Burnout Levels among Professional Counselors in Butabika and Mulago National Referral Hospitals in Uganda (original) (raw)
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Burnout and coping mechanisms among healthcare professionals in central Uganda
Frontiers in psychiatry, 2024
Background: The escalating global prevalence of burnout among healthcare professionals poses a serious health concern. Recent studies focus on prevalence and predictors of burnout among healthcare providers, emphasizing the need for well-being interventions. This study investigates burnout and coping mechanisms among healthcare professionals in central Uganda, addressing the dearth of knowledge about coping strategies specific to the region. Methods: An analytical facility cross-sectional study was conducted in five healthcare facilities in central Uganda between June to July 2023. Participants included physicians, nurses, and technicians actively engaged in direct patient care. Data were collected using socio-demographic surveys, the Professional Quality of Life (ProQOL-5), and the Brief-COPE tools. Results: The study revealed a high prevalence of burnout, with 39.8% of participants experiencing significant levels. Active coping, positive reframing, and denial were negatively correlated with low burnout levels. Dysfunctional coping, specifically self-distraction and denial, showed positive correlations with average and high burnout levels. Emotion-focused coping mechanisms were not employed across burnout levels. Conclusions: The results emphasize the demanding nature of healthcare roles in the region and highlight the need for comprehensive, context-specific interventions to address burnout globally. While some healthcare professionals utilized adaptive strategies such as seeking social support, engaging in self-care activities, and utilizing problem-solving skills, others resorted to maladaptive coping mechanisms such as substance use and avoidance behaviors. This dichotomy highlights the need for targeted interventions to promote adaptive coping strategies and mitigate the negative impact of maladaptive behaviors on individual well-being and patient care.
The role of supervision in the management of counsellor burnout
2009
psychotherapists' burnout are limited. Maslach (1993) has suggested that studies on burnout should focus on specific work settings. This study focussed on the INTRODUCTION 5 psychotherapists' nature of burnout and its management among Kenyan counsellors and psychotherapists. Research suggests that individuals working in the caring and psychotherapeutic professions are among those likely to suffer adverse psychological consequences resulting from direct client work activities (Figley, 2003b; Sabin-Farrell & Turpin, 2003). The upsurge of HIV/AIDS in Kenya has created a rapidly increasing need for professional counselling as has substance abuse. Many psychotherapists either ignore or minimize the debilitating effects of reduced capacity or interest in being empathic or bearing the suffering of such clients. In Kenya, for example, VCT and addiction counsellors handle high loads of clients. Counsellors who provide psychotherapeutic care to these clients are emotionally exhausted and drained (Figley, 2003b; Maslach, 1982).
Counseling profession places unique demands on care-providers and has negative consequences. This study explored prevalence of burnout and its preventive measures among professional counselors in Butabika and Mulago national referral hospitals in Uganda using the Professional Quality of Life-IV (proQOL-IV) questionnaire to determine levels of burnout. A total of ten research questions were used to determine common strategies employed by counselors in mitigating burnout. A cross sectional descriptive study was adopted and simple random sampling was used to select a sample of 123 respondents. The results showed that70% and 68% of counselors had developed burnout in Butabika and Mulago respectively. It was found out that the most effective strategies for mitigating burnout include; attending workshops, social support, travelling, going on vacations, hobbies, social skills, relaxation, spirituality and supervision. The study recommended that a combination of organizational and individual strategies is necessary to prevent burnout.
2013
Counselling is an emotionally draining occupation that expose counsellors to overwhelming levels of burnout. To overcome this inevitable professional hazard, the counselling profession provides for counsellor supervision as the mechanism to mitigate against high levels of burnout. Counsellor supervision takes three main forms including individual, group and peer supervision. This paper examines the relationship between relationship between the three forms of counsellor supervision and level of burnout among VCT counsellors and seeks to establish which of the three forms of supervision has the greatest influence in managing the levels of burnout. Data was collected from a sample of 174 VCT counsellors in 13 counties which had the highest HIV/AIDS prevalence in kenya. The chi square test and factor analysis were used in the analysis of data . The study established that a relationship existed between the three forms of counsellor supervision and levels of burnout among VCT counsellors....
Burnout among Healthcare Professionals in Ghana: A Critical Assessment
BioMed Research International, 2020
Health workers are prone to burnout, which can have an adverse effect on their person and the patients to whom care is offered. The goal of this paper was to assess the levels of burnout experienced by healthcare workers in Accra, Ghana. The study was conducted using the cross-sectional study design. Questionnaires were used to obtain data from 365 respondents who worked in 12 major healthcare facilities. Data obtained were analyzed with SPSS version 23. Majority of the respondents were females (56.7%) as against males (43.3%). The total score for all burnout variables among health worker groups ranged from good (71.50%), alarming (12.60%), acute crisis (6.02%), and burnout (9.90%). Among the health worker groups, nurses had the highest percentage score values for all burnout variables. There was an association between burnout and these sociodemographic characteristics: age (p<0.001), gender (p=0.003), educational qualification (p<0.001), occupation (p<0.001), years of work...
Systematic review of burnout among healthcare providers in sub-Saharan Africa
BMC Public Health, 2019
BackgroundBurnout is characterized by physical and emotional exhaustion from long-term exposure to emotionally demanding work. Burnout affects interpersonal skills, job performance, career satisfaction, and psychological health. However, little is known about the burden of burnout among healthcare providers in sub-Saharan Africa.MethodsRelevant articles were identified through a systematic review of PubMed, Web of Science (Thomson Reuters), and PsycINFO (EBSCO). Studies were selected for inclusion if they examined a quantitative measure of burnout among healthcare providers in sub-Saharan Africa.ResultsA total of 65 articles met our inclusion criteria for this systematic review. Previous studies have examined burnout in sub-Saharan Africa among physicians (N = 12 articles), nurses (N = 26), combined populations of healthcare providers (N = 18), midwives (N = 2), and medical or nursing students (N = 7). The majority of studies assessed burnout using the Maslach Burnout Inventory. The...
Burnout and resilience at work among health professionals serving in tertiary hospitals, in Ethiopia
Frontiers in Public Health, 2023
Background: The quality of healthcare service is strongly affected by the health professionals' levels of burnout and resilience at work (RaW). Developing resilience is a key component of medical professionalism. Although burnout and resilience are indicators used to assess the level of workplace hardship, there is a dearth of information in most developing countries, including Ethiopia. Objective: To assess the levels of burnout and 'resilience at work' among health professionals who work in the surgical care departments in teaching Ethiopian hospitals. Methods: A cross-sectional study design was applied among health professionals employed in surgical, gynecologic, and obstetric (Gyn/Obs) departments of two acute-care hospitals (n = 388). A structured self-administered English version questionnaire, consisting of validated scales to measure RaW and burnout, was used to collect the data;22 items of Maslach's burnout inventory human service survey tool and 20 items of Win wood's resilience at work' measuring tool" was employed to assess the health professionals' burnout level and Resilience at work, respectively. Linear logistics regression was employed for inferential statistical analysis to identify factors that predict RaW and burnout. Results: Burnout syndrome was shown among 101 (26.0%) study participants. Furthermore, 205 (52.8%), 150 (38.7%), and 125 (32.2%) participants presented high emotional exhaustion, high depersonalization, and low personal accomplishment, respectively. Emotional exhaustion was predicted by the participants' profession, the hope of promotion, professional recognition, and workload. Depersonalization was predicted by age, profession, and perceived workload of the participants. The predictors for personal accomplishment were profession, relationship at work, professional recognition, and having a managerial position in addition to clinical duty. The participants' mean RaW score was 78.36 (Standard deviation ±17.78). A negative association was found between RaW and emotional exhaustion and depersonalization. In contrast, a positive association was identified between RaW and personal accomplishment. The type of profession and marital status were positive predictors of RaW. Conclusion: A substantial amount of health professionals experience high burnout in one or more burnout dimensions. Level of RaW is more affected by burnout syndrome. Therefore, promoting activities that increase the level of professional RaW and recognition in their professional practice is needed to reduce job burnout. These findings are especially important concerning low
Prevalence of burnout syndrome among health-care professionals working at Gondar University Hospital, Ethiopia, 2018
BACKGROUND: Due to exhaustive working climate, health‑care professionals (HCPs) are highly exposed to emotional strain and work‑related stress that leads to burnout syndrome (BOS). AIM: We aimed to explore the prevalence of BOS among HCPs and delineate the factors that contribute to developing this emerging threat in HCPs working in Gondar University Hospital (GUH). METHODS: A cross‑sectional study was conducted among HCPs using a self‑administered validated questionnaire containing sociodemographic and job characteristics, symptoms of burnout using Astudillo and Mendinueta questionnaire, and Maslach Burnout Inventory scale. The prevalence of BOS was assessed by summation of answers to all 19 items with a range of 0–57. HCPs who scored >23 were considered as burned out. Pearson's correlation analysis and multivariate logistic regression were used to assess the relationship between BOS and job factors. Data were analyzed using descriptive and inferential statistics. RESULTS: A total of 250 HCPs were approached out of which 248 responded (response rate –99.2%). The overall prevalence of burnout was 13.7% and majority of the respondents experienced debility (52.8%), self‑criticism (56%), and depressive symptoms (46%). BOS symptoms were significant with age (P = 0.008), number of patients treated per day (P < 0.001), and HCPs working in shifts (P < 0.001). Higher mean levels of emotional exhaustion (5.4 ± 1.2) and inefficacy (5.1 ± 1.7) were noticed than cynicism (4.8 ± 2.0). Male HCPs, being single and years of experience, were determinant factors for all the three dimensions of BOS, whereas profession was significantly determinant for emotional exhaustion (P < 0.01). CONCLUSION: The prevalence of BOS among HCPs working in GUH was 13.7%. Being male, unmarried, and years of experience were significant risk factors for all the three dimensions of BOS. Pragmatic measures are recommended to prevent stressful challenges for the physical and mental well‑being of the HCPs in GUH.
BioMed Research International, 2022
Background. Burnout is a public health problem that disproportionately affects nurses in sub-Saharan Africa because of the weak health systems that create an unconducive workplace environment. In Uganda, there is limited evidence on the burden of burnout among nurses in a manner that undermine advocacy and policy formulation. We aimed to assess the level of burnout and associated factors among nurses in northern Uganda. Methods. This was a cross-sectional survey conducted among 375 randomly selected nurses from health facilities in northern Uganda. Data were collected using a self-administered questionnaire. Data analysis consisted of descriptive statistics and logistic regression at a 95% level of significance in SPSS version 25. Results. Majority of the respondents were female 56.5% ( n = 223 ). Nearly half, 49.1% ( n = 194 ) of respondents had high levels of burnout, 36.2% ( n = 143 ) reported average levels of burnout, and 14.7% ( n = 58 ) reported low levels of burnout. Factors...
Abstract: The prevalence of burnout among health care givers globally has been reported to be on the increase. In Nigeria, studies on burnout are scanty in particular from the Northern region of Nigeria. This study was aimed at assessing the levels of burnout among clinical and non-clinical staff of two tertiary health institutions in Maiduguri, North Eastern, Nigeria. The study was a cross-sectional comparative survey. One hundred and eighty six clinical staff and 184 non-clinical staff were invited to complete a semi-structured socio-demographic questionnaire and the Maslach Burnout Inventory to assess their degrees of burnout. The results showed that 144 (77.4 %) and 117(63.6%) of the clinical and non-clinical participants suffered from emotional exhaustion respectively; 69 (37.1%) and 56 (36.6%) of the clinical Transnational Journal of Science and Technology December 2012 edition vol.2, No.11 58 and non-clinical staff manifested with depersonalisation respectively while 101 (54%...