Department of Community Medicine, College of Medicine, University of Nigeria, Enugu Campus, Nigeria.
Department of Community Medicine, University of Nigeria Teaching Hospital, Ituku/Ozalla, Enugu, Nigeria.
Niger J Clin Pract. 2024 Sep 1;27(9):1102-1111. doi: 10.4103/njcp.njcp_164_24. Epub 2024 Sep 30.
Burnout in the health care industry is a potential hazard that has reached epidemic proportions mostly among doctors in practice and training. Burnout has enormous consequences on doctors, patients, and health care institutions.
This study aimed to determine the prevalence and predictors of burnout among resident doctors in Enugu State, Nigeria.
This was a mixed-method study of 420 resident doctors in tertiary hospitals in Enugu State, Nigeria. Data were collected using Oldenburg Burnout Inventory and in-depth interviews of chief resident doctors of selected departments. Data were analyzed using IBM statistical package 23.0 and Nvivo 11. Test of significance was set at 0.05.
The mean age of participants was 34.11 ± 5.08 years. The prevalence of burnout groups among resident doctors was 84.3% in the burnout group, 4.8% in the disengagement group, 6.9% in the exhaustion group, and 4.0% in the non-burnout group. Gender (OR = 1.861, C.I = 1.079-3.212), duration of training (OR = 1.740, C.I = 1.008-3.005), and working hours (OR = 2.982, C.I = 1.621-5.487) were the predictors of burnout; only working hours (OR = 0.279, C.I = 0.091-0.0862) was the predictor of disengagement; and gender (OR = 0.248, C.I = 0.107-0.579) was the predictor of exhaustion. Heavy workloads, long working hours, migration, poor working environment, job insecurity, poor remuneration, and management style were identified factors of burnout.
There was high prevalence of burnout among resident doctors, predicted by gender, duration of training, and working hours. Interventions are needed to reduce burnout, prevent the "brain drain", and improve resident doctors' overall well-being.
医疗行业的倦怠是一种潜在的危险，在执业医生和培训医生中已达到流行程度。倦怠对医生、患者和医疗机构都有巨大的影响。
本研究旨在确定尼日利亚埃努古州住院医师倦怠的发生率和预测因素。
这是一项在尼日利亚埃努古州三家三级医院的 420 名住院医师中进行的混合方法研究。使用奥尔德堡倦怠量表和对选定科室的首席住院医师进行深入访谈收集数据。使用 IBM 统计软件包 23.0 和 Nvivo 11 进行数据分析。显著性检验设为 0.05。
参与者的平均年龄为 34.11 ± 5.08 岁。住院医师倦怠组的患病率分别为：倦怠组 84.3%，脱逸组 4.8%，耗竭组 6.9%，非倦怠组 4.0%。性别（OR = 1.861，CI = 1.079-3.212）、培训时间（OR = 1.740，CI = 1.008-3.005）和工作时间（OR = 2.982，CI = 1.621-5.487）是倦怠的预测因素；只有工作时间（OR = 0.279，CI = 0.091-0.0862）是脱逸的预测因素；性别（OR = 0.248，CI = 0.107-0.579）是耗竭的预测因素。工作量大、工作时间长、移民、工作环境差、工作不稳定、薪酬低和管理方式是倦怠的因素。
住院医师中存在较高的倦怠发生率，其预测因素为性别、培训时间和工作时间。需要采取干预措施来减少倦怠，防止“人才流失”，提高住院医师的整体幸福感。
