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约旦一家三级癌症中心医护人员职业倦怠的患病率及预测因素

Prevalence and predictors of staff burnout at a tertiary cancer center in Jordan.

作者信息

Shamieh Omar, Alrjoub Waleed, Alarjeh Ghadeer, Ammar Khawlah, Hazim Mohammad Abu, Shawash Tayseer, Zamel Osama, Al-Hussaini Maysa, Al-Ruzzieh Majeda, Abdel-Razeq Hikmat, Mansour Asem

机构信息

Department of Palliative Care, King Hussein Cancer Center (KHCC), Amman, Jordan.

Faculty of Medicine, University of Jordan, Amman, Jordan.

出版信息

AIMS Public Health. 2025 Apr 15;12(2):470-490. doi: 10.3934/publichealth.2025026. eCollection 2025.

Abstract

Burnout among oncology healthcare providers (HCPs) poses significant challenges to both personal well-being and patient care quality. To inform targeted interventions, this study assessed burnout prevalence and its predictors among HCPs in a tertiary cancer center in Jordan. A cross-sectional study was conducted from October 10, 2023, to April 14, 2024, using an online questionnaire available in both English and Arabic. The survey, distributed via email and social media, included the Maslach Burnout Inventory (MBI), Patient Health Questionnaire-9 (PHQ-9), and sociodemographic items. Descriptive statistics, binary logistic, and group comparisons analyzed the relationships between demographic/work characteristics, depression, and burnout. Of 996 respondents, 692 (69.4%) completed the survey. Most participants were male (54.6%) and Muslim (98.3%), with 41.6% aged under 30. Respondents included physicians (17.1%), nurses (28.0%), and other healthcare roles (54.9%). Burnout levels were high, with 75.7% reporting high emotional exhaustion (EE), 35.3% experiencing high depersonalization (DP), and 27.2% showing low personal accomplishment (PA). Binary logistic regression analysis identified significant predictors of high EE, including lower income (<500 JD ≈ 705 USD, = 0.004), thoughts of quitting ( = 0.000), and lack of burnout training ( = 0.007). High DP was associated with a lack of hobbies ( = 0.003) and thoughts of quitting ( = 0.000), while low PA was linked to a higher patient caseload ( = 0.000). Elevated PHQ-9 scores, indicative of depression, were significantly correlated with increased burnout across all dimensions ( < 0.001). In conclusion, burnout is highly prevalent among oncology HCPs in Jordan, with strong associations between burnout and specific demographic and work-related factors. Targeted interventions emphasizing stress management, organizational support, and effective coping mechanisms are crucial to mitigate burnout and enhance job satisfaction among oncology staff.

摘要

肿瘤医疗保健提供者(HCPs)的职业倦怠对个人幸福感和患者护理质量都构成了重大挑战。为了为有针对性的干预措施提供依据,本研究评估了约旦一家三级癌症中心HCPs的职业倦怠患病率及其预测因素。2023年10月10日至2024年4月14日进行了一项横断面研究,使用了英文和阿拉伯文的在线问卷。通过电子邮件和社交媒体分发的调查问卷包括马氏职业倦怠量表(MBI)、患者健康问卷-9(PHQ-9)以及社会人口统计学项目。描述性统计、二元逻辑回归和组间比较分析了人口统计学/工作特征、抑郁和职业倦怠之间的关系。在996名受访者中,692人(69.4%)完成了调查。大多数参与者为男性(54.6%)和穆斯林(98.3%),41.6%的人年龄在30岁以下。受访者包括医生(17.1%)、护士(28.0%)和其他医疗保健人员(54.9%)。职业倦怠水平较高,75.7%的人报告有高度情感耗竭(EE),35.3%的人经历高度去人格化(DP),27.2%的人表现出低个人成就感(PA)。二元逻辑回归分析确定了高EE的显著预测因素,包括较低收入(<500约旦第纳尔≈705美元, = 0.004)、有辞职想法( = 0.000)以及缺乏职业倦怠培训( = 0.007)。高DP与缺乏爱好( = 0.003)和有辞职想法( = 0.000)相关,而低PA与更高的患者工作量相关( = 0.000)。表明抑郁的PHQ-9得分升高与所有维度的职业倦怠增加显著相关( < 0.001)。总之,职业倦怠在约旦的肿瘤HCPs中非常普遍,职业倦怠与特定的人口统计学和工作相关因素之间存在密切关联。强调压力管理、组织支持和有效应对机制的有针对性的干预措施对于减轻职业倦怠和提高肿瘤科室工作人员的工作满意度至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/817a/12277770/663e5b7a1a11/publichealth-12-02-026-g001.jpg

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