坦桑尼亚一家三级教学医院急症护理环境中医护人员的职业倦怠及相关因素：一项分析性横断面研究。

Burnout and associated factors among healthcare workers in acute care settings at a tertiary teaching hospital in Tanzania: An analytical cross-sectional study.

作者信息

Lwiza Alex F, Lugazia Edwin R

机构信息

Department of Anesthesiology, School of Medicine Muhimbili University of Health and Allied Sciences Dar es Salaam Tanzania.

Department of Anesthesia and Critical Care Kilimanjaro Christian Medical Centre Kilimanjaro Tanzania.

出版信息

Health Sci Rep. 2023 May 4;6(5):e1256. doi: 10.1002/hsr2.1256. eCollection 2023 May.

DOI:10.1002/hsr2.1256

PMID:37152234

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10160764/

Abstract

BACKGROUND AND AIMS

Healthcare worker burnout has been linked to increased patient safety risk, low work professionalism, and low satisfaction with the care encounter. This study aimed to find the prevalence and factors associated with burnout among healthcare workers in acute care settings at a national referral hospital in Tanzania.

METHODS

An analytical cross-sectional study was performed at a national referral hospital in Tanzania. Healthcare workers at the departments of Emergency Medicine, Intensive Care Unit, and Anesthesia at Muhimbili National Hospital were recruited from January 2021 to March 2021. A two-part questionnaire adopted from the Maslach Burnout Inventory (MBI) and MBI-Human Services Survey tool were administered to measure burnout. Categorical variables were summarized using frequencies and percentages, and variables were compared using logistic regression.

RESULTS

A total of 174 healthcare workers were issued questionnaires to participate in the study. With a response rate of 78%, 135 healthcare workers were included in the study, 43.7% were from the intensive care unit; the majority were female (63.7%), and assistant nursing officers (42%). The prevalence of burnout among participants was 62%, with 90.4% of participants showing a high level of emotional exhaustion. A longer duration of a single-day shift was associated with increased burnout among work-related factors ( < 0.001). Fewer night-time sleeping hours, tobacco use, and lack of regular exercise were significantly associated with increased burnout among social-related factors ( < 0.001).

CONCLUSION

The study showed an alarmingly high prevalence of burnout among healthcare workers in the acute care setting of Muhimbili National Hospital. Personal well-being and participation in wellness programs have been associated with a reduced prevalence of burnout. The hospital should address the issue of burnout among its healthcare workers. This also calls for immediate action, necessitating further studies at the regional and national levels to ascertain the burden and causes of burnout in this setting.

摘要

背景与目的

医护人员职业倦怠与患者安全风险增加、工作专业性低下以及对护理体验的满意度低有关。本研究旨在查明坦桑尼亚一家国家级转诊医院急症护理环境中医护人员职业倦怠的患病率及其相关因素。

方法

在坦桑尼亚一家国家级转诊医院开展了一项分析性横断面研究。2021年1月至2021年3月，招募了穆希姆比利国家医院急诊科、重症监护室和麻醉科的医护人员。采用从马氏职业倦怠量表（MBI）和MBI-人类服务调查工具改编而来的两部分问卷来测量职业倦怠。分类变量用频率和百分比进行汇总，变量之间的比较采用逻辑回归分析。

结果

共向174名医护人员发放了问卷以参与本研究。回复率为78%，135名医护人员纳入研究，其中43.7%来自重症监护室；大多数为女性（63.7%），且为助理护士（42%）。参与者中职业倦怠的患病率为62%，90.4%的参与者表现出高度的情感耗竭。在与工作相关的因素中，单日轮班时间较长与职业倦怠增加有关（P<0.001）。在与社会相关的因素中，夜间睡眠时间较少、吸烟和缺乏规律锻炼与职业倦怠增加显著相关（P<0.001）。