.plm.20220602.11
    T2  - Pathology and Laboratory Medicine
    JF  - Pathology and Laboratory Medicine
    JO  - Pathology and Laboratory Medicine
    SP  - 11
    EP  - 20
    PB  - Science Publishing Group
    SN  - 2640-4478
    UR  - https://doi.org/10.11648/j.plm.20220602.11
    AB  - Background: The COVID-19 pandemic has challenged healthcare systems worldwide, including Ethiopia. Since HCWs are involved in the direct care of patients, they are more likely to be infected than the general population. A large numbers of frontline HCWs face high adversity, workloads, and stress, making them vulnerable to burnout. The aim of this study was to assess the magnitude of personal and pandemic related burnout and factors associated with pandemic related burnout. Method: A multicentre cross-sectional study design was conducted. A total of 544 HCWs was drawn by a systematic sampling technique. Frequency tables and graphs were used to describe the study variables. A logistic regression model was used to measure the association between the predictors and the outcome variable, and a P-value Result. From total of 544 HCWs, 273 (53.8%) of the participants had received training related to COVID-19 and 354 (68.5%) were perceived COVID-19 is a sever disease. Two hundred forty two (46.8%) and 241 (46.6%) of HCWs were developed personal and pandemic related burnout respectively. HCWs that experienced flulike symptoms (AOR = 2.20, 95% CI: 1.25, 3.86), being tested positives for COVID-19 (AOR = 1.44, 95% CI: 1.78, 11.67), satisfied with the current working condition (AOR = 0.41, 95% CI: 0.12, 0.67) and having personal burnout (AOR = 0.07, 95% CI: 0.03, 0.16) were significantly associated with pandemic related burnout. Conclusion: Proportion of HCWs who developed personal and pandemic related burnout was high. Experiencing flue like symptom, tested for COVID-19, satisfied with current working condition and personal related burnout were significantly associated with pandemic related burnout. This study has highlighted that burnout is a problem that needs to be addressed at the health facilities. Providing incentives, shortening the rotation of the shift, and give leave for HCWs are way to reduce burnout.
    VL  - 6
    IS  - 2
    ER  - 

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Author Information
  • Public Health Department, Yekatit 12 Hospital Medical College, Addis Ababa, Ethiopia

  • Public Health Department, Yekatit 12 Hospital Medical College, Addis Ababa, Ethiopia

  • Public Health Department, Yekatit 12 Hospital Medical College, Addis Ababa, Ethiopia

  • Public Health Department, Yekatit 12 Hospital Medical College, Addis Ababa, Ethiopia

  • St. Paul's Hospital Millennium Medical College, Public Health Department, Addis Ababa, Ethiopia

  • Public Health Department, Yekatit 12 Hospital Medical College, Addis Ababa, Ethiopia

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