Burnout in emergency department staff: The prevalence and barriers to intervention

South African Journal of Psychiatry

Field Value
Title Burnout in emergency department staff: The prevalence and barriers to intervention
Creator Naidoo, Reshen Schoeman, Renata
Subject — burnout; prevalence; healthcare; hospital; emergency care; intervention; doctors; nurses; non-clinical
Description Background: Burnout impacts patient care and staff well-being. Emergency department (ED) staff are at an elevated risk for burnout. Despite an acceleration in burnout research due to the coronavirus disease 2019 (COVID-19) pandemic, there is limited data on the nature and prevalence of burnout in the South African emergency medicine setting.Aim: This study determined the prevalence of burnout in ED staff (doctors, nurses and non-clinical staff) at Tygerberg Hospital and explored staff awareness and utilisation of interventions.Setting: The study was conducted at Tygerberg Hospital, South Africa.Methods: This cross-sectional study used the Maslach Burnout Inventory to assess burnout via a self-administered electronic survey in a convenience sample of 109 ED staff. Quantitative data were analysed with descriptive and inferential statistics. Qualitative data were analysed using thematic analysis.Results: A total of 46 participants (45.10%) experienced burnout, with 73 participants (71.57%) at high risk for emotional exhaustion or depersonalisation. The prevalence of burnout in doctors was 57.89%, non-clinical staff was 25.93%, and nursing staff was 50.00%. Burnout was higher in doctors and nursing staff compared to non-clinical staff, with high emotional exhaustion and depersonalisation found in interns and specialist professional nurses. The level of intervention awareness was 41.8% and the level of intervention utilisation was 8.82%. Thematic analysis identified awareness, accessibility and reactive utilisation as barriers to utilisation with opportunities to reduce burnout and enhance resilience.Conclusion: Coordinated health system and organisational efforts are required to optimise intervention strategies to reduce burnout.Contribution: Guidance on the design and planning of intervention strategies considering at risk groups, intervention-related factors, and non-clinical staff.
Publisher AOSIS
Contributor Prof Martin Kidd, Stellenbosch University, Centre for Statistical Consultation Dr Elrike van der Merwe, Manager of Medical Services, Tygerberg Hospital
Date 2023-10-23
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — —
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/sajpsychiatry.v29i0.2095
Source South African Journal of Psychiatry; Vol 29 (2023); 11 pages 2078-6786 1608-9685
Language eng
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:

https://sajp.org.za/index.php/sajp/article/view/2095/3095 https://sajp.org.za/index.php/sajp/article/view/2095/3096 https://sajp.org.za/index.php/sajp/article/view/2095/3097 https://sajp.org.za/index.php/sajp/article/view/2095/3098
Coverage — October 2022 —
Rights Copyright (c) 2023 Reshen Naidoo, Renata Schoeman https://creativecommons.org/licenses/by/4.0