Prevalence and Determinants of Burnout Syndrome: A Cross-sectional Study among Healthcare Providers in Akuapem North Municipality of Ghana
DOI:
https://doi.org/10.58425/jphs.v3i2.277Keywords:
Burnout, healthcare professionals, emotional exhaustion, depersonalization, personal achievement, Ghana.Abstract
Aim: This study examines the prevalence and factors associated with burnout in healthcare providers in Akuapem North Municipality, Ghana.
Methods: A descriptive cross-sectional survey was conducted among 277 healthcare workers using a structured questionnaire between February and March 2024. The Maslach Burnout Inventory (MBI) assessed EE, DP, and PA. Work-related and organizational factors were analyzed using Pearson chi-square tests and multiple regression analysis to identify key predictors of burnout. Statistical significance was set at p < .05. Data were analyzed using SPSS Version 19.
Results: Emotional exhaustion was high, with 15.5% of participants experiencing extreme fatigue. Depersonalization levels were high for 48.0% of respondents, while 74.0% reported low personal achievement. Chi-square tests indicated that marital status significantly impacted emotional exhaustion [χ²(8) = 17.561, p = .025], and profession was significantly related to depersonalization [χ²(2) = 22.201, p < .001]. Regression analysis revealed that work-related factors, such as overall comfort (β = 5.978, p < .001) and support (β = 4.416, p < .001), were significant predictors of burnout. Organizational factors like fairness (β = 2.563, p < .001) and work-life balance (β = 7.294, p < .001) also had significant effects.
Conclusion: Burnout is prevalent among healthcare providers in Akuapem North Municipality, with notable levels of emotional exhaustion, depersonalization, and reduced personal achievement. Work-related and organizational factors are key contributors.
Recommendations: Targeted interventions, including improved support systems and organizational fairness, are recommended to address burnout effectively. Future research should evaluate targeted interventions addressing these factors and monitor changes in burnout over time. Additionally, it should investigate the interactions between individual and organizational factors across various healthcare settings.
References
Abdulla, L., Al-Qahtani, D. M., & Al-Kuwari, M. G. (2021). Prevalence and determinants of burnout syndrome among primary healthcare physicians in Qatar. S Afr Fam Pract, 53(4), 380–383. https://doi.org/10.1080/20786204.2011.10874118
Aiken, L. H., Clarke, S. P., Sloane, D. M., Sochalski, J., & Silber, J. H. (2022). Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction. JAMA, 288(16), 1987–1993. https://doi.org/10.1001/jama.288.16.1987
AL-Haddad, A., AL-Omar, F., AL-Khaleel, A., & AL-Khalaf, A. (2020). Prevalence of burnout syndrome and its related risk factors among physicians working in primary health care centers of the Ministry of Health, Al Ahsa region, Saudi Arabia, 2018- 2019. Journal of Family Medicine and Primary Care, 9(2), 571. https://doi.org/10.4103/JFMPC.JFMPC_743_19
Alhajjar B, Alhajjar M, E. A. (2016). Burnout and Self Esteem among Social Workers in Gaza - Palestine. J Alazhar Uni Ghaza, 14(1), 21–34.
Al-Hashemi, T., Al-Huseini, S., Al-Alawi, M., Al-Balushi, N., Al-Senawi, H., Al-Balushi, M., Jose, S., & Al-Adawi, S. (2019). Burnout Syndrome Among Primary Care Physicians in Oman. Oman Medical Journal, 34(3), 205–211. https://doi.org/10.5001/omj.2019.40
Ansert, E., & Rushing, C. J. (2021). Feeling the Burnout: Perceptions of Burnout, Anxiety, Depression, and Personal Achievement in US Podiatric Medical Students. Journal of Foot and Ankle Surgery, 60(4), 747–752. https://doi.org/10.1053/J.JFAS.2021.02.007
Belay, A. S., Guangul, M. M., Asmare, W. N., Bogale, S. K., & Manaye, G. A. (2021). Prevalence and Associated Factors of Burnout Syndrome among Nurses in Public Hospitals, Southwest Ethiopia. Ethiopian Journal of Health Sciences, 31(3), 543. https://doi.org/10.4314/EJHS.V31I3.11
Belay, A. S., Guangul, M. M., Asmare, W. N., Bogale, S. K., & Manaye, G. A. (2021). Prevalence and Associated Factors of Burnout Syndrome among Nurses in Public Hospitals, Southwest Ethiopia. Ethiopian journal of health sciences, 31(3), 543–552. https://doi.org/10.4314/ejhs.v31i3.11
Chemali, Z., Ezzeddine, F. L., Gelaye, B., Dossett, M. L., Salameh, J., Bizri, M., Dubale, B., & Fricchione, G. (2019). Burnout among healthcare providers in the complex environment of the Middle East: A systematic review. BMC Public Health, 19(1), 1–21. https://doi.org/10.1186/s12889-019-7713-1
Chunming, W. M., Harrison, R., MacIntyre, R., Travaglia, J., & Balasooriya, C. (2017). Burnout in medical students: A systematic review of experiences in Chinese medical schools. BMC Medical Education, 17(1). https://doi.org/10.1186/S12909-017-1064-3
De Paiva, L. C., Gomes Canário, A. C., Corsino de Paiva China, E. L., & Gonçalves, A.K. (2017). Burnout syndrome in health-care professionals in a university hospital. Clinics., 72(5), 305–309. https://doi.org/10.6061/clinics/2017(05)08
Elbarazi, I., Loney, T., Yousef, S., & Elias, A. (2017). Prevalence of and factors associated with burnout among health care professionals in Arab countries: A systematic review. BMC Health Services Research, 17(1), 1–10. https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-017-2319-8
Falgueras, M. V., Muñoz, C. C., Pernas, F. O., Sureda, J. C., López, M. P. G., & Miralles, Fentie, E. T., Daba Wami, S., & Guyasa Kabito, G. (2021). Prevalence of burnout syndrome and associated factors among health care workers at public hospitals in Addis Ababa, Ethiopia: Results from a cross-sectional study. 50(4), 368–380. https://doi.org/10.1080/00207411.2021.1946904
Hillert, A. (2018). Burnout--a new disease? Versicherungsmedizin / Herausgegeben von Verband Der Lebensversicherungs-Unternehmen e.V. Und Verband Der Privaten Krankenversicherung e.V, 60(4), 163–169.
Konlan, K. D., Asampong, E., Dako-Gyeke, P., & Glozah, F. N. (2022). Burnout and allostatic load among health workers engaged in human resourced-constrained hospitals in Accra, Ghana. BMC Health Services Research, 22(1). https://doi.org/10.1186/s12913-022-08539-5
López-López, I. M., Gómez-Urquiza, J. L., Cañadas, G. R., De la Fuente, E. I., Albendín- García, L., & Cañadas-De la Fuente, G. A. (2019). Prevalence of burnout in mental health nurses and related factors: a systematic review and meta-analysis. International Journal of Mental Health Nursing, 28(5), 1032–1041. https://doi.org/10.1111/inm.12606
Luan, X., Wang, P., Hou, W., Chen, L., & Lou, F. (2017). Job stress and burnout: a comparative study of senior and head nurses in China. Nurs Health Sci, 19(2), 163–169. https://doi.org/10.1111/nhs.12328
Maslach C, S. J. R. S. (1996). Maslach burnout inventory-educators survey (MBI-ES) In. MBI Manual, 3, 27–32.
Muntean, L. M., Nireștean, A., Popa, C. O., Strete, E. G., Ghiga, D. V., Sima-Comaniciu, A., & Lukacs, E. (2022). The Relationship between Emotional Stability, Psychological Well-Being and Life Satisfaction of Romanian Medical Doctors during COVID-19 Period: A Cross-Sectional Study. International Journal of Environmental Research and Public Health, 19(5). https://doi.org/10.3390/ijerph19052937
Navarro-González, D., Ayechu-Díaz, A., & Huarte-Labiano, I. (2015). Prevalence of burnout syndrome and its associated factors in primary care staff. SEMERGEN, 41(4), 191–198. https://doi.org/10.1016/j.semerg.2014.03.008
Ogundipe, O. A., Olagunju, A. T., Lasebikan, V. O., & Coker, A. O. (2014). Burnout among doctors in residency training in a tertiary hospital. Asian journal of psychiatry, 10, 27-32. https://doi.org/10.1016/j.ajp.2014.02.010
Opoku, S. T., & Apenteng, B. A. (2014). Career satisfaction and burnout among Ghanaian physicians. International Health, 6(1), 54-61.
Pereira, S. de S., Fornés-Vives, J., Unda-Rojas, S. G., Pereira-Junior, G. A., Juruena, M. F., & Cardoso, L. (2021). Confirmatory factorial analysis of the Maslach Burnout Inventory - Human Services Survey in health professionals in emergency services. Revista Latino-Americana de Enfermagem, 29, 1–9. https://doi.org/10.1590/1518-8345.3320.3386
Pisanti, R., Lombardo, C., Lucidi, F., Violani, C., & Lazzari, D. (2013). Psychometric properties of the Maslach burnout inventory for human services among Italian nurses: a test of alternative models. J Adv Nurs, 69(3), 697–707. https://doi.org/10.1111/j.1365-2648.2012.06114.x
Qedair, J. T., Balubaid, R., Almadani, R., Ezzi, S., Qumosani, T., Zahid, R., & Alfayea, T. (2022). Prevalence and factors associated with burnout among nurses in Jeddah: a single-institution cross-sectional study. BMC Nursing, 21(1), 1–8. https://doi.org/10.1186/S12912-022-01070-2/TABLES/4
Schaufeli, W., Leiter, M., & Maslach, C. (1996). Maslach Burnout inventory-general survey. The Maslach burnout inventory-test manual. Consulting Psychologists Press.
Schieman, S., Badawy, P. J., A. Milkie, M., & Bierman, A. (2021). Work-life conflict during the COVID-19 pandemic. Socius Sociol Res Dynamic World, 7, 1–19. https://doi.org/10.1177/2378023120982856
Shanafelt, T. D., Bradley, K. A., Wipf, J. E., & Back, A. L. (2022). Burnout and self- reported patient care in an internal medicine residency program. Ann Intern Med, 136(5). https://doi.org/10.7326/0003-4819-136-5-200203050-00008
Taranu, S. M., Ilie, A. C., Turcu, A. M., Stefaniu, R., Sandu, I. A., Pislaru, A. I., ... & Alexa-Stratulat, T. (2022). Factors associated with burnout in healthcare professionals. International Journal of Environmental Research and Public Health, 19(22), https://doi.org/10.3390/ijerph192214701
Vargas, C., Cañadas, G. A., Aguayo, R., Fernández, R., & De la Fuente, E. I. (2014). Which occupational risk factors are associated with burnout in nursing? A meta-analytic study. Int J Clin Health Psychol, 14(1), 28–38. https://doi.org/10.1016/s1697-2600(14)70034-1
von Känel, R. (2018). [The burnout syndrome: a medical perspective]. Praxis, 97(9), 477–487. https://doi.org/10.1024/1661-8157.97.9.477
Wang, L., Zhang, X., Zhang, M. et al. (2024). Risk and prediction of job burnout in responding nurses to public health emergencies. BMC Nurs 23, 46 https://doi.org/10.1186/s12912-024-01714-5
Downloads
Published
How to Cite
Issue
Section
License
The authors retain the copyright and grant this journal right of first publication. This license allows other people to freely share and adapt the work but must give appropriate credit, provide a link to the license, and indicate if changes were made. They may do so in any reasonable manner, but not in any way that suggests the licensor endorses them or their use.