Mfuru Godbless Henry, Ubuguyu Omary, Yahya-Malima Khadija I
Epidemiology and Biostatistics, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania, United Republic of
Directorate of Curative Services, Ministry of Health, Non-Communicable Section, Dodoma, Tanzania, United Republic of.
BMJ Open. 2024 Dec 22;14(12):e094520. doi: 10.1136/bmjopen-2024-094520.
Burnout among healthcare providers affects their well-being and quality of care. Despite its importance, limited data exist on burnout among primary healthcare providers in Tanzania.
To determine the prevalence of burnout and associated factors among healthcare providers in Kasulu district, Kigoma region, 2024.
Analytical cross-sectional study conducted from January to June 2024.
Primary health facilities at Kasulu district in Kigoma region.
Healthcare providers working in Kasulu district for more than 6 months before study.
Burnout.
Among 266 healthcare providers with a response rate of 99%, 59.4% were male. The median age was 32 years (IQR 27-37). Burnout prevalence was 54.5% (95% CI 48.5% to 60.4%), higher among nurses (61.3%), those living off-site (69.6%) and those considering leaving their careers (86.2%). Significant factors included age 21-30 years (adjusted prevalence ratio (aPR) 1.55, 95% CI 1.06 to 2.27), nursing profession (aPR 2.19, 95% CI 1.07 to 4.48), off-site residence (aPR 1.23, 95% CI 1.02 to 1.49), 6 months to 2 years of experience (aPR 1.44, 95% CI 1.12 to 1.86), dissatisfaction with salary (aPR 1.77, 95% CI 1.02 to 3.07), poor colleague relationships (aPR 1.25, 95% CI 1.03 to 1.51), ≥4 night shifts/week (aPR 2.54, 95% CI 1.33 to 4.86), attending ≥41 patients per day (aPR 1.52, 95% CI 1.06 to 2.19) and lack of academic growth opportunities (aPR 1.62, 95% CI 1.15 to 2.29).
Rural settings like Kasulu face unique challenges, including limited resources and heavy workloads, exacerbating burnout among healthcare providers. Over half of healthcare providers experienced burnout, with younger providers, nurses, those living off-site, less experienced staff, poor colleague relationships and high patient loads at higher risk. To mitigate burnout, authorities should provide career counselling, onsite housing, mental health support and increased staffing.
医疗保健人员的职业倦怠会影响他们的幸福感和护理质量。尽管其很重要，但关于坦桑尼亚基层医疗保健人员职业倦怠的数据有限。
确定2024年基戈马地区卡苏卢区医疗保健人员职业倦怠的患病率及相关因素。
2024年1月至6月进行的分析性横断面研究。
基戈马地区卡苏卢区的基层卫生机构。
在研究前于卡苏卢区工作超过6个月的医疗保健人员。
职业倦怠。
在266名医疗保健人员中，回复率为99%，其中59.4%为男性。中位年龄为32岁（四分位间距27 - 37岁）。职业倦怠患病率为54.5%（95%置信区间48.5%至60.4%），护士（61.3%）、住在工作地点以外的人员（69.6%）以及考虑离职的人员（86.2%）中患病率更高。显著因素包括年龄21 - 30岁（调整患病率比（aPR）1.55，95%置信区间为1.06至2.27）、护理专业（aPR 2.19，95%置信区间为1.07至4.48）、工作地点以外居住（aPR 1.23，95%置信区间为1.02至1.49）、工作经验6个月至2年（aPR 1.44，95%置信区间为1.12至1.86）、对薪资不满意（aPR 1.77，95%置信区间为1.02至3.07）、同事关系不佳（aPR 1.25，95%置信区间为 1.03至1.51）、每周≥4个夜班（aPR 2.54，95%置信区间为1.33至4.86）、每天接待≥41名患者（aPR 1.52，95%置信区间为1.06至2.19）以及缺乏学术成长机会（aPR 1.62，95%置信区间为1.15至2.29）。
像卡苏卢这样的农村地区面临独特挑战，包括资源有限和工作量大，这加剧了医疗保健人员的职业倦怠。超过一半的医疗保健人员经历职业倦怠，年轻的医疗保健人员、护士、住在工作地点以外的人员、经验较少的员工、同事关系不佳以及患者负荷高的人员风险更高。为减轻职业倦怠，当局应提供职业咨询、现场住房、心理健康支持并增加人员配备。
