Occupational Medicine Division and Centre for Environmental and Occupational Health Research, School of Public Health, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa; and Medical School, Faculty of Health Sciences, Nelson Mandela University, Gqeberha.
S Afr Fam Pract (2004). 2024 Oct 28;66(1):e1-e10. doi: 10.4102/safp.v66i1.6002.
Burnout is defined as a syndrome resulting from chronic workplace stress, which has been unsuccessfully managed. By increasing the occupational challenges faced by doctors, the COVID-19 pandemic potentiated their risk for burnout. This review aimed to determine the prevalence and determinants of burnout among doctors working in South African health facilities pre-, during and post-COVID-19 pandemic.
A narrative literature review was conducted. PubMed, SCOPUS and EBSCO databases were searched for English publications until April 2024.
A total of 22 cross-sectional studies were included. The prevalence of burnout among doctors working in South African health facilities ranged from 4% to 84% pre-pandemic and 58.9% to 78.0% during and post pandemic, respectively. The lower value of the burnout prevalence range was higher during the pandemic. This review confirmed that individual factors (gender, age, marital status, junior status, practice setting) as well as occupational factors (workload, job control, moral distress, health system issues, job satisfaction, support at work and resilience) were associated with burnout in doctors. There was no significant association between burnout and factors related to COVID-19.
While considerable variability exists in the prevalence of burnout among doctors working in South African health facilities, pre-, during and post-COVID-19 pandemic, the pandemic resulted in greater burnout rates. Factors associated with burnout include both individual and organisational factors, which need to be addressed to mitigate burnout.Contribution: Mitigation of burnout in South African health facilities should focus on individual-based and context-related interventional measures at an organisational level.
burnout 定义为一种由慢性工作场所压力导致的综合征，这种压力一直未能得到有效管理。COVID-19 大流行增加了医生面临的职业挑战，使他们更容易出现 burnout 。本综述旨在确定 COVID-19 大流行前、期间和之后，在南非医疗机构工作的医生 burnout 的患病率和决定因素。
进行了叙述性文献综述。在 PubMed、SCOPUS 和 EBSCO 数据库中搜索了截至 2024 年 4 月的英文出版物。
共纳入了 22 项横断面研究。在南非医疗机构工作的医生 burnout 的患病率在大流行前范围为 4%至 84%，在大流行期间和之后范围为 58.9%至 78.0%。较低的 burnout 患病率范围在大流行期间更高。本综述证实，个体因素（性别、年龄、婚姻状况、初级地位、实践环境）以及职业因素（工作量、工作控制、道德困境、卫生系统问题、工作满意度、工作支持和韧性）与医生 burnout 相关。 burnout 与与 COVID-19 相关的因素之间没有显著关联。
虽然在南非医疗机构工作的医生 burnout 的患病率在 COVID-19 大流行前、期间和之后存在相当大的差异，但大流行导致了更高的 burnout 率。与 burnout 相关的因素包括个人因素和组织因素，需要在组织层面上解决这些因素以减轻 burnout 。贡献： 南非医疗机构 burnout 的缓解应侧重于个体为基础和与上下文相关的组织层面的干预措施。
