Factors associated with burnout among healthcare providers in a rural context, South Africa

African Journal of Primary Health Care & Family Medicine

 
 
Field Value
 
Title Factors associated with burnout among healthcare providers in a rural context, South Africa
 
Creator Moses, Alexandra C. Dreyer, Abigail R. Robertson, Lesley
 
Subject Primary care; rural health; primary health care; public health burnout; healthcare workers; South Africa; rural; primary health care; sub-Saharan Africa; mental health; occupational stress; public health.
Description Background: Healthcare providers (HCPs) are at risk of burnout in sub-Saharan Africa. However, there is little research in rural and primary care settings.Aim: To evaluate burnout and its associated factors among public sector HCPs in South Africa.Setting: Primary health care clinics, community health centres and district hospitals in Nkomazi Local Municipality, Mpumalanga province.Methods: Quantitative study design using a cross-sectional survey. Healthcare providers (n = 1139) working in Nkomazi Local Municipality were invited to participate. Burnout was assessed using the Maslach Burnout Inventory. A demographic and occupational questionnaire, the General Help-Seeking Questionnaire and the Health and Safety Executive Indicator Tool were used.Results: A total of 302 HCPs, between 23 and 61 years, mostly female (n = 252; 83.44%) and nurses (n = 235; 77.81%) participated. High burnout was observed for Emotional Exhaustion (median score 26 [IQR {interquartile range}: 34–16]) and Personal Accomplishment (median score 29 [IQR: 34–25]). Most participants (n = 215; 71.19%) would seek help if they had an emotional problem. Bivariate analysis revealed significant associations between workplace demands, control, management support, peer support, relationships, role and change with all subscales of burnout. Multivariate regression analysis found that Personal Accomplishment improved by 0.49 (95% CI: 0.10–0.89) for every point in improved work demands, by 0.84 (95% CI: 0.01–1.67) for every point towards improved management support and by 1.19 (95% CI: 0.48–1.90) for every point towards having an improved role.Conclusions: During 2022, HCPs working in a rural area in South Africa displayed high levels of burnout for Emotional Exhaustion and Personal Accomplishment but not for Depersonalisation.Contributions: Improvements in work demands, managerial support and role clarity may reduce burnout among HCP in a rural, primary care setting.
 
Publisher AOSIS
 
Contributor
Date 2024-01-23
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — Cross-sectional study
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/phcfm.v16i1.4163
 
Source African Journal of Primary Health Care & Family Medicine; Vol 16, No 1 (2024); 10 pages 2071-2936 2071-2928
 
Language eng
 
Relation
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://phcfm.org/index.php/phcfm/article/view/4163/6731 https://phcfm.org/index.php/phcfm/article/view/4163/6732 https://phcfm.org/index.php/phcfm/article/view/4163/6733 https://phcfm.org/index.php/phcfm/article/view/4163/6734
 
Coverage Africa; South Africa; Mpumalanga 2022 Healthcare workers; healthcare providers.
Rights Copyright (c) 2024 Alexandra C. Moses, Abigail R. Dreyer, Lesley Robertson https://creativecommons.org/licenses/by/4.0
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